Effect of strength training on stable and unstable surfaces, on the stability of the Core zone in adults. A narrative review
Keywords:
Core stability, Core strength, stable surfaces, unstable surfaces, low back pain, home exercise, social isolationAbstract
Problem: currently, the importance of strengthening the trunk for the gain of stability and in the prevention of lumbar pain has been identified. Objective: to describe and compare the effect of strength training on stable surfaces vs. strength training on unstable surfaces, on Core stability, in adults. Method: narrative review work in which a search for scientific information is carried out in the Ebsco, Elsevier, Embase, Medline, Pubmed and Scielo databases, selecting and analyzing articles from the year 2000, with search parameters such as Core stability, pain lumbar, trunk strengthening, stable and unstable surfaces. Results: n the first part, the anatomy of the spinal column and other structures that make up the Core are described in general; The panorama with respect to the prevalence of low back pain and its relevance for the strengthening of the trunk is expanded; some protocols for evaluating the strength and stability of this muscular belt are mentioned; some cross-sectional studies are compared in which it was intervened by means of stable and unstable surfaces, and its effect on muscular activity; Improvements in spinal stability obtained from interventions in controlled clinical trials are discussed. In the second part, a physical exercise program aimed at strengthening and stability of the Core is proposed, using stable surfaces to achieve the necessary adaptations that allow the subsequent use of unstable surfaces in order to strengthen the trunk. Conclusion: health care is also the responsibility of each person. It involves, among other aspects, consulting with professionals to correct or prevent diseases; get information from reliable sources; and undertake actions, such as physical activity, according to their needs, capacities and possibilities. This work deals with the importance of caring for the trunk or core area for the general health and functionality of the person, combining two widely used and valid techniques (stable and unstable surfaces), proposing an exercise program and guide for this purpose. For it to be carried out safely and efficiently, professional advice must be provided, specially today, due to the confinement by Covid-19.
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References
Abellán, J., Sainz, P., & Ortín, E. (2010). Guía para la prescripción de ejercicio físico en pacientes con riesgo cardiovascular. Sociedad Española de hipertensión. https://www.seh-lelha.org/wp-content/uploads/2017/03/GuiaEjercicioRCV.pdf
Akuthota, V., & Nadler, S. (2004). Core strengthening. Archives of Physical Medicine and Rehabilitation, 85(s1), 86-92. https://doi.org/10.1053/j.apmr.2003.12.005
Anderson, A., Hoffman, J., Johnson, B., Simonson, A., & Urquhart, L. (2014). Core strength testing: developing normative data for three clinical tests recommended citation. Doctor of Physical Therapy Research Papers. https://sophia.stkate.edu/dpt_papers
Angulo, M., Álvarez, A., & Fuentes, Y. (2011). Biomecánica clínica. Biomecánica de la columna vertebral. Exploración de la columna toracolumbar. Reduca. Enfermería, Fisioterapia y Podología, 3(4), 22-44. http://revistareduca.es/index.php/reduca-enfermeria/article/view/750/766
Atkins, S., Bentley, I., Brooks, D., Burrows, M., Hurst, H., & Sinclair, J. (2015). Electromyographic response of global abdominal stabilizers in response to stable-and unstable-base isometric exercise. Journal of Strength and Conditioning Research, 29(6), 1609-1615. https://doi.org/10.1519/JSC.0000000000000795
Barbado, D., Irles, B., Prat, A., García, M., & Vera, F. (2018). Training intensity quantification of core stability exercises based on a smartphone accelerometer. Plos One, 13(12), e0208262. https://doi.org/10.1371/journal.pone.0208262
Behm, D., Drinkwater, E., Willardson, J., & Cowley, P. (2010). The use of instability to train the core musculature. Applied Physiology, Nutrition, and Metabolism, 35(1), 91-108. https://doi.org/10.1139/H09-127
Behm, D., Muehlbauer, T., Kibele, A., & Granacher, U. (2015). Effects of strength training using unstable surfaces on strength, power and balance performance across the lifespan: a systematic review and meta-analysis. Sports Medicine, 45, 1645-1669. https://doi.org/10.1007/s40279-015-0384-x
Berumen, H., Coronado, R., Chávez, D., Díez, M., Hernández, R., & Martínez, E. (2005). Valoración isocinética del tronco en sujetos asintomáticos del Centro Nacional de Rehabilitación. Acta Ortopédica Mexicana, 19(2), 49-55.
