In this example the subject needs to improve control over the lordosis by using the lower abdominal and gluteal muscles

eventually an element of rotation and hip abduction may be added

prone bridging flexion

from this position the 4 point kneeling position  may be attained

prone bridging flexion and rotation

Swiss Ball exercises in 4 point kneeling

• need to avoid trunk deviation

• legs and arms need to be steady (i.e. no tremor)

• knees should be under the hips

• hands should be under the shoulders

then the crossed extension exercise may begin (may eventually include the opposite leg and arm)

Swiss Ball kneeling exercises

once the stable neutral position is attained, movements such as

•  flexion to extension

• pelvic lateral shifting

• pelvic rotation

may be practiced (eventually without therapist support)

note the excessive pelvic tilt in the first example and the excessive anterior pelvic tilt in the second example

more animation

Hydrotherapy for Core Stability

Development of the concept stability

Last update : 31 October 2007

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Copyright Martin Krause 1999 - material is presented as a free educational resource however all intellectual property rights should be acknowledged and respected