Spine, hip and pelvic stability

In your body you have a local control and a global control system for spine and hip stability and control. According to Diane Lee, et al, 2011, the primary function of the lumbo-pelvic hip complex is to handle loads safely while accomplishing the movement and control requirements of a desired task such that the objectives of a task are met, neuromusculoskeletal structures are not injured in the short or long term.

The most efficient function requires both mobility and stability. It has been proposed by Manohar Panjabi that for a system to be stable there must be optimal function of three interdependent systems: passive, active, and control. A stable system does not necessarily mean loose in the biomechanical sense. Looseness can mean hypermobile (moves too much), poor timing (moves too soon, too late, or not at all), a weak muscle or ligament in the system or the inability to control the desired movement rendering it a faulty system. If one or more of the parts of this interdependent system doesn’t work properly, pain and dysfunction are the results. The muscles of your spine are guide wires that hold the spine in its neutral position during all movements. When the spine is injured, there is a glitch in the stabilizing system that has to be retrained before any actual strengthening can begin. It is like trying to build a house on a foundation where the cement has not cured. You end up with a system that cascades into a progressive cycle of disrepair, pain, and limited function. Regardless of the cause of your pain, the therapists at Connolly Physical Therapy are experts in evaluating, diagnosing, treating and helping you retrain the movement dysfunction that is the pain generating issue.