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This study will address the scarcity of research and the variations in recommendations regarding core strengthening and stability programs. As physical fitness is a major concern of individuals and mostly people refer gym for fitness enhancement, this study will thus provide a guideline for effective core strength training program
Male clients, aged 19 to 44 years, coming to the gym for strength training will be purposively selected based on the inclusion criteria and then randomly assigned into two groups. They will undergo a series of pre-intervention tests that would assess their strength using Bourbon TMS and standing long jump tests; flexibility using stand and reach test; balance using Y balance test; coordination using jumping sideways test and speed using 20-m sprint test. After initial assessment, they will be advised and demonstrated for curl-up, side-bridging and quadrupled exercises. The experimental group will perform these exercises on Thera-Band© Exercise Ball while the control group will perform the same exercises on gym floor. The clients will have sessions on preferably the first day and 4th day of the week but is subject to their attendance at the gym. There will be interval assessments at 2nd and 4th week based on the tests mentioned above to record changes at these intervals. After 6 weeks of bi-weekly sessions, the clients will undergo post-intervention tests that will be the same as pre-intervention tests.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Core strength training using unstable surface | Experimental | The experimental group will use Core strength training using unstable surface |
|
| The stable surface would be gym floor. | Active Comparator | The control group will use stable surface. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Core strength training using unstable surface | Other | Training would include "big 3" exercises as described by McGill. These include the curl-up, side bridge, and quadruped position on unstable surface |
| Measure | Description | Time Frame |
|---|---|---|
| Bourbon TMS test (core strength) | The Bourbon Trunk Muscle Strength(TMS) test is an economical measure for assessment of dorsal, ventral and lateral trunk muscle chains. | 6 to 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Stand-and-reach test (flexibility) | It is used for the measurement of spinal and pelvic flexibility. Excellent test-retest reliability has been reported for the stand-and-reach test with an ICC of 0.94. | 6 to 8 weeks |
| 20-m sprint test (speed) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raeed Mufti, MSPT-SPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Contours Gym Rehman Medical Institute | Peshawar | Khyberpakhtunkhuaw | 25000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20511695 | Background | Imai A, Kaneoka K, Okubo Y, Shiina I, Tatsumura M, Izumi S, Shiraki H. Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface. J Orthop Sports Phys Ther. 2010 Jun;40(6):369-75. doi: 10.2519/jospt.2010.3211. | |
| 20436242 | Background | Escamilla RF, Lewis C, Bell D, Bramblet G, Daffron J, Lambert S, Pecson A, Imamura R, Paulos L, Andrews JR. Core muscle activation during Swiss ball and traditional abdominal exercises. J Orthop Sports Phys Ther. 2010 May;40(5):265-76. doi: 10.2519/jospt.2010.3073. |
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| The stable surface would be gym floor. | Other | Training would include "big 3" exercises as described by McGill. These include the curl-up, side bridge, and quadruped position on stable gym Floor |
|
Maximum effort sprints will be assessed from a stationary start to a distance of 20 meters to assess the speed of participant. Excellent test-retest reliability has been reported for the hand stopped 20-m sprint test with an intra-class correlation coefficient (ICC) of 0.90 variable
| 6 to 8 weeks |
| Jumping Sideways Test | The jumping sideways test evaluates motor coordination under time pressure. Excellent test-retest reliability has been reported for the jumping sideways test with an ICC of 0.89 | 6 to 8 weeks |
| Y Balance Test | The lower quarter Y balance test is a dynamic test that requires subjects to maintain single leg stance while reaching as far as possible with the contralateral leg in 3 different movement directions (i.e., anterior, posteromedial, posterolateral). Excellent test retest reliability has been reported for the Y balance test in all 3 movement directions with ICC values ranging between 0.89 and 0.93. | 6 to 8 weeks |
| Background | Kim K-J. Effects of Core Muscle Strengthening Training on Flexibility, Muscular Strength and Driver Shot Performance in Female Professional Golfers. International Journal of Applied sports sciences. 2010;22(1). |
| 23348043 | Background | Kahle N, Tevald MA. Core muscle strengthening's improvement of balance performance in community-dwelling older adults: a pilot study. J Aging Phys Act. 2014 Jan;22(1):65-73. doi: 10.1123/japa.2012-0132. Epub 2013 Jan 23. |
| 20179652 | Background | Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. J Strength Cond Res. 2011 Jan;25(1):252-61. doi: 10.1519/JSC.0b013e3181b22b3e. |
| 23542879 | Background | Martuscello JM, Nuzzo JL, Ashley CD, Campbell BI, Orriola JJ, Mayer JM. Systematic review of core muscle activity during physical fitness exercises. J Strength Cond Res. 2013 Jun;27(6):1684-98. doi: 10.1519/JSC.0b013e318291b8da. |
| 20300023 | Background | Uribe BP, Coburn JW, Brown LE, Judelson DA, Khamoui AV, Nguyen D. Muscle activation when performing the chest press and shoulder press on a stable bench vs. a Swiss ball. J Strength Cond Res. 2010 Apr;24(4):1028-33. doi: 10.1519/JSC.0b013e3181ca4fb8. |
| 25729202 | Background | Kim MH, Oh JS. Effects of performing an abdominal hollowing exercise on trunk muscle activity during curl-up exercise on an unstable surface. J Phys Ther Sci. 2015 Feb;27(2):501-3. doi: 10.1589/jpts.27.501. Epub 2015 Feb 17. |
| 30687433 | Background | Lago-Fuentes C, Rey E, Padron-Cabo A, Sal de Rellan-Guerra A, Fragueiro-Rodriguez A, Garcia-Nunez J. Effects of Core Strength Training Using Stable and Unstable Surfaces on Physical Fitness and Functional Performance in Professional Female Futsal Players. J Hum Kinet. 2018 Dec 31;65:213-224. doi: 10.2478/hukin-2018-0029. eCollection 2018 Dec. |
| 29997737 | Background | Axel TA, Crussemeyer JA, Dean K, Young DE. Field Test Performance of Junior Competitive Surf Athletes following a Core Strength Training Program. Int J Exerc Sci. 2018 Jun 1;11(6):696-707. doi: 10.70252/XHXE2254. eCollection 2018. |
| 30154592 | Background | Hsu SL, Oda H, Shirahata S, Watanabe M, Sasaki M. Effects of core strength training on core stability. J Phys Ther Sci. 2018 Aug;30(8):1014-1018. doi: 10.1589/jpts.30.1014. Epub 2018 Jul 24. |
| Background | Thompson WR. Worldwide survey of fitness trends for 2018: the CREP edition. ACSM's Health & Fitness Journal. 2017;21(6):10-9. |