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Core stability

Core stability refers to the ability of the trunk muscles, including those in the abdomen, lower back, pelvis, and hips, to work together to stabilize the spine and maintain proper posture during static and dynamic activities, thereby supporting efficient force generation and transfer throughout the body.^[1] This neuromuscular control integrates passive structures like the spinal column with active muscle contractions and neural feedback to protect the spine from excessive stress and injury.^[2] Essential for both everyday movements and athletic performance, core stability forms the foundation for proximal body control, allowing distal limbs to move effectively while minimizing joint loads.^[3] The core musculature comprises approximately 29 pairs of muscles surrounding the lumbopelvic region, divided into local stabilizers—such as the transversus abdominis, multifidus, and pelvic floor muscles—that provide segmental control, and global muscles—like the rectus abdominis, obliques, and erector spinae—that generate torque and movement.^[4] These muscles, along with contributions from the diaphragm and intra-abdominal pressure, enable coordinated activation to resist or transfer forces, particularly during functional tasks involving the kinetic chain.^[3] Neural control plays a critical role, with anticipatory muscle firing patterns ensuring stability before limb movement begins, as demonstrated in studies on motor control.^[4] Core stability is vital for injury prevention and rehabilitation, particularly in reducing the risk of low back pain and lower extremity injuries like anterior cruciate ligament tears, by enhancing biomechanical efficiency and load distribution.^[4] Weak core muscles are associated with poor posture, increased fatigue, and higher susceptibility to musculoskeletal issues, making targeted training a cornerstone of physical therapy and sports conditioning programs.^[1] Research supports its role in improving athletic performance through better balance, power output, and endurance, though evidence on direct pain relief varies.^[3] In clinical settings, core stability exercises emphasize progressive neuromuscular training over isolated strengthening to restore functional stability.^[2]

Fundamentals

Definition

Core stability refers to the ability to control the position and motion of the trunk relative to the pelvis and lower limbs, enabling optimal force production, transfer, and control while minimizing joint loads and supporting posture and balance during dynamic activities.^[5] This neuromuscular control is essential for maintaining spinal alignment and efficient biomechanical function across a range of movements, from everyday tasks to high-intensity sports.^[3] It is distinct from core strength, which focuses on the dynamic generation of power through trunk musculature to produce torque and drive motion.^[6] Core stability emphasizes static and reactive control to resist unwanted displacement and ensure segmental stability, whereas core strength prioritizes forceful contractions for propulsion or resistance. The core region primarily encompasses the lumbo-pelvic-hip complex—a three-dimensional muscular cylinder bounded superiorly by the diaphragm, anteriorly by the abdominal and oblique muscles, posteriorly by the paraspinals and gluteals, and inferiorly by the pelvic floor and hip girdle musculature—with integrated contributions from the cervical and thoracic spine for whole-body postural coordination.^[7]^[8] The concept of core stability emerged in the early 1990s within rehabilitation and sports science, evolving from research on altered trunk muscle activation patterns in individuals with low back pain, particularly the delayed onset of deep stabilizers like the transversus abdominis.^[9] Seminal studies in this period highlighted the role of these muscles in preemptively stabilizing the spine before limb movement, laying the foundation for modern core training protocols in clinical and athletic settings.

