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STOTT Five Basic Principles
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STOTT Five Basic Principles
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STOTT Five Basic PrinciplesBreathing - In through the nose, out through the mouth with pursed lips
- Emphasis is on 3-D breath especially into the posterior and lateral aspects of
the rib cage, because these tend to be under utilized areas
- Exhaling deeply can also help activate the deep support muscles by engaging
the transversus abdominis
- Explanation of the action of the transversus and how it stabilizes the lumbo-
pelvic region, especially in neutral position.
- The gentle contraction of the deep pelvic floor muscles also aids in firing the
transversus abdominis
- This breath pattern helps avoid unnecessary tension in the neck and
shoulders
- This breath pattern helps relaxation
- The rib cage opens out and up during an inhale, promoting spinal extension
and closes in and down during exhale, promoting spinal flexion
Pelvic Placement - In neutral pelvic placement, the natural lordotic curve
of lumbar spine is present
- ASIS and Pubic Symphysis lie approximately in a horizontal plane drawn
parallel to the floor when lying supine
- Neutral promotes good shock absorption and efficient movement patterns
throughout body
- Neutral is usually used during closed kinetic chain activities
- Imprinted position is a slight posterior pelvic tilt with slight lumbar flexion
cannot be maintained and often used during open kinetic chain activities
- Imprint involves shortening of obliques without activation of glutes
Rib Cage Placement - Emphasis is put on breathing into the posterior and
lateral aspects of the rib cage
- Abdominal wall attaches to the lower ribs. Be aware of maintaining
abdominal engagement and not popping the ribs
- Abdominals stabilize rib cage and therefore spine during movement of the
arms
- Used to keep the spine neutral and stable
Scapular Movement & Stabilization - Scapula lacks bony attachment to the
ribs and spine (only attaching to clavicle), thereby providing mobility
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