ORIGINAL PAPER
Effect of a 6-week core stability training program on active trunk repositioning: a randomised controlled trial
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Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt
Submission date: 2021-09-15
Acceptance date: 2022-02-14
Publication date: 2023-02-22
Physiother Quart. 2023;31(4):1-6
KEYWORDS
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ABSTRACT
Introduction:
Core stability training has recently attracted attention for improving muscle performance. This study aimed to examine the effect of core stability training on active trunk repositioning error.
Methods:
Forty healthy males, randomly assigned into two equal groups; experimental and control groups, participated in the study. Their age, weight, height, and BMI ranged between 18–22.5 years, 64–85 kg, 1.63–1.83 m, and 19.4–25 kg/m2, respectively. The Biodex Isokinetic dynamometer was used to assess the absolute error (AE) at both 30° and 60° trunk flexion, measured at a 60°/s angular velocity. Data were recorded twice; before (pre-test) and after (post-test) a 6-week period during which the experimental group was trained.
Results:
Mixed 3-way ANOVA revealed that the AE was significantly lower at 60° trunk flexion in both groups at pre-test, and in the control group at post-test compared with 30° flexion (p < 0.05). In addition, the AE decreased significantly in the post-test in the experimental group only at both trunk flexion angles compared with pre-test (p < 0.05).
Conclusions:
The decreased active trunk repositioning error with core stability training indicates improvement in trunk proprioception. Thus, core stability training could be beneficial if added to rehabilitation programs that aim to improve trunk proprioception.
REFERENCES (31)
1.
Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):86–92; doi: 10.1053/j.apmr.2003.12.005.
2.
Smith CE, Nyland J, Caudill P, Brosky J, Caborn DNM. Dynamic trunk stabilization: a conceptual back injury prevention program for volleyball athletes. J Orthop Sports Phys Ther. 2008;38(11): 703–20; doi:10.2519/jospt.2008.2814.
3.
Stokes IAF, Gardner-Morse MG, Henry SM. Abdominal muscle activation increases lumbar spinal stability: analysis of contributions of different muscle groups. Clin Biomech. 2011;26(8):797–803; doi: 10.1016/j.clinbiomech.2011.04.006.
4.
Bliven KCH, Anderson BE. Core stability training for injury prevention. Sports Health. 2013;5(6):514–22; doi: 10.1177/1941738113481200.
5.
Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function – Part 1. N Am J Sports Phys Ther. 2006;1(2):62–72.
6.
Riemann BL, Lephart SM. The sensorimotor system, part 1: the physiologic basis of functional joint stability. J Athl Train. 2002;37(1):71–79.
7.
Johnson EO, Babis GC, Soultanis KC, Soucacos PN. Functional neuroanatomy of proprioception. J Surg Orthop Adv. 2008;17(3):159–164.
8.
Brumagne S, Cordo P, Lysens R, Verschueren S, Swinnen S. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25(8):989–994; doi: 10.1097/00007632-200004150-00015.
9.
Lee AS, Cholewicki J, Reeves NP, Zazulak BT, Mysliwiec LW. Comparison of trunk proprioception between patients with low back pain and healthy controls. Arch Phys Med Rehabil. 2010;91(9):1327–1331; doi: 10.1016/j.apmr.2010.06.004.
10.
O’Sullivan PB, Burnett A, Floyd AN, Gadsdon K, Logiudice J, Miller D, et al. Lumbar repositioning deficit in a specific low back pain population. Spine. 2003;28(10):1074–1079; doi: 10.1097/01.BRS.0000061990.56113.6F.
11.
Boucher JA, Abboud J, Descarreaux M. The influence of acute back muscle fatigue and fatigue recovery on trunk sensorimotor control. J Manipulative Physiol Ther. 2012;35(9):662–8; doi: 10.1016/j.jmpt.2012.10.003.
12.
Kaprail M, Kaur P, Valecha F, Panihar U. To study the effects of core stability exercise in desk job patients with mechanical low back pain. Sport Exerc Med Open J. 2019;5(1):18–20; doi: 10.17140/SEMOJ-5-170.
13.
