Tag: Stabilizacja centralna

Ultrasound-based assessment of voluntary activation of selected stabilizing muscles in healthy young adults

Zuzanna Wiecheć, Arkadiusz Żurawski, Joanna Macierzyńska, Mahitab Mohamed Yosri, Marek Wiecheć, Hoda Zayed A. Mohamed, Zbigniew Śliwiński

Zuzanna Wiecheć et al. – Ultrasound-based assessment of voluntary activation of selected stabilizing muscles in healthy young adults –  Fizjoterapia Polska 2025; 25(3); 221-227

DOI: https://doi.org/10.56984/8ZG7D19GM4Q

Abstract
Introduction. Conscious activation of deep core muscles is a key element of motor control training and rehabilitation for spinal dysfunctions. Learning to effectively engage these muscles can help improve posture and reduce injury risk.
Aim of the study. This study aimed to evaluate the activation potential of selected stabilizing muscles – longus colli, serratus anterior, transversus abdominis, and lumbar multifidus – by comparing their thickness at rest and during contraction using ultrasound imaging.
Material and methods. A total of 109 healthy young adults (42 men and 67 women, aged 19–25) participated in the study. Muscle thickness was measured at rest and during isometric contraction using ultrasound. Paired t-tests and effect sizes (Cohen’s d) were calculated.
Results. A statistically significant increase in thickness was observed only in the transversus abdominis (p = 0.0012; d = 1.48), suggesting effective voluntary activation. The remaining muscles showed no significant changes, with small effect sizes.
Conclusions. Among the tested muscles, only the transversus abdominis showed a clear response to voluntary activation cues, highlighting its importance in core training. Other muscles may require more targeted approaches such as neuromuscular training or biofeedback. Ultrasound proved to be a reliable tool for assessing deep muscle engagement.
Key words
muscle ultrasonography, core stabilization, transversus abdominis, multifidus, muscle activation, motor control
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Effect of 4 weeks core stabilization exercise on muscle activity, range of motion and function in Lumbar Spondylosis

Lilima Patel, Shenbaga Sundaram Subramanian, Saju Binu Cherian, Anil Kumar Oraon, Manoj Kumar Behera

Lilima Patel, Shenbaga Sundaram Subramanian, Saju Binu Cherian, Anil Kumar Oraon, Manoj Kumar Behera – Effect of 4 weeks core stabilization exercise on muscle activity, range of motion and function in Lumbar Spondylosis –  Fizjoterapia Polska 2024; 24(5); 445-450

DOI: https://doi.org/10.56984/8ZG020CPQG4

Abstract Introduction. Lumbar spondylosis (LS) is a degenerative spine disorder associated with poor biomechanics, aging, and heredity. The transversus abdominis (TrA) and lumbar multifidus (LM) are two core muscles essential for spinal stability. Core stabilization exercises (CSE) can increase mobility, lessen pain, and improve muscular function. However, little is known about how well they work for LS patients. This study aims to assess the effects of a 4-week CSE program on muscle function, range of motion, and activity in LS. Aim of the study. To determine the effect of a 4-week core stabilization exercise program on muscle activity, range of motion, and lumbar function in LS. Materials and methods. A single-masked, randomized, controlled pilot experiment was conducted with 20 LS subjects (aged 40 to 70). Participants were randomly allocated to either the intervention or control group. Both groups performed standardized spinal exercises and stretching routines, but the intervention group also received CSE that targeted the TrA and LM muscles. The Oswestry Disability Index (ODI), lumbar range of motion (inclinometer), and muscle activity (surface electromyography) were used to assess outcomes. Statistical analyses used paired and independent sample t-tests with a 95% confidence interval. Results. The paired t-test showed significant improvements (p < 0.05) in the intervention group’s lumbar ROM, ODI scores, and TrA and LM muscle activation. The control group had substantial ROM and ODI improvements, with minor, non-significant changes in TrA. Independent t-tests revealed significant differences in ODI and MVIC of TrA and LM, favoring the intervention group, but no ROM differences between groups. Conclusion. CSE enhances lumbar function and muscle activation in LS subjects. These data point to their potential as an adjuvant rehabilitation technique.
Key words lumbar spondylosis, core stabilization, lumbar multifidus, transversus abdominis, range of motion, Oswestry Disability Index, surface electromyography
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Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with lower back pain syndrome

Paweł Gąsior

P. Gąsior – Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with lower back pain syndrome. Fizjoterapia Polska 2019; 19(4); 80-91

Abstract
Introduction. Spinal pain syndromes have become a social problem. Among the many factors causing pain, the most frequently mentioned are: congenital anomalies, degenerative changes, inflammations, neoplastic diseases, injuries, overload pains, metabolic disorders, psychological problems, social problems. In the treatment of back pain, kinesitherapy, physiotherapy and pharmacological treatment are most commonly used.
Purpose of research. Comparison of the effectiveness of physical treatments with central stabilization training in the treatment of patients with low back pain syndrome.
Material and methods. The study was performed on a group of 40 patients (22 women and 18 men) with diagnosed lower back pain syndrome. The subjects were assigned to two groups. Group A has undergone a series of treatments in the field of physical therapy. Group B performed central stabilization training without using physical therapy. Before the beginning of the treatments and after the end of rehabilitation, the degree of pain and their impact on everyday life comfort were assessed using the Oswestry questionnaire (ODI) and the VAS scale.
Results of the research. There was no significant difference in the results regarding the subjective assessment of pain in the lower spine, verified with the VAS scale. In both groups a highly significant (p <0.01) drop in pain sensations after therapies in relation to the results from the pre-therapy period was observed. There was no significant difference in the results of daily living comfort verified by the ODI questionnaire depending on the research group (p <0.05). Highly significant (p <0.01) difference concerns the comparison of results before and after therapy in two groups. None of the applied therapies shows greater effectiveness in improving the comfort of everyday life, despite the fact that both therapies in the assessment of patients improve this comfort.
Conclusions. Central stabilization exercises are an effective alternative to widely used physiotherapeutic procedures in the treatment of lower back pain syndrome or should be effectively complemented. Our own studies did not show unambiguously higher effectiveness of physical treatments in relation to the concept of central stabilization exercises.

Key words:
core stabilization, pain, lumbar section, physical therapy

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Core Stability in the Rehabilitation of Children – Physiotherapy Aspects

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

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