Core Stabilization Group Research Articles

Effectiveness of Mulligan Mobilization Technique and Core Stabilization Exercises in Female Patients With Knee Osteoarthritis: A Randomized Controlled Single-Blind Study

ObjectivesThe aim of this study was to compare the effectiveness of the Mulligan mobilization (MM) technique and Core stabilization (CS) exercises added to the conventional physiotherapy (CP) program in female patients with knee osteoarthritis (KOA). MethodsThe study included 42 female patients diagnosed with bilateral KOA. Participants were randomly divided into 3 groups as CP group (mean age: 57.79 ± 7.43 years), MM group (mean age: 56.14 ± 6.95 years), and CS group (mean age: 54.36 ± 6.56 years). They were divided into 3 groups and treated 3 sessions per week for 4 weeks. Pain intensity, range of motion (ROM), and muscle strength were evaluated with visual analog scale, universal goniometer, and handheld dynamometer, respectively. Balance, aerobic capacity, and functional level were assessed with 30-second sit-to-stand test, 6-minute walk test, and Western Ontario and McMaster Universities Osteoarthritis Index. The quality of life of the participants was evaluated with the Nottingham Health Profile. ResultsAfter treatment, significant improvement was achieved in the all parameters evaluated in the groups (P < .05). CS was found to be more effective in reducing resting pain intensity than the other two treatment approaches (P = .001). It was observed that MM technique increased knee flexion ROM more (P = .001). There was no superiority of MM group and CS group over each other in balance, functional level, aerobic capacity, and quality of life assessments (P > .05). ConclusionOur study showed that CP, MM technique, and CS exercises were effective treatment approaches in the management of KOA in female patients. Results revealed that the MM technique was more effective in increasing knee flexion ROM, and the CS exercise was more effective in reducing resting pain intensity in female patients with KOA.

The efficacy of core stability exercises versus conventional physiotherapy in lower back pain

Context: Practice guidelines recommend various types of general exercise and core stability exercises with electrotherapeutic modalities for chronic back pain but it remains the primary cause of absenteeism and disability. Chronic low back pain causes activity limitation in persons younger than 45 years. Core stability exercise is becoming increasingly popular for low back pain. Aims: To find out the effectiveness of core stability exercises on Pain and Disability in patients with chronic low back pain Settings and Design: A comparative study was done in the Physiotherapy OPD of Mahatma Gandhi Medical College &amp; Hospital Jaipur. Methods and Material: 40 subjects suffering from low back pain as per the inclusion and exclusion criteria were enrolled. The subjects were divided into two Group A (core stability) and Group B (General exercises). Before the treatment session, the pain and disability of the patients in each group were assessed with the help of the VAS scale and ODI scale respectively. After 15 days they were again assessed and the improvement levels were calculated. Statistical analysis used: Paired t-test was used to analyze significant changes between pre-test &amp; post-test measurements. Results: Statistical analysis made with the quantitative data revealed a statistically significant difference between the Core stability group &amp; General exercises group on pain &amp; disability level. Group A (core stability) improved in VAS and ODI compared to Group B (General exercises) with P values of 0.018 and 0.021 respectively. Conclusions: The findings reveal that core stability exercises are more effective than General exercises in chronic low back pain patients.

Effect of core stabilization versus rebound therapy on balance in children with cerebral palsy

ObjectiveThis study aimed to compare the effect of core stabilization exercises and rebound therapy on balance in children with hemiplegic cerebral palsy (CP).MethodsFifty- two children of spastic hemiplegic CP aged 5 up to 8 years from both genders were assigned randomly into two groups: core stability and rebound therapy groups. Both groups received 3 sessions/week, 1.5-h training per session, for 12 successive weeks. The measurement was performed at baseline and post-treatment. Balance as a primary outcome for this study was measured by a Biodex Balance System (BBS), and knee extensor strength and functional capacity as secondary outcomes were assessed using a hand-held dynamometer, and a six-minute walk test (6MWT), respectively.ResultsAll variables showed a significant improvement after intervention in each group (p < 0.0001), with significant improvement in all stability indices (overall, anteroposterior, and mediolateral) in core stability group when compared to rebound therapy group.ConclusionCore stability exercises and rebound therapy are recommended in the rehabilitation of children with hemiplegic CP. Core stability exercises were more effective than rebound therapy for balance improvement.Trial registration numberNCT05739396.

