The Monday Memo
October 15, 2018 PITT DPT STUDENTS
Progressing Core Stabilization Exercises: The Pallof Press
The Pallof Press is an excellent way to challenge our patients’ core stability with a variety of positions and modes of resistance. Let’s look at a few ways to prescribe this exercise.
Seated Pallof Press on Physioball
This is a great initial progression, and the physioball presents a dynamic base of support to challenge your patient. You can easily regress this for other patients by beginning in a chair.
Half Kneeling Pallof Press
This progression incorporates increased load on the contralateral hip abductor and external rotator musculature, which is useful in addressing any asymmetry.
Tall Kneeling Pallof Press
Decreases the base of support from half kneeling, thereby increasing the demand on the lateral chain and core musculature.
Split Squat Pallof Press
This progression allows for increased demand on hip and knee musculature, as well as increased demand on postural stabilizers to balance against the resistance in a heightened position. You can alter this progression by changing the depth of the split squat.
All of these positions can be progressed by changing the degree of shoulder elevation, increasing the time the patient must hold, or altering the resistance. This list is by no means exhaustive. Please experiment, find what works well for you and your patients, and get pressing!
-Joe Dietrich, SPT, ATC