CORE STABILTY and STRENGTH

1. CORE STABILTY and STRENGTH BY: Kendra HArRIS

2. OBJECTIVEs • Define core strength and core stability • Give examples of exercises for core strength and core stability • How does core strength and stability affect athletes • Demonstrate Core PNF techniques

3. CORE Stability VS CORE STRENGTH • Core stability and core strength are terms that are often used interchangeably when speaking about training the trunk musculature, but they are quite different. Training for core stability requires resisting motion at the lumbar spine through activation of the abdominal musculature as a whole. Training for core strength allows for motions to occur through the lumbar spine in an attempt to work the abdominal musculature, often in an isolated fashion.

4. CORE stability • There is no universally-accepted definition of core stability. • Kiblerdefined core stability as “The ability to control the position and motion of the trunk over the pelvis and legs to allow optimum production, transfer, control of force and motion to the terminal segment in integrated kinetic chain activities.”

5. CORE STRENGTH Akuthota and Nadlert defined core strength as the muscular control required around the lumbar spine to maintain functional stability.

6. Core STRENGTH EXERCISEs • Crunches and rotational crunches • Sit-ups • Superman/back hyperextensions • Leg raises • Side bends • Many rotational exercises with medicine balls or resisted swings

7. CORE STABILITY EXERCISES • Bridging • Trunk PNF • Quadruped single arm lift and single leg lift • Elevated push-up • Floor pushup • Plank • Side plank • Lunges

8. CORE STRENGTH AND STABILITY IN ATHLETES • There is a lack of research looking at the effect of core stability on athletic performance. Although some studies have implied that there is an advantageous effect on performance by improving core stability and strength, these conclusions are largely assumptions based on basic testing. • Roetertt reported that core stability and balance are critical for good performance in almost all sports and activities. This is due to the 3-dimensional nature of many sporting movements, which demands that athletes must have good strength in the hip and trunk muscles to provide effective core stability. Some sports require good balance, some force production, and others body symmetry, but all require good core stability in all three planes of motion. A lack of core strength and stability is thought to result in an inefficient technique, which predisposes the athlete to injury. • Physiologically, core strength and stability training is believed to lead to a greater maximal power and more efficient use of the muscles of the shoulders, arms and legs. This theoretically results in a lower risk of injury and positive effects on athletic performance, in terms of speed, agility, power and aerobic endurance.

9. Core training in Sports • There are many articles in the literature that promote core training program and exercises for performance enhancement without providing a strong scientific rationale of their effectiveness, especially in the sporting sector. In the rehabilitation sector, it has been reported that improving core stability leads to improvements in lower back injury. Few studies have observed any performance enhancement in sporting activities despite observing improvements in core stability and core strength following a core training program. It might be that improvements made in stability and strength only impact indirectly on sporting performance by allowing athletes to train injury free more often. A clearer understanding of the roles that specific muscles have during core stability and core strength exercises would enable more functional training programs to be implemented, which may result in a more effective translation of core training into improvements in sporting performance.

10. TRUNK PNF • Bridging • Pt bridges and therapist resists up and down bridging • Hands on hips push down while ptbridges up and down • Alternating isometrics side to side while pt bridges • Hold don’t let me twist you • Twisting with resistance

11. QUESTIONS

12. References • Heiler, Joe, Core Stability vs Core Strength, http://www.physicaltherapist.com/articles/view/id/7, Accessed 10/1/12. • Heiler, Joe, Core Stability vs Core Strength Part II, http://www.physicaltherapist.com/articles/view/id/8 , Accessed 10/1/12 • HibbsA, Thompson K, French D, Wrigley A, Spears l. Optimizing Performance by Improving Core Stability and Core Strength. Sports Medicine [serial online]. December 2008;38(12):995-1008. Available from: Academic Search Premier, Ipswich, MA. Accessed October 1, 2012. • Kibler JB, Press J, Sciascia A. The role of core stability in athletic function. • Sports Med. 2006;36:189-198.