• Julian Simpson

What is better for balance and muscle thickness? Core stabilisation or strengthening

What is better for balance and muscle thickness? Core stabilisation or strengthening


New research is showing that CORE STABILISATION showed more improvement that the strengthening exercise group

Core stabilisation showed improvements in

- proprioception

  • size difference

  • balance

  • relief from pain

No significant adverse effects occurred

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REFERENCE

Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial.

Hlaing SS, Puntumetakul R, Khine EE, Boucaut R. BMC Musculoskelet Disord. 2021 Nov 30;22(1):998. doi: 10.1186/s12891-021-04858-6.

Results

The CSE group demonstrated significantly more improvement than the STE group after 4 weeks of intervention. Improvements were in: proprioception [mean difference (95% CI): − 0.295 (− 0.37 to − 0.2), effect size: 1.38, (p <  0.001)], balance: single leg standing with eyes open and eyes closed on both stable and unstable surfaces (p <  0.05), and percentage change of muscle thickness of TrA and LM (p <  0.01). Although both exercise groups gained relief from pain, the CSE group demonstrated greater reduction of functional disability [effect size: 0.61, (p <  0.05)] and fear of movement [effect size: 0.80, (p < 0.01)]. There were no significant adverse effects in either type of exercise program.

Conclusion

Despite both core stabilization and strengthening exercises reducing pain, core stabilization exercise is superior to strengthening exercise. It is effective in improving proprioception, balance, and percentage change of muscle thickness of TrA and LM, and reducing functional disability and fear of movement in patients with subacute NSLBP.

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