Real Time Ultrasound (RTUS)

Real Time Ultrasound (RTUS)

Real Time Ultrasound

Have you ever been told to ‘turn your core muscles on’ and not really been sure what that means, what it feels like  or  if you can actually do it?   If that is the case we can help you !

“The Core”

In our experience the concept of “core stability” is widely misunderstood. Surprisingly a lot of athletes and fitness people have very poor control over the deep stability system.  They usually over-activate the superficial abdominal and lower back muscles and use them for spinal and pelvic stability. They usually become very ridged and hold their breath to maintain the support for the lumbo-pelvic area.

The Lumbar/pelvic stability mechanism is popularly called ” core stability” and  is much more complicated.  It is not just about the strength. It is about the correct timing  of activation of very specific muscles to create optimal myofascial tension to produce optimal intra-abdominal pressure to support the lower back  and provide a stable platform for the function of our limbs.

It is not about TrA (Transversus Abdominus) only. The key elements to proper dynamic lumbo-pelvic support are:

  1. Breathing  ( as a correct most fundamental motor pattern )
  2. Posture  ( is interrelated with breathing pattern) In dysfunction, altered posture and compromised breathing patterns always go together
  3. neuro-muscular control/ timing  of the deep stabilising lumbar and pelvic musculature (TA, Lumbar multifidus, diaphragm, and pelvic floor muscles)
  4. Ability to control/build and moderate IAP (intra abdominal pressure)  requires all the above in  a co-ordinated fashion.

What is (RTU) Real Time Ultrasound Retraining?

The   technique of Ultrasound Retraining, carried out with the guidance of a specially trained Osteopath , enables you to quickly learn how to correctly contract your core muscles. The scanner provides you and your Osteopath with a video picture of your muscles working in  real time. This enables you to precisely match up what you think you feel and what is actually happening beneath your skin at that very moment.

The use of rehabilitative real time ultrasound has been now expanded far beyond the “core”  and lumbar spine muscles.

RTUS in Rehab

What are the benefits for you!

Ultrasound retraining  has been proven to accelerate the ability to control the core and pelvic floor muscles and speed up the recovery times.The ultrasound unit will greatly enhance our ability to rehabilitate conditions that require re-training of altered neuromuscular activation patterns and re-establish correct  biomechanics.

Research LBP
LBP graph transp

How to book a Real Time Ultrasound session?

As part of the Initial  Rehab Pilates assessment you will have real time ultrasound scan of your core muscles. Many of the people who participate in  Pilates greatly appreciate actually being able to see their core muscles on a screen and get a better understanding of what activating the ‘core muscles’ feels like.