Suite 4, The Hub Professional Centre
Christie Way
Aberfoyle Park
South Australia 5159

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 7:00pm
  • Sat: 8:00am – 1:00pm
  • Reception Hours
  • M-F: 8:30am – 7:00pm
  • Sat: 8:00am – 1:00pm

Services Offered:

Level 3 55 Gawler Place
Adelaide
South Australia 5000

  • Mon: 8:30am - 6:00pm
  • Tue: 8:30am - 6:00pm
  • Wed: 8:00am - 6:00pm
  • Thu: 8:30am - 6:00pm
  • Fri: 8:00am - 6:00pm
  • Sat: Closed
  • Reception Hours
  • M-T: 8:30am - 5:30pm
  • Fri: 8:30am - 5:00pm

Services Offered:

179 Halifax Street
Adelaide
South Australia 5000

  • Mon: 8:30am - 6:00pm
  • Tue: 8:00am - 6:00pm
  • Wed: 8:30am - 6:00pm
  • Thu: 8:00am - 6:00pm
  • Fri: 8:30am - 5:30pm
  • Sat: Closed
  • Reception Hours
  • Mon: 8:30am - 5:30pm
  • Tue: 8:00am - 5:00pm
  • Wed: 8:30am - 5:30pm
  • Thu: 8:00am - 5:00pm
  • Fri: 8:30am - 5:30pm

Services Offered:

Suite 2 131-133 Grange Road
Beverley
South Australia 5009

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 5:00pm
  • Sat: 8:00am – 1:00pm

Services Offered:

Suite 10 539 Greenhill Rd
Hazelwood Park
South Australia 5066

  • Mon: 7:30am – 8:00pm
  • Tue: 8:00am – 8:00pm
  • Wed: 7:30am - 8:00pm
  • Thu: 8:00am - 8:00pm
  • Fri: 7:30am – 7:00pm
  • Sat: 7:30am – 1:00pm
  • Reception Hours
  • M-T: 8:30am – 7:30pm
  • Fri: 8:30am – 6:00pm
  • Sat: 8:30am – 12:30pm

506 Lower North East Road
Campbelltown
South Australia 5074

  • Mon: 9:00am - 8:00pm
  • Tue: 8:30am - 8:00pm
  • Wed: 9:00am - 8:00pm
  • Thu: 8:30am - 8:00pm
  • Fri: 9:00am - 7:00pm
  • Sat: 8:00am - 1:00pm
  • Reception Hours
  • M&W: 8:30am - 7:00pm
  • Tu&Th: 9:30am - 5:30pm
  • Fri: 9:00am - 6:00pm
  • Sat: 8:30am - 12:30pm

50 Beach Road
Christies Beach
South Australia 5165

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 7:00pm
  • Sat: 8:30am – 1:00pm
  • Reception Hours
  • M-F: 8:30am – 7:00pm
  • Sat: 8:30am – 12:30pm

237 Hampstead Road
Northfield
South Australia 5085

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 8:00pm
  • Sat: 8:30am – 1:30pm
  • Reception Hours
  • M-F: 8:30am – 8:00pm
  • Sat: 8:30am – 1:30pm

Services Offered:

153 Sturt Road
Dover Gardens
South Australia 5048

  • Mon: 8:30am - 8:00pm
  • Tue: 8:30am - 8:00pm
  • Wed: 8:30am - 8:00pm
  • Thu: 8:30am - 8:00pm
  • Fri: 8:30am - 7:00pm
  • Sat: 8:00am - 12:30pm
  • Reception Hours
  • M-T: 8:30am - 7:30pm
  • Fri: 8:30am - 7:00pm
  • Sat: 8:00am - 12:30pm

Services Offered:

166 Daws Rd
Melrose Park
South Australia 5039

  • Mon: 9:00am – 8:30pm
  • Tue: 8:00am – 7:30pm
  • Wed: 8:00am – 8:00pm
  • Thu: 9:00am – 8:00pm
  • Fri: 8:00am – 5:00pm
  • Sat: 8:00am – 1:00pm
  • Reception Hours
  • Mon: 8:30am – 8:00pm
  • TWT 8:30am – 7:00pm
  • Fri: 8:30am – 5:00pm
  • Sat: 8:30am – 1:00pm

Services Offered:

188 Main South Road
Morphett Vale
South Australia 5162

  • Mon: 7:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 7:00pm
  • Sat: 8:00am – 1:00pm
  • Reception Hours
  • Mon: 8:15am – 7:40pm
  • TWT: 8:30am – 7:40pm
  • Fri: 8:30am – 6:45pm
  • Sat: 8:30am – 12:45pm

Services Offered:

