Journal of Bodywork and Movement Therapies
Volume 14, Issue 1 , Pages 84-98 , January 2010

The myth of core stability

Received 26 October 2008 ,Revised 3 May 2009 ,Accepted 4 August 2009.

References 

  1. Abenhaim L, Rossignol M, Valat JP, et al. The role of activity in the therapeutic management of back pain: report of the international Paris Task Force on Back Pain. Spine. 2000;25(Suppl. 4):1S–33S
  2. Airaksinen O, Herno A, Kaukanen E, et al. Density of lumbar muscles 4 years after decompressive spinal surgery. Eur. Spine J. 1996;5(3):193–197
  3. Anderson T. Biomechanics and running economy. Sports Med. 1996;22(2):76–89
  4. Andersson EA, et al. EMG activities of the quadratus lumborum and erector spinae muscles during flexion–relaxation and other motor tasks. Clin. Biomech. (Bristol, Avon). 1996;11(7):392–400
  5. Arena JG, et al. Electromyographic recordings of low back pain subjects and non-pain controls in six different positions: effect of pain levels. Pain. 1991;45(1):23–28
  6. Ariyoshi M, et al. Efficacy of aquatic exercises for patients with low-back pain. Kurume Med. J. 1999;46(2):91–96
  7. Barker KL, Shamley DR, Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine. 2004;29(22):E515–E519
  8. Bastiaenen CH, et al. Effectiveness of a tailor-made intervention for pregnancy-related pelvic girdle and/or low back pain after delivery: short-term results of a randomized clinical trial [ISRCTN08477490]. BMC Musculoskelet. Disord. 2006;7(1):19
  9. Beilock SL, et al. When paying attention becomes counterproductive: impact of divided versus skill-focused attention on novice and experienced performance of sensorimotor skills. J. Exp. Psychol. Appl. 2002;8(1):6–16
  10. Beith ID, Harrison PJ. Stretch reflexes in human abdominal muscles. Exp. Brain Res. 2004;159(2):206–213
  11. Beith ID, Synnott RE, Newman SA. Abdominal muscle activity during the abdominal hollowing manoeuvre in the four point kneeling and prone positions. Man. Ther. 2001;6(2):82–87
  12. Bendavid R, Howarth D. Transversalis fascia rediscovered. Surg. Clin. North Am. 2000;80(1):25–33
  13. Berliner SD. Adult inguinal hernia: pathophysiology and repair. Surg. Annu. 1983;15:307–329
  14. Biggemann M, Hilweg D, Brinckmann P. Prediction of the compressive strength of vertebral bodies of the lumbar spine by quantitative computed tomography. Skeletal Radiol. 1988;17(4):264–269
  15. Bouche K, Stevens V, Cambier D, et al. Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain. Eur. Spine J. 2006;15(4):423–432
  16. Brown SH, Vera-Garcia FJ, McGill SM. Effects of abdominal muscle coactivation on the externally preloaded trunk: variations in motor control and its effect on spine stability. Spine. 2006;31(13):E387–E393
  17. Cairns MC, Foster NE, Wright C. Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain. Spine. 2006;31(19):E670–E681
  18. Carpenter DM, Nelson BW. Low back strengthening for the prevention and treatment of low back pain. Med. Sci. Sports Exerc. 1999;31(1):18–24
  19. Cholewicki J, Panjabi MM, Khachatryan A. Stabilizing function of trunk flexor–extensor muscles around a neutral spine posture. Spine. 1997;22(19):2207–2212
  20. Cholewicki J, Ivancic PC, Radebold A. Can increased intra-abdominal pressure in humans be decoupled from trunk muscle co-contraction during steady state isometric exertions?. Eur. J. Appl. Physiol. 2002;87(2):127–133
  21. Cholewicki J, et al. Neuromuscular function in athletes following recovery from a recent acute low back injury. J. Orthop. Sports Phys. Ther. 2002;32(11):568–575
  22. Cholewicki J, Silfies SP, Shah RA, et al. Delayed trunk muscle reflex responses increase the risk of low back injuries. Spine. 2005;30(23):2614–2620
  23. Condon RE, Carilli S. The biology and anatomy of inguinofemoral hernia. Semin. Laparosc. Surg. 1994;1(2):75–85
  24. Cordo PJ, et al. The sit-up: complex kinematics and muscle activity in voluntary axial movement. J. Electromyogr. Kinesiol. 2003;13(3):239–252
