RELATIONSHIP AMONG DIFFERENT TESTS OF EVALUATING LOW BACK CORE STABILITY

2011 ◽  
Vol 14 (02) ◽  
pp. 1250004 ◽  
Author(s):  
Anoop Aggarwal ◽  
Suraj Kumar ◽  
Ruchika Madan ◽  
Ratnesh Kumar

Purpose: This study aims to determine the relation among the commonly used different tests of evaluating core stability performance. Establishing this relationship is important as different authors have used different types of tests for evaluating core stabilization in their study yet relation among these tests and the individual importance of each of these tests is not clearly established so far. Methods: Among 40 recreationally active subjects the core stability performance was evaluated using variety of different tests reported in the previous literatures. Results: Results show that there was no significant correlation among the performance scores on different test of core stability. Conclusions: The assessment of the core stability performance must be in concordance with the need of the individual and of the study. Also, different tasks or sports selectively require different components of the core stability. In order to evaluate more than one component of the core stability performance, the different combinations of the tests must be used. If one wishes to test all the components of the core stabilization, then no single test is sufficient and a battery of test must be used to assess different components separately.

Author(s):  
Ganesa Puput Dinda Kurniawan ◽  
I Made Muliarta ◽  
Sugijanto ◽  
I Made Ady Wirawan ◽  
Susy Purnawati ◽  
...  

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.


2013 ◽  
Vol 284-287 ◽  
pp. 1146-1150 ◽  
Author(s):  
Hao Tzu Lin ◽  
Jong Rong Wang ◽  
Chun Kuan Shih

Lungmen nuclear power plant (NPP) is the first ABWR (Advanced Boiling Water Reactor) in Taiwan and still under construction. It has two identical units with 3,926 MWt rated thermal power each and 52.2×106 kg/hr rated core flow. The core has 872 bundles of GE14 fuel, and the steam flow is 7.637×106 kg/hr at rated power. According to the chapter 4 of Lungmen NPP FSAR (Final Safety Analysis Report), the design features of Lungmen NPP improve the core stability performance and assure that it is more stable than the current BWR (Boiling Water Reactor) NPP in the normal operating regions. In this research, the LAPUR6 stability analysis of Lungmen NPP is performed in order to versify the design features of Lungmen NPP which causes the more stable than the current BWR NPPs. The analysis results of LAPUR6 indicate that the design features of Lungmen NPP can improve the core stability performance effectively and result in the more stable than the current BWR NPPs.


Author(s):  
DANIELE DE SANTIS ◽  

The present paper makes the case for considering Jean Hering the source from which Edith Stein first borrowed the concept of “core,” notably, “core of the person.” In particular, we maintain that the background of Stein’s decision is represented by the original version of Hering’s famous booklet Bemerkungen über das Wesen, die Wesenheit und die Idee, namely, the Appendix (Fragmente zur Vorbereitung einer künftigen Lehre vom Apriori) to his still unpublished dissertation on Lotze. Nevertheless, whereas Hering introduces the concept of “core” to merely discriminate between different types of essences within the framework of a general attempt at determining the structure of individual essences, Stein takes it to characterize always and exclusively the structure of the person, notably, its mode of being, thereby paving the way for her future personalistic ontology. The paper will be divided into three parts. In § 2 evidence will be produced to support the thesis that Stein had direct knowledge of Hering’s dissertation. § 3 will analyze Hering’s notions of essence and “core of the essence” (in both versions of the text and in relation to the example of the “essence” of Caesar). Finally, § 4 will tackle the “core” in Stein’s early works, in particular in the book on empathy, and in comparison with Hering’s understanding of it. The paper intends to pursue a double goal: it aims at emphasizing the novelty of Stein’s conception of the essence, notably, core of the (individual) essence while at the same time reconstructing the wider framework to which it belongs.


