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Core-muscle training and neuromuscular control of the lower limb and trunk [with consumer summary]
Sasaki S, Tsuda E, Yamamoto Y, Maeda S, Kimura Y, Fujita Y, Ishibashi Y
Journal of Athletic Training 2019 Sep;54(9):959-969
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONTEXT: Comprehensive injury-prevention training (plyometric, agility, balance, and core-stability exercises) has been shown to decrease sport-related injury. The relationship between trunk control and sport-related injury has been emphasized; however, the isolated effects of core-muscle training are unclear. OBJECTIVE: To investigate the effect of a simple 8-week core-muscle-training program on the neuromuscular control of the lower limb and trunk during jump landing and single-legged squatting. DESIGN: Controlled laboratory study. SETTING: Laboratory. PATIENTS OR OTHER PARTICIPANTS: Seventeen female collegiate basketball players were randomly divided into training (n = 9; age 19.7 +/- 0.9 years) and control (n = 8; age 20.3 +/- 2.5 years) groups. INTERVENTION(S): The training group completed the core-muscle-training program in addition to daily practice, and the control group performed only daily practice. Kinematic and kinetic data during a drop-jump test and single-legged squat were acquired using a 3-dimensional motion-analysis system. MAIN OUTCOME MEASURE(S): Three-dimensional hip, knee, and trunk kinematics; knee kinetics; and isokinetic muscle strength were measured at the pretraining and posttraining phases. RESULTS: For the drop-jump test, the maximal trunk-flexion angle increased (p = 0.008), and peak knee-valgus moment (p = 0.008) decreased in the training group. For the single-legged squat, the peak trunk-flexion angle increased (p = 0.04), and the total amount of trunk lateral-inclination angle (p = 0.02) and peak knee-valgus moment (p = 0.008) decreased in the training group. We observed no changes in the control group. CONCLUSIONS: A consecutive 8-week core-muscle-training program improved lower limb and trunk biomechanics. These altered biomechanical patterns could be favorable to preventing sport-related injuries.

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