Train your ribcage and pelvis coordination - Part 1 | The MSK Physio

Ribcage and pelvis coordination.

When a region of the body is injured it is important to check a few boxes as you progress through rehab. Generally this is going to be whatever that region is capable of doing. This includes normal range of motion, adequate strength for daily living and coordination. More advanced skill development may be required if someone wants to get back to sports or a specific physical task. If we reverse engineer the complexity of human movement we know that much of it begins with pelvic movement (Michaud, 2011). The pelvis is where our centre of mass lies. Control of the pelvis through both active and passive energy systems allows for movement of the body (Ortega & Farley, 2005). This can begin in supine as we learn to coordinate breathing and thoracolumbopelvic control, specifically, the neutral lumbar spine position (Bezzoli et al., 2018).

Coordination deficits in the lumbar region are seen during and after low back pain episodes (Seay et al., 2011a). Deficits are typically in the form of low back pain populations spending more time sideways or rotated during walking. They are not anchoring in the sagittal (forward/backwards) plane (Seay et al., 2011b)!

The focus of this exercise is not specific muscle contraction, but instead movement that the regions are capable of. Specifically, learning to anchor in the sagittal (forward/backwards) plane.

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#posture #themskphysio #ribcageandpelvis #posturecoordination

References:
Bezzoli, E., Andreotti, D., Pianta, L., Mascheroni, M., Piccinno, L., Puricelli, L., Cimolin, V., Salvadori, A., Codecasa, F., & Capodaglio, P. (2018). Motor control exercises of the lumbar-pelvic region improve respiratory function in obese men. A pilot study. Disability and Rehabilitation, 40(2), 152–158. [ Ссылка ]

Michaud, T. (2011). Human Locomotion: The Conservative Management of Gait Related Disorders (First Edition). Newton Biomechanics.

Ortega, J. D., & Farley, C. T. (2005). Minimizing center of mass vertical movement increases metabolic cost in walking. Journal of Applied Physiology. [ Ссылка ]

Seay, J. F., Van Emmerik, R. E. A., & Hamill, J. (2011a). Low back pain status affects pelvis-trunk coordination and variability during walking and running. Clinical Biomechanics (Bristol, Avon), 26(6), 572–578. [ Ссылка ]

Seay, J. F., Van Emmerik, R. E. A., & Hamill, J. (2011b). Influence of low back pain status on pelvis-trunk coordination during walking and running. Spine, 36(16), E1070-1079. [ Ссылка ]

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