2017 ◽  
Vol 52 (1) ◽  
pp. 71-72 ◽  
Author(s):  
Brian J. Coulombe ◽  
Kenneth E. Games ◽  
Elizabeth R. Neil ◽  
Lindsey E. Eberman

Reference: Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082. Clinical Questions: Is core stability exercise more effective than general exercise in the treatment of patients with nonspecific low back pain (LBP)? Data Sources: The authors searched the following databases: China Biological Medicine disc, Cochrane Library, Embase, and PubMed from 1970 through 2011. The key medical subject headings searched were chronic pain, exercise, LBP, lumbosacral region, and sciatica. Study Selection: Randomized controlled trials comparing core stability exercise with general exercise in the treatment of chronic LBP were investigated. Participants were male and female adults with LBP for at least 3 months that was not caused by a specific known condition. A control group receiving general exercise and an experimental group receiving core stability exercise were required for inclusion in the meta-analysis. Core stability was defined as the ability to ensure a stable neutral spine position, but the type of exercise was not specified. Outcome measures of pain intensity, back-specific functional status, quality of life, and work absenteeism were recorded at 3-, 6-, and 12-month intervals. Data Extraction: The study design, participant information, description of interventions in the control and experimental groups, outcome measures, and follow-up period were extracted. The mean difference (MD) and 95% confidence interval (CI) were calculated to evaluate statistical significance. Risk of bias was assessed using the Cochrane Collaboration Recommendations, and all articles were rated as high risk for other bias with no further explanation given. Main Results: Five studies involving 414 patients were included. Four studies assessed pain intensity using the visual analog scale or numeric rating scale. In the core stability exercise group, the reduction in pain was significant at 3 months (MD = −1.29, 95% CI = −2.47, −0.11; P = .003) but not at 6 months (MD = −0.50, 95% CI = −1.36, 0.35; P = .26). Functional status was improved at 3 months (MD = −7.14, 95% CI = −11.64, −2.65; P = .002) but not at 6 months (MD = −0.50, 95% CI = 0.36, 0.35; P = .26) or 12 months (MD = −0.32, 95% CI = −0.87, 0.23; P = .25). All of the included studies assessed back-specific functional status: 4 used the Oswestry Disability Index and 1 used the Roland-Morris Disability Questionnaire. Patients in the core stability exercise groups experienced improved functional status versus the general exercise group at 3 months (MD = −7.14, 95% CI = −11.64, −2.65; P = .002); no results were recorded at 6 or 12 months. Conclusions: In the short term, core stability exercise was more effective than general exercise for decreasing pain and increasing back-specific functional status in patients with LBP.


2016 ◽  
Vol 6 (1) ◽  
pp. 59-66
Author(s):  
Amila Kapetanovic ◽  
Sabina Jerkovic ◽  
Dijana Avdic

Introduction: The aim of this study was to assess core stabilization exercise effects in reducing functional disability in patients with chronic low back pain (CLBP).Methods: This study included total of 90 patients aged 40 to 60 years. After a ten-day rehabilitation program the patients from an examination group (n = 30) performed home exercise program five times a week, patients from a first control group (n = 30) three times a week, while patients from a second control group (n = 30) did not perform the exercises at all. The patients performed core stabilization exercises of moderate intensity once a day in 30 minutes sessions. The patient's functional disability was estimated using the Oswestry Disability Index (ODI).Results: After two months of rehabilitation there was a statistically significant increase in functional ability in patients who performed the core stabilization exercises five times a week(p = 0.0001) and in patients who performed the core stabilization exercises three times per week (p = 0.0001). A statistically significant difference in functional ability was not recorded in patients who did not perform the exercises. The analysis of the average values of the ODI differences at the beginning and after two months of rehabilitation showed a statistically significant difference between the group who did not perform the exercises and the group who performed the core stabilization exercises three times a week (p = 0.0001), and between the group who did not perform the exercises and the group who performed the core stabilization exercises five times a week (p = 0.0001).Conclusions: The implementation of the core stabilization exercises leads to a reduction of functional disability in patients with CLBP.