Efficacy of Pelvic Floor and Core Stabilization Exercises on Urinary Incontinence in the PostPartum Period

Abstract Aim: This study aims to compare the effectiveness of pelvic floor exercises and core stabilization exercises in the treatment of urinary incontinence in women. Material and Methods: Forty women 1 to 6 months postpartum was recruited. The postpartum women were randomly divided into three groups: 1) pelvic floor exercises group (PFE); 2) core stabilization group (CS), 3) control group (C). Pelvic floor muscle exercises were performed 3 times a day (morning, noon, evening) in 3 different positions (lying on your back, sitting and standing) in PFE group. Participants performed core stabilization exercises 3 days a week for 6 weeks in CS group. Participants did not receive any exercise therapy and continued their routine. Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ7) and Incontinence Severity Index (ISI) were used as outcome measurements. Results: Statistically significant difference was observed in all outcome measures in the PFE and CS group (p&lt;0.05). Also, there was no statistically significant change in outcomes measures in the control group (p&gt;0.05). There was no significant difference between the outcome measures of the PFE and CS groups except for ISI values (p&gt;0.17). UDI-6 and IIQ7 results in the PFE group improved more than in the CS group. When the PFE and control groups were compared, the PFE group was found to be more effective than the control group in terms of all results (p&lt;0.017). Conclusion: Pelvic floor exercises and core stabilization exercises are effective methods for reducing incontinence symptoms in the postpartum period. Pelvic floor muscle training caused more significant changes than core stabilization exercises in postpartum women.

Differences in the Influence of Core Stability and Balance Training Training on the Risk of Falling in the Elderly

Background of the problem: The aging process causes a decrease in the sensory system, musculoskeletal system, and neurological system which will cause balance disorders and also the risk of falling, to reduce these problems, physical activity must be increased, to improve this there are several exercises such as core stability and balance training. Research Objectives: This study aims to determine differences in the effect of core stability training and balance training on reducing the risk of falling in the elderly. Research Methods: The research design was two group pre and post test design. Research Subjects: The subjects in this study were the elderly who were at risk of falling in the Independent Children's Social Service Institution for the Elderly Social Service "Pucang Gading" who met the inclusion criteria. The number of subjects as many as 30 subjects were divided into 2 groups divided by randomization. Group I was given core stability training and group II was given balance training. Fall risk measurement uses the Time Up and Go Test (TUGT). Research Results: The results of different test groups of core stability and balance training post test using the Independent T-Test showed p = 0.00 (p = &lt;0.05). This shows that there is a difference in the effect of core stability training and balance training on reducing the risk of falling in the elderly. The results of the mean difference in the core stability and balance training groups showed that the core stability group was greater than the balance training group. Conclusion: Core stability has more influence on reducing the risk of falling in the elderly than balance training Group

Is Mediolateral Head Motion during the Seated Hip Flexion Test and Indoor Cycling Test Associated with Core Stability?

Background Appropriate evaluation of core stability is needed to efficiently evaluate the rehabilitative effectiveness of various training programs. Symmetry in mediolateral head motion during the cycling test depends on the core stability status. The seated hip flexion test requires one of the cycling motions. Purpose The aim of this study was to investigate whether symmetry in mediolateral head motion during the seated hip flexion and cycling tests depends on core stability. Study design A cross-sectional study Methods A total of 75 subjects with poor (n=27) or good (n=48) core stability participated in the study. We measured the symmetry in mediolateral head angle during seated hip flexion and cycling tests, and then compared the results between individuals with good and poor core stability. Results There was no significant difference in head motion symmetry during the seated hip flexion test, although the poor core stability group showed greater asymmetry during the cycling test. Conclusions Our findings imply that the indoor cycling test can be used to estimate core stability; however, the seated hip flexion test is not appropriate for evaluating core stability. Proper resistance to lower extremity movements is needed to invoke core stability-dependent head motion in the frontal plane, considering the differences between the seated hip flexion and cycling tests.

