Effects of stabilization exercise on lower limb functions: a scoping review of the literature
Year 2024,
Volume: 1 Issue: 3, 123 - 134, 28.10.2024
Nasim Ejraei
,
Tuğba Kuru Çolak
,
Zubeyir Sarı
Abstract
Objective: We performed a scoping review of the literature to examine the effects of stabilization exercises on lower limb functions.
Methods: We searched Cochrane Library (trials), PubMed, Web of Science, and Google Scholar electronic databases (from 2010 to 2023) for randomised controlled trials to determine the effects of stabilization exercises on the lower extremity functions.
Results: Fourteen studies met the inclusion criteria. Stabilization exercises were effective in improving lower limb functions, biomechanics, and balance ability as well as preventing sport-related injuries.
Conclusions: The results of this review suggest that the level of evidence regarding the effects of stabilization exercise on lower limb functions is good. Stabilization exercises should be used as part of rehabilitation programs for patients/individuals with lower extremities issues.
Ethical Statement
This study is a review study. Therefore, ethics committee approval was not obtained.
Supporting Institution
Marmara University.
Thanks
We would like to thank Marmara University for providing access to academic databases.
References
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- Baldon Rde, M., Serrão, F. V., Scattone Silva, R., & Piva, S. R. (2014). Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther, 44(4), 240-251, a241-a248. https://doi.org/10.2519/jospt.2014.4940
Bassoe Gjelsvik, B., & Syre, L. (2016). The Bobath Concept in Adult Neurology. 2. izd. In: Thieme.
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- Cameron, M. H., & Lord, S. (2010). Postural control in multiple sclerosis: implications for fall prevention. Curr Neurol Neurosci Rep, 10(5), 407-412. https://doi.org/10.1007/s11910-010-0128-0
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- Develi, E., Subasi, F., Aslan, G. K., & Bingol, Z. (2021). The effects of core stabilization training on dynamic balance and pulmonary parameters in patients with asthma. J Back Musculoskelet Rehabil, 34(4), 639-648. https://doi.org/10.3233/bmr-191803
- Elshafey, M. A., Abdrabo, M. S., & Elnaggar, R. K. (2022). Effects of a core stability exercise program on balance and coordination in children with cerebellar ataxic cerebral palsy. J Musculoskelet Neuronal Interact, 22(2), 172-178.
- Francis, J. T., & Song, W. (2011). Neuroplasticity of the sensorimotor cortex during learning. Neural Plast, 2011, 310737. https://doi.org/10.1155/2011/310737
- Freeman, J., Fox, E., Gear, M., & Hough, A. (2012). Pilates based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC Neurol, 12, 19. https://doi.org/10.1186/1471-2377-12-19
- Güngör, F., Tarakci, E., Özdemir-Acar, Z., & Soysal, A. (2022). The effects of supervised versus home Pilates-based core stability training on lower extremity muscle strength and postural sway in people with multiple sclerosis. Mult Scler, 28(2), 269-279. https://doi.org/10.1177/13524585211012202
- Hartigan, E. H., Axe, M. J., & Snyder-Mackler, L. (2010). Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther, 40(3), 141-154. https://doi.org/10.2519/jospt.2010.3168
- Huxel Bliven, K. C., & Anderson, B. E. (2013). Core stability training for injury prevention. Sports Health, 5(6), 514-522. https://doi.org/10.1177/1941738113481200
- Jeong, J., Choi, D. H., & Shin, C. S. (2021). Core Strength Training Can Alter Neuromuscular and Biomechanical Risk Factors for Anterior Cruciate Ligament Injury. Am J Sports Med, 49(1), 183-192. https://doi.org/10.1177/0363546520972990
- Kalron, A., & Givon, U. (2016). Gait characteristics according to pyramidal, sensory and cerebellar EDSS subcategories in people with multiple sclerosis. J Neurol, 263(9), 1796-1801. https://doi.org/10.1007/s00415-016-8200-6
- Kim, J., Gong, W., & Hwang, B. (2011). Effects of lumbar resistance and stabilization complex exercises on extremity muscle strength and endurance of normal adults. Journal of Physical Therapy Science, 23(4), 645-649.