  25. Cresswell AG, Oddsson L, Thorstensson A. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp. Brain Res. 1994;98(2):336–341
  26. Cresswell AG, Blake PL, Thorstensson A. The effect of an abdominal muscle training program on intra-abdominal pressure. Scand. J. Rehabil. Med. 1994;26(2):79–86
  27. Critchley DJ, Ratcliffe J, Noonan S, et al. Effectiveness and cost-effectiveness of three types of physiotherapy used to reduce chronic low back pain disability: a pragmatic randomized trial with economic evaluation. Spine. 2007;32(14):1474–1481
  28. Davis KG, et al. The impact of mental processing and pacing on spine loading: 2002 Volvo Award in biomechanics. Spine. 2002;27(23):2645–2653
  29. de Looze MP, et al. Abdominal muscles contribute in a minor way to peak spinal compression in lifting. J. Biomech. 1999;32(7):655–662
  30. della Volpe R, Popa T, Ginanneschi F, et al. Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gait Posture. 2006;24(3):349–355
  31. Dieck GS. An epidemiologic study of the relationship between postural asymmetry in the teen years and subsequent back and neck pain. Spine. 1985;10(10):872–877
  32. Fairclough JA, Evans R, Farquhar GA. Mechanisms of injury – a pictorial record. Br. J. Sports Med. 1986;20(3):107–108
  33. Fann AV. The prevalence of postural asymmetry in people with and without chronic low back pain. Arch. Phys. Med. Rehabil. 2002;83(12):1736–1738
  34. Fast A, et al. Low-back pain in pregnancy. Abdominal muscles, sit-up performance, and back pain. Spine. 1990;15(1):28–30
  35. Ferreira PH, Ferreira ML, Maher CG, et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Aust. J. Physiother. 2006;52(2):79–88
  36. Ferreira M, Ferreira P, Latimer J, Herbert R, Hodges P, Matthew D, et al. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain. 2007;131:31–37
  37. Franke A, et al. Acupuncture massage vs Swedish massage and individual exercise vs group exercise in low back pain sufferers–a randomized controlled clinical trial in a 2×2 factorial design, Forsch Komplementarmed Klass Naturheilkd. 2000;7(6):286–293
  38. Franklin ME, Conner-Kerr T. An analysis of posture and back pain in the first and third trimesters of pregnancy. J. Orthop. Sports Phys. Ther. 1998;28(3):133–138
  39. Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J. Bone Joint Surg. Br. 1965;47(4):678–685
  40. Gabbett TJ. Reductions in pre-season training loads reduce training injury rates in rugby league players. Br. J. Sports Med. 2004;38(6):743–749
  41. Gallagher S, et al. Torso flexion loads and the fatigue failure of human lumbosacral motion segments. Spine. 2005;30(20):2265–2273
  42. Georgopoulos AP. Neural aspects of cognitive motor control. Curr. Opin. Neurobiol. 2000;10(2):238–241
  43. Gilleard WL, Brown JM. Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Phys. Ther. 1996;76(7):750–762
  44. Goldby LJ, et al. A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine. 2006;31(10):1083–1093
  45. Hall L, et al. Immediate effects of co-contraction training on motor control of the trunk muscles in people with recurrent low back pain. J. Electromyogr. Kinesiol. Nov 21, 2007;[Epub ahead of print]
  46. Hamberg-van Reenen HH. A systematic review of the relation between physical capacity and future low back and neck/shoulder pain. Pain. 2007;130(1–2):93–107
  47. Hartvigsen J, et al. Does sitting at work cause low back pain?. Ugeskr Laeger. 2002;164(6):759–761
  48. Hasenbring M, Hallner D, Klase B. Psychological mechanisms in the transition from acute to chronic pain: over- or underrated?, Schmerz. 2001;15(6):442–447
  49. Hedman TP, Fernie GR. Mechanical response of the lumbar spine to seated postural loads. Spine. 1997;22(7):734–743
  50. Helewa A, et al. An evaluation of four different measures of abdominal muscle strength: patient, order and instrument variation. J. Rheumatol. 1990;17(7):965–969
  51. Helewa A, Goldsmith CH, Smythe HA. Measuring abdominal muscle weakness in patients with low back pain and matched controls: a comparison of 3 devices. J. Rheumatol. 1993;20(9):1539–1543
