Menu
Call us
Book now
     "Where everyone is 
treated like an elite athlete"
 
           Button

 

 
Appointments call

 (02) 4954 5330 

             Opening hours  
 
     Monday to Friday  8:30am – 7pm
 
 
 
Download  our  Low Back Pain  eBook      Back book

The Myth of Core Stability

The Myth of Core Stability

We have taken the excerpts below from the Lederman article in 2007. He explains the basic concept of core stability and the problems with it. Both the fitness and Physiotherapy industries adopted these concepts with the minimal appraisal, either as they appeared to offer a solution to a difficult problem (low back pain), or they made money out the concept (see Pilates and sales of small clinical ultrasound devices).

Introduction

Core stability (CS) arrived in the latter part of the 1990’s. It was largely derived from studies that demonstrated a change in onset timing of the trunk muscles in back injury and chronic lower back pain (CLBP) patients. The research in trunk control has been an important contribution to the understanding of neuromuscular reorganisation in back pain and injury. As long as four decades ago it was shown that motor strategies change in injury and pain [3]. The CS studies confirmed that such changes take place in the trunk muscles of patients who suffer from back injury and pain. However, these findings combined with general beliefs about the importance of abdominal muscles for a strong back and influences from Pilates have promoted several assumptions prevalent in CS training:

  1. That certain muscles are more important for stabilisation of the spine, in particular, transverses abdominis (TrA).
  2. That weak abdominal muscles lead to back pain
  3.  That strengthening abdominal or trunk muscles can reduce back pain
  4.  That there is a unique group of “core” muscles working independently of other trunk muscles
  5.  That a strong core will prevent injury.
  6.  That there is a relationship between stability and back pain As a consequence of these assumptions, a whole industry grew out of these studies with gyms and clinics worldwide teaching the “tummy tuck” and trunk bracing exercise to athletes for prevention of injury and to patients as a cure for lower back pain [4, 5].
This entry was posted in General. Bookmark the permalink.

Leave a Reply

Your email address will not be published. Required fields are marked *

AntiSpam * Time limit is exhausted. Please reload the CAPTCHA.