scholarly journals The effect of 6-week core stability training on core endurance and physical performance in professional rugby players: A randomized controlled pilot study

2021 ◽  
Vol 12 (11) ◽  
pp. 60-65
Author(s):  
Chamila S. Senavirathna ◽  
Anuja P. Mallawaarachchi ◽  
Aranjan L. Karunanayake ◽  
Sampath Gunawardena

Background: Core stability training (CST) is used to enhance sports performance. The relationship between core endurance and physical performance in rugby players had not been evaluated before in Asia. Aims and Objectives: This study aims to determine the effects of a 6-week specific CST program on the core endurance and physical performances (speed, upper body power, lower body power, and agility) following a CST intervention in male rugby players. Materials and Methods: Professional rugby players (n=8, intervention and n=8, control) were randomly selected. Mean (SD) age, height and weight of intervention group were 25.25 (2.4) years, 1.64 (0.03) m, and 69.6 (14.9) kg, respectively. In the control group, corresponding values were 29.75 (4) years, 1.66 (0.04) m, and 72.3 (19.1) kg, respectively. Intervention group was trained CST sessions complementary to the usual physical training, 3 times/week for 6 weeks. The control group followed the usual physical training. Subjects were tested for four physical performances (using 40 m sprint, vertical jump, 3 kg medicine ball put, and agility T tests) and four core endurance tests (back extension, abdominal fatigue [AF], and left and right bridges). Results: AF, left bridge, right bridge, and total core endurance were significantly increased in the intervention group (P=0.028, P=0.006, P= 0.008, and P=0.001, respectively). Agility and AF were increased significantly in the control group (P=0.048, P=0.027). The right side bridge endurance (P=0.024) was significantly increased in the intervention group compared to the control group. Conclusion: The results suggest that the CST improves core endurance without improving physical performances in rugby players.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marina Petrella ◽  
Ivan Aprahamian ◽  
Ronei Luciano Mamoni ◽  
Carla Fernanda de Vasconcellos Romanini ◽  
Natália Almeida Lima ◽  
...  

Abstract Background To investigate whether an exercise intervention using the VIVIFRAIL© protocol has benefits for inflammatory and functional parameters in different frailty status. Methods/design This is a randomized clinical trial in an outpatient geriatrics clinic including older adults ≥60 years. For each frailty state (frail, pre-frail and robust), forty-four volunteers will be randomly allocated to the control group (n = 22) and the intervention group (n = 22) for 12 weeks. In the control group, participants will have meetings of health education while those in the intervention group will be part of a multicomponent exercise program (VIVIFRAIL©) performed five times a week (two times supervised and 3 times of home-based exercises). The primary outcome is a change in the inflammatory profile (a reduction in inflammatory interleukins [IL-6, TNF- α, IL1beta, IL-17, IL-22, CXCL-8, and IL-27] or an increase in anti-inflammatory mediators [IL-10, IL1RA, IL-4]). Secondary outcomes are change in physical performance using the Short Physical Performance Battery, handgrip strength, fatigue, gait speed, dual-task gait speed, depressive symptoms, FRAIL-BR and SARC-F scores, and quality of life at the 12-week period of intervention and after 3 months of follow-up. Discussion We expect a reduction in inflammatory interleukins or an increase in anti-inflammatory mediators in those who performed the VIVIFRAIL© protocol. The results of the study will imply in a better knowledge about the effect of a low-cost intervention that could be easily replicated in outpatient care for the prevention and treatment of frailty, especially regarding the inflammatory and anti-inflammatory pathways involved in its pathophysiology. Trial registration Brazilian Registry of Clinical Trials (RBR-9n5jbw; 01/24/2020). Registred January 2020. http://www.ensaiosclinicos.gov.br/rg/RBR-9n5jbw/.


