The effect of stabilization exercises and rotational mobilizations on postural reactions

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż – The effect of stabilization exercises and rotational mobilizations on postural reactions. Fizjoterapia Polska 2007; 7(2), 95-106

Abstract

Background. The maintenance of stability and the performance of any motor task is possible thanks to the control function of the nervous system, which collaborates closely with both active and passive components of the locomotor apparatus. The aim of this study was to find out whether stabilizing exercises executed in closed kinetic chains (influencing active elements) and rotational mobilizations (engaging passive structures) could improve body balance. Material and methods. Twenty young, healthy, physically active women were randomly divided into two equal groups. The first group (I) performed stabilizing exercises and the second (II) was subjected to rotational mobilizations. Every woman was examined twice (before and after the exercise procedure). Stability in double-feet quiet stance with and without visual control was examined using a dynamometric platform. The resulting data were analysed statistically. Results. More evident changes could be seen in the frontal plane. These were more noticeable in the active stabilization exercise group (especially with reference to stiffness, where the differences were statistically significant). Conclusions. Some changes of the viscoelastic system were seen in response to both passive and active exercise procedures. More distinct changes were seen following active exercises in a closed kinetic chain (Group I), suggesting that this kind of exercise has a greater effect on postural reactions.

Key words:

stabilization, rotational mobilizations, equilibrium, visco-elastic system

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The role of passive stiffness of the hamstring muscies in body stability processes

Michał Kuszewski, Edward Saulicz, Andrzej Myśliwiec, Tomasz Wolny

Michał Kuszewski, Edward Saulicz, Andrzej Myśliwiec, Tomasz Wolny – The role of passive stiffness of the hamstring muscies in body stability processes. Fizjoterapia Polska 2009; 9(3); 195-201

Abstract
Two closely interrelated concepts of the biokinematic link have emerged in recent years. One of them divides human muscies functionally into stabilizing and motor ones, while the other concept describes three closely cooperating subsystems which, in a normal individual, function to secure an adeąuate level of stabilization. Each ofthese concepts can be linked with the notion of passive muscle stiffness. However, the majority of publications concerning stabilization processes seems to attach little importance to this property This paper introduces the concepts of development and role of increased passive stiffness of the hamstring muscies in the stabilization process. Basing on neurophysiological mechanisms, the authors present the latest research results, the mechanisms behind increased passive stiffness and ways of reducing it.
Key words:
stability, muscle stiffness, ACL, LPH complex
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Effect of Forward Head Posture Correction Added to Lumber Stabilization Exercises on Lumbopelvic Organization in Mechanical Low Back Pain Patients: A Randomized Clinical Trial

Aliaa M Elabd, Ahmed I Elerian, Salah-Eldin B Ahmed, Haytham M Elhafez, Ahmed F Geneidy, Ahmed Atteya Ashour, Omar M Elabd

Aliaa M Elabd, Ahmed I Elerian, Salah-Eldin B Ahmed, Haytham M Elhafez, Ahmed F Geneidy, Ahmed Atteya Ashour, Omar M Elabd – Effect of Forward Head Posture Correction Added to Lumber Stabilization Exercises on Lumbopelvic Organization in Mechanical Low Back Pain Patients: A Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(3); 132-140

Abstract
Background. Although current Lumbar Stabilization Exercises (LSEs) is beneficial for chronic mechanical low back pain (CMLBP), further research is recommended focusing on normalizing sagittal lumbopelvic alignment. Subjects with forward head posture (FHP) possibly have a problem with the regulation of static upright posture.
Purpose. This study was conducted to determine the effects of adding FHP correction to LSEs on pain, functions and lumbopelvic sagittal alignment in CMLBP patients.
Materials and Methods. Forty adult patients with CMLBP and FHP were assigned into one of two groups. Group A received FHP correction exercises in addition to LSEs for 12 weeks, while group B received only lumber stabilization for 12 weeks. The primary outcome was lumber lordosis (LL). Secondary outcomes included pain intensity, back specific physical functioning, cranio-vertebral angle (CVA), pelvic tilt (PT), pelvic incidence (PI), and sacral slope (SS). Patients were assessed pre and post treatment by an assessor blinded to the patients’ allocation. Reported data was analyzed by Mixed-model-MANOVA.
Results. MANOVA indicated a significant group-by-time interaction (P= 0.00, Partial η2= 0.65). LL, Pain, and SS were reduced in group A more than B. Physical function, CVA, and PT were increased in A when compared to B. There was no significant group-by-time interaction for PI. Within-group comparisons revealed significant differences for all measured variables in both groups except for CVA and PI in the control one.
Conclusion. The addition of FHP correction to LSEs for management of CMLBP seemed to positively affect pain, functioning, and lumbopelvic organization.
Key words:
Exercises, Low Back Pain, Posture, Stabilization
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