Effect of Dynamic Neuromuscular Stabilization on Balance, Trunk Function, Falling, and Spasticity in People With Multiple Sclerosis: A Randomized Controlled Trial

ObjectiveTo compare the effects of core stabilization (CS) and dynamic neuromuscular stabilization (DNS) on balance, trunk function, mobility, falling, and spasticity, in people with multiple sclerosis (PWMS). DesignTwo-group randomized controlled trial. SettingGeneral community and referral center. ParticipantsA total of 64 PWMS, between 30 and 50 years old, and an expanded disability status scale between 2 and 5, participated in this study (N=64). InterventionsParticipants were randomly assigned to CS (n=32) and DNS (n=32) groups. Both groups received a total of 15 sessions of CS or DNS exercises, 60 minutes per session, 3 times a week during the 5 weeks. Outcome MeasuresBalance function was measured as the primary outcome measure. Trunk function, postural stability, falling rate, fear of falling, falling index, mobility, and spasticity were measured as secondary outcomes. ResultsDNS group had significant improvement in Berg balance scale, trunk impairment scale, postural stability, activities-specific balance confidence, reduced falling rate, the timed Up and Go (TUG), multiple sclerosis walking scale-12, and multiple sclerosis spasticity scale in PWMS compared with the CS group, (P<.0001) after 5 weeks of intervention and 17 weeks of follow-up. Except for the modified Ashworth scale (MAS), significant improvements were seen in all outcome measures in both groups after 5 weeks of intervention. ConclusionThis is the first clinical evidence to support the importance of DNS exercise in improving balance, trunk function, and fall prevention in PWMS. This study provides clinical evidence that DNS may be more effective for PWMS than CS.

COMPARISON OF CORE STABILITY AND PLYOMETRIC EXERCISES IN ATHLETES TO IMPROVE PAIN AND DISABILITY IN NON-SPECIFIC LOW BACK PAIN

Background: Low back pain in athletes is common. Core muscles action and function can be understood by the coordination of upper and lower limbs during sports and other dynamic activities. Plyometric exercises are a mainstream type of activity, most generally used to improve athletic performance. Objective: The objective of this study was to compare the effects of core stability and plyometric exercises in athletes to improve pain and disability in non-specific low back pain Study design and sampling technique: Current study was the randomized controlled trial. Simple random sampling technique was used in this study. The participants were divided into Group A and B according to Lottery method. Setting and participants: 38 subjects were considered for the study and divided into two equal groups of 19 each, randomly. Age of selected subjects ranges from 20-40 years. Data were collected from PSB. Interventions &amp; data collection tools: Participants of groups A performed core stability exercises and group B did plyometric exercises. Pre-Treatment values of VAS and MODI were calculated. Results: Parametric and Non-parametric tests were performed. Within group comparison after 4th and 8th week was done by using Friedman ANOVA test and it indicated improved results in both groups. Between groups comparison after 4th and 8th week was made by using Mann-Whitney U Test and it showed significant changes in VAS and MODI scores. Conclusion: Core stability exercises are more effective than plyometric exercises in athletes to improve pain and disability in non-specific low back pain.

Perbandingan Pengaruh Latihan Core Stability Dengan Zig Zag Run Terhadap Agility Pada Pemain Sepak Bola Cabang Aceh Barat Daya

As a soccer athlete, having good agility has several advantages, including being easy to perform difficult movements, not easily falling and causing injury. Agility can be improved with core stability exercises and zig zag runs. This experiment was indentified to find out the difference in the effect of core stability training with zig zag run on increasing agility in Southwest Aceh soccer players in 2021. Respondent of this experiment are 16 people (n=16) met the inclusion criteria with 8 people in the core stability group and 8 people in the zig zag run group. The research method used is a quasi-experimental approach with two groups of pre and post test designs. The data collected was first tested for normality with the Shapiro Wilk test (n=&lt;50), the results obtained were 0.179 (preZigzag), 0.321 (preCoreStability) meaning the data was normally distributed (p&gt;0.05). Then the homogeneity test was carried out with the Levene test, the value (sig) of 0.863 (p&gt;0.05) means that there is a similarity of variance (homogeneous) between groups. Statistical analysis in both groups used Paired Sample t-test and obtained a sig value for the core Stability group of 0.000 and for the Zigzag Run group of 0.000, it can be concluded that there was a difference after being given treatment in each treatment group (p &lt;0.05). Different test of the effect of post test core Stability and zigzag Run using the Independent Sample t-test and obtained a value (sig) of 0.015. So it can be concluded that there is a difference between the treatment of group I and group II (p&lt;0.05). The conclusion is a difference in the effect of core stability and zigzag run training on increasing agility in soccer players.