2000 ◽  
Vol 80 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Mary B King ◽  
James O Judge ◽  
Robert Whipple ◽  
Leslie Wolfson

Abstract Background and Purpose. The reliability and responsiveness of 2 physical performance measures were assessed in this nonrandomized, controlled pilot exercise intervention. Subjects. Forty-five older individuals with mobility impairment (mean age=77.9 years, SD=5.9, range=70–92) were sequentially assigned to participate in an exercise program (intervention group) or to a control group. Methods. The intervention group performed exercise 3 times a week for 12 weeks that targeted muscle force, endurance, balance, and flexibility. Outcome measures were the 8-item Physical Performance Test (PPT-8) and the 6-minute walk test. Test-retest reliability and responsiveness indexes were determined for both tests; interrater reliability was measured for the PPT-8. Results. The intraclass correlation coefficient for interrater reliability for the PPT-8 was .96. Intraclass correlation coefficients for test-retest reliability were .88 for the PPT-8 and .93 for the 6-minute walk test. The intervention group improved 2.4 points and the control group improved 0.7 point on the PPT-8, as compared with baseline measurements. There was no change in 6-minute walk test distance in the intervention group when compared with the control group. The responsiveness index was .8 for the PPT-8 and .6 for the 6-minute walk test. Conclusion and Discussion. Measurements for both the PPT-8 and the 6-minute walk test appeared to be highly reliable. The PPT-8 was more responsive than the 6-minute walk test to change in performance expected with this functional training intervention.


Author(s):  
Phoebe Ullrich ◽  
Christian Werner ◽  
Anton Schönstein ◽  
Martin Bongartz ◽  
Tobias Eckert ◽  
...  

Abstract Background Older people with cognitive impairment (CI) are at high risk for mobility limitations and adverse outcomes after discharge from geriatric rehabilitation settings. Study aim was to estimate the effects of a specifically designed home-based physical training and activity promotion program on physical capacity, different aspects of physical activity (PA), and psychosocial status. Methods Patients with mild-to-moderate CI (Mini-Mental State Examination [MMSE]: 17-26 points) discharged home after rehabilitation were included in this randomized, double-blind, placebo-controlled trial with a 12-week intervention and 12-week follow-up period. The intervention group performed a CI-specific, autonomous, home-based strength, balance and walking training supported by tailored motivational strategies to foster training adherence and promote PA. The control group participated in an unspecific motor placebo activity. Primary outcomes were physical capacity (Short Physical Performance Battery [SPPB]) and PA (sensor-based activity time). Results Among 118 randomized participants (82.3±6.0 years) with CI (MMSE: 23.3±2.4) and high levels of multi-morbidity, those participants undergoing home-based training demonstrated superior outcomes to the control group in SPPB (mean difference between groups 1.9 points; 95%-CI: 1.0-2.8; p<.001), with persistent benefits over the follow-up (1.3 points; 95%-CI: 0.4-2.2; p<.001). There were no differences in PA across any time points. Among secondary outcomes, fear of falling and activity avoidance behavior were reduced in the intervention group at all time points, life-space mobility improved short-term. Conclusions Study results demonstrate clinically important benefits of an individually tailored autonomous physical training and activity promotion program on physical capacity and secondary outcomes in different domains in a vulnerable, multi-morbid population.


2020 ◽  
Vol 49 (5) ◽  
pp. 771-778 ◽  
Author(s):  
Klaus Pfeiffer ◽  
Karin Kampe ◽  
Jochen Klenk ◽  
Kilian Rapp ◽  
Michaela Kohler ◽  
...  

