Mel
I have to agree with Jason that you have misunderstood the relevance of
the research in dynamic lumbar spine stability work. Like many people
you seem to think this has something to do with stability in gait and
standing, certainly the articles you quote to try and'confound' the core
stability work deal with stability in gait and standing. "Compensatory
stepping response" and "Change of support response" are not really that
relevant to 'core stability' research so to quote them in an attempt to
negate to 'core stability' concept seems unwise.
'Core stability' research deals with stability between segments of the
lumbar spine. Pathologies such as spondylolisthesis which involve local
dynamic instabilities in the lumbar spine have been shown to be very
treatable by training of the core stabilising muscles (I will chase
article for you published, I believe, in SPINE 1999).
Muscles such as Transversus Abdominus are positioned well to act as
stabilisers of the lumbar spine and research by Paul Hodges (published
again in SPINE - I will get you the exact references) show that the
majority of people with low back pain (that they tested) had a timing
dysfunction in Transversus which when corrected had a dramatic effect of
reduction in recurrence rates of low back pain (the holy grail of LBP
treatment).
So again to repeat Jason's question:
><< ps - where are those papers that show flaws/errors in the
>> studies on core stability? It would be interesting to read them. >>
If you have any papers that show flaws/errors in CORE STABILITY work I
would be genuinely interested to read them. The research in this area is
unrelated to the articles you quote - though I understand the source of
your confusion.
I would be particularly interested to read any papers you have which
argue that stabilisation takes place "in the absence of attachment or
influence from adjacent or more distal structures" (your quote).
It seems here that you are quoting people saying ridiculous things and
then, by criticising what they have said, hope to negate the whole area
of research. If there are people out there saying that stabilisation
takes place "in the absence of attachment or influence from adjacent or
more distal structures" please give a reference for such statements, I
would love to see them.
--
John Spencer
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