Therapeutic Exercise for Lumbopelvic Stabilisation 2nd edition By Carolyn Richardson

Principles of the 'segmental stabilization' exercise model 1 8 1 Open chain segmental control Closed chain segmental control Local segmental control �.. .,.: V Figure 13.1 The segm e ntal sta b i l ization model for the prevention and treatment of low back pain. (Ada pted from Richardson and Ju l l 1995b.J exercise techniques. The exercise principles, in lumbopelvic region without the addition of load addition to the general principles of the SST model, or antigravity weightbearing function. are given for each of the stages and are illustrated in Figure 13.1. 1. Assess the level of impairmen t in the join t protection mechanisms The cue to 'pull in the lower Stage 1: local segmental control (Ch. 14) abdomen' is used to assess the automatic acti­ vation of the co-contraction pattern (i.e. local The aim in stage 1 is to train the local muscles muscle synergy). This is assessed through a to provide segmental protection of joints in the supine test as well as a prone test with the pres­ sure biofeedback unit. The ability to perform an