
How Imagery Changes the Way We Move



Written by: Lana Johnson, Sydney, Australia based POLESTAR mentor and Physiotherapist
I have had many interesting and valid questions of late from a variety of health professionals and patients, centered around the question of core stability and its role in Pilates and musculoskeletal rehabilitation. Many of them have been brought to light by Eyal Lederman’s article, ‘The Myth of Core Stability’ in The Journal of Bodywork and Movement Therapies.
I feel obliged to mention that my point of view is shaped by my various lenses; Physiotherapist, Pilates Instructor, ConnectTherapy Practitioner (formerly known as ISM Practitioner), dancer and human movement enthusiast! Given this blending of manual and movement therapy, as well as the intermingling of evidence based practice, it is little wonder at times that I feel stretched between different paradigms and constantly evolving evidence and beliefs.
I appreciate Dr Lederman’s work in shining the evidence-based torch on ‘Core Stability’. It helps to keep us as health professionals honest when making evidence based decisions for our patients and acts as a guide to highlight where the ‘Marketing Health Machine’ has extrapolated research findings for use in its own purpose. However catchy, his title, ‘The Myth of Core Stability’, does little to help clarify the inconsistencies of language and understanding which currently surround the manual and movement therapy worlds. I believe the only myth here, lies in our definition of the term “core stability”, rather than in the actual practice of it!
If you define core stability purely in terms of ‘strength’ and limit it to being region specific (ie trunk musculature only), then the myth of core stability is rampant. Tighten all of your ‘trunk’ muscles and notice how you feel and how your movement is. For most people it feels limiting and stiff. Any good movement therapist will tell you that the body works as an integrated whole and practising only chest lifts on the mat, or holding a plank for 5 minutes will not cure nor prevent back pain brought on by 1 hour of sitting!
If you however define core stability in terms of the whole organism (physical body, both peripheral and central as well as the mind) then there is no myth at all. Hundreds of manual and movement therapists understand that a well-constructed movement session helps a body recovering from injury or from poor movement strategies to regain options for movement both from a peripheral and central point of view. In fact what is happening in these sessions is not ‘core stability’ training as defined above but rather ‘integration’, whereby bodies are reminded how to ‘problem solve’ movement deficits through various central and peripheral paths.
Thus I think it is about time that we throw away the tarnished phrase ‘core stability’ and define a new term, like Polestar Pilates’ ‘Movement Integration.’ That helps build bridges between manual and movement therapists, aid communication and get back to improving the lives of our patients!
Learn more about Polestar Pilates Australia Here!
Follow Polestar Pilates on Instagram @polestarpilatesau
Although I live near Santa Monica, CA now I was born and raised in Montclair, New Jersey. Go Mounties! Woman of a certain age, physical therapist, scientist, entrepreneur, speaker/lecturer, content developer, dancer, coach, compassionate people lover who improves lives through movement.
What is your favorite things to teach your clients?
One of my favorite tips is to teach my clients how to use the wrinkles in their shirts as a guide to postural awareness. For instance, if the shirt they’re wearing has a lot of wrinkles in the back and not many in the front, they are likely standing in a hyper-lordotic posture (excessive spine extension) which can lead to compression of the facet joints in the lumbar spine, pain and stiffness. However, when the shirt wrinkles are smoother and more symmetrical from front to back it can signal better spinal alignment and can often result in ease with movement as well as standing.
Tell us an “aha!” Moment
One of the most impactful moments of my life was during my adventure with cancer. During that time, I made the conscious choice to experience the journey as a chrysalis moment and integrated lifestyle adjustments and approaches that created an environment for growth into my next form. This is the time I discovered the “butterfly effect.”
The butterfly effect is a term coined by Edward Lorenz a meteorologist, mathematician and one of the major contributors to the chaos theory. The theory can be pretty technical if you choose to go down the rabbit hole but to quickly summarize it says that small, nearly imperceptible changes made in a complex system can have a massive impact on that system over time. The concept is imagined with a butterfly flapping its wings in the U.S. causing a typhoon in the Philippines a few weeks later.
I often refer to the butterfly effect when coaching clients. My primary goals are to help them recognize that they may experience some internal and external environmental chaos because they’re creating change. And to generate an awareness that the smallest fluctuations they make in their life (i.e. postural awareness) will likely result in a positive difference in moving towards a life with less pain. For more on the Butterfly Effect check out – https://en.wikipedia.org/wiki/Butterfly_effect
What are you Currently Reading?
I’m on my third read of Explain Pain by David Butler & Lorimer Moseley.
What is your Favorite Way to Wind Down?
A sunset walk on the bike path at the end of the world (also known as the Santa Monica Beach).
Learn more about Dr. Diedra Manns, Pilates and Monarch Wellness at:
Monarch Wellness Inc. Santa Monica, CA monarchwellnessinc.com
www.facebook.com/MonarchWellnessInc @monarchwellnessinc
