Bridging


Description

Bridging exercise, a closed chain weight-bearing exercise,is an exercise which increases muscular strength of the hip extensors and promotes trunk stability. It is often prescribed for patients with back pain , and increases the activities of trunk stabilization muscles such as the internal oblique, external oblique, and erector spinae muscles.[1]

Individuals with back and hip pathologies are often taught to perform the bridging exercise in the crook-lying position, elevating the pelvis off the floor. This exercise is particularly useful for facilitating pelvic motions and strengthening the low back and hip extensors, and it enhances motor control of the lumbo-pelvic region.[2]


 Technique

The patient lies down with the back, knees in full flexion and feet flat on the floor and close to the buttock. Then the patient lifts hip off the floor towards the ceiling/sky as high as possible.

Starting Position  to end:

Brindging 3.jpg




Movement Analysis

The movement analysis of bridging / pelvic bridging reveals the movement comprises of 
  • Hip Extension
  • Lumbar extension
  • Posterior Pelvic tilt.


Variations 

The pelvic bridging exercise can be varied as

  1. with pelvic tilt                                                                Pelvic tilt 1.jpg



    2. with straight leg raising (SLR)                                               Bridging with slr.jpg 


    3. With SLR and Glutei contraction                                   Bridging with gluts .jpg




Recently , Changes in the Activities of the Trunk Muscles in Different Kinds of Bridging Exercises has been evaluated by Kong YS et al [3] The authors concluded that Bridging exercise in the prone position may be a more effective method of enhancing trunk muscle activities. The authors evalauted the trunk muscle activities in 

  1. Supine bridging exercise
  2. Supine bridging on balance pads
  3. Unilateral bridging
  4. Prone bridging on the elbows and toes

References

  1. Min YE,Sin HC,Tae SK. Effects of Bridging Exercise on Different Support Surfaces on the Transverse Abdominis. Journal of Physical Therapy Sciences, 2013; 25:1343–1346.
  2. Eun-Mi Jang, Mi-Hyun Kim,Jae-Seop Oh. Effects of a Bridging Exercise with Hip Adduction on the EMG Activities of the Abdominal and Hip Extensor Muscles in Females. Journal of Physical Therapy Sciences, 2013; 25:1147–1149.
  3. Kong YS,Cho YH,Park JW. Changes in the activities of the trunk muscles in different kinds of bridging exercises. J Phys Ther Sci. 2013;25(12):1609-12