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CORE: The Lower Abdomen, Pelvis
            and Hip

          Bradley Pike, ATC, PT
    College Athletic Trainers’ Society
             Mini Session E
             May 15, 2009
Lecture Objectives
• After completion of this mini session, the
  attendee will have a sufficient review of the
  following
  – The musculoskeletal anatomy of the
    abdomen, pelvis, and hip
  – Identify, through palpation, the muscles of the
    abdomen, pelvis, and hip
  – The introduction of a core control and activation
    program
  – The introduction of a groin injury prevention
    program
What is the core?
• Michael Clark (NASM) defines the core as the
  lumbo-pelvic-hip complex
  – Contains center of gravity
  – Where all movement begins
  – Athletes with poor core demonstrate poor
    neuromuscular control
  – Core exercises should be at the beginning of each
    program to activate prior to heavy loads
Core Myths
• You can target upper and lower abs
• Electric stimulation will get you the abs you
  have always wanted
• We should all have 6 packs



Ab-solute Facts Abdominal Myths Dismissed by Brent Brookbush
Core Facts
• 5 separate EMG studies compared several
  abdominal exercises and found the standard
  crunch created significantly larger EMG
  activity and that 3 studies found the greatest
  activity on a swiss ball
• We all have a 6 pack
• Your abs do not attach to your legs so they can
  not lift, lower or twist
Ab-solute Facts Abdominal Myths Dismissed by Brent Brookbush
Anatomy Review
Transverse
   Abdominis
          ORIGIN
•Lateral inguinal
ligament
•Iliac crest
•Internal surface lower
6 ribs
        INSERTION
I: Abdominal
aponeurosis
Transverse
   Abdominis
Function: Increased
AP



Some studies have
found a decreased TA
firing rate and low
back pain
Rectus
   Abdominis
        ORIGIN
Pubic crest; pubic
symphysis

       INSERTION
Xiphoid process;
Cartilage of ribs 5-7
Rectus
    Abdominis
•Functions primarily as
a flexor



•EMG shows that it
does not appear to be
able to functionally
fire upper vs. lower
parts independently
External
     Oblique
       ORIGIN
Lower eight ribs

       INSERTION
Anterior iliac crest and
linea alba
Internal
     Oblique
         ORIGIN
Lateral inguinal
ligament; iliac crest
thoracolumbar fascia

      INSERTION
Internal surface of
lower three ribs
abdominal
aponeurosis
Obliques
•Differentially to
create twisting torque

•Work together to
provide spine flexion
Quadratus
   Lumborum
        ORIGIN
Posterior iliac crest

       INSERTION
Last rib; transverse
process of first
through fourth lumbar
vertebra
R
     F



TA       TA


     R
     F
Transverse Abdominus Activation




    Hollowing        Activating
Transverse Abdominis Activation
Core Activation
                  Transverse
                  Abdominis
                  Activation
       •Place fingers above
       the iliac crests and
       activate the TA
       •Once activated,
       squeeze the ball and
       hold for 5-10 count



Chris Phillips www.competeperformance.com
Core Activation
                    2 Leg lift

       •Place fingers above
       the iliac crests and
       activate the TA
       •Once activated,
       squeeze the ball
       •Lift both feet off of
       the ground and hold
       for 5-10 count


Chris Phillips www.competeperformance.com
Core Activation
              Bridging

 •Place fingers above
 the iliac crests and
 activate the TA
 •Once activated,
 squeeze the ball
 •Lift both buttocks off
 of the ground and
 hold for 5-10 count


Chris Phillips www.competeperformance.com
Core Activation
                  Rotations

       •Place fingers above
       the iliac crests and
       activate the TA
       •Once activated,
       squeeze the ball
       •Rotate to one side
       and hold; repeat



Chris Phillips www.competeperformance.com
Back Activation
Back Activation
    Quadruped Hip
        Extension
•Activate TA
•Lift leg into hip
extension and hold 5-
10 seconds – be
careful NOT to arch
back
•Repeat on opposite
side
Back Activation
 Quadruped Shoulder
         Flexion
•Activate TA
•Lift arm into shoulder
flexion and hold 5-10
seconds – be careful
NOT to arch back
•Repeat on opposite
side
Back Activation
 Quadruped Alternate
 Shoulder Flexion and
      Leg Extension
•Activate TA
•Lift arm into shoulder
flexion and leg into hip
extension and hold 5-
10 seconds – be
careful NOT to arch
back
•Repeat on opposite
side
Groin and Hip programs
Hip Joint
Gracilis
         ORIGIN
Inferior ramus of pubis

