Misconceptions of “The Core”
Core strengthening, training, and stabilization have become popular terms in exercise discussion. However, they are often misused or referred to incorrectly. Core exercises are often thought of as exercises of abdominal muscles (crunches, etc), or back muscles (lat pulls, rows, roman chair, etc.). Although these are great for strengthening certain muscles of the trunk, they are not true core exercises. Core muscles are not the abdominals, back extensors, or “prime movers” of the spine. They are much smaller and more specific “stabilizers” of the spine. Their responsibility is to control the vertebral movement, not initiate it. These muscles reduce the amount of shear force at each vertebral level and give the spine balance and control. They consist of the transverse abdominus, multifidus, pelvic floor muscles, and many of the smaller muscles that link each vertebrae together. Training these muscles is not only essential for spine rehabilitation, but for functional training and activities of daily living.
To truly work the core stabilizers, one must first learn to fire them volitionally, and once that is mastered they must be trained in an unstable environment. This can be accomplished through a great deal of therapeutic ball use and balance oriented training to stimulate these muscles to centrally control the spine. The improved functioning of the core muscles will result in “prime mover” strength being enhanced, more efficient, and the spine becoming more protected.
Therefore, understanding the use of the term “Core” is very important in understanding how spine rehabilitation progresses. SLIERS therapists understand the core and are committed to correctly training and rehabilitating spine patients for the rigors of working and activities of daily living.
Filed under: Common Aches & Pains, General Health Tips, Sports & Injuries