Dr. Michael Hartle Medical Committee Chair
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Trunk Stabilization Concepts
and Exercises by Michael A. Hartle, D.C., D.A.C.B.N.,
C.C.N., C.C.S.P., C.S.C.S., E.M.T.
Part Six of Six
Exercises
Balance/Proprioception
Single-Leg Standing
Progression: Shoes - Bare Feet - Unstable Apparatus
(i.e. Airex pad, wobble board, sand, etc.)
Eyes Open - Eyes Closed
Arms Static => Arms Dynamic => Arms Dynamic Weighted
Up to 1 minute per leg
Wobble Board
Front - Back; Side - Side; All Over Balance
Can be done for sets/reps (2-3 sets x 10-20 reps)
or for time limit (10 sec to 1 minute)
Bench Press
Ball Push-ups
Tempo: 1-1-1
Sets/Reps: 2-3 Sets x 5-15 reps
Forward Ball Roll
Tempo: 3-3-3
Sets/Reps: 2-3 sets x 10-12 reps
Rotator Cuff Exercises
Shoulder Horn
Tempo: 2-0-2
Sets/Reps: 2 sets x 15-20 reps
Side Lying Lateral Raises
Tempo: 2-2-2
Sets/Reps: 2-3 sets x 10-15 reps
Squat/Deadlift/Trunk
Supine Lateral Ball Roll
Tempo: 1-0-1
Sets/Repetitions: 2-3 sets x 6-8 reps
Bridging - Floor => Ball
Tempo: Hold for 5 seconds, rest for 10 seconds,
eventually moving to hold for 10 sec., resting for 5 sec.
Sets/Reps: 2 sets x 10-12 reps
TVA (Transverse Abdominis)
4 Point TVA
Tempo: Hold for 5 seconds, rest for 10 seconds,
eventually moving to hold for 10 sec., resting for 5 sec.
Sets/Reps: 2 sets x 10-12 reps
Sample TVA Training
Week Exercise Rest Intensity Reps Tempo Sets
1 4 Point 1:00 10 10/10 1-4
2 BP Cuff 1:00 - 10 mm Hg 10 10/10 2-4
3 BP Cuff 45 sec. - 10 mm Hg 10 10/5 2-4
4 BP Cuff 30 sec. - 10 mm Hg 2-4 =/> 100 s.
CRAC Deadlift
Tempo: 3-1-3
Sets/Reps: 2-3 sets x 6-8 reps
References In addition to the above studies, material used in research
for this presentation was obtained from the following sources:
- Liebenson C (ed) Spinal Rehabilitation: A Manual of Active
Care Procedures. Williams and Wilkins, Baltimore 1996
- Murphy D. New concepts in spinal stability and instability,
Part Two. Chiropractic OnLine 1996
- Chek, P. Back Strong and Beltless. Testosterone.net Magazine.
Colorado Springs, CO 2000
- Lander J.E., Hundley J.R., Somonton R.L. The effectiveness
of weight-belts during multiple repetitions of the squat exercise.
Medicine and Science In Sports and Exercise 1992 May;24(5):603-9
- Ed by: Vleeming A., Mooney V., Snijders C.J., Dorman T.A.
and Stoeckart R. Movement, Stability & Low Back Pain - The
essential role of the pelvis. Churchill Livingstone, New York,
Edinburgh, London, Madrid, Melbourne, San Francisco and Tokyo,
1997
- Lee D. The Pelvic Girdle (2nd. Ed.) - An approach to the
examination and treatment of the lumbo-pelvic-hip region. Churchill
Livingstone Edinburgh, London, New York, Philadelphia, Sydney,
Toronto, 1999
- Miyamoto K., Iinuma N., Maeda M., Wada E., Shimizu K. Effects
of abdominal belts on intra-abdominal pressure, intra-muscular
pressure in the erector spinae muscles and myoelectrical activities
of trunk muscles. Clinical Biomechanics, Feb. 1999 14(2):79-87
- Bauer J.A., Fry A., Carter C. The Use of Lumbar Supporting
Weight Belts While Performing Squats: Erector Spinae Electromyographic
Activity
- Lander J.E., Simonton R.L., Giacobbe J.K.F. The effectiveness
of weight-belts during the squat exercise. Medicine and Science
In Sports And Exercise Vol. 22, No.1 Feb. 1990 pp 117-26
- Chek P. Scientific Core Conditioning (correspondence course).
Chek Institute, Encinitas, Ca. 1993,1999
- Chek P. Scientific Back Training (correspondence course).
Chek Institute, Encinitas Ca. 1995
- Janda V. Muscles, Central Nervous Motor Regulation and Back
Pain (27-41)In: Korr I.M. (Ed.) The Neurobiologic Mechanisms
in Manipulative Therapy. Plenum Press New York and London 1978
- Richardson C., Jull G., Hodges P. and Hides J. Therapeutic
Exercise For Spinal Segmental Stabilization In Low Back Pain
- Scientific Basis And Clinical Approach Churchill Livingstone,
London, New York, Philadelphia, Sydney and Toronto, 1999
- Cresswell A.G., Grundstrom H., Thorstensson A. Observations
on intra-abdominal pressure and patterns of abdominal intra-muscular
activity in man. Acta Physiol Scand 1992, 144, 409-418
- Norris C.M. Functional load abdominal training: part 1.
Journal Of Bodywork And Movement Therapies, July 1999
- Kegel A.H. Progressive Resistance Exercise In The Functional
Restoration Of The Perineal Muscles American Journal of Obstetrics
and Gynecology August, 1948
FOR FURTHER INFORMATION: Michael A. Hartle, D.C., D.A.C.B.N.,
C.C.N., C.C.S.P., C.S.C.S., E.M.T. 3835 West Jefferson Boulevard
Fort Wayne, Indiana 46804 Telephone: (219) 432-7339 Facsimile:
(219) 436-4750 Website: www.chiropower.com Email: pwrdoc@fwi.com
I would like to announce that starting December 1st, 2002, we
are creating and opening a new division of our clinic. The Athletic
Performance Center will offer physical therapy and rehabilitation
services, one-on-one personal training and last, but certainly not
least, athletic performance training. We have brought a Ball State
University graduate, Michael Robertson, MS, CSCS, onboard to direct
this new division. This will be the place to go in the Midwest for
the aforementioned services. More to come on this in the future!!
Michael A. Hartle, USA Powerlifting Executive Committee
Board Member Chairman, USA Powerlifting Sports Medicine Committee
Chairman, USA Powerlifting Drug Testing Committee
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