Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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The Effect of Core Stabilization Exercise on Dynamic Balance and Trunk Horizontal Rotation in Adult Men

코어 운동이 성인 남성의 동적 균형과 몸통의 수평 회전에 미치는 효과

  • 정경현 (삼육대학원 물리치료학과) ;
  • 이병희 (삼육대학교 물리치료학과)
  • Received : 2022.06.08
  • Accepted : 2022.09.06
  • Published : 2022.12.31
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Abstract

Background: This study aims to evaluate the effect of core stabilization exercise on the dynamic balance and horizontal rotation of the trunk in young adult men. Through this study, it is expected that various core stabilization exercises will prevent and treat musculoskeletal disease. Design: Randomized Controlled Trial. Methods: The study subjects were recruited from young adult men in their 20s and 30s living in Seoul, and after the randomized controlled trial, it was divided into an experimental group training core stabilization exercise(n=15) and a control group(n=15). The evaluation methods of this study were modified Star Excursion Balance Test(mSEBT), Functional Reach Test(FRT), and Trunk Rotation Test(TRT). The experimental group performed three sets of crunches and deadbug exercises twice a week for eight weeks, and the control group did not perform any exercises similar to core stabilization exercise during the experimental period. Results: The result of the experiment, the experimental group showed significant improvement in mSEBT(p<.05), FRT(p<.05) and TRT(p<.05). Conclusion: In conclusion, core stabilization exercises improved dynamic balance and horizontal rotation of the trunk. As a result of this study, core stabilization exercise can prevent and treat musculoskeletal diseases even in healthy people.

Keywords

References

  1. 김병곤, 서현규, 정연우. 슬링운동이 요부안정화와 근력에 미치는 영향. J Kor Phys Ther. 2004;16(4):129-141. 
  2. 박지원, 김상우, 이병희. 뇌졸중 환자의 신체기능, 균형, 인지 관계에서 재활동기의 조절효과에 관한 연구. 대한물리치료과학회지. 2020;27(2):13-24.  https://doi.org/10.26862/jkpts.2020.09.27.2.13
  3. 이동걸, 안상현, 오진규 등. 스위스 볼을 이용한 요부안정화 운동이 근력과 유연성 및 균형에 미치는 영향. 대한임상전기생리학회. 2009;7(1):35-42.  https://doi.org/10.5627/KACE.2009.7.1.035
  4. 장재선, 김용남. 도수 교정과 안정화 운동 복합적용이 만성 허리통증 환자의 통증과 척추 만곡도에 미치는 영향. 대한물리치료과학회지. 2022;29(2):38-47. 
  5. 최원제, 박범석, 유병국 등. 코어 프로그램 운동이 만성요통 환자의 균형에 미치는 영향. 대한물리치료과학회지. 2018;25(1):1-10.  https://doi.org/10.26862/jkpts.2018.06.25.1.1
  6. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85:86-92.  https://doi.org/10.1053/j.apmr.2003.12.005
  7. Aragon VJ, Oyama S, Oliaro SM et al.Trunk-rotation flexibility in collegiate softball players with or without a history of shoulder or elbow injury. J Athl Train. 2012;47(5):507-13.  https://doi.org/10.4085/1062-6050-47.3.11
  8. Armstrong R, Brogden CM, Milner D et al. The Influence of Fatigue on Star Excursion Balance Test Performance in Dancers. J Dance Med Sci. 2018;22(3):142-7.  https://doi.org/10.12678/1089-313x.22.3.142
  9. Axler CT, McGill SM. Low back loads over a variety of abdominal exercises: searching for the safest abdominal challenge. Med Sci Sports Exerc. 1997;29(6):804-11.  https://doi.org/10.1097/00005768-199706000-00011
  10. Bhadauria EA, Gurudut P. Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial.J Exerc Rehabil. 2017;13(4):477-85.  https://doi.org/10.12965/jer.1734972.486
  11. Bhanot K, Kaur N, Brody LT et al. Hip and Trunk Muscle Activity During the Star Excursion Balance Test in Healthy Adults. J Sport Rehabil. 2019;28(7):682-91.  https://doi.org/10.1123/jsr.2017-0145
  12. Choi WJ, Park BS, Yoo BK, et al. The effects of core program exercise on balance in patients with chronic low back pain. J of Kor Phys Ther Sci. 2018;25(1):1-10. 
