Thursday, March 25, 2010

I am shocked! (once again...)

"The principle of core stability has gained wide acceptance in training for the prevention of injury and as a treatment modality for rehabilitation of various musculoskeletal conditions in particular of the lower back. There has been surprisingly little criticism of this approach up to date. This article re-examines the original findings and the principles of core stability/spinal stabilisation approaches and how well they fare within the wider knowledge of motor control, prevention of injury and rehabilitation of neuromuscular and musculoskeletal systems following injury."

Lederman, E., "The myth of core stability." J Bodyw Mov Ther. 2010 Jan;14(1):80-3.

1 comment:

Paulo Sousa said...

Scott Curry has left a new comment on your post "I am shocked! (once again...)":

I don't know what to say about this, other than it's the equivalent of a good essay for a grade 8 class.

Some research relating to neuromuscular changes associated with lumbar spine disorders:

- Paraspinal muscle imbalance is associated with LBP (Renkawitz, 2006)
-Patients with LBP display a decrease in trunk proprioception (Newcomer, 2000)
-LBP patients can be identified based on their deficits in motor control (Reeves, 2005)
-Delayed trunk muscle reflex responses increase the risk of low back injuries (Lippincott, Spine -2005)
-Deficits in neuromuscular control of the trunk predict knee injry risk: a prospective biomechanical-epidemiologic study
-TrA contributes to spine stability ,..insertion of thoracolumbar fascia (Tesh 1987, Barker 2006)
-TrA decreases SI joint laxity (Richardson 2002)
-Changes in recruitment of the abdominal muscles in people with LBP (Lippincott, 2004)
-Multifidus - controls segmental flexion (Macintosh 1986, Rosatelli, 2008)
-Multifidus provides 2/3 of the segmental stability at the lower lumbar spine (Wilke, 1995)
-Contracts in an anticipatory fashion (Hungerford, 2003)
-L/spine multifidus - designed to stabilize the lumbar spine in prolonged flexion or extension (Ward, 2009)
-Changes in lumbar multifidus morphology - atrophy (Hides 1994, 1999, Danneels 2000, Barker 2004) - fatty infiltration (Mengiardi 2006, Kang 2007, Kjaer 2007) with LBP