title: The value of blowing up a balloon.
abstract: Suboptimal breathing patterns and impairments of posture and trunk stability are often associated with musculoskeletal complaints such as low back pain. A therapeutic exercise that promotes optimal posture (diaphragm and lumbar spine position), and neuromuscular control of the deep abdominals, diaphragm, and pelvic floor (lumbar-pelvic stabilization) is desirable for utilization with patients who demonstrate suboptimal respiration and posture. This clinical suggestion presents a therapeutic exercise called the 90/90 bridge with ball and balloon. This exercise was designed to optimize breathing and enhance both posture and stability in order to improve function and/or decrease pain. Research and theory related to the technique are also discussed.
authors: Kyndall L
authors: KL
authors: Boyle
authors: Josh
authors: J
authors: Olinick
authors: Cynthia
authors: C
authors: Lewis
references: J Neurol Neurosurg Psychiatry. 1987 Jul;50(7):866-9
references: 2957469
references: J Bone Joint Surg Am. 2004 Feb;86(2):382-96
references: 14960688
references: Clin Chest Med. 1989 Jun;10(2):199-214
references: 2661118
references: Spine (Phila Pa 1976). 1996 Nov 15;21(22):2640-50
references: 8961451
references: Man Ther. 2007 May;12(2):86-97
references: 17449432
references: Am J Respir Crit Care Med. 1999 Mar;159(3):796-805
references: 10051253
references: Phys Ther. 1995 Nov;75(11):971-82
references: 7480127
references: J Appl Physiol (1985). 1990 Feb;68(2):484-8
references: 2318760
references: Am J Respir Crit Care Med. 1997 Aug;156(2 Pt 1):504-8
references: 9279231
references: Am Rev Respir Dis. 1979 Jun;119(6):909-19
references: 453711
references: J Physiol. 2001 Dec 15;537(Pt 3):999-1008
references: 11744772
references: Am J Respir Crit Care Med. 2003 Jul 1;168(1):10-48
references: 12826594
references: Spine (Phila Pa 1976). 2002 Jan 1;27(1):E1-8
references: 11805650
references: Am Rev Respir Dis. 1979 Feb;119(2 Pt 2):31-2
references: 426349
references: Clin Chest Med. 1988 Jun;9(2):175-93
references: 3292122
references: Arch Phys Med Rehabil. 1995 Mar;76(3):218-24
references: 7717811
references: Phys Ther. 1997 Feb;77(2):132-42; discussion 142-4
references: 9037214
references: Man Ther. 2000 Feb;5(1):2-12
references: 10688954
references: N Am J Sports Phys Ther. 2009 Nov;4(4):170-81
references: 21509101
references: Dent Clin North Am. 1997 Apr;41(2):211-27
references: 9142480
references: Physiother Theory Pract. 2009 Jan-Feb;25(1):44-54
references: 19140082
references: Man Ther. 1999 May;4(2):74-86
references: 10509061
references: J Appl Physiol (1985). 1997 Sep;83(3):753-60
references: 9292460
references: J Appl Physiol Respir Environ Exerc Physiol. 1982 Sep;53(3):756-60
references: 6215388
references: J Manipulative Physiol Ther. 1988 Jun;11(3):158-64
references: 2969027
references: Br J Rheumatol. 1994 May;33(5):469-74
references: 8173853
references: J Appl Physiol (1985). 1990 Mar;68(3):1010-6
references: 2140344
references: Am J Sports Med. 2003 Jan-Feb;31(1):119-25
references: 12531768
references: J Anat. 1955 Jul;89(3):378-86
references: 13251968
references: Phys Med Rehabil Clin N Am. 2000 Nov;11(4):837-65
references: 11092021
references: Explore (NY). 2005 Sep;1(5):377-9
references: 16781569
references: Clin Sci (Lond). 1980 Dec;59(6):463-8
references: 7438710
references: Best Pract Res Clin Rheumatol. 2005 Aug;19(4):593-607
references: 15949778
references: J Physiol. 1997 Dec 1;505 ( Pt 2):539-48
references: 9423192
references: J Appl Physiol Respir Environ Exerc Physiol. 1984 Feb;56(2):464-71
references: 6706758
references: Spine (Phila Pa 1976). 1997 Dec 15;22(24):2959-67
references: 9431633
references: J Physiol. 1952 Jun;117(2):222-33
references: 14955811
references: Spine (Phila Pa 1976). 1985 Jan-Feb;10(1):83-7
references: 3157224
references: J Orthop Sports Phys Ther. 2006 Jul;36(7):472-84
references: 16881464
references: BMJ. 2005 Jan 8;330(7482):75
references: 15585539
references: Exp Brain Res. 1994;98(2):336-41
references: 8050518
references: Eur Spine J. 2008 Jun;17(6):794-819
references: 18259783