Clinical trial NCT03440684: Effects Of The Core Stability Exercises On Balance And Hand Functions
Official title: Effects Of The Core Stability Exercises On Balance And Hand Functions
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: Core stability, hand, function, balance, strength
Lead sponsor: Gazi University
Sponsor class: OTHER
First posted: 2018-02-22
Enrollment: 37
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Participants were included group exercise programme. The programme had been performed for 6 weeks. And participants were evaluated after exercise training programme.
Primary purpose: TREATMENT

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.

Detailed description: 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. Kibler et al. stated that core stabilization is a key component in order to achieve balance during upper and lower limb movements and emphasized that the core is a support point for the movement of the distal segments. In addition, core stabilization exercises should be included in the balance training program as they improve body awareness and act as a muscular corset that stabilizes the body when the core area is limped or absent with limb movement.

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. Daily activities such as kneading a dough, making a sculpture, cutting a meat, performing a surgical operation, thread a needle are performed manually. It also provides information about objects such as surface structures, weights, shapes, dimensions, and thermal properties. The functions of manipulating and grasping objects are functions that reveal the influence of handcraft. 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.

In a study conducted by Yuki Miyake and colleagues to investigate the effects of core stabilization exercises on upper extremity function, it was determined that only after 1 session of core stabilization training, upper-extremity functions and balance parameters have been developed in the early period. The same group of researchers underlined the lack of literature on the effects of long-term core stabilization training on balance and upper extremity functions. 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.

Eligibility criteria: Inclusion Criteria:

* Being between the ages of 18-65.

Exclusion Criteria:

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

Primary outcomes:
measure: Functional grip strength change measurement
timeFrame: at baseline and 6 weeks (review the change)
Secondary outcomes:
measure: Assessment of change of static core endurance with endurance tests - 1
timeFrame: at baseline and 6 weeks (review the change)
measure: Assessment of change of static core endurance with endurance tests - 2
timeFrame: at baseline and 6 weeks (review the change)
measure: Assessment of change of static core endurance with endurance tests - 3
timeFrame: at baseline and 6 weeks (review the change)
measure: Assessment of change of static core endurance with endurance tests - 4
timeFrame: at baseline and 6 weeks (review the change)
measure: Assessment of change of dynamic core endurance with endurance tests
timeFrame: at baseline and 6 weeks (review the change)
measure: Assessment of balance change
timeFrame: at baseline and 6 weeks (review the change)
measure: Functional hand ability change assessment - 1
timeFrame: at baseline and 6 weeks (review the change)
measure: Functional hand ability change assessment - 2
timeFrame: at baseline and 6 weeks (review the change)
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Gazi Üniversitesi
Study officials:
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.