Borghuis, J., Hof, A., & Lemmink, K. (2008). The importance of sensory-motor control in providing core stability implications for measurement and training. Sports Medicine, 38(11), 893-916. https://doi.org/10.2165/00007256-200838110-00002
Byrne, J., Bishop, N., Caines, A., Crane, K., Feaver, A., & Pearcey, G. (2014). Effect of using a suspension training system on muscle activation during the performance of a front plank exercise. Journal of Strength and Conditioning Research, 28(11), 3049.3055. https://doi.org/10.1519/JSC.0000000000000510
Calatayud, J., Borreani, S., Martin, J., Martin, F., Flandez, J., & Colado, J. (2015). Core muscle activity in a series of balance exercises with different stability conditions. Gait and Posture, 42(2),186-192. https://doi.org/10.1016/j.gaitpost.2015.05.008
Calatayud, J., Casaña, J., Martín, F., Jakobsen, M., Colado, J., Gargallo, P., … Andersen, L. (2017). Trunk muscle activity during different variations of the supine plank exercise. Musculoskeletal Science and Practice, 28, 54-58. https://doi.org/10.1016/j.msksp.2017.01.011
Carter, J., Beam, W., McMahan, S., & Barr, M. (2010). Effects of stability ball training on spinal stability in those who work in sedentary occupations. Medicine & Science in Sports & Exercise, 37(Suppl.), 177-178. https://doi.org/10.1249/00005768-200505001- 00926
Castillo, A., Gómez, C., Reche, P., Gil, P., & Pino, J. (2018). Valoración de la estabilidad del tronco mediante un dispositivo inercial. Retos: Nuevas Tendencias en Educación Física, Deporte y Recreación, 33, 199-203.
Robertson, R., Goss, F., Rutkowski, J., Lenz, B., Dixon, C., Timmer, J., ... & Andreacci, J. (2003). Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Medicine & Science in Sports & Exercise, 35(2), 333-341. https://doi.org/DOI: 10.1249/01.MSS.0000048831.15016.2A
Covarrubias, A. (2010). Lumbalgia: un problema de salud pública. Revista Mexicana de Anestesiología, 33, 106-109.
Czaprowski, D., Afeltowicz, A., Gebicka, A., Pawłowska, P., Kedra, A., Barrios, C., & Hadała, M. (2014). Abdominal muscle EMG-activity during bridge exercises on stable and unstable surfaces. Physical Therapy in Sport, 15(3), 162–168. https://doi.org/10.1016/j.ptsp.2013.09.003
De Blaiser, C., De Ridder, R., Willems, T., Danneels, L., Vanden Bossche, L., Palmans, T., & Roosen, P. (2018). Evaluating abdominal core muscle fatigue: Assessment of the validity and reliability of the prone bridging test. Scandinavian Journal of Medicine and Science in Sports 28(2), 391-399. https://doi.org/10.1111/sms.12919
Escamilla, R. F., Lewis, C., Bell, D., Bramblet, G., Daffron, J., Lambert, S., … Andrews, J. (2010). Core muscle activation during swiss ball and traditional abdominal exercises. Journal of Orthopaedic & Sports Physical Therapy, 40(5), 265–276. https://doi.org/10.2519/jospt.2010.3073
Faries, M., & Greenwood, M. (2007). Core training: stabilizing the confusion. Strength and Conditioning Journal, 29(2), 10-25. https://doi.org/10.1519/1533-4295(2007)29[10:ctstc]2.0.co;2
Feldwieser, F., Sheeran, L., Meana, A., & Sparkes, V. (2012). Electromyographic analysis of trunk-muscle activity during stable, unstable and unilateral bridging exercises in healthy individuals. European Spine Journal, 21(s2), 171-186. https://doi.org/10.1007/s00586-012-2254-7
Granacher, U., Gollhofer, A., Hortobágyi, T., Kressig, R., & Muehlbauer, T. (2013). The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: A systematic review. Sports Medicine, 43(7), 627-641. https://doi.org/10.1007/s40279-013-0041-1
Heredia, J., Isidro, F., Mata, F., Moral, S., & Guillermo. (2012). Revisión de los métodos de valoración de la estabilidad central (Core). G-SE. https://g-se.com/revision-de-losmetodos-de-valoracion-de-la-estabilidad-central-core-1426-sa-g57cfb2720c148
Heredia, J., Peña, G., Sampietro, M., Moyano, M., Mata, F., Isidro, F., … Da Silva-Grigoletto, M. E. (2014). Core y sistema de control neuro-motor: mecanismos básicos para la estabilidad del raquis lumbar. Revista Brasileira de Educação Física e Esporte, 28(3), 521-529.