- Lee, S. H., Byun, S. D., Kim, C. H., Go, J. Y., Nam, H. U., Huh, J. S., & Jung, T. D. (2012). Feasibility and effects of newly developed balance control trainer for mobility and balance in chronic stroke patients: a randomized controlled trial. Ann Rehabil Med, 36(4), 521-529. https://doi.org/10.5535/arm.2012.36.4.521
- Maher, C. G., Sherrington, C., Herbert, R. D., Moseley, A. M., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther, 83(8), 713-721.
- Min, J. H., Seong, H. Y., Ko, S. H., Jo, W. R., Sohn, H. J., Ahn, Y. H., Son, J. H., Seo, H. Y., Son, Y. R., Mun, S. J., Ko, M. H., & Shin, Y. I. (2020). Effects of trunk stabilization training robot on postural control and gait in patients with chronic stroke: a randomized controlled trial. Int J Rehabil Res, 43(2), 159-166. https://doi.org/10.1097/mrr.0000000000000399
- Norberg, J. D. (2015). Biomechanical Analysis of Race Walking Compared to Normal Walking and Running Gait.
- Olivo, S. A., Macedo, L. G., Gadotti, I. C., Fuentes, J., Stanton, T., & Magee, D. J. (2008). Scales to assess the quality of randomized controlled trials: a systematic review. Phys Ther, 88(2), 156-175. https://doi.org/10.2522/ptj.20070147
- Palamarchuk, R. (1980). Racewalking: a not so injury free sport. Sports medicine, 80(19-20).
- Pawar, P. (2020). Effect of dynamic neuromuscular stabilization therapy vs parachute resistance training on performance level in race walkers: Comparative study.
- Peters, M. D., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc, 13(3), 141-146. https://doi.org/10.1097/xeb.0000000000000050
- Priyanka, P., Nilima, B., Parag, S., & Ashok, S. (2017). Effects of lumbar core stability exercise programme on knee pain, range of motion, and function post anterior cruciate ligament reconstruction. Journal of Orthopaedics, Trauma and Rehabilitation, 23(1), 39-44. Race Walking, 2007 https://en.m.Wikipedia.org. (this was 4th)
- Sasaki, S., Tsuda, E., Yamamoto, Y., Maeda, S., Kimura, Y., Fujita, Y., & Ishibashi, Y. (2019). Core-Muscle Training and Neuromuscular Control of the Lower Limb and Trunk. J Athl Train, 54(9), 959-969. https://doi.org/10.4085/1062-6050-113-17
- Silder, A., Sherry, M. A., Sanfilippo, J., Tuite, M. J., Hetzel, S. J., & Heiderscheit, B. C. (2013). Clinical and morphological changes following 2 rehabilitation programs for acute hamstring strain injuries: a randomized clinical trial. J Orthop Sports Phys Ther, 43(5), 284-299. https://doi.org/10.2519/jospt.2013.4452
- Song, Q., Ding, Z., Mao, D., Zhang, C., & Sun, W. (2013). Biomechanics and injury risk factors during race walking. ISBS-conference proceedings archive,
- Verhagen, A. P., de Vet, H. C., de Bie, R. A., Kessels, A. G., Boers, M., Bouter, L. M., & Knipschild, P. G. (1998). The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol, 51(12), 1235-1241. https://doi.org/10.1016/s0895-4356(98)00131-0
- Wajda, D. A., & Sosnoff, J. J. (2015). Cognitive-motor interference in multiple sclerosis: a systematic review of evidence, correlates, and consequences. Biomed Res Int, 2015, 720856. https://doi.org/10.1155/2015/720856
- Yılmaz Yelvar, G. D., Baltacı, G., Bayrakcı Tunay, V., & Atay, A. (2015). The effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome. Acta Orthop Traumatol Turc, 49(2), 166-174. https://doi.org/10.3944/aott.2015.13.0118
Year 2024,
Volume: 1 Issue: 3, 123 - 134, 28.10.2024
Nasim Ejraei
,
Tuğba Kuru Çolak
,
Zubeyir Sarı
References
- Akuthota, V., Ferreiro, A., Moore, T., & Fredericson, M. (2008). Core stability exercise principles. Curr Sports Med Rep, 7(1), 39-44. https://doi.org/10.1097/01.Csmr.0000308663.13278.69