Comparative effects of Core Stability Exercises and Endurance Training in Patients with Mechanical Low Back Pain

Low back pain is a major health problem resulting in psychosocial and physical disability. The prevalence of LBP and risk of recurrence is rising due to the sedentary life style, poor postural awareness and short term oriented intervention plans. It is the need of the time to design one or more exercise plans that can improve pain and functional disability and prevent recurrence of symptoms in patients with mechanical low back pain. Objective: The objective of this study is to compare the effects of core stability exercises and endurance training on the pain and functional disability in the population having mechanical low back pain. Materials and Methods: It was a quasi-experimental study with 74 patients with chronic low back pain, divided equally in two groups containing 37 patients each. Both groups were treated with baseline of moist heat pack in combination with interferential. Group A was treated with core stability exercises and group B was treated with endurance training for five times a week. Pre and post treatment scores were compared with NPRS for intensity of pain and Oswestry Disability Index for functional disability scores. Results: Data was analysis by SPSS.25 on 74 patients. In type of pain, about 79% of patients were suffering from moderate and severe type of pain while there were only 21% of patients who came with mild pain in both groups. Independent t-test was applied for changes between the group on NPRS scale, the results shows significant results with p&lt;0.05. In core stability group the difference between pretreatment and post treatment was 6.08 to 1.4 and in stability group the difference was 6.13 to 1.10. Endurance training exercises on ODI, there was no one with severe disability, and 94.6 %were with minimal disability and only 5.4 % were with moderate disability. It shows that endurance training exercises were better than stability exercises. Conclusion: It is concluded that endurance training has more clinical difference on outcome measures of NPRS and ODI as compared to core stability exercises in patients with mechanical low back pain.

Effect of Inspiratory Muscle Training Versus Core Stability Training on Balance Problems in Older Adults

We proposed to compare the implications of inspiratory muscle training versus core stability on the stability of the elderly. A total of 75 older individuals were randomly and evenly split into three groups: (A) the core stability group (n=25) received core stability training plus traditional balance exercises, (B) the IMT group (n=25) received IMT training plus traditional balance exercises, (C) the control group (n=25) was assigned to undergo conventional balancing exercises. The evaluation process included both pre-and post-testing, which encompassed the measurement of the time taken to complete the Time Up and Go (TUG) test, as well as the 30 Second Chair Stand Test (30CST). Following eight weeks of training, there was a significant rise in TUG in group A (P&lt;0.05) and 30CST in both groups A and B (P&lt;0.05 and p=0.002), respectively. Post-training, a significant disparity in the TUG and 30CST scores across the three groups was found, with corresponding pvalues of 0.038 and 0.006. So it was concluded that Core muscle stability training with a traditional balance program improves stability in the elderly more than IMT training with a traditional balance program or traditional balance program alone.

The Effect of Strengthing Core Stabilization Training and the Knee Strengthening Training on Improving Pain in Older Women Athletes with Patellofemoral Pain Syndrome

Background and Aim: Patellofemoral Pain Syndrome is one of the most common musculoskeletal problems in the elderly that Can affect their daily activity. This study aims to compare the effectiveness of a period strengthening core stabilization exercise with the Knee strengthening exercises on improving pain in female athletes with Patellofemoral Pain Syndrome. Methods &amp; Materials: In this study, 20 female athletes with Patellofemoral Pain Syndrome participated. They were accidentally divided into two groups: strengthening core stabilization exercise (10 people( and strengthening knee exercise (10 people). A visual analog scale measured patients’ pain before and after eight weeks of practice interventions. Paired t-test and independent t-test were used at the significant level of (P&lt;0.05) to analyze the results. Ethical Considerations: This study was approved by the Research Ethics Committee of Bu Ali Sina University Hamedan (Code: IR.BASU.REC.1398.032). Results: The results showed that the pain level in both groups decreased significantly after strengthening core stabilization exercises (P=0.006) and the Knee strengthening exercises (P=0.000). Although intergroup comparison did not show a significant difference in the results (P̀=0.064), the calculation of the effect showed a more significant effect of strengthening knee exercise [ES=1.8) on the improvement of pain compared to the strengthening core stabilization group (ES=0.7). Conclusion: The results showed that knee strengthening and core stabilization exercises reduced the pain. But due to the higher effectiveness of knee strengthening exercises in improving pain, it is recommended to use this protocol to reduce the pain of these patients.