  13. Datta A, Sen S, Shivpriya. Effects of Core Strengthening on Cardiovascular Fitness, Flexibility and Strength onPatients with Low Back Pain | OMICS International." J Novel Physiotherapies. 2014;4(2):1. 
  14. Duijnhoven HJR, Heeren A, Peters MAM et al. Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis. Stroke. 2016;47(10):2603-10.  https://doi.org/10.1161/strokeaha.116.013839
  15. Duncan PW, Weiner DK, Chandler J, et al. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-7.  https://doi.org/10.1093/geronj/45.6.M192
  16. Emami F, Pirouzi P, Taghizadeh S. Comparison of Abdominal and Lumbar Muscles Electromyography Activity During Two Types of Stabilization Exercises. Zahedan J of Research in Med Sci. 2015;17(4). 
  17. Fan JZ, Liu X, Ni GX. Angular velocity affects trunk muscle strength and EMG activation during isokinetic axial rotation. Biomed Res Int. 2014;2014:623191.  https://doi.org/10.1155/2014/623191
  18. Gabbard C, Cordova A. Association between imagined and actual functional reach (FR): a comparison of young and older adults. Gerontol Geriatr Med. 2013;56(3):487-91. 
  19. Greve J, Alonso A, Bordini ACPG et al. Correlation between body mass index and postural balance. Clinics(Sao Paulo,Brazil). 2007;62(6):717-20.  https://doi.org/10.1590/S1807-59322007000600010
  20. Haladay DE, Miller SJ, Challis JH et al. Responsiveness of the double limb loweringtest and lower abdominal muscle progression to core stabilization exercise programs in healthy adults: a pilot study. J Strength Cond Res. 2014Jul;28(7):1920-7.  https://doi.org/10.1519/jsc.0000000000000336
  21. Herrington L, Hatcher J, Hatcher A, et al. A comparison of Star Excursion Balance Test reach distances between ACL deficient patients and asymptomatic controls. The Knee. 2009;16(2):149-52.  https://doi.org/10.1016/j.knee.2008.10.004
  22. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21(23)2763-9.  https://doi.org/10.1097/00007632-199612010-00011
  23. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77(2):132-42. 
  24. Hultman G, Nordin M, Saraste H et al. Body composition, endurance, strength, cross-sectional area, and density of MM erector spinae in men with and without low back pain. Journal of spinal disorders. 1993Apr;6(2):114-23.  https://doi.org/10.1097/00002517-199304000-00004
  25. Junker D, Stoggl T. The training Effects of Foam Rolling on Core Strength Endurance, Balance, Muscle Performance and Range of Motion: A Randomized Controlled Trial. J Sports Sci Med. 2019;Jun1;18(2):229-238. 
  26. Kahle NL, Gribble PA. Core Stability Training in Dynamic Balance Testing Among Young, Healthy Adults. Athl Train SportsHealth Care. 2009;1(2). 
  27. Katz-Leurer M, Fisher I, Neeb M et al. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31(3):243-8.  https://doi.org/10.1080/09638280801927830
  28. Kim CR, Park DK, Lee ST et al. Electromyographic Changes in Trunk Muscles During Graded Lumbar Stabilization Exercises. PM & R. 2016;8(10):979-89.  https://doi.org/10.1016/j.pmrj.2016.05.017
  29. Kumar S, Narayan Y, Garand D. Isometric axial rotation of the trunk in the neutral posture. Eur J Appl Physiol. 2001;Nov;86(1):53-61.  https://doi.org/10.1007/s004210100510
  30. Lee JS, Kim TH, Kim DY, et al. Effects of selective exercise for the deep abdominal muscles and lumbar stabilization exercise on the thickness of the transverse abdominis and postural maintenance. J Phys Ther Sci. 2015;27(2):367-70.  https://doi.org/10.1589/jpts.27.367
  31. Lin YH, Chen TR, Tang YW et al. Are liability study for standing functional reach test using modified and traditional rulers. Percept Mot skills. 2012;115(2):512-20.  https://doi.org/10.2466/15.03.10.PMS.115.5.512-520
  32. Luan L, Adams R, Witchalls J et al. Does Strength Training for Chronic Ankle Instability Improve Balance and Patient-Reported Outcomes and by Clinically Detectable Amounts? A Systematic Review and Meta-Analysis. Physical Ther. 2021;101(7):pzab046. 