- Arntzen, E. C., Straume, B., Odeh, F., Feys, P., & Normann, B. (2020). Group-based, individualized, comprehensive core stability and balance intervention provides immediate and long-term improvements in walking in individuals with multiple sclerosis: A randomized controlled trial. Physiother Res Int, 25(1), e1798. https://doi.org/10.1002/pri.1798
- Baldon Rde, M., Piva, S. R., Scattone Silva, R., & Serrão, F. V. (2015). Evaluating eccentric hip torque and trunk endurance as mediators of changes in lower limb and trunk kinematics in response to functional stabilization training in women with patellofemoral pain. Am J Sports Med, 43(6), 1485-1493. https://doi.org/10.1177/0363546515574690
- Baldon Rde, M., Serrão, F. V., Scattone Silva, R., & Piva, S. R. (2014). Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. J Orthop Sports Phys Ther, 44(4), 240-251, a241-a248. https://doi.org/10.2519/jospt.2014.4940
Bassoe Gjelsvik, B., & Syre, L. (2016). The Bobath Concept in Adult Neurology. 2. izd. In: Thieme.
- Borghuis, J., Hof, A. L., & Lemmink, K. A. (2008). The importance of sensory-motor control in providing core stability: implications for measurement and training. Sports Med, 38(11), 893-916. https://doi.org/10.2165/00007256-200838110-00002
- Cameron, M. H., & Lord, S. (2010). Postural control in multiple sclerosis: implications for fall prevention. Curr Neurol Neurosci Rep, 10(5), 407-412. https://doi.org/10.1007/s11910-010-0128-0
- Cashin, A. G., & McAuley, J. H. (2020). Clinimetrics: Physiotherapy Evidence Database (PEDro) Scale. J Physiother, 66(1), 59. https://doi.org/10.1016/j.jphys.2019.08.005
- Develi, E., Subasi, F., Aslan, G. K., & Bingol, Z. (2021). The effects of core stabilization training on dynamic balance and pulmonary parameters in patients with asthma. J Back Musculoskelet Rehabil, 34(4), 639-648. https://doi.org/10.3233/bmr-191803
- Elshafey, M. A., Abdrabo, M. S., & Elnaggar, R. K. (2022). Effects of a core stability exercise program on balance and coordination in children with cerebellar ataxic cerebral palsy. J Musculoskelet Neuronal Interact, 22(2), 172-178.
- Francis, J. T., & Song, W. (2011). Neuroplasticity of the sensorimotor cortex during learning. Neural Plast, 2011, 310737. https://doi.org/10.1155/2011/310737
- Freeman, J., Fox, E., Gear, M., & Hough, A. (2012). Pilates based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC Neurol, 12, 19. https://doi.org/10.1186/1471-2377-12-19
- Güngör, F., Tarakci, E., Özdemir-Acar, Z., & Soysal, A. (2022). The effects of supervised versus home Pilates-based core stability training on lower extremity muscle strength and postural sway in people with multiple sclerosis. Mult Scler, 28(2), 269-279. https://doi.org/10.1177/13524585211012202
- Hartigan, E. H., Axe, M. J., & Snyder-Mackler, L. (2010). Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther, 40(3), 141-154. https://doi.org/10.2519/jospt.2010.3168
- Huxel Bliven, K. C., & Anderson, B. E. (2013). Core stability training for injury prevention. Sports Health, 5(6), 514-522. https://doi.org/10.1177/1941738113481200
- Jeong, J., Choi, D. H., & Shin, C. S. (2021). Core Strength Training Can Alter Neuromuscular and Biomechanical Risk Factors for Anterior Cruciate Ligament Injury. Am J Sports Med, 49(1), 183-192. https://doi.org/10.1177/0363546520972990
- Kalron, A., & Givon, U. (2016). Gait characteristics according to pyramidal, sensory and cerebellar EDSS subcategories in people with multiple sclerosis. J Neurol, 263(9), 1796-1801. https://doi.org/10.1007/s00415-016-8200-6
- Kim, J., Gong, W., & Hwang, B. (2011). Effects of lumbar resistance and stabilization complex exercises on extremity muscle strength and endurance of normal adults. Journal of Physical Therapy Science, 23(4), 645-649.