Abstract Background fear of falling and reduced fall-related self-efficacy are frequent consequences of falls and associated with poorer rehabilitation outcomes. To address these psychological consequences, geriatric inpatient rehabilitation was augmented with a cognitive behavioural intervention (“Step by Step”) and evaluated in a RCT. Methods one hundred fifteen hip and pelvic fracture patients (age = 82.5 years, 70% female) admitted to geriatric inpatient rehabilitation were randomly allocated to the intervention or control group. The intervention consisted of eight additional individual sessions during inpatient rehabilitation, one home visit and four telephone calls delivered over 2 months after discharge. Both groups received geriatric inpatient rehabilitation. Primary outcomes were fall-related self-efficacy (short falls efficacy scale-international) and physical activity as measured by daily walking duration (activPAL3™ sensor) after admission to rehabilitation, before discharge and 1-month post-intervention. Results in covariance analyses, patients in the intervention group showed a significant improvement in fall-related self-efficacy (P = 0.025, d = −0.42), but no difference in total daily walking duration (P = 0.688, d = 0.07) 1-month post-intervention compared to the control condition. Further significant effects in favour of the intervention group were found in the secondary outcomes “perceived ability to manage falls” (P = 0.031, d = 0.41), “physical performance” (short physical performance battery) (P = 0.002, d = 0.58) and a lower “number of falls” (P = 0.029, d = −0.45). Conclusions the intervention improved psychological and physical performance measures but did not increase daily walking duration. For the inpatient part of the intervention further research on the required minimum intensity needed to be effective is of interest. Duration and components used to improve physical activity after discharge should be reconsidered.


2019 ◽  
Author(s):  
Ruth McCullagh ◽  
Eimear O'Connell ◽  
Sarah O'Meara ◽  
Darren Dahly ◽  
Eilis O'Reilly ◽  
...  

Abstract Background: To measure the effects of an augmented prescribed exercise programme versus usual care, on physical performance, quality of life and healthcare utilisation for frail older medical patients in the acute setting. Study Design: A parallel single-blinded randomised controlled trial Methods: Within two days of admission, older medical inpatients with an anticipated length of stay ≥3 days, needing assistance/aid to walk, were blindly randomly allocated to the intervention or control group. Until discharge, both groups received twice daily, Monday-to-Friday half-hour assisted exercises, assisted by a staff physiotherapist. The intervention group completed tailored strengthening and balance exercises; the control group performed stretching and relaxation exercises. Length of stay was the primary outcome measure. Secondary measures included readmissions within three months, and physical performance (Short Physical Performance Battery) and quality of life (EuroQOL-5D-5L) measured at discharge and at three months. Time-to-event analysis was used to measure differences in length of stay, and linear regression models were used to measure differences in physical performance, quality of life, adverse events (falls, deaths) and negative events (prolonged hospitalisation, institutionalisation). Results: Of the 199 patients allocated, 190 patients’ (aged 80 ±7.5 years) data were analysed. Groups were comparable at baseline. In intention to treat analysis, length of stay did not differ between groups (HR 1.09 (95% CI, 0.77-1.56) p=0.6). Physical performance was better in the intervention group at discharge (difference 0.88 95% CI, 0.20-1.57) p=0.01), but lost at follow-up (difference 0.45 (95% CI, -0.43 – 1.33) p=0.3). An improvement in quality of life was detected at follow-up in the intervention group (difference 0.28 (95% CI, 0.9 – 0.47) p=0.004). Overall, fewer negative events occurred in the intervention group (OR 0.46 (95% CI 0.23 – 0.92) p=0.03). Conclusion: Improvements in physical performance, quality of life and fewer negative events suggest that this intervention is of value to frail medical inpatients. Its effect on length of stay remains unclear.


2011 ◽  
Vol 13 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Lucinda Pfalzer ◽  
Donna Fry

Pulmonary muscle weakness is common in ambulatory people with multiple sclerosis (MS) and may lead to deficits in mobility function. The purpose of this study was to examine the effect of a 10-week home-based exercise program using an inspiratory muscle threshold trainer (IMT) on the results of four lower-extremity physical performance tests in people with MS. The study design was a two-group (experimental-control), pretest-posttest study. Outcome measures consisted of pulmonary function measures including maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and maximal voluntary ventilation (MVV), and the following lower-extremity physical performance measures: the 6-Minute Walk (6MW) distance, gait velocity (GV), the Sit-to-Stand Test (SST), the Functional Stair Test (FST), and a balance test (BAL). A total of 46 ambulatory participants (Expanded Disability Status Scale [EDSS] score, 2.0–6.5) with MS were randomly assigned to an intervention group (mean EDSS score, 4.1) that received 10 weeks of home-based inspiratory muscle training or a nontreatment control group (mean EDSS score, 3.2). Of the original 46 participants, 20 intervention group participants and 19 control group participants completed the study. Compared with the control group, the intervention group made significantly greater gains in inspiratory muscle strength (P = .003) and timed balance scores (P = .008). A nonsignificant improvement in 6MW distance (P = .086) was also noted in the IMT-trained group as compared with the control group. This is the first study directly linking improvement in respiratory function to improvement in physical performance function in people with mild-to-moderate disability due to MS.