  33. Marras WS, Davis KG, Granata KP. Trunk muscle activities during asymmetric twisting motions. J Electromyogr Kinesiol. 1998;8(4):247-56. 
  34. Montgomery T, Boocock M, Hing W. The effects of spinal posture and pelvic fixation on trunk rotation range of motion. Clin Biomech (Bristol, Avon). 2011;26(7):707-12.  https://doi.org/10.1016/j.clinbiomech.2011.02.010
  35. Nadler SF, Malanga GA, Feinberg JH et al. Relationship between hip muscle imbalance and occurrence of low back painin collegiate athletes: a prospective study. Am J Phys Med Rehabil. 2001;80(8):572-7  https://doi.org/10.1097/00002060-200108000-00005
  36. Nakagawa TH, Petersen RS. Relationship of hip and ankle range of motion, trunk muscle endurance with knee valgus and dynamic balance in males. Phys Ther Sport. 2018;Nov;34:174-9.  https://doi.org/10.1016/j.ptsp.2018.10.006
  37. Nashner LM. Adaptation of human movement to altered environments. Trends in Neurosciences. 1982;5:358-61.  https://doi.org/10.1016/0166-2236(82)90204-1
  38. Niewiadomy P, Niewiadomy KS, Kuszewski MT, et al. Assessment of the influence of global and local exercises on core stabilization mechanisms: randomized controlledtrial. J Sports Med Phys Fitness. 2021;Jan;61(1):44-52 
  39. Olmsted LC, Carcia CR, Hertel J et al. Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. J Athl Train. 2002;37(4):501-6. 
  40. Onofrei RR, Amaricai E, Petroman R et al. Preseason Dynamic Balance Performance in Healthy Elite Male Soccer Players. Am J Mens Health. 2019;13(1):1557988319831920. 
  41. Orgun E, Kurt C, Ozsu I. The effect ofstatic and dynamic core exercises on dynamic balance, spinal stability, and hip mobility in female office workers. Turk Phys Med Rehabil. 2020;66(3):271-80.  https://doi.org/10.5606/tftrd.2020.4317
  42. Ozmen T, Aydogmus M. Effect of corestrength training on dynamic balance and agility in adolescent badminton players. J Bodyw Mov Ther. 2016;20(3):565-70.  https://doi.org/10.1016/j.jbmt.2015.12.006
  43. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992a;5(4):383-9. 
  44. Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord. 1992b;5(4):390-6.  https://doi.org/10.1097/00002517-199212000-00002
  45. Park WH, Kim YH, Lee TR, et al. Factors affecting shoulder-pelvic integration during axial trunk rotation in subjects with recurrent low back pain. Eur Spine J. 2012;21(7):1316-23.  https://doi.org/10.1007/s00586-012-2280-5
  46. Pereira ILR, Qeuiroz B, Loss J, et al. Trunk Muscle EMG During Intermediate Pilates Mat Exercises in Beginner Healthy and Chronic Low Back Pain Individuals. J Manipulative Physiol Ther. 2017;40(5):350-7.  https://doi.org/10.1016/j.jmpt.2017.02.010
  47. Pi-Sunyer FX. Comorbidities of overweight and obesity: current evidence and research issues. Med Sci SportsExerc. 1999;31(11 Suppl):S602-8. 
  48. Plisky PJ, Gorman PP, Butler RJ, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009;4(2):92-9. 
  49. Richardson CA, Jull GA, Hodges PW, et al. Therapeutic exercise for spinal segmental stabilization in low back pain: scientific basis and clinical approach. J Can Chiropr Assoc. 2000;44(2):125. 
