Exercise With Unstable Objects: A Descriptive Survey Among Health Care and Fitness Professionals

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Scott W. Cheatham California State University Dominguez Hills, Carson, CA, USA
University of Idaho, Moscow, ID, USA

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https://orcid.org/0000-0002-6180-9175 *
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Russell T. Baker University of Idaho, Moscow, ID, USA

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https://orcid.org/0000-0003-3352-9632
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Wendy Batts Pennsylvania Western University California, California, PA

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Tony Ambler-Wright National Academy of Sports Medicine, Gilbert, AZ, USA

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Brian Sutton National Academy of Sports Medicine, Gilbert, AZ, USA

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Exercise with unstable objects is a popular intervention used by health care and fitness professionals. Understanding different professional beliefs and usage patterns might provide insight for future research and development of evidence-based guidelines. The purpose of this survey study was to document the perceptions, beliefs, and the use of exercise with unstable objects among health care and fitness professionals in the United States. Six hundred and sixteen respondents completed the survey. Most respondents used unstable objects for musculoskeletal postinjury fitness/return to performance (72%). Most believed the main therapeutic effects were enhanced motor control (88%), balance (86%), and somatosensory (85%) function. Most reported using the foam pad (80%) and BOSU (84%). The most used subjective measure was the Activities-specific Balance Confidence scale. Most respondents used single limb stance (85%) to measure static motor control and the single leg squat assessment (51%) for dynamic motor control. Respondents used variables such as dynamic movement, repetition and sets, and time during training. Respondents considered recent injury or surgery and neurological or vestibular conditions as the top precautions. Respondents considered acute injury or surgery and neurological or vestibular conditions as the top contraindications. This survey provides insight into health care and fitness professionals perceptions, beliefs, and use of exercise with unstable objects.

This novel survey documented health care and fitness professionals’ perceptions, beliefs, and use of exercise with unstable objects.

The usage patterns of unstable objects by professionals align with the existing research.

These survey results provide descriptive data that may benefit professionals and researchers.

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