Anatomy of the Core

The core encompasses a complex array of musculoskeletal structures in the trunk, pelvis, and surrounding regions that provide foundational support to the spine and torso. These structures include deep and superficial muscles, connective tissues, and osseous elements that collectively form a "muscular box" enclosing the abdominal viscera. The anatomical core is broadly defined as the central portion of the body, integrating the torso, pelvic and shoulder girdles, and associated musculature to maintain postural alignment and load distribution.^[10] Local stabilizers form the deepest layer of this muscular system, primarily responsible for segmental control and intra-abdominal compression without producing significant joint movement. The transversus abdominis, the innermost abdominal muscle, originates from the thoracolumbar fascia, iliac crest, and costal cartilages, inserting into the linea alba via its aponeurosis; it acts as a corset-like compressor around the abdomen.^[11] The multifidus muscles, comprising short, multipennate fibers along the lumbar and sacral spine, attach from the sacral lamina to the mammillary processes of lumbar vertebrae, providing precise stabilization to individual spinal segments.^[10] The pelvic floor muscles, including the levator ani and coccygeus, create a hammock-like base spanning the pelvic outlet from the pubic symphysis to the coccyx and sacrum, supporting the pelvic organs and maintaining the integrity of the abdominal cavity.^[11] The diaphragm, serving as the superior dome-shaped boundary, arises from the xiphoid process, lower ribs, and lumbar vertebrae, descending to form the thoracic-abdominal interface essential for compartmental pressure.^[10] Global stabilizers and movers constitute the more superficial layers, enabling broader trunk motions while contributing to overall rigidity. The rectus abdominis runs vertically from the pubic symphysis to the costal cartilages, segmented by tendinous intersections, facilitating anterior trunk flexion through its contraction.^[11] The external obliques originate from the lower ribs and insert into the linea alba and iliac crest, while the internal obliques arise from the iliac crest and thoracolumbar fascia to meet at the linea alba; together, they drive trunk rotation and lateral flexion via their opposing fiber directions.^[10] Posteriorly, the erector spinae group, including the iliocostalis, longissimus, and spinalis, extends along the vertebral column from the sacrum and iliac crest to the skull and ribs, promoting spinal extension and lateral balance through its bilateral action.^[11] The quadratus lumborum, a quadrilateral muscle, spans from the iliac crest and thoracolumbar fascia to the 12th rib and lumbar transverse processes, supporting lateral trunk stability and unilateral spinal extension.^[10] The core integrates seamlessly with the appendicular skeleton, particularly through the hip girdle muscles, which extend the functional boundaries beyond the trunk. The gluteal muscles, such as the gluteus maximus, medius, and minimus, originate from the ilium and sacrum, inserting into the femur and iliotibial tract; they stabilize the pelvis during weight-bearing and transfer forces from the lower limbs to the core via the thoracolumbar fascia.^[11] Similarly, the iliopsoas complex, formed by the psoas major (from lumbar vertebrae to lesser trochanter) and iliacus (from iliac fossa to femur), links the lumbar spine to the hip joint, aiding in pelvic tilt control and load transmission between the trunk and lower extremities.^[10] This interconnectedness ensures that core anatomy supports whole-body kinetics, with hip muscles acting as extensions of the local and global systems. Anatomical variations in core structures can influence stability, with notable examples in postpartum individuals where pelvic floor weakness is prevalent. Childbirth, especially vaginal delivery, often leads to stretching or tearing of the levator ani, resulting in reduced muscle tone and impaired support for intra-abdominal contents; studies report pelvic floor dysfunction in up to 84.1% of women at 6–8 weeks postpartum, with associated prolapse in 81.9% of cases.^[12] Such variations may also involve diastasis recti in the rectus abdominis, widening the linea alba due to hormonal and mechanical stresses during pregnancy, though recovery patterns differ by parity and delivery mode.^[12]

Physiological Mechanisms

Role in Movement and Stability

Core stability plays a crucial role in neuromuscular control by enabling anticipatory activation of deep core muscles, such as the transversus abdominis, to prepare the spine for dynamic demands. This feedforward mechanism involves the transversus abdominis contracting prior to the initiation of limb movements, typically 20-50 ms in advance, to increase spinal stiffness and facilitate efficient force transfer without compromising mobility.^[13] Such activation ensures that the trunk remains stable, preventing unwanted perturbations during activities like reaching or stepping, and is independent of the direction of limb motion.^[14] Biomechanically, core stability maintains a neutral spine position, which optimizes load distribution across the vertebrae and minimizes injurious forces on the lumbar region. By aligning the spine in its natural lordotic curve, core engagement reduces anterior-posterior shear forces on intervertebral discs, particularly at L4-L5, where such loads are highest during lifting or bending.^[15] This positioning allows compressive forces to be borne primarily by the vertebral bodies and discs in a balanced manner, enhancing overall spinal resilience and reducing the risk of disc herniation or facet joint stress under load.^[16] In the context of the kinetic chain, core stability serves as the proximal foundation for sequential force transmission from the lower body to the distal segments, exemplified in throwing and running. During throwing, stable core activation enables a proximal-to-distal sequencing where ground reaction forces generated in the legs and hips are efficiently channeled through the trunk to the upper extremity, maximizing velocity and power output while minimizing energy loss.^[5] Similarly, in running, core control coordinates pelvic and thoracic rotation, ensuring smooth transfer of propulsive forces from the hips to the arms, which maintains gait efficiency and balance.^[17] Breathing integrates with core stability through coordinated co-contraction of the diaphragm and abdominal muscles during respiration cycles, sustaining continuous trunk control. The diaphragm's descent during inhalation facilitates intra-abdominal pressure modulation, prompting synergistic activation of the transversus abdominis and pelvic floor to brace the spine without interrupting airflow.^[18] This rhythmic interplay allows for uninterrupted stability during prolonged activities, as exhalation phases reinforce abdominal draw-in to counteract gravitational or inertial loads on the trunk.^[19]