  52. Helewa A, et al. Does strengthening the abdominal muscles prevent low back pain – a randomized controlled trial. J. Rheumatol. 1999;26(8):1808–1815
  53. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21(23):2763–2769
  54. Hides JA, et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine. 1994;19(2):165–172
  55. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001;26(11):E243–E248
  56. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch. Phys. Med. Rehabil. 1999;80(9):1005–1012
  57. Hodges PW, Moseley GL, Gabrielsson A, Gandevia SC. Experimental muscle pain changes feed-forward postural responses of the trunk muscles. Exp. Brain Res. 2003;151(2):262–271
  58. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine. 1996;21(22):2640–2650
  59. Hodges PW, Richardson CA. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. J. Spinal Disord. 1998;11(1):46–56
  60. Hodges PW, et al. Contraction of the human diaphragm during rapid postural adjustments. J. Physiol. 1997;505(Pt 2):539–548
  61. Hodges P, et al. Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies. Spine. 2003;28(23):2594–2601
  62. Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp. Brain Res. 1997;114(2):362–370
  63. Hodges PW, et al. Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement. Gait Posture. 2000;11(2):92–101
  64. Horton JF, Lindsay DM, Macintosh BR. Abdominal muscle activation of elite male golfers with chronic low back pain. Med. Sci. Sports Exerc. 2001;33(10):1647–1654
  65. Hubley-Kozey CL, Vezina MJ. Differentiating temporal electromyographic waveforms between those with chronic low back pain and healthy controls. Clin. Biomech. (Bristol, Avon). 2002;17(9–10):621–629
  66. Hubley-Kozey CL, Vezina MJ. Muscle activation during exercises to improve trunk stability in men with low back pain. Arch. Phys. Med. Rehabil. 2002;83(8):1100–1108
  67. Hurwitz E, Morgenstern H, Chiao C. Effects of recreational physical activity and back exercises on low back pain and psychological distress: findings from the UCLA low back pain study. Am. J. Public Health. 2005;95(10):1817–1824
  68. Jull GA, Richardson CA. Motor control problems in patients with spinal pain: a new direction for therapeutic exercise. J. Manipulative Physiol. Ther. 2000;23(2):115–117
  69. Karst GM, Willett GM. Effects of specific exercise instructions on abdominal muscle activity during trunk curl exercises. J. Orthop. Sports Phys. Ther. 2004;34(1):4–12
  70. Kavcic N, Grenier S, McGill SM. Determining the stabilizing role of individual torso muscles during rehabilitation exercises. Spine. 2004;29(11):1254–1265
  71. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189–198
  72. Kingma I, et al. Foot positioning instruction, initial vertical load position and lifting technique: effects on low back loading. Ergonomics. 2004;47(13):1365–1385
  73. Koumantakis GA, Watson PJ, Oldham JA. Supplementation of general endurance exercise with stabilisation training versus general exercise only. Physiological and functional outcomes of a randomised controlled trial of patients with recurrent low back pain. Clin. Biomech. (Bristol, Avon). 2005;20(5):474–482
  74. Lamoth CJ, Stins JF, Pont M, et al. Effects of attention on the control of locomotion in individuals with chronic low back pain. J. Neuroeng. Rehabil. 2008;5:13
  75. Lamoth CJ, Daffertshofer A, Meijer OG, et al. How do persons with chronic low back pain speed up and slow down? Trunk–pelvis coordination and lumbar erector spinae activity during gait. Gait Posture. 2006;23(2):230–239
  76. Lamoth CJ, Meijer OG, Daffertshofer A, et al. Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control. Eur. Spine J. 2006;15(1):23–40
  77. Lay BS, et al. Practice effects on coordination and control, metabolic energy expenditure, and muscle activation. Hum. Mov. Sci. 2002;21(5–6):807–830
  78. Leboeuf-Yde C. Body weight and low back pain. A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies. Spine. 2000;25(2):226–237