2021 ◽  
Vol 10 (5) ◽  
pp. 1010
Author(s):  
Juan Miguel Sánchez-Nieto ◽  
Irene Fernández-Muñoz ◽  
Andrés Carrillo-Alcaraz ◽  
Roberto Bernabeu-Mora

Muscle training, a component of pulmonary rehabilitation (PR), improves the physical performance of patients with chronic obstructive pulmonary disease (COPD). Despite the existing evidence, the traditional center-based PR model is applied to a small percentage of patients and presents numerous problems of accessibility, adherence, and costs. This study presents a home model of simple muscle training, non-presential, monitored by telephone and individualized, according to the severity of the COPD. In addition, to evaluate the results, simple tests associated with the physical performance of the lower limbs, previously validated in COPD, have been used, such as the four-meter walk, speed test (4MGS) and the five-repetition test sitting and standing (5STS). The objective was to evaluate whether the Individualized Non-Presential Exercise Training PrOgram (NIETO) induces improvements in the 4MGS, 5STS and quadriceps muscle strength (QMS) tests in outpatients with advanced COPD (FEV1 ≤ 50%). After one year, the QMS was significantly higher in the intervention group (IG) than in the control group (CG) (2.44 ± 4.07 vs. 0.05 ± 4.26 kg; p = 0.009). The 4MGS and 5STS tests were significantly shorter in IG than in CG (−0.39 ± 0.86 vs. 0.37 ± 0.96 s; p = 0.001) and (−1.55 ± 2.83 vs. 0.60 ± 2.06 s; p = 0.001), respectively. A home model of simple muscle training monitored by telephone such as NIETO, can improve 4MGS, 5STS, and quadriceps strength tests in outpatients with advanced COPD.


2015 ◽  
Vol 7 (1) ◽  
pp. 1206-1212
Author(s):  
Tulin Atan ◽  
Merve Ayca

The aim of this study was to examine the effect of three month goalball sport on physical performance of visually impaired students. 38 visually impaired male students attending to the primary school were participated the study. 19 of them were separated as an exercise group (age; 13.15±1.59 years) and the rest 19 subject were separated as a control group (age; 13.30±1.43years) randomly. Exercise group do goalball sport three days a week for three months. Before and after the exercise program some physical performance tests were applied to all 38 students. To measure the physical performance; audial reaction time, 10 m running time, standing long jump, grip strength, vertical jump, and flexibility values were measured. The physical performance measured before the start of the three month exercise did not show meaningful difference between two groups (p>0.05). But when the values after three month were compared, it was found that audial reaction time, standing long jump, grip strength, 10 m speed running time, vertical jump and flexibility levels of the group doing goalball exercise was statistically better than that of the control group (p<0.01 and p<0.05). As a conclusion it has been seen that the goalball sport enhance the physical performance of visually-impaired students.