Intra-abdominal Pressure

Intra-abdominal pressure (IAP) refers to the hydraulic pressure generated within the abdominal cavity, which plays a critical role in core stability by providing support to the spine. This pressure is created through the coordinated contraction of key muscles: the diaphragm contracts downward to descend and increase thoracic pressure, the pelvic floor muscles contract upward to resist descent, and the abdominal wall muscles (including the transversus abdominis, rectus abdominis, and obliques) contract inward to compress the viscera.^[20]^[21] This synergistic action forms a pressurized cylinder that transmits force evenly across the torso, enhancing overall structural integrity during dynamic activities.^[22] Physiologically, IAP stabilizes the spine by increasing resistance to intervertebral disc compression and reducing shear forces on the vertebrae, particularly in the lumbar region. During heavy lifts or Valsalva maneuvers—where breath is held against a closed glottis to maximize pressure—IAP can unload compressive forces on the spine by up to 19% in certain postures, while also augmenting spinal stiffness to prevent buckling under load.^[22]^[23] This mechanism is especially effective in tasks requiring trunk extension, such as lifting or jumping, where it counters external moments without excessive reliance on paraspinal muscles.^[24] IAP is typically measured using techniques like intragastric or intravesical catheters, with resting values around 5-10 mmHg rising to 50-150 mmHg during moderate exertion and potentially exceeding 300 mmHg in maximal efforts like heavy weightlifting.^[25]^[26] Factors such as obesity can elevate baseline IAP due to increased intra-abdominal mass and reduced diaphragmatic excursion, while respiratory disorders like chronic obstructive pulmonary disease may impair pressure generation through weakened diaphragmatic function.^[27]^[28] Clinically, proper IAP generation is essential for preventing spinal injuries, as it distributes loads to minimize vertebral stress during high-demand activities. In weightlifting, inadequate IAP—often from poor bracing technique—can lead to excessive shear on the spine or abdominal hernias by allowing localized pressure spikes without uniform support.^[29]^[30]

Benefits and Applications

Health and Injury Prevention

Exercise training, including core stability exercises, has been shown to significantly reduce the incidence of low back pain (LBP) in sedentary populations by approximately 33%, primarily through enhanced load distribution across the spine and improved neuromuscular control.^[31] Meta-analyses indicate that core exercises are more effective than general exercise in decreasing pain intensity and improving function in individuals with chronic non-specific LBP, with short-term benefits observed in pain reduction and disability scores.^[32] This approach supports better spinal alignment and reduces strain on lumbar structures, making it a recommended intervention for prevention in at-risk groups.^[33] Beyond LBP, core stability training lowers the risk of various musculoskeletal injuries by enhancing postural control and balance, which are critical for maintaining kinetic chain integrity during dynamic activities. For instance, programs incorporating core exercises have been associated with up to a 25% reduction in anterior cruciate ligament (ACL) tears in females and up to 85% in males, by improving proximal stability and reducing compensatory lower extremity movements.^[7] Similarly, improved core function helps mitigate risks of herniated discs through better intra-abdominal pressure management and spinal stabilization, preventing excessive shear forces on intervertebral structures.^[7] In rehabilitation settings, core stability exercises are integral to managing conditions like osteoporosis and facilitating post-surgical recovery, as endorsed by clinical guidelines emphasizing safe muscle activation without excessive spinal loading. For osteoporosis, stabilization-focused training, such as sling-based core exercises, has demonstrated improvements in bone mineral density in postmenopausal women, aiding in fracture risk reduction while supporting overall skeletal health.^[34] Post-surgically, early core muscle training after abdominal procedures is safe and promotes fascial healing and functional recovery without increasing complication rates, aligning with protocols for progressive rehabilitation.^[35] Broader health benefits of core stability include enhanced proprioception, which contributes to fall prevention in the elderly by improving balance and reaction times during perturbations.^[36] Additionally, core training supports metabolic health through better posture, which facilitates efficient respiratory mechanics and insulin sensitivity, as evidenced by reductions in blood glucose levels following regular sessions.^[37] These effects underscore core stability's role in promoting long-term wellness across diverse populations.

