My issue with core strengthening

Valentina R

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I made a post on my blog today that I wanted to post here as well:

My Issue with Core Strengthening

Core strengthening is a popular treatment modality among physical therapists, as well as being popular in the mainstream of exercise. There have been a number of articles written critical of core strengthening (see The Myth of Core Stability: http://www.google.com/url?sa=t&sour...mN8xCaRP2-yLHspQA&sig2=9InG9yIZlTrHHc3h3ww0kw). Based on my experience, one serious flaw has to do with tightness that most physical therapists pay little attention.

Tightness of the anterior (front) spinal and pelvic musculature can play a great role in back, sciatic, and pelvis pain. Shortness or tightness of the iliopsoas musculature can cause the lumbar spine to become drawn forward and downward. The psoas originates at the transverse process of L1-L5, with fascial slips into each of the lumbar discs. Tightness of one or both sides of the psoas and surrounding fascia can lead to commonly felt back pain and dysfunction. I find this a repeating theme among patients with back pain and one that I spend a great deal of time in education and treatment. Repeated exercise can lead to shortening of a muscle, if not properly stretched.

Some common symptoms that can result from shortness in this region are pain with prolonged standing, or standing while leaning forward (doing dishes), pain on rising to stand after sitting, especially when you are leaning forward (computer use or bleacher sitting), and lying flat on your back with the legs flat.

If the psoas and surrounding fascia is restricted, further strengthening these areas easily leads to further examassageplanetation of the back pain. This is what often results from core strengthening. The traditional medical model, including the traditional physical therapy model, pays little attention to these interplays. While your therapist may have put you on a general stretching program for your pain, the prescribed exercises seldom target the hip flexors. Strengthening the trunk and back to better support is a repeating theme among the patients I see who have not been helped (or have been hurt) by this approach to pain.

Myofascial release stresses identifying the restricted or shortened musculature and soft tissue that may be causing excessive strains on the body. In my Foundations in Myofascial Release Seminarsโ„ข, I stress a unique deep model of evaluation as a part of Myofascial Release training. Without this proper type of evaluation, this tightness is often overlooked. Demand more of your therapist. Donโ€™t settle for what each and every back pain patient receives. No two cases are alike, so why allow yourself to be treated by everyone else?

Walt Fritz, PT

http://www.MyofascialResource.com


It is interesting that I chose an article by Lederman to bring doubt on core strengthening, even though he wrote the paper mentioned in this thread here:
http://www.massageplanet.com/forum/viewtopic.php?f=22&t=22177
He certainly chooses topics that pull folks into action.

What are your thoughts on core strengthening?

Walt
 
My issue with core strengthening

YES!!!! What drives me CRAZY is people thinking they have THE ANSWER for any specific (general!!) pain, such as low back pain. There are so many intricasies involved in the low back function, that it's just plain silly to say one treatment "works" - or one treatment *doesn't* work. Each body has its own history, unlike any other in the world. We're going to have to pay close attention to the one on the table, not only to somebody's research. I love research.....but not the arrogance that so often goes with it.

I love your blogs, Walt!!!
 
My issue with core strengthening

Oh.......thoughts on core strengthening.. :oops: forgot.

I love core strengthening, too. It's a great tool and I have seen incredible results when it was the tool needed for the particular job. ;)
 
My issue with core strengthening

"Core strengthening" is oversold because it is misunderstood and therefore misused and abused. Unfortunately, it has become a popularly-believed meme that is hard to avoid. Tons of companies, trainers, therapists, etc. are hawking it like crazy because it is an easy sell and can be very profitable.

It would be helpful for people to understand what the "core" muscles are and what they do. It would also be great if people understood that you can easily overtrain some core muscles while neglecting others, and that it can't be used for "spot reduction" of belly/waist fat. (I could go on and on...)

"Weak core muscles" is never a direct cause of pain. Perceived/measurable muscle weakness is a symptom, never a cause. If detected, it is also important to determine whether the perceived weakness is the result of ACTUAL weakness, or if it the result of muscle inhibition. If it's a case of inhibition, the underlying cause needs to be identified and addressed in order to resolve the perceived weakness. In my experience, very little strengthening of the "weak" muscles is required, as removal of inhibition results in immediate functional strength gains.

It's a tool, but not a "universal multi-tool" for all problems.
 
My issue with core strengthening

just doing strengthening like a workout can cause more damage if it is not flexible

the best thing to do is muscle strengthening combined with stretching. some great things to do with this are yoga because is balances the muscles keeping them strong and flexible and also balance training it forces the body strengthen itself while keeping flexible

balance board trainers are amazing indo boards work well
 
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    Thursday at ๐ŸŽญ๐—›๐—ข๐—Ÿ๐—Ÿ๐—ฌ๐—ช๐—ข๐—ข๐—— ๐—ฆ๐—ฃ๐—”๐ŸŽญ, 4578 Yonge St, Unit 100, North York, ON: CINDY, JENNY & SISI. โ˜Ž416-222-5554โ˜Ž CINDY is a slim & pretty lady with long dark hair and a pleasing personality. JENNY is slim, attractive, with a tight frame and service with a smile. When you visit ๐ŸŽญHollywood Spa๐ŸŽญ, you will be treated with tender care and your visit will be a fulfilling one.
  38. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  39. wilson holistic centre:
    new girl Tina works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  40. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  41. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: ASHLEY is a beautiful slim Korean student, snow white skin, 5'2, 100 Lbs, natural C Cup, pink nipples, baby face & voice, can accomodate bbbj cim cof rim dfk, excellent services. KITTY (12pm-9pm) is a new Korean girl, super busty, small body, new to the business.
  42. Lilyspa1:
    Lily Spa :๐Ÿ’•๐Ÿ’•Thursday Schedule ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณSana 23, , Punjabi girl , very pretty 36 DDD ๐Ÿ˜ˆGFE โค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  43. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Helen ,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ
  44. Moneylee:
    Full season wellness center: young girl pretty face nice figure Thai deep massage Vivian , pretty face nice figure Thai deep massage Yuki ,Young girl big breasted beautiful buttocks charming temperament big boobs Anjoo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  45. Funlooker:
    Introducing Funlooker - We are a high-class escort agency representing extremely beautiful, passionate, intelligent and sexual girls in Bangkok, Barcelona, Berlin, China, Kuala Lumpur, London, New York, Paris and Tokyo - funlooker.co
  46. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile. Come and enjoy.
  47. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธCindy๐ŸŒธAletta๐ŸŒธJessica๐ŸŒธSelina๐ŸŒธNina Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  48. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Bobo๐Ÿ˜˜โค๏ธAn alluring and skilled new massage girl with an elegant presence and a warm, inviting aura. Her striking figure, accentuated by her graceful posture and her massive 36DD breasts, immediately puts clients at ease.
  49. bnwellness_wilson:
    We have 4 young girls are working today, young Fun Ivy 30โ€™s with big buttocks 36DD open mind and young student Taiwanese 25โ€™s slime open mind, young cute Tina 30โ€™s with sexy body open mind and sweet GFE Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. Lulu_Villa_Spa:
    Barbie Petite Korea Part time School girl Sami Gorgeous Model Type Vietnamese Girl Judy is a gorgeous model type Vietnamese Girl Natalie filipina mixed Petite girl โ˜Ž๏ธ647- 446-0886
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