Core Training for the Older Adult Client with Low Back Issues – Part II

Hi and welcome to the 2nd installment of this edition of Integrative Movement Insider™ (IMI) where we’ve been discussing a few of the key concepts and corrective exercise patterns we use when training our older clients with low back issues such as chronic tightness or discomfort.

In Video I, I shared with you the three key concepts when working with older clients experiencing low back issues.

  1. Help them find neutral alignment of their trunk, spine, and pelvis (in other words, their core).
  2. Teach them to control neutral alignment.
  3. Train dissociation of the shoulder and hips so they have more efficient movement.

If you missed that video you can access it here, see link below:

Part I

Once you help your clients find and control neutral alignment, you want to help them dissociate their limbs from their core. What do I mean by dissociation?

Dissociation is the independent movement of one segment relative to another. The ability to dissociate the limbs and head from the core is an important component to efficient movement.

The inability to efficiently dissociate the shoulder or hip leads to compensatory motion of the spine and is one of the most common contributors to low back issues. Commonly individuals will hyperextend their low back when they don’t have great shoulder dissociation and will overly flex their lumbar spine when they don’t have great hip dissociation.

In Video II, I’ll share with you two of our go-to corrective exercise patterns – The Modified Quadruped Sit Back and Happy Baby pattern with Pullover and Leg Slides – to improve both core control and limb dissociation.

In Video III, I’ll show you one of the most effective corrective exercise patterns for improving dissociation of the thorax from the lumbar spine and pelvis. The ability to dissociate thoracic motion from the lumbar spine and pelvis improves one’s ability to efficiently rotate without compensating through their low back.