Performance Enhancement in Sports

Core stability plays a pivotal role in enhancing athletic performance by facilitating efficient force transfer through the kinetic chain, allowing athletes to generate and transmit power from the lower body to the upper body with minimal energy loss. This proximal stability enables distal mobility, optimizing biomechanical function during explosive movements. In trained athletes, targeted core stability training has been shown to improve sprint speed and vertical jump height, as evidenced by systematic reviews of interventions that enhance neuromuscular control and power output. For instance, studies on basketball and soccer players demonstrate significant gains in hop and countermovement jump performance following 4-8 weeks of core-focused protocols, attributing these improvements to better trunk control during acceleration and takeoff phases.^[38]^[39]^[40] In rotational sports such as golf and tennis, core stability particularly benefits from enhanced oblique muscle control, which supports torque generation and rotational velocity critical for swings and serves. Strong oblique engagement stabilizes the torso, enabling greater angular momentum transfer and increasing clubhead or racket speed without compromising balance. Similarly, in linear sports like running, pelvic stability provided by the core maintains optimal alignment and stride efficiency, reducing lateral sway and improving forward propulsion. Research highlights that core training improves pelvic control in runners, leading to more economical gait mechanics and sustained velocity over distances.^[41]^[38]^[42] Core stability also contributes to endurance and fatigue resistance by preserving proper form during prolonged activities, thereby minimizing compensatory movements that lead to energy inefficiency. Athletes with robust core endurance exhibit delayed onset of trunk fatigue, allowing consistent power delivery and reduced metabolic cost in extended efforts such as long-distance running or multi-event competitions. This is supported by findings that core interventions decrease run times in endurance tests by facilitating better load distribution and postural control under fatigue.^[38]^[43]^[44] Practical integration of core stability training is evident in sports like soccer, where balance drills enhance multidirectional agility and ball control, and in gymnastics, where exercises targeting controlled landings improve impact absorption and scoring precision. In soccer programs, incorporating unstable surface balance work has led to better postural stability during dynamic play, while gymnasts benefit from core protocols that refine landing kinetics for safer, higher-scoring dismounts. These applications underscore core stability's role in sport-specific performance optimization.^[45]^[46]

Training and Exercises

Principles of Core Training

Core stability training emphasizes maintaining a neutral spine position, which is defined as the pain-free alignment midway between lumbar flexion and extension, serving as the foundational posture for all exercises to minimize injury risk and optimize load transfer.^[7] This approach prioritizes controlled diaphragmatic breathing to enhance intra-abdominal pressure and co-activation of deep core muscles like the transverse abdominis and pelvic floor, rather than relying on traditional isolated movements such as crunches that may promote spinal flexion.^[7] Training programs incorporate multi-planar movements across sagittal, frontal, and transverse planes to mimic functional demands, fostering neuromuscular coordination and stability over single-plane isolation exercises.^[47] Effective progression in core stability training follows a structured model, typically advancing through four phases: activation with isometric holds to engage deep stabilizers, stabilization to build endurance in neutral positions, integration of core function with limb movements, and perturbation to introduce dynamic instability for advanced neuromuscular challenges.^[48] Beginners may start with basic isometric exercises like planks held for 20-30 seconds, progressing to dynamic variations involving perturbations such as unstable surfaces or partner-assisted movements.^[7] Programs are generally recommended at a frequency of 2-3 sessions per week for 6-8 weeks, with each session lasting 20-30 minutes to allow adequate recovery while promoting adaptations without overtraining.^[49] Individualization is essential, with adaptations based on age, fitness level, and specific conditions to ensure safety and efficacy; for instance, older adults or beginners may focus on low-intensity activation phases, while those with conditions like pregnancy can modify exercises using pelvic tilts to support core engagement without supine positions.^[50] Assessments such as the Functional Movement Screen guide tailoring, adjusting volume and complexity to match baseline capabilities and prevent exacerbation of limitations.^[51] Core stability training integrates seamlessly into holistic fitness programs by combining with resistance exercises for strength development and cardiovascular activities for endurance, using multi-joint movements like squats or loaded carries that inherently recruit the core alongside aerobic components to enhance overall kinetic chain efficiency.^[47] This approach balances demands across strength, stability, and conditioning, often incorporating core work within warm-ups or as finishers to support comprehensive athletic or health goals.^[52]

