Effects Of The Core Stability Exercises On Balance And Hand Functions

NCT03440684 | Completed

• 1 other identifier: Core Stability
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 1

Brief Summary

The core region is prescribed as a box which is formed from abdominal muscles at the front, paraspinals and glutueal muscles on the back, diaphragm on the roof, oblique abdominal muscles on sides and hip joint and pelvic girdle at the base. With the activation of these muscles, both trunk stabilization is ensured and movement that emerges in the distal segments is supported by power generation and transfer. The location of the center of gravity in the space changes frequently with the movement of the body segments. Postural adjustments that required to restore the impaired balance due to this displacement of center of gravity, consist of lumbal stabilization with the activation of the core muscles. The upper extremity is a body part with a wide variety of abilities. With the same basic anatomical structures, the arms, forearms, hands and fingers may function differently. The upper extremity is the primary tool that people use to manipulate the environment. Therefore, mobility comes to the forefront rather than stability in the upper extremity. On the upper extremity, the most vital component in the transition from high-level mobility to functionality is the hand. The continuity of the kinetic chain is necessary for these functions to be carried out with biomechanical and kinesiologically correct patterns. The kinetic chain is a system that allows different body parts to produce coordinated power and collect and transfer it to the final connection point through muscle activity and body position. It is necessary to provide body stabilization by a strong core in order to achieve power transfer between the extremities and the trunk with the minimum loss of power due to this system. Core stabilization is defined as a prerequisite for the consist of movements involving the upper limb through regional biomechanical stabilization and power generation, transfer and control along the kinetic chain. The aim of this study planned in line with the available information is to investigate the effect of core stabilization exercises applied for 6 weeks on body balance and hand functions.

Conditions

Healthy

Keywords

Core stability, hand, function, balance, strength

Outcome Measures

Primary Outcomes (1)

• Functional grip strength change measurement

  Grip strength was measured by digital hand dynamometer J-Tech ™ (Midvale, USA). Participants' position was glenohumeral joint in 0° abduction and neutral rotation, elbow joint in 90° flexion, forearm and wrist in the neutral position, according to criteria determined by the American Hand Therapist Association. Three measurements were taken from dominant and non-dominant sides and the average of three measurements was recorded in kilograms.

  at baseline and 6 weeks (review the change)

Secondary Outcomes (8)

• Assessment of change of static core endurance with endurance tests - 1

  at baseline and 6 weeks (review the change)

• Assessment of change of static core endurance with endurance tests - 2

  at baseline and 6 weeks (review the change)

• Assessment of change of static core endurance with endurance tests - 3

  at baseline and 6 weeks (review the change)

• Assessment of change of static core endurance with endurance tests - 4

  at baseline and 6 weeks (review the change)

• Assessment of change of dynamic core endurance with endurance tests

  at baseline and 6 weeks (review the change)

Study Arms (1)

Healthy individuals

EXPERIMENTAL

Forty-one healthy individuals were volunteer to participate in the study and 39 of them had no neurological disease, were from 18 to 65 years old, and had no upper extremity injuries. And they have joined to exercise training during 6 weeks.

Other: Exercise

Interventions

Exercise OTHER

At the beginning of the training, participants were informed about the anatomy and biomechanics of core muscles and the effectiveness core stabilization exercises. In all sessions, 5 minutes warm-up exercises and 5 minutes cool-down exercises were done before training. The exercises were first shown by the physiotherapist 2 to 3 repetitions and then the participants performed the exercise 10 to 12 repetitions. Participants were included clinical pilates exercises for 6 weeks, which would be 3 days per week. Exercise programme were managed by one and the same physiotherapist. Each week the level of difficulty of the exercises was increased according to the tolerance of the participants and new exercises were added to the program.

Healthy individuals

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being between the ages of 18-65.

You may not qualify if:

• presence of neurological disease
• presence of upper extremity injury story

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi Üniversitesi

Ankara, 06, Turkey (Türkiye)

Location

Related Publications (9)

• Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr Sports Med Rep. 2008 Feb;7(1):39-44. doi: 10.1097/01.CSMR.0000308663.13278.69.

  PMID: 18296944 BACKGROUND

• Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. doi: 10.2165/00007256-200636030-00001.

  PMID: 16526831 BACKGROUND

• Shinkle J, Nesser TW, Demchak TJ, McMannus DM. Effect of core strength on the measure of power in the extremities. J Strength Cond Res. 2012 Feb;26(2):373-80. doi: 10.1519/JSC.0b013e31822600e5.

  PMID: 22228111 BACKGROUND

• Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. J Bodyw Mov Ther. 2013 Apr;17(2):259-65. doi: 10.1016/j.jbmt.2012.06.003. Epub 2012 Jul 10.

  PMID: 23561876 BACKGROUND

• McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999 Aug;80(8):941-4. doi: 10.1016/s0003-9993(99)90087-4.

  PMID: 10453772 BACKGROUND

• Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine (Phila Pa 1976). 1984 Mar;9(2):106-19. doi: 10.1097/00007632-198403000-00002.

  PMID: 6233709 BACKGROUND

• Bliss LS, Teeple P. Core stability: the centerpiece of any training program. Curr Sports Med Rep. 2005 Jun;4(3):179-83. doi: 10.1007/s11932-005-0064-y.

  PMID: 15907272 BACKGROUND

• Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997 Apr;114(2):362-70. doi: 10.1007/pl00005644.

  PMID: 9166925 BACKGROUND

• TIFFIN J, ASHER EJ. The Purdue pegboard; norms and studies of reliability and validity. J Appl Psychol. 1948 Jun;32(3):234-47. doi: 10.1037/h0061266. No abstract available.

  PMID: 18867059 BACKGROUND

Related Links

• Owsley, A. (2005). An introduction to clinical Pilates. Athletic Therapy Today. 10(4): p. 19-25.

MeSH Terms

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Participants were included group exercise programme. The programme had been performed for 6 weeks. And participants were evaluated after exercise training programme.

Study Record Dates

• First Submitted: February 13, 2018
• First Posted: February 22, 2018
• Study Start: March 10, 2017
• Primary Completion: April 25, 2017
• Study Completion: July 5, 2017
• Last Updated: February 22, 2018

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)