Holmes, M., De Carvalho, D., Karakolis, T., & Callaghan, J. (2015). Evaluating abdominal and lower-back muscle activity while performing core exercises on a stability ball and a dynamic office chair. Human Factors, 57(7), 1149-1161. https://doi.org/10.1177/0018720815593184
Juan, C., Barbado, D., López, A., & Vera, F. (2014). Test de campo para valorar la resistencia de los músculos del tronco. Apunts Educació Física i Esports, 117, 59-68. https://doi.org/10.5672/apunts.2014-0983.es.(2014/3).117.06
Kibele, A., & Behm, D. (2009). Seven weeks of instability and traditional resistance training effects on strength, balance and functional performance. The Journal of Strength & Conditioning Research, 23(9), 2443-2450.
Kim, S., Kang, M., Kim, E., Jung, I., Seo, E., & Oh, J. (2016). Comparison of EMG activity on abdominal muscles during plank exercise with unilateral and bilateral additional isometric hip adduction. Journal of Electromyography and Kinesiology, 30, 9-14. https://doi.org/10.1016/j.jelekin.2016.05.003
Koh, H., Cho, S., & Kim, C. (2014). Comparison of the effects of hollowing and bracing exercises on cross-sectional areas of abdominal muscles in middle-aged women. Journal of Physical Therapy Science, 26, 295–299. https://doi.org/10.1589/jpts.26.295
Kondo, T., Uchida, A., Morishita, K., Kasai, Y., & Kawakita, E. (2007). A new evaluation method for lumbar spinal instability: passive lumbar extension test. Physical Therapy, 86, 1661– 1667. https://doi.org/10.2522/ptj.20050281
Lçin, G., Karatas¸, K., Gög ˘ü S¸, F., & Meray, J. (2002). Reliability of isokinetic trunk muscle strength measurement. American Journal of Physical Medicine & Rehabilitation, 81(2), 79-85.
Lee, N., Kang, H., & Shin, G. (2015). Use of antagonist muscle EMG in the assessment of neuromuscular health of the low back. Journal of Physiological Anthropology, 34(1), 1- 6. https://doi.org/10.1186/s40101-015-0055-5
McGuill, S. (2007). Low back disorders. Evidence-based rehabilitation and prevention (2nded.). Champaign, IL: Human Kinetics.
Miralles, R. (2005). Biomecánica clínica de la columna. Dolor, 20(2), 73-78.
OMS Organización Mundial de la Salud (2002). Informe sobre la salud en el mundo 2002. Ginebra: OMS.
Palmer, T., & Uhl, T. (2011). Interday reliability of peak muscular power outputs on an isotonic dynamometer and assessment of active trunk control using the chop and lift tests. Journal of Athletic Training, 46(2), 150-159.
Pedersen, M., Randers, M., Skotte, J., & Krustrup, P. (2009). Recreational soccer can improve the reflex response to sudden trunk loading among untrained women. Journal of Strength & Conditioning Research, 23(9), 2621-2626.
Petersen, R., & Marziale, M. (2014). Low back pain characterized by muscle resistance and occupational factors associated with nursing. Revista Latino-Americana de Enfermagem, 22(3), 386-393. https://doi.org/10.1590/0104-1169.3321.2428
Pinterest (2020). Curvaturas de la columna vertebral (imagen). https://co.pinterest.com/pin/824088431796112637/
Pulikkottil, B., Pezeshk, R., Daniali, L., Bailey, S., Mapula, S., & Hoxworth, R. (2015). Lateral abdominal wall defects: the importance of anatomy and technique for a successful repair. Plastic and Reconstructive Surgery - Global Open, 3(8), 1-5. https://doi.org/10.1097/GOX.0000000000000439
Ramón, J., Elvar, H., Chulvi, I., & Ramón, M. (2006). CORE: Entrenamiento de la zona media. Lecturas EF Deportes, 97.
Sahrmann, S. (2002). Diagnosis and treatment of movement impairment syndrome. St. Louis: Mosby.
Segarra, A., García, C., Blasco, E., Monleón, C., & Blasco, E. (2015). Evidencias sobre el efecto del entrenamiento sobre superficies inestables para la salud del Core. Actividad Física y Deporte: Ciencia y Profesión, 23(2), 49-63.
