The Effect of Eight-Week Functional Core Training on Core Stability in Young Rhythmic Gymnasts: A Randomized Clinical Trial

Postural and Lumbopelvic Control: Crucial Factors in the Functionality of Patients with Low Back Pain-A Descriptive Cross-Sectional Study

Background: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders in adults worldwide. Alterations in postural and lumbopelvic control and functionality appear to be determining factors in its resolution. Methods: A cross-sectional study was performed. Patients with LBP were enrolled. Lumbar pain; postural control (PC), total area of the center of pressure (TACOP), and the velocity of the center of pressure (VCOP); lumbopelvic control (LPC); and functionality were evaluated. Statistical tests were implemented to determine differences between sex and age and correlation models among the variables. Results: Thirty adult patients with LBP were analyzed. A strong relationship was found between pain and functionality [r = 0.64; p < 0.001]. A moderate relationship was found between pain and TACOP [r = 0.395; p = 0.031]. A moderate relationship was observed between TACOP and functionality [0.413; p = 0.023] and between LPC and TACOP [r = 0.416; p = 0.001]. Conclusions: This study demonstrates the significant impact of LBP on postural control, lumbopelvic control, and functionality. These results highlight the importance of addressing postural and lumbopelvic control in LBP treatment. No significant differences based on gender and age were found, but all clinical variables differed significantly between the LBP and control groups, underscoring the unique impairments associated with LBP.

The Effect of Core Stabilization Exercises on Physical Fitness Parameters in Child Gymnasts: Randomized Controlled Assessor-blind Study

BACKGROUND

The improvement of physical fitness parameters is beneficial for child gymnasts to maximize functionality. Core stability exercises (CSEs) help maintain spinal stabilization during athletic performance. Thus, they contribute to enhancing gymnasts' performance on various movements and planes. This study aimed to investigate the effect of 8-week CSEs training on the physical fitness parameters of child gymnasts.

HYPOTHESIS

An 8-week CSEs intervention could be beneficial for improving the various physical parameters in child gymnasts.

STUDY DESIGN

Randomized trial.

LEVEL OF EVIDENCE

Level 2.

METHODS

Thirty-six child gymnasts (aged 7-12 years) were allocated randomly into a training group (TG) and control group (CG). Participants in the TG received CSEs in addition to the traditional program for 8 weeks. The physical fitness parameters of all participants were assessed twice before and after training.

RESULTS

The results showed that all participants' scores of balance, endurance, sprint, and jumping parameters improved after exercise programs (P < 0.05). The muscle strength and flexibility scores of the TG showed a statistically significant difference compared with the CG (P < 0.05). However, compared with other parameters, there were no significant changes seen in the scores between groups (P > 0.05).

CONCLUSION

The CSEs training contributed to the improvement of all physical fitness parameters in child gymnasts.

CLINICAL RELEVANCE

The addition of CSEs to traditional training could help improve athletic performance in child gymnasts.

Acute Effects of Whole-Body Electrostimulation Combined with Stretching on Lower Back Pain

Data from recent studies suggest that whole-body electromyostimulation (WB-EMS) is a time-effective and tailored intervention for chronic lower back pain (CLBP). The aim of this non-randomized controlled study was to compare the efficacy of a WB-EMS training and the association between WB-EMS specific training with passive stretching (Well Back System, [WBS]) on CLBP. Forty patients with CLBP, 43-81 years old, were assigned to one of the two groups: WB-EMS (n=20) and WB-EMS+WBS (n=20). Both groups completed 12 sessions (8 weeks) of the WB-EMS protocol (2×20 minutes/week). The second group performed core-specific exercises with WB-EMS plus 6 extra stretching sessions (30 minutes each). Primary study endpoints were based on changes on the visual analogue scale (VAS) and changes on the Oswestry Low Back Disability Questionnaire (ODI). Secondary study endpoints were percentage changes of maximum trunk flexion (Sit & Reach, [SR]) and changes in consumption of painkillers. Both interventions significantly improved VAS, ODI, and SR values (p range: 0.04;<0.001). However, the change of VAS (-46% vs. -17%, p<0.001), ODI (-53% vs. -17%, p<0.001), and SR (+ 7 vs.+3 cm, p=0.001) were significantly higher in the WB-EMS+WBS group compared to the WB-EMS group. The working method with WB-EMS+WBS can be a joint-friendly, individualized form to decrease CLBP.