The Effect of Four Months of Core Stability Training on Femoral Bone Mineral Density and Lower Extremity Muscles Strength in Postmenopausal Women

Background: Osteoporosis is a skeletal disease associated with a gradual decline of bone density, as well as a characteristic reduction of bone rigidity and an increased risk of fractures. This study aimed to investigate the effects of four months of core stability training on the bone mineral density (BMD) of the femur neck and lower extremity muscles strength in postmenopausal women. Methods: This study was an interventional semi-experimental one designed with a pre-test/post-test approach. Overall, 30 postmenopausal women aged 48 to 58 years were purposefully selected and then randomly divided into two groups of core stability exercise (weight= 70.73 ± 12.57 Kg) and control (weight= 77.86 ± 7.19 Kg) groups. The participants of the core stability group performed the exercise protocol three times a week for four months. These exercises consisted of five levels, and based on the gradual progress principle, their intensity was gradually increased over the four months during the study. The participants of the control group did not perform any exercise during the study. The BMD of the dominant femur neck was measured by a Dexa device, and the flexor and external rotator strength of the hip was measured by a manual dynamometer. Data analysis was performed applying paired and independent-sample t-test in SPSS 23 software. The significant level was set at 0.05. Results: The results of paired samples t-test showed that the BMD of the femur neck significantly increased in the core stability group (Pvalue=0.001) and significantly decreased in the control group (Pvalue=0.045) at the post-test compared to the pre-test. Also in intra-group comparison, the flexor and external rotator strength of the hip significantly were increased in the core stability group (Pvalue=0.001 and 0.001, respectively). While there was not such a significant change in the control group. On the other hand, based on the results of the independent samples t-test, the femur neck BMD (Pvalue=0.007) and the flexor and external rotator strength of the hip (Pvalue=0.001 and 0.001, respectively) significantly increased in the core stability compared to the control group. Conclusions: According to the results, it seems that core stability exercises can be suggested to postmenopausal women as an effective strategy for osteogenic bone behavior and reducing the risk of osteoporosis. Keywords : Core stability training, Femur bone mineral density, Lower extremity muscles strength, Postmenopausal women

Is the novel suspension exercises superior to core stability exercises on some EMG coordinates, pain and range of motion of patients with disk herniation?

Information about comparing the effectiveness of exercise methods on management of disk herniation is limited. The aim of this study was to compare the effect of two programs of suspension and core stability exercises on some electromyography (EMG) coordinates, pain and range of motion of patients with disk herniation. Thirty-two men with disk herniation participated in this clinical trial study which was randomly divided into three groups of suspension exercises (n: 12, age: 34.25 ± 8.81, BMI: 24.01 ± 2.7), core stability exercises (n: 10, age: 35 ± 10.3, BMI: 25 ± 2.27) and control (n: 10, age: 34.4 ± 6.67, BMI: 23.76 ± 1.45). Electrical activity of rectus abdominis, internal and external oblique and erector spinae muscles was masured by superficial EMG, back pain by McGill Pain Questionnaire and range of motion by Modified Schober test, one day before and immediately after of intervention period. The experimental groups performed an 8-week training period while the control group was only followed up. Data were analyzed using paired sample t test and analysis of covariance test and statistical significance was set at 0.05. Suspension group showed significant improvement in EMG of rectus abdominis, internal and external oblique muscles (respectively, p = 0.030, p = 0.017, p = 0.022) and pain (p = 0.001) compared to core stability group; but there was no significant difference between two groups in EMG of erector spinae muscle and range of motion. Changes in both training groups were significant in all variables compared to control groups (p ˂ 0.05). Our findings showed that although both exercises were effective in patients with lumbar disk herniation, but the effectiveness of suspension exercises in increasing muscle activation and reducing pain was more pronounced than core stability exercises.Iranian Registry of Clinical Trials (IRCT): IRCT20191016045136N1.

Effects of a Specific Core Stability Program on the Sprint and Change-of-Direction Maneuverability Performance in Youth, Male Soccer Players.

