Respond to the 5 post below.100-200 words
APA FORMAT (NO TITLE PAGE NEEDED)
Due Sunday January 26, 2020
The information gleaned from the two articles described above are both important when working with a patient/client who has need of improving their spinal stability. After reading these two articles, I feel instructing a patient/client to incorporate an abdominal brace can help prevent injury from occurring during the prescribed exercise program. McGill (2016) also claims that his studies have shown an instant reduction in pain levels in many of his patients when abdominal bracing is used. When abdominal bracing is used in combination with the exercises described by Okubo, et al. (2010), I believe we can help patients/clients avoid injury during exercise, while also improving the overall stability of the spine by strengthening the muscles associated with lumbar stability.
Grenier and McGill (2007) examined abdominal hollowing and abdominal bracing. To test the two techniques, subjects were handed either a bilateral or asymmetrical weight in their hands. Electromyographic findings showed that the abdominal brace increased stability by 32%.
Ishida, Suehiro, Kurozumi, and Watanabe (2016) studied abdominal bracing and expiration in relation to sudden trunk loading. Subjects were loaded while at rest and while performing each of the stabilization techniques (expiration and bracing). The timing of when the loading would be applied was unknown to the subjects. There proved to be no difference between expiration and bracing, both of which promoted co-contraction of the torso musculature and increased spinal stability. The study also found that there is no rational behind the abdominal hollowing maneuver.
Both studies agree that abdominal bracing is superior to abdominal hollowing terms of increasing stability. I use the abdominal brace regularly in rehabbing my patients. The more I have come to learn about core stability, the more I have centered core training/strengthening/rehabbing around the abdominal brace. Exercises like “Bird dogs”, “Pallof press” and “Good mornings” are all great ways to first establish an abdominal brace and then proceed with the movement. However, the abdominal brace can and should be used in any exercise to provide a stable foundation on which to perform the movement.