Shamsi, M., Sarrafzadeh, J., & Jamshidi, A. (2015). Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests. Physiotherapy Theory and Practice, 32, 171-178. https://doi.org/10.3109/09593985.2014.959144
Shamsi, M., Sarrafzadeh, J., Jamshidi, A., Zarabi, V., & Pourahmadi, M.(2016). The effect of core stability and general exercise on abdominal muscle thickness in non-specific chronic low back pain using ultrasound imaging. Physiotherapy Theory and Practice, 32(4), 277-283. https://doi.org/10.3109/09593985.2016.1138559
Szpalski, M., Michel, F., & Hayez, P (1996). Determination of trunk motion patterns associated with permanent or transient stenosis of the lumbar spine. Spine, 5, 332-337.
Tidstrand, J., & Horneij, E. (2009). Inter-rater reliability of three standardized functional tests in patients with low back pain. BMC Musculoskeletal Disorders, 10(1), 58. https://doi.org/10.1186/1471-2474-10-58
Tong, T., Wu, S., & Nie, J. (2014). Sport-specific endurance plank test for evaluation of global core muscle function. Physical Therapy in Sport, 15(1), 58-63. https://doi.org/10.1016/j.ptsp.2013.03.003
Tvrdy, D. (2012). The reverse side plank/bridge: An alternate exercise for core training. Strength and Conditioning Journal, 34(2), 86-88. https://doi.org/10.1519/SSC.0b013e31824e4eab
Uribe, R. (2008). Dolor lumbar: una aproximación general basada en la evidencia. Universitas Médica, 49(4), 509-522.
Vargas, M. (2012). Anatomía y exploración física de la columna cervical y torácica. Revisión Bibliográfica. Medicina Legal de Costa Rica, 29(2), 77-92.
Varo, J., Martínez, A., & González, M. (2003). Beneficios de la actividad física y riesgos del sedentarismo. Medicina Clínica, 121(17), 665-672. https://doi.org/10.1016/S0025- 7753(03)74054-8
Vera, F., Barbado, D., Moreno, V., Hernández, S., Juan, C., & Elvira, J. (2015a). Core stability: concepto y aportaciones al entrenamiento y la prevención de lesiones. Revista Andaluza de Medicina del Deporte, 8, 79-85. https://doi.org/10.1016/j.ramd.2014.02.004
Vera, F., Barbado, D., Moreno, V., Hernández, S., Juan, C., & Elvira, J. (2015b). Core stability: evaluación y criterios para su entrenamiento. Revista Andaluza de Medicina del Deporte, 8(3), 130-137. https://doi.org/10.1016/j.ramd.2014.02.005
Vernaza, P., & Sierras, C. (2005). Dolor músculo-esquelético y su asociación con factores de riesgo ergonómicos, en trabajadores administrativos. Revista de Salud Pública, 7(3), 317- 326. https://doi.org/10.1590/S0124-00642005000300007
Vidal, A. (2015). Entrenamiento del CORE: selección de ejercicios seguros y eficaces. Lecturas EF Deportes, 210.
Vidarte,A., Vélez, C., Sandoval, C., Mora, A., & Lorena, M. (2011). Actividad física: estrategias de promoción de la salud. Hacia la Promoción de la Salud, 16(1), 202-218.
Waldhelm, A. (2011). Assessment of core stability: developing practical models (Doctoral Dissertation). Louisiana State University.
Wang, X., Zheng, J., Yu, Z., Bi, X., Lou, S., Liu, J., … Chen, P. (2018). Un Meta-Análisis sobre los Ejercicios para la Estabilidad del Core versus Ejercicios Generales para el Tratamiento del Dolor Crónico de Lumbares. Revista de Entrenamiento Deportivo, 32(4).
Willardson, J. (2004). The effectiveness of resistance exercises performed on unstable equipment. Strength & Conditioning Journal, 26(5), 70-74.
Willardson, J., Fontana, F., & Bressel, E. (2009). Effect of surface stability on core muscle activity for dynamic resistance exercises. International Journal of Sports Physiology and Performance, 4(1), 97-109.
World Health Organization (2010). Recomendaciones Mundiales sobre Actividad Física para la Salud. Geneva: WHO.
Yoon, T., Cynn, H., Choi, S., Choi, W., Jeong, H., Lee, J., & Choi, B. (2015). Trunk muscle activation during different quadruped stabilization exercises in individuals with chronic low back pain. Physiotherapy Research International, 20, 126-132. https://doi.org/10.1002/pri.1611
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