Although it is recommended to use sport-specific training programs to optimize performance, studies analyzing the effects of the core stability training with high levels of sport-specificity on athletic performance are insufficient and unclear. The objective of this study was to analyze the effects of the level of specificity of a CORE stability program on specific soccer actions. Fourteen youth players were randomly assigned to the specific core stability group (SCS; n = 7) or the general core stability group (GCS; n = 7). The eight-week intervention consisted of two weekly training sessions added to the usual soccer training. Both groups performed four CORE stability tasks. The SCS group followed the principle of sports specificity, while the GCS group performed CORE stability commons. Ten-meter linear sprinting (Sprint) and change-of-direction maneuverability (V-cut) were evaluated before and after the intervention programs. A statistically significant improvement was obtained in Sprint (d = 0.84 95% CI (0.22, 1.45), p = 0.008) and V-cut (d = 1.24 95% CI (0.52, 1.93), p < 0.001). At posttest, statistically nonsignificant differences were obtained between groups in Sprint (d = 1.03 95% CI (−0.25, 2.30), p = 0.082) and V-cut (d = −0.56 95% CI (−1.89, 0.78), p = 0.370). In conclusion, sprint and change-of-direction maneuverability were improved, but there was no superiority of any type of training.

Effect of Neurodynamic Mobilisation Plus Core Stability on Pain and Motor Nerve Conduction Velocity in Athletes with Lumbar Radiculopathy

Abstract Introduction. Lumbar radiculopathy (LR) is a common debilitating disorder of neuromuscular origin that affects athletes. Material and Methods. This study was a parallel group design and a total of 24 clinically diagnosed athletes with LR were recruited for the study and randomly assigned to one of the two groups, i.e. neurodynamic mobilisation plus core stability group (NDS plus CS) and core stability group only (CS). NDS plus CS underwent neural mobilisation of the tibial nerve and core stability exercises, while CS group performed core stability for a total of 14 sessions on alternate days. The outcome measures of motor nerve conduction velocity (m NCV) of the tibial nerve and pain intensity were recorded before the start of the intervention, at midpoint (7th session) and at the end of the intervention (14th session). Results. Baseline scores of pain and m NCV (NDS plus CS: 6.75 ± 0.62, 38.10 ± 7.21 and CS: 6.58 ± 0.79, 38.92 ± 6.37) were non-significant. The outcome measures improved significantly during treatment in NDS plus CS group (baseline to 7th session, 7th to 14th session and overall mean change for pain and m NCV was found to be 4.74 ± 0.37 and -6.43 ± 3.08, respectively. Non-significant improvement was reported for CS group. Two-way repeated measures (2 x 3) ANOVA was used to analyse the change in the outcome measures and revealed that NDS plus CS group showed statistically significant main effects for group on pain level (F (2, 5.34) = 0.89, p &lt; 0.001 and m NCV (F (2, 5.21) = 0.40, p &lt; 0.03. Significant time and group x time interaction effects were also found. Conclusions. The findings of the study revealed that neurodynamic mobilisation plus core stability were found effective in improving pain level and motor nerve conduction velocity of the tibial nerve in athletes with lumbar radiculopathy.

Perbandingan Latihan Otot Inti dengan Latihan Pergelangan Kaki dalam Meningkatkan Kelincahan Pemain Sepak Bola

Sport is a needs for human being, sport that early introduced in a young people giving a good effect for physical condition, psychology, and social. Along the growth and development of young soccer player, makes some transformation to their physical condition and to have an impact to their body proportional and decreasing of coordination and agility. To support dribbling skill, a soccer player need to have a good agility. The stability of your core muscle and your ankle affected the agility. The objective of this research is to explain the effect of core muscle stability exercise and ankle stability exercise for dribbling agility, and to compare both of exercises for dribbling agility on soccer player age 14-17 years old. This research used quasi-experimental methods. Subject divided into 2 group, that is Group 1 with core stability exercise intervention and Group 2 with ankle stability exercise intervention. The research will be done in 6 weeks, and 3 times a week. The dribbling agility measurement in this study used Dribbling Agility Test (DAT). From 14 subject, was obtained the difference average of dribbling agility value from the group with core muscle stability exercise was 1.8 ± 1.3 second (p-value=0.010, p&lt;0.05), and the difference average of dribbling agility value from the group with ankle stability exercise was 2.29 ± 1.37 second (p-value=0.005, p&lt;0.5). There is no difference between the group in increasing dribbling agility with p-value=0.477 (p&gt;0.05). Both exercises shown improvement in each group in increasing dribbling agility with no difference between the group.