  50. Robertson MM, Huang YH, Larson N. The relationship among computer work, environmental design, and musculoskeletal and visual discomfort: examining the moderating role of supervisory relations and co-worker support. Int Arch Occup Environ Health. 2016;89(1):7-22.  https://doi.org/10.1007/s00420-015-1046-x
  51. Rosa MV, Perracini MR, Ricci NA. Usefulness, assessment and normative data of the Functional Reach Test in older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr. 2019;81:149-70.  https://doi.org/10.1016/j.archger.2018.11.015
  52. Sadeghi H, Shariat A, Asadmanesh E, et al. The Effects of Core Stability Exercise on the Dynamic Balance of VolleyballPlayers. J Appl Physiol Respir Environ Exerc Physiol. 2013;2(2):1-10. 
  53. Sekendiz B, Cug M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J StrengthCond Res. 2010;Nov;24(11):3032-40.  https://doi.org/10.1519/JSC.0b013e3181d82e70
  54. Souza GM, Baker LL, Powers CM. Electromyographic activity of selected trunk muscle during dynamic spine stabilization exercises. Arch Phys Med Rehabil. 2001;Nov;82(11):1551-7.  https://doi.org/10.1053/apmr.2001.26082
  55. Stenger EM. Electromyographic comparison of a variety of abdominal exercises to the traditional crunch[dissertation]. Wisconshin-LA Crosse Univ; 2013. 
  56. Stodden DF, Fleisig GS, McLean SP, et al. Relationship of Pelvis and Upper Torso Kinematics to Pitched BaseballVelocity in: Journal of Applied Biomechanics. J Appl Biomech. 2001;17(2):164-72.  https://doi.org/10.1123/jab.17.2.164
  57. Stuckey MF, Smalley LA, Dorman G. Reliability of Measuring Trunk Motions in Centimeters. Phys Ther.1982;62(10):1431-7. 
  58. Sugaya T, Sakamoto M, Nakazawa R, et al. Relationship between spinal range of motion and trunk muscle activity during trunk rotation. J Phys Ther Sci. 2016;28(2):589-95.  https://doi.org/10.1589/jpts.28.589
  59. Szafraniec R, Bartkowski J, Kawczynski A. Effects of Short-Term Core Stability Training on Dynamic Balance and TrunkMuscle Endurance in Novice Olympic Weightlifters. J Hum Kinet. 2020;74:43-50.  https://doi.org/10.2478/hukin-2020-0012
  60. Toprak Celenay S, Ozer Kaya D. An 8-week thoracic spine stabilization exercise program improves postural backpain, spine alignment, postural sway, and core endurance in university students: a randomized controlled study. Turk J Med Sci. 2017;47(2):504-13.  https://doi.org/10.3906/sag-1511-155
  61. UrquhartDM, Hodges PW. Differential activity of regions of transversus abdominis during trunk rotation. Eur Spine J. 2005;14(4):393-400.  https://doi.org/10.1007/s00586-004-0799-9
  62. Vincent WJ, Britten SD. Evaluation ofthe Curl up-A Substitute for the Bent Knee Sit up. J Phys educ and recreation. 2013;51(2):74-5.  https://doi.org/10.1080/00971170.1980.10624104
  63. WilsonJD, Dougherty CP, Ireland ML, et al. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13(5):316-25.  https://doi.org/10.5435/00124635-200509000-00005
  64. Yanyun G, Huangwei L, Zeng Y, et al. The effect of Pilates exercise training for scoliosis on improving spinal deformity and quality of life: Meta-analysis of randomized controlled trials. 2021;100(39):e27254. 
  65. Yim-Chiplis PK, Talbot LA. Definingand measuring balance in adults. Biol Res Nurs. 2000;1(4):321-31.  https://doi.org/10.1177/109980040000100408
  66. Yoon TL, Kim KS. Effect of Craniocervical Flexion on Muscle Activities of Abdominal and Cervical Muscles During Abdominal Curl-Up Exercise. Phys Ther Korea. 2013;20(4):32-9.  https://doi.org/10.12674/ptk.2013.20.4.032