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Core stability: evaluation of a therapeutic intervention in sitting and standing

Jones, Karen, Wray, Jonathan Marc, McBride, Mark Berrie, Ellis, N. and Harraway, Camilla 2007. Core stability: evaluation of a therapeutic intervention in sitting and standing. Presented at: Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSM) Conference, Birmingham, UK, June 2007.

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Abstract

Study Design A same subject experimental design. Objectives To investigate differences in average, normalised, SEMG of bilateral Multifidis (MT), Transverse Abdominus/Internal Oblique (TA/IO), External Oblique (EO), Erector Spinae (ES) from pre to post intervention in both sitting and standing. Background The importance of stabilising the spine is heightened in athletes with a weak core leading to less efficient movement and potential injury (Fredericson and Moore, 2005). Evidence indicates that core stability training could prevent injury (Feaver, 2001), enhance performance (Comerford, 2004) and accelerate post injury rehabilitation. The intervention being investigated has not previously been objectively evaluated in any population. Methods and measures: Healthy volunteer subjects (mean (SD) age 26.45 years (±5.25) (n = 22; 13 female) were recruited. The intervention is a mobilisation applied to MT, which aims to enhance proprioceptive awareness and so facilitate achievement of an active neutral alignment of the lumbar spine. This is described as the optimum alignment for efficient core stability and activation of the local muscle stabilisers (O’Sullivan, 2002). Data was analysed using a repeated measures ANOVA (alpha ≤ 0.05). Local ethical approval was obtained from School of Healthcare studies, Cardiff University. Results: The results indicate that following intervention there was a highly significant increase in all the target muscles with the preferential recruitment of the local muscle stabilisers, TA/IO and MT. In sitting, left MT (p=0.000), right MT (p=0.002), left ES (p=0.029), right ES (p=0.015), left TA/IO (p=0.000), right TA/IO (p=0.000), left EO (p=0.008), right EO (p=0.044). In standing, left MT (p=0.000), right MT (p=0.000), left ES (p=0.008), right ES (p=0.010), left TA/IO (p=0.000), right TA/IO (p=0.000), left EO (p=0.001), right EO (p=0.001). This technique could therefore be useful in the retraining of athletes to isolate these muscles prior to progressing on to independent exercises and integration into more challenging sporting activities.

Item Type: Conference or Workshop Item (Lecture)
Date Type: Completion
Status: Unpublished
Schools: Healthcare Sciences
Subjects: R Medicine > RM Therapeutics. Pharmacology
Last Modified: 05 Jan 2018 20:55
URI: http://orca-mwe.cf.ac.uk/id/eprint/15294

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