  79. Lederman E. The Science and Practice of Manual Therapy. second ed.. , London: Elsevier; 2005;
  80. Lederman E. Neuromuscular rehabilitation in manual and physical therapy. Elsevier, London, in press.
  81. Leinonen V, Kankaanpaa M, Luukkonen M, et al. Disc herniation-related back pain impairs feed-forward control of paraspinal muscles. Spine. 2001;26(16):E367–E372
  82. Leinonen V, et al. Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation. Arch. Phys. Med. Rehabil. 2000;81(1):32–37
  83. Levangie PK. The association between static pelvic asymmetry and low back pain. Spine. 1999;24(12):1234–1242
  84. Luoto S, Taimela S, Hurri H, et al. Psychomotor speed and postural control in chronic low back pain patients. A controlled follow-up study. Spine. 1996;21(22):2621–2627
  85. Luscher HR, Clamann HP. Relation between structure and function in information transfer in spinal monosynaptic reflex. Physiol. Rev. 1992;72(1):71–99
  86. Macdonald DA, Lorimer Moseley G, Hodges PW. The lumbar multifidus: does the evidence support clinical beliefs?. Man. Ther. 2006;11(4):254–263
  87. Macedo LG, Maher CG, Latimer J, et al. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Phys. Ther. 2009;89(1):9–25
  88. MacGregor AJ, et al. Structural, psychological, and genetic influences on low back and neck pain: a study of adult female twins. Arthritis Rheum. 2004;51(2):160–167
  89. Maigne JY, et al. Pain immediately upon sitting down and relieved by standing up is often associated with radiologic lumbar instability or marked anterior loss of disc space. Spine. 2003;28(12):1327–1334
  90. Mannion AF, et al. Increase in strength after active therapy in chronic low back pain (CLBP) patients: muscular adaptations and clinical relevance, Schmerz. 2001;15(6):468–473
  91. Mannion AF, et al. Active therapy for chronic low back pain part 1. Effects on back muscle activation, fatigability, and strength. Spine. 2001;26(8):897–908
  92. Marras WS, et al. Functional impairment as a predictor of spine loading. Spine. 2005;30(7):729–737
  93. McGill SM, et al. Coordination of muscle activity to assure stability of the lumbar spine. J. Electromyogr. Kinesiol. 2003;13(4):353–359
  94. McNevin NH, Wulf G, Carlson C. Effects of attentional focus, self-control, and dyad training on motor learning: implications for physical rehabilitation. Phys. Ther. 2000;80(4):373–385
  95. McNevin NH, Shea CH, Wulf G. Increasing the distance of an external focus of attention enhances learning. Psychol. Res. 2003;67(1):22–29
  96. Mens J, et al. Possible harmful effects of high intra-abdominal pressure on the pelvic girdle. J. Biomech. 2006;39(4):627–635
  97. Minetti AE. Passive tools for enhancing muscle-driven motion and locomotion. J. Exp. Biol. 2004;207(Pt 8):1265–1272
  98. Misuri G, et al. In vivo ultrasound assessment of respiratory function of abdominal muscles in normal subjects. Eur. Respir. J. 1997;10(12):2861–2867
  99. Mitchell T, O'Sullivan PB, Burnett AF, et al. Regional differences in lumbar spinal posture and the influence of low back pain. BMC Musculoskelet. Disord. 2008;9:152
  100. Mizgala CL, Hartrampf CR, Bennett GK. Assessment of the abdominal wall after pedicled TRAM flap surgery: 5- to 7-year follow-up of 150 consecutive patients. Plast. Reconstr. Surg. 1994;93(5):988–1002discussion 1003–1004
  101. Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30(8):983–991
  102. Mok NW, Brauer SG, Hodges PW. Hip strategy for balance control in quiet standing is reduced in people with low back pain. Spine. 2004;29(6):E107–E112