2018 ◽  
Vol 6 (1) ◽  
pp. 60-68
Author(s):  
Vian Octrialinanggih Pradana ◽  
Iwan Hermawan ◽  
Ika Novitaria Marani

Penelitian ini bertujuan menghasilkan produk model latihan core stability menggunakan stability ball cabang olahraga renang gaya kupu-kupu usia 9-10 tahun. Penelitian & Pengembangan ini menggunakan pendekatan Borg dan Gall. Subjek yang digunakan 20 atlet untuk uji coba kelompok kecil, 60 atlet untuk uji coba kelompok besar, dan 30 atlet untuk uji efektifitas produk. Model latihan core stability divalidasi ahli kepelatihan kondisi fisik dan ahli olahraga renang. Hasil uji coba kelompok kecil, model latihan core stability mendapat persentase rata-rata 82,20%. Hasil uji coba kelompok besar, model latihan core stability mendapat persentase rata-rata 79,60%. Uji efektivitas produk menggunakan tes kecepatan renang 50 meter gaya kupu-kupu dengan rancangan pretest-posttest control group design. Dari hasil selisih pretest-posttest kelompok eksperimen dan kontrol diperoleh harga thitung = 7,776 dengan signifikansi 0,000. Didapatkan ttabel dari db = 58 dari taraf signifikansi 5% adalah 1,671. Jadi nilai thitung > ttabel (7,776 > 1,671) dan sig. (2 tailed) atau p-value = 0,000 < 0,05. Sehingga disimpulkan terdapat efektifitas hasil kecepatan renang gaya kupu-kupu atlet renang usia 9-10 tahun yang diberikan latihan core stability menggunakan stability ball.Stability Exercise Model In Butterfly Swimming For 9-10 Years Old Children Abstract         This research aims to produce the model of core stability training model using stability ball in butterfly swimming for 9-10 years old. This Research & Development uses the Borg and Gall approach. Subjects used 20 athletes for small group trials, 60 athletes for large group trials, and 30 athletes to test product effectiveness. The core stability training model is validated by physical fitness experts and swimming sport experts. Small group trial results, core stability training model got an average percentage of 82.20%. The results of large group trials, core stability training model got an average percentage of 79.60%. Product effectiveness test using 50 meter butterfly swimming speed test with pretest-posttest control group design. From the result of  the difference beetwen the pretest-posttest experiment and control group obtained tcount = 7,776 with significance 0,000. Obtained ttable from db = 58 from 5% significance level is 1,671. So tcount> ttable (7,776 > 1.671) and sig. (2 tailed) or p-value = 0.000 < 0.05. So concluded there is effectiveness of swimming pool speed butterfly swimming athletes aged 9-10 years who are given core stability training using stability ball.


2020 ◽  
Author(s):  
wang chen ◽  
Long Yu ◽  
Jian Yang ◽  
Ren Wei Wang ◽  
Ya Nan Zheng ◽  
...  

Abstract Background: Trunk function in stroke patients with hemiplegia is associated with respiration and core stability, and is also found to be associated with balance and postural control and daily activity of life. Liuzijue Qigong (LQG) is a traditional Chinese method of fitness based on breath pronunciation. The purpose of this study is to compare the clinical efficacy of LQG and traditional core stability training in the treatment of stroke patients with abnormal trunk posture. This protocol is written according to the SPIRT 2013 Statement. Methods: This study is a single-center randomized controlled trial in which 160 stroke patients are randomly divided into study group and control group. Patients in the study group will receive LQG combined with conventional rehabilitation therapy, while patients in the control group will receive traditional core stability training combined with conventional rehabilitation therapy. All treatments will be treated 45 minutes a day, 5 times a week for 2 weeks. Primary outcome (Trunk impairment scale) and secondary outcome (Berg balance scale, Fugl-Meyer assessment, Modified barthel index, Maximum phonation time, Dynamic and Static Balance Testing and The thickness and the Mobile degrees of diaphragm) will be conducted at baseline, 2 weeks at the end of the rehabilitation course. Discussion: The aim of this research is to compare the clinical efficacy of LQG and traditional core stability exercise in the treatment of stroke patients with abnormal trunk posture. Trial registration: Chinese Trial registration: chinese clinical trial registry : ChiCTR1800014864. Registered on 24 November 2018. Keywords: Six character formula, Trunk postural control, Stroke, Core stability, Traditional core stability training, Liuzijue qigong (LQG)


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