Effect of Core Muscle Training on Balance and Agility in Athletes: A Systematic Review

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Saidan Shetty Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India

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Y.V. Raghava Neelapala Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India

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Prateek Srivastava Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India

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The objective of this review was to systematically summarize the existing literature on the effect of core muscle training on measures of balance and agility in athletes. A search was conducted to identify the eligible articles on core muscle training, balance, agility, and athletes in PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, and Physiotherapy Evidence Database that were published from inception to April 15, 2022. The literature search retrieved 3,299 articles, of which 17 randomized controlled trials met the inclusion criteria of the review. Two reviewers independently performed study selection and assessed the quality of included studies using the Physiotherapy Evidence Database (PEDro) scale, and a third reviewer was consulted in case of disagreements. The quality of the studies was mixed. Core muscle training can be used to target balance and agility in athletes. Furthermore, core training of variable frequency, intensity, and type can be incorporated in athletic programs to improve balance and agility.

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  • Aagaard, P., Simonsen, E.B., Andersen, J.L., Magnusson, P., & Dyhre-Poulsen, P. (2002). Increased rate of force development and neural drive of human skeletal muscle following resistance training. Journal of Applied Physiology, 93(4), 13181326. https://doi.org/10.1152/japplphysiol.00283.2002

    • Search Google Scholar
    • Export Citation
  • Aggarwal, A., Zutshi, K., Munjal, J., Kumar, S., & Sharma, V. (2010). Comparing stabilization training with balance training in recreationally active individuals. International Journal of Therapy and Rehabilitation, 17(5), 244253. https://doi.org/10.12968/ijtr.2010.17.5.47843

    • Search Google Scholar
    • Export Citation
  • American College of Sports Medicine. (2014). ACSM’s guidelines for exercise testing and prescription (9th ed.). Wolters Kluwer/Lippincott Williams & Wilkins Health.

    • Search Google Scholar
    • Export Citation
  • Asar, S., Jalalpour, S., Ayoubi, F., Rahmani, M.R., & Rezaeian, M. (2016). PRISMA; preferred reporting items for systematic reviews and meta-analyses. Journal of Rafsanjan University of Medical Sciences, 15(1), 6880.

    • Search Google Scholar
    • Export Citation
  • Barr, K.P., Griggs, M., & Cadby, T. (2005). Lumbar stabilization. American Journal of Physical Medicine & Rehabilitation, 84(6), 473480. https://doi.org/10.1097/01.phm.0000163709.70471.42

    • Search Google Scholar
    • Export Citation
  • Behm, D.G., Drinkwater, E.J., Willardson, J.M., & Cowley, P.M. (2010). The use of instability to train the core musculature. Applied Physiology, Nutrition, and Metabolism, 35(1), 91108. https://doi.org/10.1139/h09-127

    • Search Google Scholar
    • Export Citation
  • Benis, R., Bonato, M., & Torre, A.L. (2016). Elite female basketball players’ body-weight neuromuscular training and performance on the Y-balance test. Journal of Athletic Training, 51(9), 688695. https://doi.org/10.4085/1062-6050-51.12.03

    • Search Google Scholar
    • Export Citation
  • Bliss, L.S., & Teeple, P. (2005). Core stability: The centerpiece of any training program. Current Sports Medicine Reports, 4(3), 179183. https://doi.org/10.1007/s11932-005-0064-y

    • Search Google Scholar
    • Export Citation
  • Carson, R.G. (2006). Changes in muscle coordination with training. Journal of Applied Physiology, 101(5), 15061513. https://doi.org/10.1152/japplphysiol.00544.2006

    • Search Google Scholar
    • Export Citation
  • Caspersen, C.J., Powell, K.E., & Christenson, G.M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126131.

    • Search Google Scholar
    • Export Citation
  • Cohen, L., Manion, L., & Morrison, K. (2002). Research methods in education. Routledge.