8 Stradbroke Road
Newton
South Australia 5076

  • Tue: 1:30pm - 5:30pm
  • Fri: 9:00am - 1:00pm

Services Offered:

2/257 Fullarton Road
Parkside
South Australia 5063

  • Mon: 8:30am - 6:30pm
  • Tue: 8:30am - 6:30pm
  • Wed: 8:30am - 6:30pm
  • Thu: 8:30am - 6:30pm
  • Fri: 8:30am - 5:30pm
  • Sat: 8:30am - 1:00pm
  • Reception Hours
  • Mon: 9:00am - 4:30pm
  • Tue: 10:00am - 4:30pm
  • Wed: 1:30pm - 4:30pm
  • Thu: 9:00am - 4:30pm
  • Fri: 10:00am - 4:30pm

Services Offered:

  • Hands-on treatment
  • Manipulation
  • Mobilisation
  • Massage Therapy
  • Home Exercise programs
  • Dry Needling
  • Home Visits

Suite 3 267 Marion Road
Marleston
South Australia 5033

  • Mon: 8:30am - 8:00pm
  • Tue: 8:30am - 8:00pm
  • Wed: 8:30am - 8:00pm
  • Thu: 8:30am - 8:00pm
  • Fri: 8:30am - 5:30pm
  • Sat: 8:00am - 1:00pm

Services Offered:

Lumbar-Pelvic Instability (Poor Core Control)

Lumbar-pelvic instability is the result of inability for the supporting structures of the trunk to maintain the optimum position of the spine and pelvic girdle.

Lumbar-Pelvic Instability (Poor Core Control)

causes

Common causes for lumbo-pelvic instability include:

  • Acute Low Back Injury
  • Chronic Low Back Pain
  • Post Abdominal or Pelvic Surgery
  • Pregnancy
  • Post Natal

understanding lumbar and pelvic instability

The stability of the trunk and pelvis is provided by a combination of passive, active and neural control. Instability arises when one or more of these components is not functioning appropriately and support of good skeletal alignment is not provided.

passive control of the trunk

This is provided by the physical structures such as the vertebrae of the spine, the bones of the pelvic girdle, the ligaments between the bones, and the tendons and fascia

active control of the trunk

Active control is provided by the postural and movement muscles around the spine and pelvis. These muscles produce core stability by working to support the bones (postural muscles) and provide appropriate movement (movement muscles)

postural muscles

  • Pelvic floor
  • Transversus abdominus
  • Multifidus
  • Diaphragm

moving muscles

  • Rectus Abdominus
  • Internal / external oblique
  • Latissimus dorsi
  • Ilioposas

neural control of the trunk

Neural control of the trunk relies on sensory feedback from the joint receptors, ligament receptors and muscle receptors, and these work simultaneously to stabilise the spine in all positions. The neural control of the spine can be adversely impacted upon by injury, surgery, or pregnancy.

Lumbar-Pelvic Instability (Poor Core Control)
Lumbar-Pelvic Instability (Poor Core Control)

assessment

Pelvic instability is assessed by a history and physical examination. This can involve assessing:

  • Position of the spine and pelvis in static positions
  • Position of the spine and pelvis through movement
  • Palpation of the joint movement in the pelvis and spinal coloumn

real time ultrasound assessment

Assessment using Real-Time Ultrasound tests the specific action of the muscles which should normally provide core stability around the trunk and pelvis. This helps us to understand how the active and neural control mechanisms are working. This may also be used to provide feedback to the client to help improve the function of these muscles.

For more information check out our services page on “Real Time Ultrasound Assessment”

management

Management of lumbar-pelvic instability can occur through a number of stages.

Correct Alignment Of Skeletal Structure

Pain from instability occurs due to the poor alignment of the pelvic and spinal joints. This can be corrected by joint mobilisation, muscle energy techniques, soft tissue techniques, stretching, dry needling.

improve the function of core stabilising muscles

Initially, this is done using feedback from a Real Time Ultrasound machine where the exact function of the core stabilising muscles can be detected. Here we are working on developing Active and Neural control via the core muscles.

Once these muscles are correctly activated the client is able to progress to a Physio Group Exercise based strengthening program.

Physio Group Exercise strengthening to enhance functional core stability

Physio Group Exercise rehabilitation provides an opportunity to restore the structure and function of the core stability muscles, and provide greater efficiency when performing exercises involving the upper or lower body. Pilates inspired Physio Group Exercise is individually tailored to your specific requirements, such as return to sport, or return to work.

For more information check out our services page on “Physio Group Exercise Studio.”

1 in 6

Australians reported back problems, that's 3.7 million people

0

patients attended Physio Group Exercise

0

patients were treated across all our locations

Our Partners

BOOK NOW