- Lee, S. H., Byun, S. D., Kim, C. H., Go, J. Y., Nam, H. U., Huh, J. S., & Jung, T. D. (2012). Feasibility and effects of newly developed balance control trainer for mobility and balance in chronic stroke patients: a randomized controlled trial. Ann Rehabil Med, 36(4), 521-529. https://doi.org/10.5535/arm.2012.36.4.521
- Maher, C. G., Sherrington, C., Herbert, R. D., Moseley, A. M., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther, 83(8), 713-721.
- Min, J. H., Seong, H. Y., Ko, S. H., Jo, W. R., Sohn, H. J., Ahn, Y. H., Son, J. H., Seo, H. Y., Son, Y. R., Mun, S. J., Ko, M. H., & Shin, Y. I. (2020). Effects of trunk stabilization training robot on postural control and gait in patients with chronic stroke: a randomized controlled trial. Int J Rehabil Res, 43(2), 159-166. https://doi.org/10.1097/mrr.0000000000000399
- Norberg, J. D. (2015). Biomechanical Analysis of Race Walking Compared to Normal Walking and Running Gait.
- Olivo, S. A., Macedo, L. G., Gadotti, I. C., Fuentes, J., Stanton, T., & Magee, D. J. (2008). Scales to assess the quality of randomized controlled trials: a systematic review. Phys Ther, 88(2), 156-175. https://doi.org/10.2522/ptj.20070147
- Palamarchuk, R. (1980). Racewalking: a not so injury free sport. Sports medicine, 80(19-20).
- Pawar, P. (2020). Effect of dynamic neuromuscular stabilization therapy vs parachute resistance training on performance level in race walkers: Comparative study.
- Peters, M. D., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc, 13(3), 141-146. https://doi.org/10.1097/xeb.0000000000000050
- Priyanka, P., Nilima, B., Parag, S., & Ashok, S. (2017). Effects of lumbar core stability exercise programme on knee pain, range of motion, and function post anterior cruciate ligament reconstruction. Journal of Orthopaedics, Trauma and Rehabilitation, 23(1), 39-44. Race Walking, 2007 https://en.m.Wikipedia.org. (this was 4th)
- Sasaki, S., Tsuda, E., Yamamoto, Y., Maeda, S., Kimura, Y., Fujita, Y., & Ishibashi, Y. (2019). Core-Muscle Training and Neuromuscular Control of the Lower Limb and Trunk. J Athl Train, 54(9), 959-969. https://doi.org/10.4085/1062-6050-113-17
- Silder, A., Sherry, M. A., Sanfilippo, J., Tuite, M. J., Hetzel, S. J., & Heiderscheit, B. C. (2013). Clinical and morphological changes following 2 rehabilitation programs for acute hamstring strain injuries: a randomized clinical trial. J Orthop Sports Phys Ther, 43(5), 284-299. https://doi.org/10.2519/jospt.2013.4452
- Song, Q., Ding, Z., Mao, D., Zhang, C., & Sun, W. (2013). Biomechanics and injury risk factors during race walking. ISBS-conference proceedings archive,
- Verhagen, A. P., de Vet, H. C., de Bie, R. A., Kessels, A. G., Boers, M., Bouter, L. M., & Knipschild, P. G. (1998). The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol, 51(12), 1235-1241. https://doi.org/10.1016/s0895-4356(98)00131-0
- Wajda, D. A., & Sosnoff, J. J. (2015). Cognitive-motor interference in multiple sclerosis: a systematic review of evidence, correlates, and consequences. Biomed Res Int, 2015, 720856. https://doi.org/10.1155/2015/720856
- Yılmaz Yelvar, G. D., Baltacı, G., Bayrakcı Tunay, V., & Atay, A. (2015). The effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome. Acta Orthop Traumatol Turc, 49(2), 166-174. https://doi.org/10.3944/aott.2015.13.0118