  • Cresswell, A.G., & Thorstensson, A. (1994). Changes in intra-abdominal pressure, trunk muscle activation and force during isokinetic lifting and lowering. European Journal of Applied Physiology and Occupational Physiology, 68(4), 315321. https://doi.org/10.1007/bf00571450

    • Search Google Scholar
    • Export Citation
  • Cumpston, M., Li, T., Page, M.J., Chandler, J., Welch, V.A., Higgins, J.P., & Thomas, J. (2019). Updated guidance for trusted systematic reviews: A new edition of the Cochrane handbook for systematic reviews of interventions. Cochrane Database of Systematic Reviews, 2019, Article ED000142. https://doi.org/10.1002/14651858.ed000142

    • Search Google Scholar
    • Export Citation
  • de la Motte, S.J., Lisman, P., Gribbin, T.C., Murphy, K., & Deuster, P.A. (2019). Systematic review of the association between physical fitness and musculoskeletal injury risk. Journal of Strength and Conditioning Research, 33(6), 17231735. https://doi.org/10.1519/jsc.0000000000002382

    • Search Google Scholar
    • Export Citation
  • de Morton, N.A. (2009). The PEDro scale is a valid measure of the methodological quality of clinical trials: A demographic study. Australian Journal of Physiotherapy, 55(2), 129133. https://doi.org/10.1016/s0004-9514(09)70043-1

    • Search Google Scholar
    • Export Citation
  • DeMet, T., & Wahl-Alexander, Z. (2019). Integrating skill-related components of fitness into physical education. Strategies, 32(5), 1017. https://doi.org/10.1080/08924562.2019.1637315

    • Search Google Scholar
    • Export Citation
  • Dinç, N., & Ergin, E. (2019). The effect of 8-week core training on balance, agility and explosive force performance. Universal Journal of Educational Research, 7(2), 550555. https://doi.org/10.13189/ujer.2019.070227

    • Search Google Scholar
    • Export Citation
  • Doğanay, M., Bingül, B.M., & Álvarez-García, C. (2020). Effect of core training on speed, quickness and agility in young male football players. The Journal of Sports Medicine and Physical Fitness, 60(9), 12401246. https://doi.org/10.23736/s0022-4707.20.10999-x

    • Search Google Scholar
    • Export Citation
  • Earl, J.E., & Hertel, J. (2001). Lower-extremity muscle activation during the star excursion balance tests. Journal of Sport Rehabilitation, 10(2), 93104. https://doi.org/10.1123/jsr.10.2.93

    • Search Google Scholar
    • Export Citation
  • Escamilla, R.F., Lewis, C., Bell, D., Bramblet, G., Daffron, J., Lambert, S., Pecson, A., Imamura, R., Paulos, L., & Andrews, J.R. (2010). Core muscle activation during swiss ball and traditional abdominal exercises. Journal of Orthopaedic & Sports Physical Therapy, 40(5), 265276. https://doi.org/10.2519/jospt.2010.3073

    • Search Google Scholar
    • Export Citation
  • Filipa, A., Byrnes, R., Paterno, M.V., Myer, G.D., & Hewett, T.E. (2010). Neuromuscular training improves performance on the star excursion balance test in young female athletes. Journal of Orthopaedic & Sports Physical Therapy, 40(9), 551558. https://doi.org/10.2519/jospt.2010.3325

    • Search Google Scholar
    • Export Citation
  • Hibbs, A.E., Thompson, K.G., French, D., Wrigley, A., & Spears, I. (2008). Optimizing performance by improving core stability and core strength. Sports Medicine, 38(12), 9951008. https://doi.org/10.2165/00007256-200838120-00004

    • Search Google Scholar
    • Export Citation
  • Higgins, J., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M., & Welch, V. (2019). Cochrane handbook for systematic reviews of interventions. (2nd ed.). Wiley-Blackwell

    • Search Google Scholar
    • Export Citation
  • Hodges, P.W., & Richardson, C.A. (1997a). Contraction of the abdominal muscles associated with movement of the lower limb. Physical Therapy, 77(2), 132142. https://doi.org/10.1093/ptj/77.2.132

    • Search Google Scholar
    • Export Citation
  • Hodges, P.W., & Richardson, C.A. (1997b). Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Experimental Brain Research, 114(2), 362370. https://doi.org/10.1007/pl00005644

    • Search Google Scholar
    • Export Citation
  • Hrysomallis, C. (2011). Balance ability and athletic performance. Sports Medicine, 41(3), 221232. https://doi.org/10.2165/11538560-000000000-00000

    • Search Google Scholar
    • Export Citation
  • Hughes, D.C., Ellefsen, S., & Baar, K. (2017). Adaptations to endurance and strength training. Cold Spring Harbor Perspectives in Medicine, 8(6), Article a029769. https://doi.org/10.1101/cshperspect.a029769

    • Search Google Scholar
    • Export Citation
  • Hung, K.-C., Chung, H.-W., Yu, C.C.-W., Lai, H.-C., & Sun, F.-H. (2019). Effects of 8-week core training on core endurance and running economy. PLoS One, 14(3), Article e0213158. https://doi.org/10.1371/journal.pone.0213158