  103. Moseley L. Combined physiotherapy and education is efficacious for chronic low back pain. Aust. J. Physiother. 2002;48:297–302
  104. Moseley GL, et al. The threat of predictable and unpredictable pain: differential effects on central nervous system processing?. Aust. J. Physiother. 2003;49(4):263–267
  105. Moseley GL, Nicholas MK, Hodges PW. Pain differs from non-painful attention-demanding or stressful tasks in its effect on postural control patterns of trunk muscles. Exp. Brain Res. 2004;156(1):64–71
  106. Moseley GL, Hodges PW. Reduced variability of postural strategy prevents normalization of motor changes induced by back pain: a risk factor for chronic trouble?. Behav. Neurosci. 2006;120(2):474–476
  107. Moseley GL, Hodges PW, Gandevia SC. External perturbation of the trunk in standing humans differentially activates components of the medial back muscles. J. Physiol. 2003;547(Pt 2):581–587
  108. Nadler SF. Low back pain in college athletes: a prospective study correlating lower extremity overuse or acquired ligamentous laxity with low back pain. Spine. 1998;23(7):828–833
  109. Nadler SF, et al. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med. Sci. Sports Exerc. 2002;34(1):9–16
  110. Ng JK, Richardson CA, Kippers V, et al. Relationship between muscle fiber composition and functional capacity of back muscles in healthy subjects and patients with back pain. J. Orthop. Sports Phys. Ther. 1998;27(6):389–402
  111. Ng JK, et al. Fatigue-related changes in torque output and electromyographic parameters of trunk muscles during isometric axial rotation exertion: an investigation in patients with back pain and in healthy subjects. Spine. 2002;27(6):637–646
  112. Ng JK, et al. EMG activity of trunk muscles and torque output during isometric axial rotation exertion: a comparison between back pain patients and matched controls. J. Orthop. Res. 2002;20(1):112–121
  113. Niemisto L, Lahtinen-Suopanki T, Rissanen P. A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain. Spine. 2003;28(19):2185–2191
  114. Nilsson-Wikmar L, et al. Effect of three different physical therapy treatments on pain and activity in pregnant women with pelvic girdle pain: a randomized clinical trial with 3, 6, and 12 months follow-up postpartum. Spine. 2005;30(8):850–856
  115. Norton BJ. Differences in measurements of lumbar curvature related to gender and low back pain. J. Orthop. Sports Phys. Ther. 2004;34(9):524–534
  116. Nouwen A, Van Akkerveeken PF, Versloot JM. Patterns of muscular activity during movement in patients with chronic low-back pain. Spine. 1987;12(8):777–782
  117. Orvieto R, et al. Low-back pain during pregnancy. Harefuah. 1990;119(10):330–331
  118. O'Sullivan PB. Lumbar segmental ‘instability’: clinical presentation and specific stabilizing exercise management. Man. Ther. 2000;5(1):2–12
  119. O'Sullivan PB, et al. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22(24):2959–2967
  120. O'Sullivan P, Twomey L, Allison G, et al. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Aust. J. Physiother. 1997;43(2):91–98
  121. Pool-Goudzwaard AL, et al. Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2005;16(6):468–474
  122. Popa T, Bonifazi M, Della Volpe R, et al. Adaptive changes in postural strategy selection in chronic low back pain. Exp. Brain Res. 2007;177(3):411–418
  123. Poussa MS. Anthropometric measurements and growth as predictors of low-back pain: a cohort study of children followed up from the age of 11 to 22 years. Eur. Spine J. 2005;14(6):595–598
  124. Rackwitz B, de Bie R, Limm H, et al. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin. Rehabil. 2006;20(7):553–567