Bae SH, Lee HG, Kim YE, Kim GY, Jung HW, Kim KY. Effects of trunk stabilization exercises on different support surfaces on the cross-sectional area of the trunk muscles and balance ability. J Phys Ther Sci. 2013;25(6):741–745; doi: 10.1589/jpts.25.741.
14.
Ebrahimi H, Balouchi R, Eslami R, Shahrokhi M. The effect of 8 weeks of core stabilization exercises on disability, abdominal and back muscle strength in patients with chronic low back pain due to disc herniation. JPSBS. 2014;2(4):9–20; doi: 10.22077/JPSBS.2014.18.
15.
Szafraniec R, Barańska J, Kuczyński M. Acute effects of core stability exercises on balance control. Acta Bioeng Biomech. 2018;20(3):145–151; doi: 10.5277/ABB-01178-2018-02.
16.
Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. The effects of core proprioception on knee injury: a prospective biomechanical-epidemiological study. Am J Sports Med. 2007;35(3):368–373; doi: 10.1177/0363546506297909.
17.
Rezaeipour M. Evaluation of postural stability in overweight and obese middle-aged men. Turk J Med Sci. 2018;48(5):1053–1057; doi: 10.3906/sag-1709-108.
18.
Cossich V, Mallrich F, Titonelli V, de Sousa EB, Velasques B, Salles JI. Proprioceptive deficit in individuals with unilateral tearing of the anterior cruciate ligament after active evaluation of the sense of joint position. Rev Bras Ortop. 2014;49(6):607–602; doi: 10.1016/j.rboe.2013.07.003.
19.
Saal JA, Saal JS. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. An outcome study. Spine. 1989;14(4):431–437; doi: 10.1097/00007632-198904000-00018.
20.
Fredericson M, Moore T. Muscular balance, core stability, and injury prevention for middle- and long-distance runners. Phys Med Rehabil Clin N Am. 2005;16(3):669–689; doi: 10.1016/j.pmr.2005.03.001.
21.
McGill S. Low Back Disorders: Evidence-Based Prevention and Rehabilitation. 2nd ed. Champaign: Human Kinetics; 2007.
22.
Haher TR, O’Brien M, Kauffman C, Liao KC. Biomechanics of the spine in sports. Clin Sports Med. 1993;12(3):449–64.
23.
O’Sullivan PB, Twomey L, Allison G. Dysfunction of the neuromuscular system in the presence of Low back pain-implications for physical therapy management. J Manual Manipulative Ther. 1997;5(1):20–26; doi: 10.1179/jmt.1997.5.1.20.
24.
Eric R, James H, Thomas M. Principles of Neural Science. 3rd ed. New York: Elsevier Science; 1991.
25.
Grigg P. Peripheral neural mechanisms in proprioception. J Sport Rehabil. 1994;3(1):2–17; doi: 10.1123/jsr.3.1.2.
26.
Macefield G, Gandevia S, Burke D. Perceptual responses to microstimulation of single afferents innervating joints, muscles and skin of the human hand. J Physiol. 1990;429:113–129; doi: 10.1113/jphysiol.1990.sp018247.
27.
Willems T, Witvrouw T, Verstuyft J, Vaes P, Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train. 2002;37(4):487–493.
28.
Staron RS, Karapondo DL, Kraemer WJ, Fry AC, Gordon SE, Falkel JE, et al. Skeletal muscle adaptations during early phase of heavy-resistance training in men and women. J Appl Physiol. 1994;76(3):1247–1255; doi: 10.1152/jappl.1994.76.3.1247.
29.
Samson K. Effect of Five-Week Core Stabilization Training-Program on Dynamic Balance in Tennis Athletes. Master’s Thesis, The School of Physical Education, West Virginia University; 2005.
30.
Aggarwal A, Zutshi K, Munjal J, Kumar S. Effect of core stabilization training on dynamic balance in non-professional sports players. Indian J Physiother Occup Ther. 2010;4(4):18–22.
31.
Piegaro A. The Comparative Effects of Four-Week Core Stabilization and Balance Training Programs on Semi-Dynamic and Dynamic Balance. Master’s Thesis, Morgantown, West Virginia University; 2003.