Re-Discovering the Core: Fundamentally Shifting Clinical Understanding of the Core and How it Impacts Function – Trent Brown

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Exploring the Essential Features of “Re-Discovering the Core: Fundamentally Shifting Clinical Understanding of the Core and How it Impacts Function – Trent Brown”

The “core” is one of the most misunderstood terms in therapy, medicine, and athletics.  Even advanced clinicians limit their understanding of the core by using definitions based on anatomical geography. Re-defining and better understanding the core with a functional emphasis using neglected principles of stability and mobility opens the power of clinical outcomes and a resurgence of understanding.  This course will specifically re-define the core emphasizing function and individual patient analysis.  In addition, standardized assessments and activities/exercises utilizing the newly defined core will allow for immediate clinical impact and improved methods for treating the core for all patient abilities. 

Speaker

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS
Advanced Healthcare

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, CGS, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Utah Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131, advancing OT practice in the state of Utah, and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule, he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.

Speaker Disclosures:
Financial: Trent Brown has employment relationships with the Utah Department of Health and the University of Utah. He receives compensation as a national speaker. Trent Brown receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Trent Brown has no relevant non-financial relationships.

Objectives

1. Investigate missing components of broadly used definitions of the core and how this leads to clinical misunderstanding and lack of evidence when treating core dysfunction. 
2. Develop a functional emphasis for core function using transverse, sagittal, and frontal planes with stability and mobility. 
3. Apply standardized evaluations used to evaluate core weakness and stability. 
4. Devise evidence-based core activities and exercises emphasizing the re-defined core that promote stability and mobility in supine, seated, and standing.  

Outline

Core Function Principles 

• Evidence behind core 
• Core definitions and myths 
• Core defined
  • Superior 
  • Inferior 
  • Central 
• Stabilizers vs. Mobilizers 
• Disassociation 
• Dissemination 

Evolution of contraction for stabilization of the core and spine 

• Contraction pyramid 
• I-IIA-IIX-IIB 
• CRAC  
• Sherrington’s Law 

Evaluation of Core Weakness and Stability 

• TIS 
• BKFO 
• Sidelying SLR 
• 3-Plane Core Test 

Exercises Emphasizing Stability and Mobility 

• Supine core stability
  • Imprint, Ball Press Trochanter 
• Seated core stability
  • Stable Drop 
• Standing core stability
  • Wall plank, PNF chop 
• Supine core mobility
  • ASIS Press 
• Seated core mobility
  • Quad Sit-up, Mobile Drop 
• Standing core mobility
  • Standing ASIS, Dynamic Chop

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