13: CORE STABILITY Flashcards

1
Q

What is core stability

A

the ability to prevent unwanted movement of the body’s centre

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2
Q

Core stability if provided by 3 different systems…

A
  1. Passive System
  2. Active Sytem
  3. Neutral Control
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3
Q

What is the passive system?

A

uses structure and arrangement of the vertebra and discs along with spinal ligaments to provide stability

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4
Q

What ligaments are involved in the passive system

A
  1. Posterior and anterior longitudinal ligaments
  2. Ligamentum flavum
  3. Thoracolumbar fascia
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5
Q

Where is the Posterior Longitudinal Ligament and what does it do

A

Extends along the length of the spine on the posterior surface of the vertebral bodies. Prevents excessive forward flexion

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6
Q

Where is the Anterior Longitudinal Ligament and what does it do

A

Extends the length of the spine on anterior surface. Prevents hyper extension of the spine

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7
Q

Where is the Ligamentum Flavum and what does it do

A

These ligaments are found in the spinal column and connect the vertebrae. They help to maintain the proper spacing between the vertebrae and protect the spinal cord. Strongest ligament in the spine.

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8
Q

Where is the Thoracolumbar Fascia and what does it do

A

The thoracolumbar fascia is a strong, broad sheet of connective tissue that spans the lower back, connecting the thoracic spine to the lumbar spine. Primarily made of collagen, no contractile properties.

The thoracolumbar fascia plays an important role in the stabilization of the spine and pelvis, as it provides attachment points for several muscles, including the erector spinae, quadratus lumborum, and latissimus dorsi.

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9
Q

What happens if the muscles pulling on the thoracolumbar fascia are imbalanced

A

weakened and dynamic posture compromised

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10
Q

What is the active system

A

made up of muscles and tendons of the core. Divided into:
Local - deep muscles
Global - superficial muscles

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11
Q

What are local muscles

A
  • located close to the spine and are responsible for providing segmental stability to the spine
  • essential for maintaining proper spinal alignment and stability during movement. They work together with the global muscles
  • recruited prior to gross movement to prevent unwanted movement
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12
Q

What muscles are included in ‘local’ muscles

A
  1. Transverse abdominis - providing anterior support
  2. Multifidus - providing posterior support
  3. Quadratrus Lumborum - lateral support and lumbar spine stability
  4. Internal obliques - lateral support
  5. Pelvis floor muscles - inferior support
  6. Diaphragm - superior support
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13
Q

What are global muscles

A
  • larger, more superficial muscles that are responsible for generating movement and power in the body.
  • generate the force and movement needed to perform activities such as walking, running, lifting, and jumping, while the local muscles stabilize the spine and pelvis to allow for efficient and safe movement
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14
Q

What muscles are included in global muscles

A
  1. Rectus abdominis: This muscle runs vertically down the front of the abdomen and is responsible for flexing the trunk.
  2. External obliques: These muscles are located on the sides of the abdomen and are responsible for rotating and side-bending the trunk.
  3. Internal obliques: These muscles are located beneath the external obliques and are responsible for the same actions.
  4. Erector spinae: These muscles run vertically along the spine and are responsible for extending the trunk.
  5. Quadratus lumborum: This muscle is located on the side of the spine and is responsible for lateral flexion of the trunk.
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15
Q

What is neutral control

A

Neutral control is the optimal balance between the passive and active systems, where the body is in its most stable and efficient alignment.

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16
Q

What are proprioceptors

A

specialized sensory receptors located within the muscles, tendons, and joints of the body that provide information about the body’s position, movement, and force of muscular contractions.

17
Q

What do proprioceptors consist of

A

Muscles spindles located deep in the centre of muscles and golgi tendon organs located in the tendon

18
Q

What are the functions of the core

A
  1. Containing and protecting internal organs
  2. Ensuring greater mobility of the spine and trunk
  3. Stabilising top part of the body over the lower part
  4. Controlling pelvic + lumbar relationship
19
Q

What are the benefits of improving core stability

A
  1. Improved application of force from limbs an unsupported environment - more stable base to work from
  2. Decreased risk of injury from the spine, shoulder girdle and associated joints
  3. Improved appearance of lower abdomen
  4. Improved balance and motor skills
  5. Reduction in lower back pain
  6. Improved lung capacity for those with hyper kyphosis due to increased size of thoracic cavity
  7. Improved postural stability and balance
20
Q

What is the pelvic floor

A

Double layers (deep and part-superficial layer) broad sling of muscles from the pubic bone at the front to the base of the spine at the back of the pelvis

21
Q

What are the two main muscles of the pelvic floor

A
  1. Levator ani: This is a group of muscles that include the pubococcygeus, puborectalis, and iliococcygeus muscles. These muscles run from the pubic bone to the coccyx (tailbone) and are responsible for supporting the pelvic organs and maintaining continence.
  2. Coccygeus: This muscle is located behind the levator ani and helps to support the pelvic organs.
22
Q

What muscle fibres are in the pelvic floor

A

Fast and slow twitch - enables it to provide tone and endurance while also responding immediately to a sudden rise in abdominal pressure

23
Q

What are 4 main functions of the pelvic floor

A
  1. Support for organs of pelvis and abdominal contents
  2. Stability to pelvic girdle
  3. Continence control of urine and poo
  4. Supports reflex activity to counteract changes in abdominal pressure (coughing, sneezing, vomiting)