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Effects of Hypopressive Techniques on the CORE Complex: A Systematic Review
Pablo Hernandez-Lucas1,2, Isabel Escobio-Prieto3,4,5, Paloma Moro López-Menchero6
1Department of Functional Biology and Health Sciences, Faculty of Physiotherapy, Universidade de Vigo, Campus A Xunqueira, s/n, 36005 Pontevedra, Spain.
Healthcare (Basel, Switzerland)
|June 26, 2025
Summary
Abdominal hypopressive techniques may benefit core muscles like the pelvic floor and diaphragm. However, current research quality is low, necessitating further investigation for definitive core strength conclusions.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Exercise Physiology
Background:
- The CORE complex includes abdominal, lower back, and diaphragm muscles.
- Abdominal hypopressive techniques (AHT) are increasingly popular for core training.
Purpose of the Study:
- To systematically review the scientific literature on the effects of AHT on the CORE complex.
- To evaluate the impact of AHT on core muscle function and strength.
Main Methods:
- Systematic literature search in major databases (PubMed, Web of Science, etc.) in January 2025.
- Inclusion of randomized controlled trials (RCTs) in adults.
- Data extraction and quality assessment using PRISMA and PEDro scale.
Main Results:
- 13 RCTs met eligibility criteria, suggesting AHT positively affects pelvic floor, transverse abdominis, lumbar region, and diaphragm.
- Average methodological quality was 6.6/10 on the PEDro scale.
- A high risk of bias was identified in 12 of the included studies.
Conclusions:
- AHT shows potential benefits for CORE complex muscles.
- Insufficient methodological quality and high risk of bias in current literature limit definitive conclusions.
- Further high-quality research is required to validate the effects of AHT on core strength.
Keywords:
abdominal COREabdominal musclesback paindiaphragm and hypopressive exerciselow back painpelvic floorpelvic floor disordersMore Related Videos
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