The Effects of an Eight-Week Integrated Functional Core and Plyometric Training Program on Young Rhythmic Gymnasts' Explosive Strength

Background: Explosive strength is essential for rhythmic gymnasts’ performance. It has been suggested that core stability (CS) and plyometric training can enhance athletes’ explosive strength. Nevertheless, there is some uncertainty about the effects of integrated core and plyometric training (CPT) programs on rhythmic gymnastics (RG) performances. Purpose: to evaluate the effects of an integrated functional CPT program on young rhythmic gymnasts’ explosive strength and jump/leap performance. Method: We recruited 44 young (age = 10.5 ± 1.8 years old; peak height velocity, PHV = 12.2 ± 0.6 years old) female rhythmic gymnasts and randomly allocated them into a control group (CG) and an experimental group (EG). Pre and post-intervention, the explosive strength of both groups was assessed using countermovement jump (CMJ) and single-leg CMJ (SLCMJ) tests, conducted using a force platform, and expert RG judges evaluated their performance of RG-specific jumps. Before the post-test, the EG (n = 23) completed an 8 week functional CPT program based on RG technical requirements. Meanwhile, the participants in the CG (n = 21) received their regular training sessions. Linear mixed model analyses were applied to evaluate the effects of an intra-subject factor (TIME: pre-post) and an inter-subject factor (GROUP: control-experimental) on each dependent variable. When no significant interaction effect was found, Cohen’s d effect size was calculated. Results: After 8 weeks, the EG obtained significantly better results in all variables measured by the CMJ and SLCMJ (p < 0.01) tests. The judges’ scores indicated greater improvements in the EG after the CPT program in the stag and the split leap. Conclusions: An integrated functional CPT program improved explosive strength in a group of young rhythmic gymnasts and had a large impact on aspects of RG-specific performance. Coaches should consider using this CPT to improve RG performance.

Does 8 Weeks of Integrated Functional Core and Plyometric Training Improve Postural Control Performance in Young Rhythmic Gymnasts?

It has been suggested that core stability and plyometric training (CPT) can enhance athletes' postural control. Nevertheless, the effects of an integrated core and plyometric training program on rhythmic gymnastics (RG) performance are unclear. This study aimed to evaluate the effects of an integrated functional CPT program on young rhythmics gymnasts' postural performance. A sample of 44 young female rhythmic gymnasts from a competitive team (age = 10.5 ± 1.8 years) participated in the study. The subjects were randomly divided into a control group and an experimental group. Pre- and posttest design was used. Postural control was assessed using single-leg stance tests and RG-specific balances over a force platform and evaluated by expert RG judges. The experimental group (n = 23) completed an 8-week functional CPT program based on RG technical requirements. Meanwhile, the control group (n = 21) received their usual training sessions. A mixed model of analysis of variance was applied to evaluate the effects of an intrasubject factor and an intersubject factor on each of the dependent variables. After 8 weeks, the experimental group obtained significant better results in some variables of the right support leg with eyes open and left support leg with eyes open single-leg support (p < .01), improvements were also found in some specific RG balances: Arabesque measured on the force platform (p < .01) and the side leg with help balance scored by the judges (p < .01). In conclusion, an integrated functional CPT program improved postural control in young rhythmic gymnasts. Coaches should consider using this CPT to improve RG performance.

The effects of vertical trunk supportability improvement on one-leg rebound jump efficiency

The purpose of this study was to examine the effects of vertical trunk supportability improvement on activities. The study participants were 36 people. Trunk function and physical performance were evaluated using the following tests: trunk righting test (TRT), maximal isometric knee extensor strength test, side hop test, triple hop distance test, stabilometry of one-leg standing, and one-leg rebound jump. The measurement was performed three times: pre-trunk training (pre), post-trunk training for 1 month (post), and 2 months after the second measurement (detraining). Details of trunk training: Two sets of 30-s maximal lateral reach exercises on each side, following the four sets of 15-s maximal raising trunk exercises on each side. The results with TRT in post-training were significantly larger than those in pre-and detraining. Similarly, the results with one-leg rebound jump efficiency in post-training were significantly larger than those in pre-and detraining. Our findings indicate that jump efficiency changes in proportion to the change in vertical trunk supportability.