       INSERTION
Proximal, medial shaft
of tibia at pes anserine
Adductor
    Magnus
         ORIGIN
Inferior ramus of
pubis; ischial
tuberosity

     INSERTION
Medial Lip of linea
aspera and adductor
tuberacle (forms
adductor hiatus)
Adductor
      Longus
        ORIGIN
Pubic tuberacle

     INSERTION
Medial Lip of linea
aspera
Adductor
      Brevis
         ORIGIN
Inferior ramus of pubis

      INSERTION
Pectineal line and
medial lip of linea
aspera
Pectineus
       ORIGIN
Superior ramus of
pubis

      INSERTION
Pectineal line of femur
Psoas
       ORIGIN
Bodies and transverse
processes of lumbar
vertebra

      INSERTION
Lesser trochanter
Quadruped Hip Series Extension

Start Position       End Position
Quadruped Hip Series Extension with Knee
                Flexion
     Start Position       End Position
Quadruped Hip Series Abduction
        (short lever)
Start Position       End Position
Quadruped Hip Series Abduction
        (long lever)
Start Position       End Position
Quadruped Hip Series Flexion

Start Position       End Position
Advanced Activation

Front Plank      Front Plank with Leg Lift
Advanced Activation

Side Plank      Side Plank with Leg Lift
Back Extensions
Start                 Finish
Alternate Arm Flexion and Leg
          Extension
   Start             Finish
Hip Extensions
Start                    Finish
Swiss Ball Tucks
Start                  Finish
Swiss Ball Bridging
Start               Finish
Swiss Ball Roll Outs
Start               Finish
Val Slides Abduction
                                  Start                 Finish




Chris Phillips www.competeperformance.com
Val Slides Diagonal Extension
                                Start       Finish




Chris Phillips www.competeperformance.com
Val Slides Rotation
                                      Start                  Finish




Chris Phillips www.competeperformance.com
Val Slides Lunge
Start                                        Mid       Finish




 Chris Phillips www.competeperformance.com
Val Slides Mountain Climber
                             Start          Finish




Chris Phillips www.competeperformance.com
Thanks Veronica!
          http://www.liviafit.com/
Thank You

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Cats 09...Core...The Lower Abdomen, Pelvis And Hip