Specific Exercises and Techniques

Core stability training incorporates a variety of exercises designed to enhance muscular endurance, coordination, and control across the trunk. Foundational exercises form the basis of programs, targeting overall activation without excessive spinal loading. The plank, for instance, involves maintaining a prone position on the forearms and toes with a neutral spine, recruiting the external obliques, rectus abdominis, and gluteus medius to build static endurance and core stabilization.^[7] Similarly, the bird-dog exercise, performed in a quadruped position by extending one arm and the contralateral leg while keeping the spine neutral, improves lumbar-pelvic coordination through engagement of the external obliques, gluteus maximus, and lumbar multifidus.^[7] The dead bug, executed supine by alternately lowering opposite arm and leg extensions while pressing the lower back into the floor, emphasizes anti-extension control and recruits deep core stabilizers for dynamic stability.^[7] Advanced techniques introduce instability and multi-planar demands to challenge balance and power. Stability ball rollouts require kneeling and rolling a Swiss ball forward from the hands while maintaining a rigid torso, promoting dynamic balance via heightened stabilizer recruitment compared to floor-based variations.^[53] Cable chops, involving a diagonal pulling motion from high to low across the body using a cable machine, develop rotational power by activating obliques and transverse abdominis in functional patterns.^[54] Suspension trainer anti-rotation presses, such as the TRX Pallof press where one stands perpendicular to the anchor and presses the handles outward against rotational pull, enhance anti-rotational strength through isometric holds that target the entire core cylinder.^[55] Region-specific exercises address targeted areas to support segmental control. For cervical and thoracic focus, quadruped thoracic rotations begin in a hands-and-knees position, with one arm threading under the body and then reaching upward to rotate the upper back, improving thoracic mobility while maintaining lumbar stability through core engagement.^[56] In lumbar-emphasized training, the McGill curl-up involves lifting only the head and shoulders slightly off the ground with one leg bent and hands under the lower back, designed to activate the rectus abdominis and obliques while minimizing shear forces on the spine.^[57] Effective execution relies on proper cues to prevent compensatory patterns. Practitioners should maintain intra-abdominal pressure (IAP) during holds by bracing the core as if preparing for a light punch to the midsection, which stabilizes the spine and enhances force transfer.^[58] A common error is lumbar hyperextension, often occurring when fatigue leads to excessive arching; to avoid this, focus on a neutral spine by engaging the anterior core to prevent the lower back from sagging or overextending.^[58]

Research and Evidence

Historical Studies

The concept of core stability gained prominence in the 1990s through foundational research emphasizing the role of deep abdominal muscles in spinal control. A seminal study by Hodges and Richardson demonstrated that the transversus abdominis muscle activates in a feedforward manner prior to limb movement, independent of direction, suggesting its critical function in providing anticipatory lumbar stabilization during dynamic activities.^[59] This work laid the groundwork for understanding core muscles as a proactive system for maintaining spinal integrity, influencing subsequent rehabilitation approaches. Building on this, Kibler et al. in 2006 conceptualized the core as a "muscular corset" comprising local stabilizers and global mobilizers that link the upper and lower body, enabling efficient force transfer while minimizing joint loads in athletic and daily movements.^[5] This definition shifted focus from isolated strength to integrated stability, promoting the core's role in biomechanical efficiency across various activities. Early evidence for core stability training's benefits in injury prevention emerged from randomized controlled trials and systematic reviews before 2010. For instance, Hides et al. reported that specific stabilizing exercises for patients with first-episode low back pain reduced recurrence rates to 35% at 2-3 years follow-up, compared to 75% in the control group receiving general advice, indicating a substantial preventive effect.^[60] A pre-2010 meta-analysis by Ferreira et al. further supported these findings, showing moderate-quality evidence that specific stabilization exercises were more effective than general exercise or no treatment for reducing pain and disability in spinal and pelvic conditions.^[61] However, limitations in early research were increasingly highlighted, particularly the overemphasis on isolated activation of muscles like the transversus abdominis without sufficient integration into functional contexts. Lederman critiqued this as the "stability myth," arguing that core stability paradigms often oversimplified spinal mechanics and lacked robust evidence for preventing injury through isolated training alone, calling for a more holistic view of movement patterns.^[62] A key milestone occurred in the mid-2000s when core stability principles were integrated into physical therapy guidelines, notably through endorsements by the American Physical Therapy Association's Orthopaedic Section, which incorporated stabilization exercises into recommended interventions for low back pain management based on emerging evidence.^[63] This adoption marked a transition from theoretical concepts to standard clinical practice, influencing rehabilitation protocols worldwide.

Recent Developments (2020-2025)

