Core stability relates to the bodily region bounded by the abdominal wall, the pelvis, the lower back and the diaphragm, spinal extensor muscle and its ability to stabilise the body during movement. The main muscles involved include the transversus abdominis, the internal and external obliques, the quadratus lumborum and the diaphragm, erector spinae and multifidus lumbar. The diaphragm is the main muscle of breathing in the human body and so breathing is important in providing the necessary core stability for moving and lifting. It is the action of these muscles contracting together upon the incompressible contents of the abdominal cavity (i.e. the internal organs or viscera) that provides support to the spine and pelvis during movement.
Typically, the core is associated with the body's center of gravity, which is over the region of the second sacral vertebrae groups and stability is associated with isometric or static strength. In addition, it is the lumbar spine that is primarily responsible for posture and stability thus providing the strength needed for the stability especially utilized in dynamic sports.
Whenever a person moves, to lift something or simply to move from one position to another, the core region is tensed first. This tension is usually made unconsciously and in conjunction with a change in breathing pattern. An example to try is to sit in a chair and to reach forward over a table to pick up a cup. This movement is first accompanied by a tension in the core region of the abdomen and can be felt by placing one hand on the abdomen as the movement is made.
As the load increases the key muscles contract around the viscera, which are incompressible, to form a stable ball-like core region against which the forces are balanced in coordination with posture.
It is commonly believed that core stability is essential for the maintenance of an upright posture and especially for movements and lifts that require extra effort such as lifting a heavy weight from the ground to a table. Without core stability the lower back is not supported from inside and can be injured by strain caused by the exercise. It is also believed that insufficient core stability can result in lower back pain and lower limb injuries .l.
There is little support in research for the core stability model and many of the benefits attributed to this method of exercise have not been demonstrated. At best core stability training has the same benefits as general, non-specific exercise (see review by Lederman 09) and walking. Trunk or core specific exercise have failed to demonstrate preventative benefits against injuries in sports or to improve sports performance.
Training methods for developing and maintaining core stability include:
- Exercise ball, also known as a Swiss ball, stability ball, yoga ball, Pilates ball or fitness ball
Exercise for Strengthening of the Cervical, Thoracic and Lumbar Spine
The cervical, thoracic and lumbar spine is composed of a total of 24 presacral vertebrae and their main functions are to protect the spinal cord, provide an attachment site for many muscles of the body. They also function by distributing one's bodyweight when standing upright. Many injuries to the spine occur as a result of vehicle accidents, falling, and sports and recreation. While it is impossible to prevent such events from happening, increasing intra-abdominal pressure and strengthening the musculature in the back, along with keeping a neutral spine, can minimize injuries like hernias, strains, and sprains.
The correlation between having a significant amount of core strength and spinal health has been well documented by many studies in the past. Some of these studies were able to quantify the effects that antagonizing abdominal muscle had on stabilizing the lumbar spine by increasing the amount of intra-abdominal pressure in order to maintain a straight lumbar spine and to avoid rounding during physical activities  and using simple techniques such as the “Valsalva maneuver”. A simple exercise used to strengthen the abdominals (rectus abdominus, internal/external obliques, and transverse abdominus) is using the isometric or “static” hold known as the plank.
Strengthening back musculature
Simply by working to keep a neutral spine and remembering to increase intra-abdominal pressure before performing a movement that could compromise the spine, you are able to drastically decrease your risk for sustaining a back injury. If you were looking for ways to both strengthen and increase stability of the musculature of the spine one could perform various bodyweight exercises, for instance the bird dog exercise.
- Inline citations
- Michael Yessis (2000). Explosive Running. McGraw-Hill Companies, Inc.; 1st edition. ISBN 978-0-8092-9899-0.
- Kriese M, et al Segmental stabilization in low back pain: a systematic review. Sportverletz Sportschaden. 2010 Mar;24(1):17-25. Epub 2010 Mar 16
- Rackwitz B, et al Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil. 2006 Jul;20(7):553-67
- May S, Johnson R. Stabilisation exercises for low back pain: a systematic review. Physiotherapy.2008;94(3):179-189
- Ferreira PH, Ferreira ML, Maher CG, et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Aust J Physiother 2006;52:79–88
- Macedo LG, Maher CG, Latimer J et al 2009 Motor Control Exercise for Persistent, Nonspecific Low Back Pain: A Systematic Review PHYS THER Vol. 89, No. 1, January, pp. 9-25
- Lederman, E. The myth of core stability. Journal of Bodywork and Movement Therapies. 2009, doi=10.1016/j.jbmt.2009.08.001
- Smeets RJ. Do lumbar stabilising exercises reduce pain and disability in patients with recurrent low back pain? Aust J Physiother. 2009;55(2):138
- Childs JD, et al Effects of Traditional Sit-up Training Versus Core Stabilization Exercises on Short-Term Musculoskeletal Injuries in US Army Soldiers: A Cluster Randomized Trial. Phys Ther. 2010 Jul 22
- Helewa A, et al., 1999. Does strengthening the abdominal muscles prevent low back pain--a randomized controlled trial. J Rheumatol. 26 (8), 1808-1815
- Nadler SF, et al., 2002. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med Sci Sports Exerc. 34 (1), 9-16
- Hibbs AE, et al Optimizing performance by improving core stability and core strength. Sports Med. 2008;38(12):995-1008. doi:10.2165/00007256-200838120-00004
- "Vertebral column". Encyclopedia Britannica. Encyclopedia Britannica Online. Encyclopedia Britannica Inc., 2015. Web. 16 Feb. 2015 <http://www.britannica.com/EBchecked/topic/626589/vertebral-column>.
- Gardner-Morse, M., & Stokes, I. (1998). The Effects of Abdominal Muscle Coactivation on Lumbar Spine Stability. Spine, 23(1), 86-91.
- Goldish, MD, G., Quast, MD, J., Blow, MD, J., & Kuskowski, PhD, M. (1994). Postural Effects on Intra-Abdominal Pressure During Valsalva Maneuver. Arch Phys Mad Rehabil ,, Vol75, 324-327.
- General references
- Anderson, Stephen A.; Calais-Germain, Blandine (1993). Anatomy of movement. Chicago: Eastland Press. ISBN 0-939616-17-3.
- Mel Cash. Pocket Atlas of the Moving Body: For All Students of Human Biology, Medicine, Sports and Physical Therapy. North Pomfret, Vt: Trafalgar Square Publishing. ISBN 0-09-186512-3.