  • 1. CORE: The Lower Abdomen, Pelvis and Hip Bradley Pike, ATC, PT College Athletic Trainers’ Society Mini Session E May 15, 2009
  • 2. Lecture Objectives • After completion of this mini session, the attendee will have a sufficient review of the following – The musculoskeletal anatomy of the abdomen, pelvis, and hip – Identify, through palpation, the muscles of the abdomen, pelvis, and hip – The introduction of a core control and activation program – The introduction of a groin injury prevention program
  • 3. What is the core? • Michael Clark (NASM) defines the core as the lumbo-pelvic-hip complex – Contains center of gravity – Where all movement begins – Athletes with poor core demonstrate poor neuromuscular control – Core exercises should be at the beginning of each program to activate prior to heavy loads
  • 4. Core Myths • You can target upper and lower abs • Electric stimulation will get you the abs you have always wanted • We should all have 6 packs Ab-solute Facts Abdominal Myths Dismissed by Brent Brookbush
  • 5. Core Facts • 5 separate EMG studies compared several abdominal exercises and found the standard crunch created significantly larger EMG activity and that 3 studies found the greatest activity on a swiss ball • We all have a 6 pack • Your abs do not attach to your legs so they can not lift, lower or twist Ab-solute Facts Abdominal Myths Dismissed by Brent Brookbush
  • 7. Transverse Abdominis ORIGIN •Lateral inguinal ligament •Iliac crest •Internal surface lower 6 ribs INSERTION I: Abdominal aponeurosis
  • 8. Transverse Abdominis Function: Increased AP Some studies have found a decreased TA firing rate and low back pain
  • 9. Rectus Abdominis ORIGIN Pubic crest; pubic symphysis INSERTION Xiphoid process; Cartilage of ribs 5-7
  • 10. Rectus Abdominis •Functions primarily as a flexor •EMG shows that it does not appear to be able to functionally fire upper vs. lower parts independently
  • 11. External Oblique ORIGIN Lower eight ribs INSERTION Anterior iliac crest and linea alba
  • 12. Internal Oblique ORIGIN Lateral inguinal ligament; iliac crest thoracolumbar fascia INSERTION Internal surface of lower three ribs abdominal aponeurosis
  • 13. Obliques •Differentially to create twisting torque •Work together to provide spine flexion
  • 14. Quadratus Lumborum ORIGIN Posterior iliac crest INSERTION Last rib; transverse process of first through fourth lumbar vertebra
  • 15. R F TA TA R F
  • 16. Transverse Abdominus Activation Hollowing Activating
  • 18. Core Activation Transverse Abdominis Activation •Place fingers above the iliac crests and activate the TA •Once activated, squeeze the ball and hold for 5-10 count Chris Phillips www.competeperformance.com
  • 19. Core Activation 2 Leg lift •Place fingers above the iliac crests and activate the TA •Once activated, squeeze the ball •Lift both feet off of the ground and hold for 5-10 count Chris Phillips www.competeperformance.com
  • 20. Core Activation Bridging •Place fingers above the iliac crests and activate the TA •Once activated, squeeze the ball •Lift both buttocks off of the ground and hold for 5-10 count Chris Phillips www.competeperformance.com
  • 21. Core Activation Rotations •Place fingers above the iliac crests and activate the TA •Once activated, squeeze the ball •Rotate to one side and hold; repeat Chris Phillips www.competeperformance.com
  • 23. Back Activation Quadruped Hip Extension •Activate TA •Lift leg into hip extension and hold 5- 10 seconds – be careful NOT to arch back •Repeat on opposite side
  • 24. Back Activation Quadruped Shoulder Flexion •Activate TA •Lift arm into shoulder flexion and hold 5-10 seconds – be careful NOT to arch back •Repeat on opposite side
  • 25. Back Activation Quadruped Alternate Shoulder Flexion and Leg Extension •Activate TA •Lift arm into shoulder flexion and leg into hip extension and hold 5- 10 seconds – be careful NOT to arch back •Repeat on opposite side
  • 26. Groin and Hip programs
  • 28. Gracilis ORIGIN Inferior ramus of pubis INSERTION Proximal, medial shaft of tibia at pes anserine
  • 29. Adductor Magnus ORIGIN Inferior ramus of pubis; ischial tuberosity INSERTION Medial Lip of linea aspera and adductor tuberacle (forms adductor hiatus)
  • 30. Adductor Longus ORIGIN Pubic tuberacle INSERTION Medial Lip of linea aspera
  • 31. Adductor Brevis ORIGIN Inferior ramus of pubis INSERTION Pectineal line and medial lip of linea aspera
  • 32. Pectineus ORIGIN Superior ramus of pubis INSERTION Pectineal line of femur
  • 33. Psoas ORIGIN Bodies and transverse processes of lumbar vertebra INSERTION Lesser trochanter
  • 34. Quadruped Hip Series Extension Start Position End Position
  • 35. Quadruped Hip Series Extension with Knee Flexion Start Position End Position
  • 36. Quadruped Hip Series Abduction (short lever) Start Position End Position
  • 37. Quadruped Hip Series Abduction (long lever) Start Position End Position
  • 38. Quadruped Hip Series Flexion Start Position End Position
  • 39. Advanced Activation Front Plank Front Plank with Leg Lift
  • 40. Advanced Activation Side Plank Side Plank with Leg Lift
  • 42. Alternate Arm Flexion and Leg Extension Start Finish
  • 46. Swiss Ball Roll Outs Start Finish
  • 47. Val Slides Abduction Start Finish Chris Phillips www.competeperformance.com
  • 48. Val Slides Diagonal Extension Start Finish Chris Phillips www.competeperformance.com
  • 49. Val Slides Rotation Start Finish Chris Phillips www.competeperformance.com
  • 50. Val Slides Lunge Start Mid Finish Chris Phillips www.competeperformance.com
  • 51. Val Slides Mountain Climber Start Finish Chris Phillips www.competeperformance.com
  • 52. Thanks Veronica! http://www.liviafit.com/