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Progressions of core stabilization exercises based on postural control challenge assessment.

Francisco J Vera-Garcia1, Belen Irles-Vidal1, Amaya Prat-Luri1

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Summary

This study developed objective parameters for core stabilization exercises (CSEs) progressions. Exercise variations on unstable surfaces or with single-leg support significantly increase postural sway, indicating higher intensity for progressive training.

Keywords:
Core stabilityLoad progressionPosturographyTraining intensityTrunk control

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Area of Science:

  • Biomechanics and Exercise Physiology
  • Kinesiology and Sports Science

Background:

  • Core stabilization exercises (CSEs) progression typically relies on subjective criteria.
  • Objective parameters are needed to standardize CSE intensity and progression.

Purpose of the Study:

  • To establish exercise progressions for common CSEs based on objective postural control challenges.
  • To investigate the influence of sex and baseline postural control on CSE progression.

Main Methods:

  • Seventy-six participants performed variations of front bridge, back bridge, side bridge, and bird-dog exercises.
  • Force platforms measured the mean velocity of center of pressure displacement to quantify participants' body sway (PBS) as an intensity measure.

Main Results:

  • Longer bridges, single-leg support, and unstable surfaces (hemisphere ball) increased PBS, indicating higher exercise intensity.
  • Bird-dog variations on unstable surfaces or with fewer support points yielded higher PBS.
  • Bridging on a hemisphere ball with single-leg support presented the highest challenge.

Conclusions:

  • CSE progressions based on sex were similar, but individual trunk control levels necessitate personalized progression.
  • Objective measures like PBS can guide CSE prescription for physically active individuals.
  • This research provides a foundation for evidence-based CSE programming.