The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review.

It is well-established that the coordination of muscular activity in the lumbopelvic region is vital to the generation of mechanical spinal stability. Several models illustrating mechanisms by which dysfunctional neuromuscular control strategies may serve as a cause and/or effect of low back pain ha...

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Published in:Journal of the Canadian Chiropractic Association Vol. 58; no. 2; pp. 119 - 131
Main Author: Bruno, Paul
Format: tables/charts Journal Article
Published: Canadian Chiropractic Association Jun2014
Online Access:View this record in EBSCOhost
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      dt: Jun2014
      vid: 58
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      pub: Canadian Chiropractic Association
      place: Toronto, Ontario
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        atl: The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review.
      aug:
        au: Bruno, Paul
        affil: Assistant Professor, Neuromusculoskeletal Health, Faculty of Kinesiology and Health Studies, University of Regina.
      sug:
        subj:
          Neuromuscular Control Physiology
          Stability
          Neuromuscular Control Psychosocial Factors
          Motor Skills
          Exercise Physiology
          Chiropractic
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        It is well-established that the coordination of muscular activity in the lumbopelvic region is vital to the generation of mechanical spinal stability. Several models illustrating mechanisms by which dysfunctional neuromuscular control strategies may serve as a cause and/or effect of low back pain have been described in the literature. The term “core stability” is variously used by clinicians and researchers, and this variety has led to several rehabilitative approaches suggested to affect the neuromuscular control strategies of the lumbopelvic region (e.g. “stabilization exercise”, “motor control exercise”). This narrative review will highlight: 1) the ongoing debate in the clinical and research communities regarding the terms “core stability” and “stabilization exercise”, 2) the importance of sub-grouping in identifying those patients most likely to benefit from such therapeutic interventions, and 3) two protocols that can assist clinicians in this process.
        Il est bien établi que la coordination de l’activité musculaire dans la région lombo-pelvienne est vitale à la génération de la stabilité mécanique de la colonne vertébrale. Les ouvrages spécialisés fournissent la description de plusieurs modèles illustrant les mécanismes par lesquels les stratégies de contrôle neuromusculaire dysfonctionnelles peuvent être une cause ou un effet de la lombalgie. Le terme « stabilité du tronc » est employé de différentes manières par les cliniciens et les chercheurs, et ces variations dans l’emploi du terme ont mené à plusieurs approches en matière de réadaptation que l’on fait valoir comme affectant les stratégies de contrôle neuromusculaire de la région lombo-pelvienne (p. ex. « exercice de stabilisation », « exercice de contrôle moteur »). Cette revue narrative soulignera : 1) le débat continu dans les communautés clinique et de la recherche sur les termes « stabilité du tronc » et « exercice de stabilisation »; 2) l’importance du regroupement en sous-groupes lorsque l’on identifie les patients les plus susceptibles de bénéficier de telles interventions thérapeutiques; 3) deux protocoles qui peuvent aider les cliniciens dans ce processus.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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