Core and Functional Strength Exercises

Progressive  Rehabilita0on    

Core  &  Func0onal  Strength  Exercises  

Nathan  Wade  –  Exercise  Physiologist  

Progressive  Rehabilita0on:  Free  Weights    Exercise  op0ons  to  avoid:    •   Incline  Leg  Press  •   Heavy  Olympic  Squats  &  DeadliHs  •   Military  Press  (overhead)  •   KeMlebell  Swings  •   Back  Hyperextensions  •   Forward  Flexion  with  rota0on    i.e.  Minimise  compression  &  lumbar  extension  based  strength  exercises.          

Progressive  Rehabilita0on      Advanced  Free  Weights  exercise  prescrip0on  should  include  elements  of:    •   Propriocep0ve  skills    •   Closed  Kine0c  Chain    •   Global  Core  -­‐  combina0ons  of  shoulder,  pelvic  &  trunk  

 stability  •   Improved  postural  awareness  –  ‘recalibra0ng  ‘                

Issues  to  consider  with  program  design:    •   Foot  drop  &  associated  instability  of  affected  leg  •   Compensatory  postural  changes  (eg.  Thoracic  Kyphosis  &  

 Forward    Head  posture)  •   Avoiding  full  extension  of  affected  leg  if  residual  nuerology  

 exists  •   Compensatory  gait  paMerns  in  walking  program      

Some  Cardiovascular  Condi0oning  Op0ons:    •   Walking  •   Cycling  •   Light  jogging  where  applicable  •   Pool  walking  /  hydrotherapy  •   Modified  swimming  –  reduce  excessive  lumbar  extension