  125. Radebold A, et al. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine. 2000;25(8):947–954
  126. Radebold A, Cholewicki J, Polzhofer GK, Greene HS. Impaired postural control of the lumbar spine is associated with delayed muscle response times in patients with chronic idiopathic low back pain. Spine. 2001;26(7):724–730
  127. Rasmussen-Barr E, Nilsson-Wikmar L, Arvidsson I. Stabilizing training compared with manual treatment in sub-acute and chronic low-back pain. Man. Ther. 2003;8(4):233–241
  128. Reeves NP. Muscle activation imbalance and low-back injury in varsity athletes. J. Electromyogr. Kinesiol. 2006;16:264–272
  129. Reeves NP, et al. The effects of trunk stiffness on postural control during unstable seated balance. Exp. Brain Res. 2006;174(4):694–700
  130. Reid DA, McNair PJ. Factors contributing to low back pain in rowers. Br. J. Sports Med. 2000;34(5):321–322
  131. Renström P, et al. An introduction to chronic overuse injuries. In: Harries  editors. Oxford Textbook of Sports Medicine. Oxford: Oxford University Press; 1996;p. 531–545
  132. Richardson CA, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine. 2002;27(4):399–405
  133. Richardson CA, Jull GA. Muscle control–pain control. What exercises would you prescribe?. Man. Ther. 1995;1(1):2–10
  134. Roels B, et al. Specificity of VO2MAX and the ventilatory threshold in free swimming and cycle ergometry: comparison between triathletes and swimmers. Br. J. Sports Med. 2005;39(12):965–968
  135. Roy SH, De Luca CJ, Casavant DA. Lumbar muscle fatigue and chronic lower back pain. Spine. 1989;14(9):992–1001
  136. Sapsford RR, et al. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol. Urodyn. 2001;20(1):31–42
  137. Schmidt RA, Lee TD. Motor Control and Learning: A Behavioural Emphasis. Champaign, IL: Human Kinetics; 2005;
  138. Shirado O, Ito T, Kaneda K, Strax TE. Concentric and eccentric strength of trunk muscles: influence of test postures on strength and characteristics of patients with chronic low-back pain. Arch. Phys. Med. Rehabil. 1995;76(7):604–611
  139. Shirado O, Ito T, Kaneda K, Strax TE. Flexion–relaxation phenomenon in the back muscles. A comparative study between healthy subjects and patients with chronic low back pain. Am. J. Phys. Med. Rehabil. 1995;74(2):139–144
  140. Shum GL, Crosbie J, Lee RY. Symptomatic and asymptomatic movement coordination of the lumbar spine and hip during an everyday activity. Spine. 2005;30(23):E697–E702
  141. Simon AM, et al. Comparison of unipedicled and bipedicled TRAM flap breast reconstructions: assessment of physical function and patient satisfaction. Plast. Reconstr. Surg. 2004;113(1):136–140
  142. Smith LL. Tissue trauma: the underlying cause of overtraining syndrome?. J. Strength Cond. Res. 2004;18(1):185–193
  143. Snijders CJ, et al. Oblique abdominal muscle activity in standing and in sitting on hard and soft seats. Clin. Biomech. (Bristol, Avon). 1995;10(2):73–78
  144. Souza GM, Baker LL, Powers CM. Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises. Arch. Phys. Med. Rehabil. 2001;82(11):1551–1557
  145. Stanton R, Reaburn PR, Humphries B. The effect of short-term swiss ball training on core stability and running economy. J. Strength Cond. Res. 2004;18(3):522–528
  146. Stevens VK, et al. The effect of increasing resistance on trunk muscle activity during extension and flexion exercises on training devices. J. Electromyogr. Kinesiol. 2008;18(3):434–445
  147. Stevens VK, et al. Electromyographic activity of trunk and hip muscles during stabilization exercises in four-point kneeling in healthy volunteers. Eur. Spine J. 2007;16(5):711–718
