advanced stability training

7/28/2019 Advanced Stability Training

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Advanced

Stability Training


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Advanced stability training is started

only when the patient has no pain andbasically stable back

This are the exercises that will build ontraining already achieved , using :

1. Body movements alone2. Using balance board

3. Using stability or physio balls

4. Employing proprioceptive training


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Advanced stability training exercises are for

the patients or clients whose demands in theworkplace or in the sport activities require

extraordinary

1. Strength

2. Speed

3. Accuracy of movement


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They should have learned : To control pelvic tilt

To automatically assume neutral position

To abdominal hollowing (at 30 to 40% of maxeffort )

They shuld be able to voluntarily contract themultifidus

They should have corrected posture They should have begun correcting muscle

imbalance


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Very important

For each exercises in ast patient should gently

contract their deep abdominals muscles to

perform ab hollowing and maintain this

contraction throughout the exercise.

Begin all exs in neutral position and maintain

the same throughout the exercise


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Superimposed limb movements

Each of the following exs involves limb

movements that are superimposed on

basically stable back

Once the patient can hold ab hollowing for

10rep of 10sec each ,therapist should add

limb movements .


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Determining the starting position

An individuals starting position depends on

his physical characteristics and abilities

But a therapist should be flexible in choosing

starting position Generally the program follows a

neurodevelopemental approach

We will go from : ground support ,toapparatus support , and finally to increasinglycomplex free exercises


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Exercises in crook lying

Heel slide

Leg lowering

Single bent leg raises Bridging from crook lying

Bridge with leg lift


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Prone lying

Gluteal brace

Prone bent leg lift


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Exercises in four point kneeling

position

Four point body sway

Four point pelvic shift

Four point leg flexion/extension Four point kneeling leg lift

Four point kneeling arm and leg lift


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Exercises in side lying position

side lying knee lift

side lying leg rotation

side lying leg abducion side lying spine lengthening

side lying hip lift

side lying body lift


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Exercises in standing position

Standing sternal lift

Pelvic shift with unloading

Pelvic shift leg lift Standing hip abduction

Standing hip hinge


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Exercises in sitting position

Sitting hamstring stretch

Sitting sternal lift

Sitting knee raises Sitting knee and arm raise


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advanced stability training

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