A 2023 meta-analysis by Rodríguez-Perea et al. examined the effects of core training on athletic performance across various sports, finding significant improvements in neuromuscular coordination measures such as balance (effect size [ES] = 1.17) and muscle power via jumping tasks (vertical jump ES = 0.69; horizontal jump ES = 0.84), though results for throwing or hitting velocity were mixed and non-significant (ES = 0.30).^[64] This work highlighted core training's role in enhancing foundational neuromuscular functions but noted inconsistent transfer to all performance domains. Similarly, a 2025 systematic review and meta-analysis in Frontiers in Physiology by Guo et al. compared Pilates, core resistance, and traditional core stability training for chronic nonspecific low back pain, revealing Pilates as superior for pain reduction (standardized mean difference [SMD] = 0.75 versus 0.53 for core stability training), with functional improvements also favoring Pilates (SMD = 0.71), though no statistically significant differences across modalities overall.^[65] In rehabilitation advances, a 2025 randomized controlled trial published in Medicina demonstrated that Pilates-based core stability training over six weeks increased deep core muscle thickness (e.g., transversus abdominis by 0.14 cm during contraction) and improved contraction timing (reduced by 3.55 seconds for transversus abdominis), alongside enhanced contraction ratios (up to 12.95%).^[66] Related research supports core stability's effectiveness in sports physiotherapy, particularly for anterior cruciate ligament (ACL) recovery; a 2025 systematic review in Scientific Reports found that core exercises post-ACLR improved lower-limb biomechanics and neuromuscular control during dynamic tasks.^[67] Emerging trends include the integration of technology such as electromyography (EMG) biofeedback to optimize core activation, with a 2024 review in Exploration of Musculoskeletal Diseases indicating that EMG feedback enhances muscle control and functional outcomes in rehabilitation by providing real-time cues for precise engagement.^[68] A 2025 meta-analysis in BMC Sports Science, Medicine and Rehabilitation further noted that while core training yields foundational improvements in balance and power, its impact on sport-specific athletic performance remains variable, suggesting a need for tailored protocols.^[69] Controversies persist regarding the overhyping of core stability benefits, particularly for universal injury prevention in high-impact sports.

