Inestabilidad lumbopélvica

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Shared by: Tara Sims
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IX JORNADAS SOBRE MEDICINA Y DEPORTE DE ALTO NIVEL 3ª Conferencia: “Inestabilidad lumbopélvica. Espalda, mitos y realidades” Ponente: Dr. Stuardt McGill Curriculum Vitae DR. STUARDT McGILL Stuart McGill is a spinal Biomechanist and Professor and chair of the Department of Kinesiology at the University of Waterloo. He has been the author of over 200 scientific publications that address the issues of low back function, injury mechanisms, development of evidence-based rehabilitation and performance exercise, and the formulation of injury avoidance strategies. He has been an invited lecturer at many Universities, and delivered over 200 invited addresses to various societies around the world. As a consultant, he has provided low back expertise to various government agencies, many corporations, elite athletes and teams from many countries, and legal firms. He sits on the editorial boards of the journals Clinical Biomechanics, Applied Biomechanics, and also SPINE. Working at the interface between basic foundational science and clinical practice, he is one of the few scientists who is regularly asked for consult by the medical community regarding particularly difficult back cases together with some of the highest performing athletes. Building the Ultimate Back: From rehabilitation to high performance Stuardt M. McGill, PhD. Faculty of Applied Health Sciences, University of Waterloo, Canada Many low back exercise programs through the continuum from rehabilitation to performance are based on the philosophy to enhance the range of motion and build strength. Yet performance often depends more on short range stiffness and optimal storage and recovery of elastic energy, rate of muscle activation/deactivation, technique to minimize “energy leaks”, and optimally “steer” force and strength between the upper and lower body through the torso. At the rehabilitation end of the spectrum, many of these programs fail – either more patients are created, or are exacerbated. Often the causes of the back troubles are replicated in the exercises! At the performance end of the spectrum, to many athletes train and develop imbalance between all of the necessary components of a highly performing back and torso. This lecture will review some injury mechanisms that result in both tissue injury and perturbed motion/motor patterns. Successful therapeutic exercise must address these deficits before serious strength, speed and power training can begin. A larger progressive program involving 5 stages will also be introduced: 1) Groove motion and motor patterns with corrective exercise; 2) Enhance spine and other joint stability; 3) Build endurance; 4) Build strength; 5) Build speed, power and agility. References McGill, S.M., Low Back Disorders: Evidence Based Prevention and Rehabilitation, Human Kinetics Publishers Inc, Champaign, Illinois, USA, Second Edition, 2007 McGill, S.M., Ultimate back fitness and performance – third edition, (available from www.backfitpro.com), 2006.

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