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'The core': understanding it, and retraining its dysfunction.

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Core stability training is widely used, but this paper clarifies the concept and identifies two distinct patient subgroups with unique retraining needs for spinal and pelvic pain. Understanding these differences optimizes core control interventions.

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Area of Science:

  • Kinesiology and Biomechanics
  • Clinical Anatomy
  • Rehabilitation Science

Background:

  • The concept of core stability training is prevalent in therapeutic and fitness settings.
  • Existing understanding of 'the core' and its control lacks clinical consensus and standardized approaches.
  • Functional and structural changes in core control associated with spinal and pelvic girdle pain are not well-described.

Purpose of the Study:

  • To examine the functional role of 'the core' from clinical and research perspectives.
  • To describe common functional and structural changes in core control in individuals with spinal and pelvic girdle pain.
  • To introduce a new paradigm for understanding and managing altered core control patterns.

Main Methods:

  • Comprehensive literature review of core function and dysfunction.
  • Clinical observation and analysis of functional and structural changes in patients with spinal and pelvic girdle pain.
  • Development of a new integrated model for core control retraining.

Main Results:

  • Identified two distinct clinical subgroups with differing patterns of core control dysfunction.
  • Described common difficulties in establishing fundamental spino-pelvic core control within each subgroup.
  • Highlighted specific retraining strategies tailored to each subgroup's needs.

Conclusions:

  • The presented integrated model offers a refined understanding of core control.
  • The model provides a framework for practitioners to manage altered core control patterns effectively.
  • This approach is applicable across physiotherapy, rehabilitation, Pilates, Yoga, and fitness injury prevention.