    • Search Google Scholar
    • Export Citation
  • Huxel Bliven, K.C., & Anderson, B.E. (2013). Core stability training for injury prevention. Sports Health: A Multidisciplinary Approach, 5(6), 514522. https://doi.org/10.1177/1941738113481200

    • Search Google Scholar
    • Export Citation
  • Iacono, A.D., Martone, D., Domenico, M., Alfieri, A.A., Andreina, A., Ayalon, M., & Buono, P. (2014). Core Stability Training Program (CSTP) effects on static and dynamic balance abilities. Gazzetta Medica Italiana Archivio per Le Scienze Mediche, 173(4), 197206.

    • Search Google Scholar
    • Export Citation
  • Jamison, S.T., Mcneilan, R.J., Young, G.S., Givens, D.L., Best, T.M., & Chaudhari, A.M.W. (2012). Randomized controlled trial of the effects of a trunk stabilization program on trunk control and knee loading. Medicine & Science in Sports & Exercise, 44(10), 19241934. https://doi.org/10.1249/mss.0b013e31825a2f61

    • Search Google Scholar
    • Export Citation
  • Junker, D., & Stöggl, T. (2019). The training effects of foam rolling on core strength endurance, balance, muscle performance and range of motion: A randomized controlled trial. Journal of Sports Science & Medicine, 18(2), 229238.

    • Search Google Scholar
    • Export Citation
  • Kachanathu, S., Tyagi, P., Anand, P., Hameed, U., & Algarni, A. (2014). Effect of core stabilization training on dynamic balance in professional soccer players. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, 24(06), 299304. https://doi.org/10.1055/s-0034-1382060

    • Search Google Scholar
    • Export Citation
  • Kibler, W.B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Medicine, 36(3), 189198. https://doi.org/10.2165/00007256-200636030-00001

    • Search Google Scholar
    • Export Citation
  • Kulas, A.S., Schmitz, R.J., Shultz, S.J., Henning, J.M., & Perrin, D.H. (2007). Sex-specific abdominal activation strategies during landing. Journal of Athletic Training, 41(4), 381386.

    • Search Google Scholar
    • Export Citation
  • Lipsey, M.W., & Wilson, D.B. (2001). Practical meta-analysis. SAGE Publications, Incorporated.

  • Maher, C.G., Sherrington, C., Herbert, R.D., Moseley, A.M., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy, 83(8), 713721. https://doi.org/10.1093/ptj/83.8.713

    • Search Google Scholar
    • Export Citation
  • Martins, H.S., Lüdtke, D.D., Araújo, J.C.O., Cidral-Filho, F.J., Salgado, A.S.I., Viseux, F., & Martins, D.F. (2019). Effects of core strengthening on balance in University Judo Athletes. Journal of Bodywork and Movement Therapies, 23(4), 758765. https://doi.org/10.1016/j.jbmt.2019.05.009

    • Search Google Scholar
    • Export Citation
  • McGill, S. (2010). Core training: Evidence translating to better performance and injury prevention. Strength and Conditioning Journal, 32(3), 3346. https://doi.org/10.1519/ssc.0b013e3181df4521

    • Search Google Scholar
    • Export Citation
  • Mills, J.D., Taunton, J.E., & Mills, W.A. (2005). The effect of a 10-week training regimen on Lumbo-pelvic stability and athletic performance in female athletes: A randomized-controlled trial. Physical Therapy in Sport, 6(2), 6066. https://doi.org/10.1016/j.ptsp.2005.02.006

    • Search Google Scholar
    • Export Citation
  • Myer, G.D., Faigenbaum, A.D., Chu, D.A., Falkel, J., Ford, K.R., Best, T.M., & Hewett, T.E. (2011). Integrative training for children and adolescents: Techniques and practices for reducing sports-related injuries and enhancing athletic performance. The Physician and Sportsmedicine, 39(1), 7484. https://doi.org/10.3810/psm.2011.02.1854

    • Search Google Scholar
    • Export Citation
  • Pal, S., Yadav, J., Sindhu, B., & Kalra, S. (2021). Effect of plyometrics and Pilates training on dynamic balance and core strength of karate players. Journal of Clinical and Diagnostic Research, 15(1), 510. https://doi.org/10.7860/jcdr/2021/47171.14473