References

[1]
Core exercises: Why you should strengthen your core muscles
Core exercises train the muscles in your core to work in harmony. This leads to better balance and steadiness, also called stability.
[2]
Defining Core Stability and Core Strengthening
### Summary of Core Stability and Core Strengthening
[3]
Core stability exercise principles - PubMed
Core stability is essential for proper load balance within the spine, pelvis, and kinetic chain. The so-called core is the group of trunk muscles that ...
[4]
Core Stability - an overview | ScienceDirect Topics
Core stability is defined as the ability of the neuromuscular system to control and protect the spine from injury or reinjury, often achieved through exercises ...Missing: physiology | Show results with:physiology
[5]
The role of core stability in athletic function - PubMed
'Core stability' is defined as the ability to control the position and motion of the trunk over the pelvis to allow optimum production, transfer and control of ...
[6]
Core Training - ACSM's Health & Fitness Journal - Lippincott
Nonetheless, core stability is generally agreed to be the ability to control the position and motion of the trunk, whereas core strength is the ability of the ...
[7]
Core Stability Training for Injury Prevention - PMC - PubMed Central
Generally, core stability comprises the lumbopelvic-hip complex and is the capacity to maintain equilibrium of the vertebral column within its physiologic ...
[8]
Understanding and improving core strength - Harvard Health
Sep 6, 2018 · The core is a group of muscles that stabilizes and controls the pelvis and spine (and therefore influences the legs and upper body).
[9]
[PDF] Assessment of core stability: developing practical models
Core stability is a concept used in the health and fitness professions which became popular in the early 1990s. Physicians, physical therapists, biomechanists, ...
[10]
[PDF] The Anatomical "Core": A Definition and Functional Classification
The anatomic core is important in the functional stabilization of the body during static and dynamic movement. This functional stabilization is an integral ...
[11]
Core Muscles - Physiopedia
The pelvic diaphragm is part of the local stabilisers.[2] These muscles maintain trunk stability by improving intra-abdominal pressure. This is accomplished ...
[12]
Pelvic floor dysfunction and electrophysiology in postpartum women ...
May 23, 2023 · Decreased supporting ability of pelvic floor muscles and changes in the anatomical structure caused by various factors can result in pelvic ...
[13]
Feedforward contraction of transversus abdominis is not influenced ...
Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement ... doi: 10.1007/pl00005644. Authors. P W Hodges , C A ...
[14]
Feedforward coactivation of trunk muscles during rapid shoulder ...
The onset of activity of the TrA (−27.6 ms) and IO (−23.9 ms) demonstrated feedforward activation during left shoulder flexion-right shoulder extension, and ...
[15]
Reduction in anterior shear forces on the L 4L 5 disc by ... - PubMed
The purpose of this study was to assess the possible role of muscles in offsetting the anterior shear forces caused by the load and upper body mass.
[16]
Core Stabilization Exercise Prescription, Part I - NIH
... exercise prescription rehabilitation strategies for patients who present with low back pain. ... The role of core stability in athletic function. Sports Med. 2006 ...Missing: origin | Show results with:origin
[17]
The Kinetic Chain Revisited: New Concepts on Throwing Mechanics ...
The purpose of this article is to review the biomechanics of the overhead throwing motion, the role of the kinetic chain in throwing, and the clinical ...Introduction · Normal Biomechanics · Rehabilitation Principles
[18]
DYNAMIC NEUROMUSCULAR STABILIZATION & SPORTS ...
The diaphragm, pelvic floor and transversus abdominis regulate IAP and provide anterior lumbopelvic postural stability. (Fig. 1) These intrinsic spinal ...
[19]
Breathing Exercise Called the Maximal Abdominal Contraction ... - NIH
Feb 2, 2021 · The maximal abdominal contraction maneuver (MACM) was designed as an effective and efficient breathing exercise to increase the stability of the spinal joint.
[20]
[PDF] Intrinsic Factors Contributing to Elevated Intra-Abdominal Pressure
Abdominal muscle contraction generates an inward circumferential force that is resisted by the pelvic floor and diaphragm, resulting in elevated IAP.
[21]
[PDF] The Role Of The Diaphragm And Intra-Abdominal Pressure By
Dec 19, 2013 · The diaphragm plays a crucial role in core stability. The diaphragm is part of the deep stabilizing system of the spine.
[22]
Role of intra-abdominal pressure in the unloading and stabilization ...
One parameter with the potential to influence spinal mechanics and stability is intra-abdominal pressure (IAP) that has been reported to increase during static ...
[23]
Intra-abdominal pressure increases stiffness of the lumbar spine
Intra-abdominal pressure (IAP) increases during many tasks and has been argued to increase stability and stiffness of the spine.Missing: effects | Show results with:effects
[24]
Intra-abdominal pressure mechanism for stabilizing the lumbar spine
The IAP mechanism for stabilizing the lumbar spine appears preferable in tasks that demand trunk extensor moment such as lifting or jumping.
[25]
Systematic review of intra-abdominal and intrathoracic pressures ...
... mmHg, 350 mmHg during exercise, below 50 mmHg ... in spontaneous preparative behaviour on intra-abdominal pressure and breathing during dynamic lifting.
[26]
Relationship between intra-abdominal pressure and trunk EMG
Intra-abdominal pressure (IAP) has been proposed as an important mechanism ... Peak IAP reached 340 mmHg (valsalva) for one subject but most values were less than ...
[27]
How central obesity influences intra-abdominal pressure
Oct 10, 2016 · The aim of this study was firstly to find the range in values of intra-abdominal pressure (IAP) in cardiothoracic surgery patients.Missing: disorders | Show results with:disorders
[28]
Obesity and respiratory diseases - PMC - PubMed Central - NIH
Oct 20, 2010 · Mechanical ventilation distorts normal diaphragmatic movement, which is aggravated by the increased abdominal pressure present with central ...Pathophysiology Of Osa · Obesity Hypoventilation... · Obesity And Asthma
[29]
Lumbar spine stability can be augmented with an abdominal belt ...
Two hypotheses were tested: (1) An increase in IAP leads to increased lumbar spine stability, (2) Wearing an abdominal belt increases spine stability. Ten ...Missing: stabilization | Show results with:stabilization
