[Pediatric Rehabilitation] Focus on "Using While Stretching" for Core Training

Hello. I'm going to continue writing my thoughts today.
This time, the topic is focusing on "using while stretching" for core training.

As a physical therapist, I am involved in the rehabilitation of children every day. Among the things I hear, a common question is, "How should I actually approach the core?"

Many people understand vaguely that "core activity is important," but they often struggle because they don't know what to do specifically or what is effective.

In this article, I will explain my own approach to the "core," specifically for those involved in the rehabilitation of children with cerebral palsy.

Conclusion: "Using while stretching" is important

When it comes to strengthening the core, the concept I value most is "using while stretching."

People often say, "Let's use the abdominal muscles," but movements that curl the body, like the sit-ups we usually imagine, are insufficient.

The inner muscles (core) deep within the trunk exert their effect when all the muscles around the abdomen—not just the abdominals, but also the back and pelvic floor muscles—work simultaneously.

By "using while stretching," the muscles on the front, back, left, and right of the core work in coordination, cultivating the strength to support the posture of the entire body. Once this becomes possible, activities in a well-stretched posture become feasible, leading to more efficient body movements.

Specific training methods

So, what specific approaches should be taken?

1. Standing posture

In the first place, the core is used just by standing. Especially for children with cerebral palsy, standing itself is an excellent core training exercise.

It is also recommended to incorporate tasks that can be done while standing, in cooperation with an occupational therapist, rather than just standing still.

2. Ball Throwing

If you want to focus on the keyword "using while stretching," the motion of lifting a ball high and throwing it far is very effective.

Your back stretches when you lift the ball high, and your core stabilizes when you throw it. This sequence of movements allows you to use your core comprehensively.

3. Kendo Men-uchi (Striking) Motion

Holding a stick and swinging it up as if performing a Kendo strike is also effective.

This movement uses the body extensively and coordinates not only the abdominal and back muscles but also the arms and shoulders, allowing you to engage your core effectively.

4. Lying Prone on Elbows

Even for children who have difficulty standing, lying prone on their elbows and lifting their headis enough to train the core.

This posture uses the back and neck muscles and develops the strength necessary to maintain a posture.

5. Ring Fit Adventure

If the child can use their hands and arms, the Nintendo Switch game "Ring Fit Adventure" is recommended.

The movements of pushing, pulling, and lifting the controller's "Ring-Con" use the front, back, left, and right muscles of the core simultaneously, which fits the concept of "using while stretching" very well.

Since you can also do exercises like squats, you can enjoy moving your body as if you were playing a game.

Caution: Do not apply too much load

However, there is one thing to keep in mind here.

If core training is too strenuous, it can actually cause the body to tense up, increasing overall muscle tension. As a result, this can lead to secondary issues such as slouching or excessive adduction of the hip joints.

The important thing is not to force heavy loads. It is about "being conscious of your form, having fun, and being able to continue without strain."

In this article, I have shared my own perspective and specific methods for approaching core training. I hope this article provides some helpful hints for everyone.

Thank you for reading until the end.