Re-Discover the Core: Shift Clinical Understanding to Improve Neuromuscular Re-Education, Stability, Mobility & Function

Credit

Handouts/Brochure

Speaker

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, CGS Related seminars and products

Advanced Healthcare

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Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, CGS, is a practicing therapist in Utah and is a credentialed holder of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Utah Department of Health and Human Services (DHHS) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care.

Mr. Brown has over 20 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131, advancing OT practice in the state of Utah, and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule, he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for tens of thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.

 

Speaker Disclosures:
Financial: Trent Brown has employment relationships with the Utah Department of Health and the University of Utah. He receives compensation as a national speaker. Trent Brown receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Trent Brown has no relevant non-financial relationships.

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Objectives

1. Investigate missing components of broadly used definitions of the core and how this leads to clinical misunderstanding and lack of evidence when treating core dysfunction.
2. Evaluate the core with a functional emphasis using transverse, sagittal, and frontal planes with stability, mobility, and functional emphasis.
3. Demonstrate the evolution of contraction for stabilization of the core and spine.
4. Appraise standardized evaluations used to evaluate core weakness and stability.
5. Distinguish evidence-based core activities and exercises emphasizing the re defined core that promote stability and mobility in supine, seated, and standing.
6. Demonstrate dynamic core activities during labs to develop an evolutionary plan of care and to promote functional outcomes.

Outline

• Evidence of function and clinical significance
• Definitions and myths

• Region: Superior, inferior, central
• Anatomy & physiology of stabilizers vs. mobilizers

• I-IIA-IIX-IIB – muscle contraction slow twitch to fast twitch
• Stability vs. mobility of the brain in the geriatric client
• Contract-Relax-Antagonist-Contract principle (CRAC)
• Sherrington’s Law: Are we emphasizing poor patterns during treatment?

• Trunk Impairment Scale (TIS): core stability and mobility control
• Bent Knee Fall Out (BKFO)
• Side lying SLR
• 3-Plane Core Test

• Supine core stability
  • Abdominal Ball Press Lab Demonstration:
  • Anterior abdominal wall re-education
  • Application: low back pain
  • Trochanter Tension Demonstration:
  • Supine techniques to contract gluteus medius/minimums, TFL, and QL
  • Application: single leg standing balance for mobility and transfers
• Seated core stability
  • Dolphin Demonstration:
  • Core dissemination during frontal plane mobility
  • Application: lateral mobility: bed mobility, toileting, functional reach
  • Stable Ball Drop Demonstration:
  • Stabilizing the anterior and posterior abdominal walls
  • Application: low back pain and fall risk
• Standing core stability
• Wall Plank Demonstration:
• Application: low back pain, LOB, fall risk
• PNF Chop Demonstration:
• PNF functional reaching diagonal patterns
• Application: high to low reaching during functional tasks

• Supine core mobility
  • ASIS Press, Scapular Elevation Demonstration:
  • Mobilization of the pelvis to reduce soft tissue tightness
  • Application: sagittal plan movement of the upper body over the core
• Seated core mobility
  • Quad Sit-up Demonstration:
  • Sit-stand utilizing lower extremity emphasis
  • Application: low back pain, sit-stand/transfers
  • Mobile Drop Demonstration:
  • Core rotation and reaching in all planes with various weighted objects
  • Application: functional reach for ADL’s
• Standing core mobility
  • Standing ASIS, Dynamic Chop Demonstration:
  • Tactile cues for pelvic extension during sit-stand
  • Application: COG over BOS during upright tasks with reduced energy expenditure

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Chiropractors
• Athletic Trainers
• Massage Therapists
• Other Rehab Professionals