01 Jul Advanced Core Exercises
Are core exercises as important as we once thought? Several reviews have recently challenged the idea of improving core stability for prevention and treatment of low back pain. There is strong evidence suggesting that stabilization exercises are no more effective than other forms of active exercise in the long term. That is not to say that core exercises have no utility, as I prescribe core exercise on a daily basis within the clinic. This article demonstrates a few advanced core exercises that you can perform to take your core muscle function to the next level!
What is the Core?
The core is so complex there is an absence of a universally accepted definition of core stability. The “Core” is often referred to as the lumbopelvic-hip complex which consists of muscular boundaries that are shown through this image on the left. Think of the core as the kinetic link transferring torques between the upper and lower extremities, this transfer of torque is a component of many daily movements and athletic activities. Most of the exercises in this article consist of an isometric core contraction while moving the extremities. It is important to note that the exercises within this article are high-level exercises not appropriate for everyone.
High Plank With Arm and Leg Raise
- HOW: Begin in a high plank position while maintaining a neutral spine. Try driving your hands and your toes together to keep tension in your core. Then elevate one arm and the opposite leg up parallel to the floor.
- FEEL: You will feel the core and shoulders working with this exercise.
- COMPENSATION: Avoid allowing the low back to arch or the torso from rotating as you perform this exercise.
Dead Bug With Swiss Ball
For this exercise begin by laying on your back for this exercise, knees over hips and hands over shoulders- with a swiss ball in between both. Then bring your hands and knees together by squeezing the swiss ball. Slowly drop one leg and the opposite arm to the floor.
Advanced Core Exercises | Anti-Rotation
The exercises shown here are 4 great ways in which you can improve your rotational core strength:
- Anti-Rotational Plate Push-Away
- Standing Pallof Press
- Dead Bug Pallof Press
- TRX Anti-Rotation
Make sure to move in a slow and controlled fashion with all of these exercises. You have an option to hold at the end position for a certain amount of time. Parameters we recommend include beginning with a 30-second hold or 15 repetitions for 3 sets. Maintain an absolutely stable and still pelvis/spine…only your arms should be moving in this exercise. The further you bring your arms out in front of you = longer moment arm = greater demand.
Dead Bug + Progressions
Dead Bug is a great exercise to improve core muscle strength, endurance, and functional capacity. The problem is, often times people are compensating by overarching their back and don’t even realize this. Here is a progression of Dead bugs from easiest to hardest. Start at the most regressed version, and slowly progress! Too often individuals don’t control this movement properly and compensate with low back extension, demonstrated with your ribs coming up. The pelvis and low back should stay braced throughout the leg movements. Stay strong proximally as you are moving distally.
Here are a few Dead Bug Progressions:
- Supine Hooklying Marching Feet Supported
- Supine Hooklying Marching Feet Supported
- Supine Single Leg Kickouts
- Supine Double Leg Kickouts
Level Up Your Plank
Here are a couple of ways to regress and progress the traditional planks:
Level 1: Modified Plank – on your knees
Level 2: Plank – keeping your ankle, knee, hips, and shoulders all in alignment
Level 3A: Plank + Arm Raise – try to keep your pelvis level here, AVOID any pelvic rotation
Level 3B: Plank + Leg Raise
Level 4: Bird-Dog Plank
Alternative: Plank + Military Press = An ultimate Core/Shoulder combination exercise.
Fun Fact: The world record for a front plank on elbows was set by a Chinese policeman Mao Weidong, who held a plank for 8 hours, 1 minute and 1 second on May 2017!
SidePlank Roll To Plank
The side plank is one of Stewart McGill’s Big 3 exercises, along with the modified curl up and the bird dog. The side plank roll to plank to opposite side plank is one of the McGill’s most advanced progressions of the side plank, and MAN IS IT HARD. I can barely do the exercise PROPERLY with a completely neutral spine throughout, and I am fatigued after just 3-4 rolls.
The goal of the roll is the maintain a COMPLETELY STABLE AND NEUTRAL SPINE THROUGHOUT. The rolling motion should occur STRICTLY FROM THE HIPS AND SHOULDERS, and there should be absolutely NO SPINAL TWISTING. Mind you, this is extremely hard to do! In a study by McGill and Karpowicz in 2009, they looked at this exercise performed under the guidance of a normal clinician, and then an expert clinician (my guess it’s McGill himself lol). They wanted to see if muscle activation patterns could be improved by fine-tuning exercise technique as a result of verbal and manual cueing.
With this particular exercise, they found that clinician correction significantly increased activity in both obliques and the latissimus dorsi (18% to 35% MVIC in lats). Even more importantly, torso twisting was reduced from 11 degrees to 4 degrees with corrected instruction. The main verbal cue they used was to emphasize “locking the ribcage to the pelvis” to eliminate spinal twist. The decrease in spinal twist is HUGE because often times it is those little MICROMOVEMENTS that’s the difference between doing an exercise PAIN-FREE vs HAVING PAIN. This goes to show that a MOVEMENT EXPERT can facilitate not only greater muscle activity, but potentially ELIMINATE pain during exercises.
Stir The Pot
Begin in a plank position on a swiss ball. Once you find your balance then perform circles. Begin with small circles and work your way into moving through larger circles.
- How: Perform this exercise with your foot supported on the ground for a regressed version of the exercise, this will decrease the demand placed on the core. I progress this exercise by elevating my entire leg to allow myself to ONLY make contact to the floor with my hips!
- Feel: You should will the core muscles working here.
Lateral Medicine Ball Throw Progressions
Med ball throw exercises are an excellent way to build strength-speed and power. Lateral/rotational med ball throws are especially important for rotational/multi-directional athletes. Some example sports include golf, baseball, hockey, lacrosse, and track & field. However, lateral/rotational med ball throws should not be reserved only for these specific athletes. I find myself prescribing these exercises for all athletes, whether it is an ACLr patient working on lateral acceleration/deceleration, or an elbow rehab patient learning to use their lower body more. This is the last of the advanced core exercises!
Demonstrated in this video are three examples of lateral/rotational med ball throw exercises with progressions based on the double leg to single leg to bounding.
- Double leg counter movement throw
- Transverse lunge counter movement to double leg throw
- Lateral single leg step counter movement to medial bound throw
The movements provided here are advanced core exercises that are not appropriate for everyone. Check out this article for a progressive 6-week core training program!
There is strong evidence suggesting that stabilization exercises are no more effective than other forms of active exercise in the long term. This means if you are experiencing low back pain, find any way to stay moving! This article demonstrated ways to stay active through advanced core exercises, however, there are numerous methods to stay active. The key is to find the routine that motivates you most. If you are looking for ways to address your low back, check out our low back recovery program. We have been working extremely hard this last year to create an effective program to address what is clearly an expensive and disabling issue. This low-cost high-value program includes:
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