2020 ◽  
Vol 9 (2) ◽  
pp. 24-29
Author(s):  
Ahad Hasan ◽  
Syed Abid Mehdi Kazmi

OBJECTIVES To compare the effectiveness of Core Stability with Myofascial release technique and Core Stability Exercises alone in the management of low back pain. STUDY DESIGN Randomized Control Trial (RCT). STUDY SETTINGS & PARTICIPANTS The study was conducted on 44 patients with low back pain in the Department of Rehabilitation Sciences, at tertiary care Hospital. INTERVENTIONS The participants were divided into group A (n=22) and group B (n=22) into Core Stability Exercises and Core Stability Exercises applied with Myofascial release technique respectively. Each group was provided interventions for 03 times weekly for 06 weeks, with a minimum of a 1 day gap between the 2 sessions. The Numeric Pain Rating Scale (NPRS) was utilized to assess pain, The Oswestry Disability Index (ODI) was utilized to assess the disability associated with LBP, and Rehabilitative Ultrasound imaging was used to provide multifidus muscle thickness. RESULTS The main effects analysis showed that the Core Stability Exercises applied with Myofascial release technique proved to be more effective than the Core Stability Exercises alone, reducing pain, functional disability and improving muscle mass of Lumber Multifidus (p <0.05) in patients with low back pain. CONCLUSIONS Core Stability Exercises applied with Myofascial release techniques effectively reduce pain and functional disability when compared to core stability exercises.


2020 ◽  
Author(s):  
Keith Payne ◽  
Heidi A. Vuletich ◽  
Kristjen B. Lundberg

The Bias of Crowds model (Payne, Vuletich, &amp; Lundberg, 2017) argues that implicit bias varies across individuals and across contexts. It is unreliable and weakly associated with behavior at the individual level. But when aggregated to measure context-level effects, the scores become stable and predictive of group-level outcomes. We concluded that the statistical benefits of aggregation are so powerful that researchers should reconceptualize implicit bias as a feature of contexts, and ask new questions about how implicit biases relate to systemic racism. Connor and Evers (2020) critiqued the model, but their critique simply restates the core claims of the model. They agreed that implicit bias varies across individuals and across contexts; that it is unreliable and weakly associated with behavior at the individual level; and that aggregating scores to measure context-level effects makes them more stable and predictive of group-level outcomes. Connor and Evers concluded that implicit bias should be considered to really be noisily measured individual construct because the effects of aggregation are merely statistical. We respond to their specific arguments and then discuss what it means to really be a feature of persons versus situations, and multilevel measurement and theory in psychological science more broadly.


Author(s):  
Imlikumba . ◽  
Parappagoudra Mahesh ◽  
BA Lohith ◽  
K Singha ◽  
S Lalravi

Panchakarma is a fruitful measure and its extensive efficacies are classified in different dimensions to cure different types of complicated diseases. Vamana, Virechana, Niruha, Anuvasana and Nasya are the five procedures and subsequently even Vamana, Virechana, Basti, Nasya and Rakta Mokshana are broadly termed as Panchakarma in day to day practices.The new diseases are evolving with intense gravity and therefore to combat those, Panchakarma is a very effective measure. In present era competition and advancement have led to hectic and stressful life, man has eventually forgotten the absolute enjoyment and solitary affection of nature and as a result is facing many health problems. Gridhrasi is no exception, it is correlated to sciatica in modern science where low back ache radiating to toes in the lateral aspect of the thigh associated with stiffness is the main complaint.


Author(s):  
Daphna Oyserman

Everyone can imagine their future self, even very young children, and this future self is usually positive and education-linked. To make progress toward an aspired future or away from a feared future requires people to plan and take action. Unfortunately, most people often start too late and commit minimal effort to ineffective strategies that lead their attention elsewhere. As a result, their high hopes and earnest resolutions often fall short. In Pathways to Success Through Identity-Based Motivation Daphna Oyserman focuses on situational constraints and affordances that trigger or impede taking action. Focusing on when the future-self matters and how to reduce the shortfall between the self that one aspires to become and the outcomes that one actually attains, Oyserman introduces the reader to the core theoretical framework of identity-based motivation (IBM) theory. IBM theory is the prediction that people prefer to act in identity-congruent ways but that the identity-to-behavior link is opaque for a number of reasons (the future feels far away, difficulty of working on goals is misinterpreted, and strategies for attaining goals do not feel identity-congruent). Oyserman's book goes on to also include the stakes and how the importance of education comes into play as it improves the lives of the individual, their family, and their society. The framework of IBM theory and how to achieve it is broken down into three parts: how to translate identity-based motivation into a practical intervention, an outline of the intervention, and empirical evidence that it works. In addition, the book also includes an implementation manual and fidelity measures for educators utilizing this book to intervene for the improvement of academic outcomes.


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