Motion Stability's Blog

What Exercises for My Core Can Help Prevent Lower Back Pain? by charlestlee
Brian Yee PT, MPhty, OCS, FAAOMPT

First – generally there are different roles of muscles in your trunk. Typically the smaller ones closest to your spine are considered ‘local’ muscles. Such muscles as the transversus abdominis, diaphragm, pelvic floor, and lumbar multifidus provide segmental control of your lumbar vertebra. Real-time ultrasound imaging can be used to visualize the proper contraction of these muscles as we cannot see these muscles from the superficial skin. So first step in core stability is to ensure that the smaller muscles are engaging properly. Then you have ‘global’ muscles which are the larger muscles – such as rectus abdominis, obliques, paraspinal muscles. These muscles are designed for power and stability at higher loads. Core stability exercises should integrate the function of the ‘local’ and ‘global’ muscles in proper sequence.

Once that is established, any asymmetries of the muscles should be determined. In back pain patients, it is very common to have one side of the oblique muscles contracting properly while the other side does not. This causes an imbalance of forces on your trunk and can cause increased torque to your spine – eventually leading to back pain due to excessive torsional stresses in your daily function or sport.

Once the asymmetry is addressed, integration of muscles from above and below the core need to be assessed.  The old saying ‘the knee bone is connected to the hip bone’ goes too with the muscles in your body. Such lower leg muscles as the gluteal muscles in your hip or the latissimus dorsi in the mid back affect the way your core muscles in daily function and sport. People with back pain, typically have an improper tone and sequence of these muscles working together. Over time this places increased stress on the back – regardless of how strong your core is.

As you can tell, there is a lot to consider when training your core. To recommend a standard protocol of exercises to help your back is not specific enough. A proper assessment of your muscle control and movement patterns should be assessed by a qualified movement specialist – such as a Physical Therapist – to determine what the appropriate level and progression of exercises for proper stability and prevent back injury.

How do foot related sports injuries affect the body? by charlestlee

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Brian Yee PT, MPhty, OCS, FAAOMPT

I pay particular attention to foot injuries and how it relates to the rest of the mechanics of the body. How the foot hits the ground affects how other joints in the body absorb shock as well as how the muscles around those joints work in sports performance.

The most classic example that we see are patients that have a one sided knee, hip or back injury – say the right side. When we take our medical history the patient tells us they sprained their ankle on the same right side ‘way back in high school…but that got better’. But what the patient does not realize is that after the ankle was swollen from the sprain the swelling settles and makes the ankle joint stiffer. As years go by, after running, walking, and playing sports, the limitations in ankle motion directly affect the way the hip works – causing the hip to lose mobility as well. Injuries can then occur at the hip, the knee, or the low back as both the ankle and hip are not able to provide proper support and power production in sports performance.

Correlations and Interactions Between the Viscera & Musculoskeletal Systems. by charlestlee

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Brian Yee PT, MPhty, OCS, FAAOMPT
The International Association for the Study of Pain (IASP) has named the 2012-2013 years as the Global Year Against Visceral Pain. Your viscera, or essentially your internal organ system can be a source of pain, but also referred pain to your musculoskeletal system. There are times when people present with low back or mid back pain that may be referred from an internal organ or visceral source. In chronic pain situations, there are many times that correlations and interactions between the viscera and musculoskeletal systems occur that require Physical Therapists to assess and treat both systems as well as collaborate with other health practitioners. Here is a link to a quick Fact Sheets about the IASP on visceral pain.
If you have chronic musculoskeletal pain and ongoing internal organ issues, there may be a relationship between the two. Feel free to contact us if you would like to know more about this at
The Motion Stability Team

Motion Stability is Offering a Course! by Motion Stability

Available to all residents, fellows, physical therapists! Please see the link below for more information:–August-25-26–2012—Atlanta–GA.html?soid=1101912448556&aid=INbaMINud4w.

Brian is on Sharecare by Motion Stability
January 25, 2011, 9:43 pm
Filed under: Motion Stability News

Check out the new Sharecare website! It is co-founded by Doctor Oz and Jeff Arnold (creator of WebMD). It is a social interactive / multi-disciplinary health care information website. Basically, you can use the site to get information about various health topics and learn from different disciplines in health/medicine. Brian was able to be the first Physical Therapist on the site. Take a look! Register and you can ask Brian questions through Sharecare.

Welcome to the new Motion Stability website! by Motion Stability
December 1, 2010, 9:34 am
Filed under: Motion Stability News

We would like to welcome you to our new Motion Stability website! We re-designed in with the patient directly in mind – to provide useful information not only things like directions, health insurance, or frequently asked questions, but also clinical information that will hopefully be useful in the pain or injuries you are experiencing.
Included on the site is a Media Center with a growing resource of patient information, facebook link, and specialty services in recurrent pain, golf, nerve pain, tennis rehab, and sports injury prevention. Take a look:

Let us know what you think!

Motion Stability team!

Team Drummond: Supporting the Fight Against Multiple Sclerosis by Motion Stability
July 26, 2009, 5:49 am
Filed under: Motion Stability News, Sports

Motion Stability is now a proud sponsor to Team Drummond – a cycling team that raises money for the fight against Multiple Scelorsis. Special thanks to Maggie Gebhardt, PT, DPT, for her passion to support this cause, along with her joy to cycle!

Thank you Fellowship Committee by Motion Stability
March 3, 2009, 9:43 pm
Filed under: Motion Stability News

I would like to thank the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) for granting me to become a Fellow of the Academy (FAAOMPT). I look forward in working with the Academy to further our Physical Therapy profession.

AAOMPT conference a success! by Motion Stability
November 8, 2008, 9:28 pm
Filed under: Motion Stability News

I just came back from Seattle, WA for the American Academy of Orthopaedic Manual Physical Therapist (AAOMPT). The confrence was focused on pain, primarily on the new pain sciences that reserachers are beginning to unravel the multiple factors involved in chronic pain. Thanks to all the presenters for sharing your knowledge to help our clinical outcomes!

PT Research Fundraiser – UQ Integration Course by Motion Stability
May 7, 2008, 8:53 pm
Filed under: Courses, Motion Stability News

The Marquette Challenge Conference, “Evidence-Based Examination and Treatment of the Upper Quadrant: An Integrated Approach,” was held on March 14-16, 2008 at Georgia State University. It was put together to raise support for the Physical Therapy Research Foundation. Thank you to guest instructors Josh Cleland, PT, PhD, OCS, FAAOMPT, and Georgia State Faculty members, Joe Donnelly, PT, DHS, OCS, Deborah Michael, PT, DPT, CPed, Philip Fabrizio, PT, MS, CEAS, and Brian Yee, PT, MPT, Mphty, OCS for coordinating and sharing their clinical specialties. Thank you as well to the Georgia State University students for helping organize this course. We hope to do this again next year!