Effects of Integrative Core Stability Training on Balance and Walking Speed in Healthy Elderly People

The study aims to describe the effects an integrative core stability training on balance and walking speed in healthy elderly people over 65 years old: an adapted training program based on core stability exercises was introduced in the warm up phase. The study was conducted with active adults (n = 84, 38 males, 46 females) randomly divided into 2 groups: adapted core stability group (CSG, n = 40) with age, weight and height (mean ± ds) respectively of 68.2 ± 2.1 years, 69.87 ± 3.2 kg, 166.6 ± 4.8 cm; recreational group (RG, n = 44) with age, weight and height respectively of 68.9 ± 2.2 years, 68.7 ± 3.7 kg, 167 ± 2.8 cm. The sample performed for 10 weeks (3 sessions a week) the two different activities; before and after the training period (T0 and T1), the strength of the core district, static balance ability, dynamic balance and walking speed were evaluated. The results revealed a change in test scores across the two time periods (pre-intervention, post-intervention) for CSG in the McGill sit-up test (p < 0.01), in the trunk extension (p < 0.01), in the right side plank test (p < 0.01), in the left side plank (p < 0.01), in the left leg stance (p < 0.01) and right (p < 0.01), in the 8-foot-up-and-go (p < 0.01), in the 3-m backwards walk test (p < 0.01), in the tandem walk test (p < 0001), in the single-leg stance test left limb (p < 0.001) and right limb (p < 0.01). In the RG the only statistically significant difference observed between T0 and T1 was found in the 8-foot-up-and-go test (p < 0.05). The comparison between CSG and RG showed significant differences in all T1 tests in the CSG. The introduction of core stability exercises adapted to the over 65 population seems capable of determining advantageous transfers in some motor abilities. The choice of introducing these very static exercises in the warm-up phase allows people over 65 to progressively approach specific motor tasks who do not have particular motivations for controlled and systematic physical exercise.

Treatment of disability associated with chronic non-specific low back pain using core stabilization exercises in Pakistani population.

Chronic non-specific low back is the most common musculoskeletal complaint that significantly affects the general population. Exercises are advocated as the main part of treatment for chronic low back pain. The purpose of this study was to compare the effects of workouts of the core musculature and routine physical therapy exercise training for the treatment of disability caused by chronic low back pain. In this single-blinded, randomized, controlled trial, 120 patients with non-specific low back pain were examined in Lahore, Pakistan. They were randomly allocated into treatment groups A and B. Group A performed core stabilization workouts and Group B had routine physical therapy. The Oswestry Disability Index (ODI) was used to evaluate the outcome of each treatment. Statistical analysis was performed using SPSS v16.0 and a p value < 0.05 was considered significant. Significant reduction in disability was observed in both groups at the end of the second, fourth, and sixth week of treatment (p value < 0.05). The mean reduction in disability as measured by ODI score was 39.44 ± 14.64 for Group A and 31.91 ± 12.31 for Group B. A larger reduction in disability was observed for subjects treated with core stabilization exercises in comparison to those treated with routine physical therapy.

Best Core Stabilization for Anticipatory Postural Adjustment and Falls in Hemiparetic Stroke

ObjectivesTo compare the effects of conventional core stabilization and dynamic neuromuscular stabilization (DNS) on anticipatory postural adjustment (APA) time, balance performance, and fear of falls in chronic hemiparetic stroke. DesignTwo-group randomized controlled trial with pretest-posttest design. SettingHospital rehabilitation center. ParticipantsAdults with chronic hemiparetic stroke (N=28). InterventionsParticipants were randomly divided into either conventional core stabilization (n=14) or DNS (n=14) groups. Both groups received a total of 20 sessions of conventional core stabilization or DNS training for 30 minutes per session 5 times a week during the 4-week period. Main Outcome MeasuresElectromyography was used to measure the APA time for bilateral external oblique (EO), transverse abdominis (TrA)/internal oblique (IO), and erector spinae (ES) activation during rapid shoulder flexion. Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), and Falls Efficacy Scale (FES) were used to measure trunk movement control, balance performance, and fear of falling. ResultsBaseline APA times were delayed and fear of falling was moderately high in both the conventional core stabilization and DNS groups. After the interventions, the APA times for EO, TrA/IO, and ES were shorter in the DNS group than in the conventional core stabilization group (P<.008). The BBS and TIS scores (P<.008) and the FES score (P<.003) were improved compared with baseline in both groups, but FES remained stable through the 2-year follow-up period only in the DNS group (P<.003). ConclusionsThis is the first clinical evidence highlighting the importance of core stabilization exercises for improving APA control, balance, and fear of falls in individuals with hemiparetic stroke.