    • Search Google Scholar
    • Export Citation
  • Parkhouse, K.L., & Ball, N. (2011). Influence of dynamic versus static core exercises on performance in field based fitness tests. Journal of Bodywork and Movement Therapies, 15(4), 517524. https://doi.org/10.1016/j.jbmt.2010.12.001

    • Search Google Scholar
    • Export Citation
  • Petersen, C.B., Eriksen, L., Dahl‐Petersen, I.K., Aadahl, M., & Tolstrup, J.S. (2021). Self‐rated physical fitness and measured cardiorespiratory fitness, muscular strength, and body composition. Scandinavian Journal of Medicine & Science in Sports, 31(5), 10861095. https://doi.org/10.1111/sms.13918

    • Search Google Scholar
    • Export Citation
  • Preeti, Kalra, S., Yadav, J., & Pawaria, S. (2019). Effect of Pilates on lower limb strength, dynamic balance, agility and coordination skills in aspiring state level badminton players. Journal of Clinical and Diagnostic Research, 13(7), YC01YC06. https://doi.org/10.7860/jcdr/2019/41713.12978

    • Search Google Scholar
    • Export Citation
  • Prieske, O., Muehlbauer, T., Borde, R., Gube, M., Bruhn, S., Behm, D.G., & Granacher, U. (2016). Neuromuscular and athletic performance following core strength training in elite youth soccer: Role of instability. Scandinavian Journal of Medicine & Science in Sports, 26(1), 4856. https://doi.org/10.1111/sms.12403

    • Search Google Scholar
    • Export Citation
  • Prieske, O., Muehlbauer, T., & Granacher, U. (2016). The role of trunk muscle strength for physical fitness and athletic performance in trained individuals: A systematic review and meta-analysis. Sports Medicine, 46(3), 401419. https://doi.org/10.1007/s40279-015-0426-4

    • Search Google Scholar
    • Export Citation
  • Reed, C.A., Ford, K.R., Myer, G.D., & Hewett, T.E. (2012). The effects of isolated and integrated “core stability” training on athletic performance measures. Sports Medicine, 42(8), 697706. https://doi.org/10.1007/bf03262289

    • Search Google Scholar
    • Export Citation
  • Sato, K., & Mokha, M. (2009). Does core strength training influence running kinetics, lower-extremity stability, and 5000-m performance in runners? Journal of Strength and Conditioning Research, 23(1), 133140. https://doi.org/10.1519/jsc.0b013e31818eb0c5

    • Search Google Scholar
    • Export Citation
  • Sciascia, A., & Cromwell, R. (2012). Kinetic chain rehabilitation: A theoretical framework. Rehabilitation Research and Practice, 2012, 19. https://doi.org/10.1155/2012/853037

    • Search Google Scholar
    • Export Citation
  • Sever, O., & Zorba, E. (2018). Comparison of effect of static and dynamic core exercises on speed and agility performance in soccer players. Isokinetics and Exercise Science, 26(1), 2936. https://doi.org/10.3233/ies-171120

    • Search Google Scholar
    • Export Citation
  • Sharrock, C., Cropper, J., Mostad, J., Johnson, M.W., & Malone, T. (2011). A pilot study of core stability and athletic performance: Is there a relationship? International Journal of Sports Physical Therapy, 6(2), 6374.

    • Search Google Scholar
    • Export Citation
  • Shinkle, J., Nesser, T.W., Demchak, T.J., & McMannus, D.M. (2012). Effect of core strength on the measure of power in the extremities. Journal of Strength and Conditioning Research, 26(2), 373380. https://doi.org/10.1519/jsc.0b013e31822600e5

    • Search Google Scholar
    • Export Citation
  • Siff, M.C. (2000). Biomechanical foundations of strength and power training. In V.M. Zatsiorsky (Ed.), Biomechanics in sport (pp. 103139). Oxford. https://doi.org/10.1002/9780470693797.ch6

    • Search Google Scholar
    • Export Citation
  • Silfies, S.P., Ebaugh, D., Pontillo, M., & Butowicz, C.M. (2015). Critical review of the impact of core stability on upper extremity athletic injury and performance. Brazilian Journal of Physical Therapy, 19(5), 360368. https://doi.org/10.1590/bjpt-rbf.2014.0108

    • Search Google Scholar
    • Export Citation
  • Willardson, J.M. (2007). Core stability training: Applications to sports conditioning programs. The Journal of Strength and Conditioning Research, 21(3), 979985.

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    • Search Google Scholar
    • Export Citation
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