[30]
Patient's Perception of the Role of Gym Activity in Abdominal Wall ...
Work or leisure related lifting and straining manoeuvres increases intra-abdominal pressure (IAP) [40] and an association between lifting and hernia has long ...Missing: spinal | Show results with:spinal
[31]
Web Material Exercise for the Prevention of Low Back Pain
PubMed. #1. Exercise[Mesh] OR exercise[Text Word] OR sports[Mesh] OR sports[Text Word] OR leisure activities[Mesh] OR leisure activities[Text Word] OR ...
[32]
A meta-analysis of core stability exercise versus general ... - PubMed
Compared to general exercise, core stability exercise is more effective in decreasing pain and may improve physical function in patients with chronic LBP in ...
[33]
A Systematic Review of the Effectiveness of Core Stability Exercises ...
Aug 1, 2022 · Grade B evidence suggests core stabilization exercises can be considered a favorable method for treating pain in patients with NSLBP. Level of ...
[34]
Regular sling core stabilization training improves bone density ... - NIH
Oct 13, 2023 · Sling core stabilization training emphasizes activating the deep local muscles of the spine under unstable conditions, and enhancing the body's balance and ...
[35]
Safety of core muscle training immediately after abdominal surgery
Dec 18, 2023 · The aim of this review was to assess the safety of abdominal (core) muscle physiotherapy in terms of fascial healing, starting immediately after surgery.
[36]
Analysis of Core Stability Exercise Effect on the Physical and ... - NIH
The aim of the present study was to investigate the effects of core stability exercise (CSE) on the physical and psychological functions of elderly women
[37]
Core Exercise as Non-Pharmacological Strategy for Improving ... - NIH
May 21, 2025 · According to Figure 4, core exercise significantly improves metabolic health by reducing blood glucose levels and enhancing insulin ...
[38]
The Effects of Isolated and Integrated 'Core Stability' Training ... - NIH
Core stability training, operationally defined as training focused to improve trunk and hip control, is an integral part of athletic development, ...
[39]
Core Stability Training and Jump Performance in Young Basketball ...
Aug 8, 2025 · The study describes the effects of an integrative training of core stabilityon jump performance in young basketball players.
[40]
EFFECTS OF CORE STABILITY TRAINING ON PHYSICAL ...
Oct 25, 2025 · Core stability training improved vertical jump by 1.66 centimeters (95% CI: 0.53, 2.79), and also improved agility tests such as the t-drill (- ...
[41]
The Role of Core Stability in Athletic Function | Sports Medicine
Core stability is seen as being pivotal for efficient biomechanical function to maximise force generation and minimise joint loads in all types of activities.Missing: pdf | Show results with:pdf
[42]
Core and Lumbopelvic Stabilization in Runners - Musculoskeletal Key
Apr 17, 2017 · Core muscles provide stability that allows generation of force and motion in the lower extremities, as well as distributing impact forces ...
[43]
Contemporary perspectives of core stability training for dynamic ...
Jul 16, 2018 · Clinical research suggests that traditional core stability training is inappropriate for development of fitness for heath and sports performance ...Missing: linear | Show results with:linear<|separator|>
[44]
Core Endurance Relationships With Athletic and Functional ... - NIH
Theoretically, core endurance permits core stabilization for prolonged durations, which in turn, would facilitate acute and persistent force transmission and ...
[45]
A Sample Core Workout for Youth Soccer Players - Erica Mulholland
Nov 14, 2019 · Core stability training helps with improving speed and agility in soccer players. Of course, core training comes in many forms – from doing ...
[46]
Six Weeks of Core Stability Training Improves Landing Kinetics ...
This study provides evidence that trunk dominant core stability training improves landing kinetics without improving jump height, and may reduce lower ...
[47]
None
### Key Principles of Core Training Implementation
[48]
Comprehensive Approach to Core Training in Sports Physical Therapy
Aug 2, 2023 · A comprehensive core training approach includes a four-phase program: activation, stabilization, integration, and perturbation, to optimize ...
[49]
Core training and performance: a systematic review with meta-analysis
The duration of the programs ranged between 4 and 12 weeks, being the most frequent program duration of 6–8 weeks with 2–3 sessions per week. Regarding the ...
[50]
Development and Implementation of a Core Training Protocol
Jul 8, 2025 · Beyond stabilization, the core serves as a critical hub for force transfer, enabling efficient and coordinated limb movements. ... Core Stability' ...
[51]
https://pmc.ncbi.nlm.nih.gov/articles/PMC4127517/
[52]
Great Thoracic Mobility Exercises - Physio Network
Many people use quadruped rotations to improve thoracic spine mobility but using a resistance band can be a great way to take it up a notch. Attaching a ...<|control11|><|separator|>
[53]
Effects of McGill stabilization exercises and conventional ... - NIH
Apr 13, 2018 · McGill exercises showed significant improvements in pain and functional disability, while conventional physiotherapy showed improvement in ...Missing: source | Show results with:source
[54]
Core Stability - E3 Rehab
May 21, 2023 · We can try to conceptualize core stability as the coordinated and often automatic effort to generate, resist, manage, and/or transfer forces in ...Missing: physiology | Show results with:physiology
[55]
Inefficient muscular stabilization of the lumbar spine associated with ...
Authors. P W Hodges , C A Richardson ... Contraction of transversus abdominis was significantly delayed in patients with low back pain with all movements.Missing: feedforward | Show results with:feedforward
[56]
Long-term effects of specific stabilizing exercises for first-episode ...
Jun 1, 2001 · Two to three years after treatment, specific exercise group recurrence was 35%, and control group recurrence was 75% (P < 0.01). Conclusion: ...
[57]
The myth of core stability - PubMed
This article re-examines the original findings and the principles of core stability/spinal stabilisation approaches and how well they fare within the wider ...Missing: seminal 1990s
[58]
https://e3rehab.com/core-stability/
[59]
https://pubmed.ncbi.nlm.nih.gov/8961451/
[60]
https://pubmed.ncbi.nlm.nih.gov/11389408/