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Posts Tagged ‘spine stability’

New Favorite Exercise for Stabilization

Monday, May 10th, 2010 by Karena

Hey, Everyone! Just a quickie today and I don’t even have a pic so we’ll all have to tune into the same Pilates Psychic channel so you can ’see’ what I’m talking about here.  I have been using this exercise for the last three weeks for:

  1. Hip Extensor Strength
  2. Quadricep eccentric contraction
  3. Glut med, min, endurance
  4. Soleus and tibialis anterior endurance
  5. Spine stability
  6. Pelvic stability

Here’s how it goes:

  1. Stand on the side of the reformer facing the footbar with the right leg next to the reformer. The heel of the right foot is about 4″ forward of the shoulder rest (4″ towards the footbar but on the floor).
  2. The left foot goes on the shoulder rest with the toes in extension and the ball and heel of the foot on the actual shoulder pad.
  3. With, of course, perfect alignment, press the left hip into extension.
  4. I give my client a six foot dowel to hold for balance. Watch for hyper-extension of the right knee and accommodations in the low back

Notes: Upon extension, if your client has little hip extension or tight hip flexors the left knee may meet the line of the right knee but may not extend beyond that point.  As the left hip extends be sure that your client is not ‘dumping’ into the low back.

I’ve been giving this exercise to my low back pain clients for increasing pelvic and spine stability. I’ve also used it for a client with a hip replacement to really zero in on the hip extension process without a whole lot of extraneous ’stuff’ going on.  And most recently I’ve used the exercise with a knee pathology.

If you have a variation on this that you love, let me know! I’m always looking for new things.  K

Pilates for Back Pain – Part 7 of 8

Thursday, September 10th, 2009 by Karena

Pilates for Back Pain Part 7 of 8

Reducing Back Pain by increasing the strength of the oblique muscles

You have a built-in corset around your abdomen. It is formed by several components beginning with your abdominal muscles in the front of your body: the place where the 6-pack should be (6-pack as in amazing abdominal muscles NOT as in ‘this is where you rest your 6-pack at the end of the day’). To continue with the corset of muscles, after the abdominals you have the internal and external oblique muscles at the sides of the abdomen. Starting around the back you have the quadratus lumborum and to complete the circumference you have a strong connective tissue called the thoraco-lumbar fascia at the center of your spine.

Way too much attention is given to only one of those muscle groups. Know which one? Take a wild guess… Yes, of course, it is the abdominals, the 6-pack wannabe’s. This exercise takes the focus off of that group (and to see how I feel about so much mis-placed attention being placed on the 6-pack muscles, read my last two posts). This exercise puts the focus on the sides of the body. These muscles are responsible for stabilization of the spine and help with stabilization of the pelvis. Increased stability means increased control and almost always decreased pain.

Why is stabilization important? Because those of us with back pain tend to do the hula as we move through our everyday motions. Yes, we feel stiff but what is happening in the joints of the spine (and even the hips) is often anything but stiff. There may be a couple of vertebral joints that don’t like to move much but trust me… the joints above and below them are in there doing a killer hula to make up for the lack of movement above or below. That much movement equals instability which equals discomfort.

Okay, enough chatter, here’s your next exercise… Let me know if you have any questions about it. Karena