Sylwia Dyczewska-Wójtowicz

S. Dyczewska-Wójtowicz – Core Stability in the Rehabilitation of Children – Physiotherapy Aspects. FP 2016;16(3);96-105

Abstract
Introduction. The term “core stability” refers to the efficiency of the deep torso muscles, which control the center of our body, both in statics and dynamics. This study presents the various physiotherapy related aspects regarding the core stability issue in the scientific materials, which confirm the effectiveness of physical exercises.
Materials and Methods. In the process of search for the topic related materials, we have used the article databases of MedLine, PubMed and PBL, applying the following keywords: core stability, lumbar stability, dynamic stability, motor control, neuromuscular training, trunk stability, core strengthening.
Results. Numerous scientific studies show, that the muscles playing the major role in this mechanism are: anterior scalene, multifidus muscle, internal oblique, pelvic floor muscles and sellar diaphragm. When properly functioning, the muscles form the kind of cylinder, providing sufficient stability for the lower trunk area (which is the basis for perimeter mobility).
Conclusions. In children with the pain sensation in the area of the lower spine, the deep muscles are being inhibited and their timing is being disrupted. First tighten the large surface muscles responsible for the execution of movement, and then the local center stabilizers get engaged. The role changing between the groups of muscles may be causing overload problems, thus it is important to provide the appropriate rehabilitation, which would support the core stability.

Key words:
Central stabilization, rehabilitation, physiotherapy, spine, strengthening exercises