  148. Stuge B, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a two-year follow-up of a randomized clinical trial. Spine. 2004;29(10):E197–E203
  149. Sung PS. Multifidi muscles median frequency before and after spinal stabilization exercises. Arch. Phys. Med. Rehabil. 2003;84(9):1313–1318
  150. Suter E, Lindsay D. Back muscle fatigability is associated with knee extensor inhibition in subjects with low back pain. Spine. 2001;26(16):E361–E366
  151. Thomas JS, France CR. Pain-related fear is associated with avoidance of spinal motion during recovery from low back pain. Spine. 2007;32(16):E460–E466
  152. Thomas JS, France CR, Sha D, et al. The effect of chronic low back pain on trunk muscle activations in target reaching movements with various loads. Spine. 2007;32(26):E801–E808
  153. Thomas JS, France CR, Lavender SA, et al. Effects of fear of movement on spine velocity and acceleration after recovery from low back pain. Spine. 2008;33(5):564–570
  154. Tsao H, Hodges PW. Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain. J. Electromyogr. Kinesiol. 2008;18(4):559–567[Epub 2007 Mar 2]
  155. Urquhart DM, Hodges PW. Differential activity of regions of transversus abdominis during trunk rotation. Eur. Spine J. 2005;14(4):393–400
  156. Urquhart DM, et al. Abdominal muscle recruitment during a range of voluntary exercises. Man. Ther. 2005;10(2):144–153
  157. Urquhart DM, Hodges PW, Story IH. Postural activity of the abdominal muscles varies between regions of these muscles and between body positions. Gait Posture. 2005;22(4):295–301
  158. van der Velde G, Mierau D. The effect of exercise on percentile rank aerobic capacity, pain, and self-rated disability in patients with chronic low-back pain: a retrospective chart review. Arch. Phys. Med. Rehabil. 2000;81(11):1457–1463
  159. van Dieen JH, Cholewicki J, Radebold A. Trunk muscle recruitment patterns in patients with low back pain enhance the stability of the lumbar spine. Spine. 2003;28(8):834–841
  160. van Dieen JH, Kingma I, van der Burg P. Evidence for a role of antagonistic cocontraction in controlling trunk stiffness during lifting. J. Biomech. 2003;36(12):1829–1836
  161. van Dieen JH, Hoozemans MJ, Toussaint HM. Stoop or squat: a review of biomechanical studies on lifting technique. Clin. Biomech. (Bristol, Avon). 1999;14(10):685–696
  162. van Tulder M, et al. Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine. 2000;25(21):2784–2796
  163. Vera-Garcia FJ, et al. Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J. Electromyogr. Kinesiol. 2007;17(5):556–567
  164. Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve trunk stability. Arch. Phys. Med. Rehabil. 2000;81(10):1370–1379
  165. White SG, McNair PJ. Abdominal and erector spinae muscle activity during gait: the use of cluster analysis to identify patterns of activity. Clin. Biomech. (Bristol, Avon). 2002;17(3):177–184
  166. Wulf G, et al. Enhancing the learning of sport skills through external-focus feedback. J. Mot. Behav. 2002;34(2):171–182
  167. Wulf G, et al. Attentional focus on suprapostural tasks affects balance learning. Q. J. Exp. Psychol. A. 2003;56(7):1191–1211
  168. Zedka M, Prochazka A, Knight B, et al. Voluntary and reflex control of human back muscles during induced pain. J. Physiol. 1999;520(Pt 2):591–604

PII: S1360-8592(09)00093-X

doi: 10.1016/j.jbmt.2009.08.001

Journal of Bodywork and Movement Therapies
Volume 14, Issue 1 , Pages 84-98 , January 2010

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