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    Core Stability Using a Swiss

    Ball

    Steve Fischer, MSc

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    Outline

    Current Swiss Ball Uses

    Swiss ball Claims

    Our StudyCurrent Research

    Evidence Based Conclusions

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    Shoulder Rolls

    With the Swiss ball under yourshoulders, roll 6 to 8 inches tothe left and right 10 timeseach. Work up to 2 sets.

    Back ArchWith the ball in the middle of yourback and your arms at your side,reach back and touch the ground.Hold that position for 10 seconds andslowly return to center. Do 5repetitions.

    Leg Extensions

    With the ball in the middle ofyour back, extend one legstraight out and hold for 5seconds. Use your arms for

    balance. Do 10 repetitions foreach foot, and work up to 2 sets.

    Back RaisesWith your stomach on the ball, lie

    face down with your hands on theground. Raise your shoulders andarch your back up as high as youcan, then slowly return. Do this10 times, and work up to 2 sets.

    http://www.jumpusa.com/swissexercises2.html

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    Sit-Backs

    Sit on the Swiss ball and slowlylean back, taking your feet off the

    ground. Use your arms for

    balance. Lean back as far as you

    can and hold it for 5 seconds. Do

    5 repetitions.

    Forward LeansWith your stomach on the Swiss

    ball, lean forward while bringing

    your legs up as high as you can

    off the ground. Lower your head

    and use your arms to balance. Do

    5 repetitions.

    Leg RaisesWith your stomach on the Swiss ball and your arms out for balance,

    raise one leg as high as you can and hold for 5 seconds. Do 10 for

    each leg.

    http://www.jumpusa.com/swissexercises2.html

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    Side-to-Side Leg Rolls

    In a push-up position with theSwiss ball under your legs, roll theball side to side. As you get to the

    right side, let your right foot comeoff the ball so only your left leg isrolling. As you come back, bringthe right foot back on. Repeat for

    left side. Do ten reps for each side,

    and work up to 3 sets.

    One-armed push-upsWith the Swiss ball under yourlegs, do 5 one-armed push-ups.You may have to squeeze the

    Swiss ball with your legs to getthe right position. Work up to 2sets for each arm.

    CrunchesPut your hands behind your headand tolt your shoulders and chest

    up to the center, to the left, and tothe right(shown). Do 10repetitions for each direction.

    Sideways CrunchesLie sideways and relax yourupper body. Bend your upper

    body toward the person(orcouch) and slowly return. Do 10

    repetitions for each side.

    http://www.jumpusa.com/swissexercises2.html

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    The exercise ball is effective in rehabilitation

    of the back because it helps strengthen and

    develop the core body muscles that help tostabilize the spine

    The instability of the exercise ball provides

    the body with constant opportunities toevaluate its orientation in space, developing

    and training the bodys natural awareness.

    Enhanced proprioception provides the body

    with increased balance and stability.

    (www.spine-health.com)

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    According to the researchers, although

    crunches on an exercise ball generated

    less activity in the obliques and rectus

    abdominus than some of the other

    exercises, the exercise also generated

    significantly less activity in the thighmuscle, making it more targeted to the

    abs and the best overall exercise.

    (www.acefitness.org)

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    80% of our population will experience

    some kind of back pain in their life.

    Now, using Gymnastic Balls, the badposture, poor body mechanics and

    inflexibility can be replaced with proper

    conditioning and balancing of trunkmusculature. Maintaining perfect

    posture with a ball is fun, exhilarating

    and effective. (bodytrends.com)

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    Fitness trainer Paul J Goodman argues that

    Swiss ball-based exercises are the key to

    effective improvements in trunk strength. Asactions performed on the ball involve greater

    stimulation of the neuromuscular system,

    users develop better balance, coordination

    and proprioception, Goodman says.These assertions are not backed up by any

    research references rather, they come from

    Goodmans experience working with clients

    using Swiss balls.

    (sportsinjurybulletin.com)

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    Anatomy Refresher

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    Scientific Evidence

    Drake J, Fischer, Brown SH, Callaghan JP (In Press).

    Do Exercise Balls Provide A Training Advantage For Trunk

    Extensor Exercises? A Biomechanical Evaluation.Journal of Manipulative and Physiological Therapeutics.

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    Purpose

    To examine the spine posture, spine loading,

    and trunk muscle activation for 3 common

    back extension exercises on both a stable

    (mat) and unstable (ball) surface.

    Hypothesis: The ball condition will illicit

    higher muscle activation and higher lumbarspine loading as compared to the mat

    condition.

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    Methods

    Participants:8 physically active (>3 times per week) malesMean age = 23.4 years (+/- 1.8 years)

    Mean height = 1.76 m (+/- 0.04 m)Mean Mass = 79.5 kg (+/- 7.5 kg)

    All participants were free of any back pain atleast for the preceding year.

    The protocol was approved by the Universityof Waterloos Research and Ethics ReviewBoard

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    Participant Setup

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    Statistics

    Two-way repeated measures analysis ofvariance (ANOVA) were used to test the effectsof exercises, and surface conditions for EMG,spine postures, and loading variables.

    A least squared means test was used to deciphersurface exercise interactions.

    In all tests, the 95% (p=0.05) level of confidencewas used for rejection of the null hypothesis.

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    Results:

    Muscle Co-contraction

    0

    20

    40

    60

    80

    100

    Back Extension Contralateral Single Leg

    Extension

    Reference

    Posture

    %Co-contraction

    Trunk Extensor Exercises

    A

    B

    MatBall

    Ref.B

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    Results: L4/L5 Joint

    Compression

    0

    1000

    2000

    3000

    4000

    5000

    6000 Mat

    Ball

    Ref.

    Single Leg

    ExtensionReference

    PostureBack Extension Contralateral

    Trunk Extensor Exercise

    L4/L5Joint Compression(N) B B

    C C

    A

    A

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    Results:

    L4/L5 Joint Shear

    -400

    -300

    -200

    -100

    0

    100

    200

    300

    400

    500

    L4/L5JointAPShear

    Trunk Extensor Exercise

    Back Extension Contralateral Single Leg

    Extension

    Reference

    Posture

    MatBallRef.

    A

    A

    B

    B

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    Conclusion

    For a young, healthy population, there

    appears to be no training advantage to

    using the exercise ball for the givenextension exercises.

    The reduced activation and decreased

    loading may however be well suited to

    rehabilitating populations unable to

    withstand higher loads.

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    Scientific EvidenceAnderson KG and Behm DG. 2004

    Behm DG et al. 2005

    Marshall PW et al. 2005Stanton R et al. 2004

    Tse MA et al. 2005

    Hildernbrand K and Noble L. 2004

    Mori A. 2004Vera Garcia FJ et al. 2000

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    Research Analysis

    Variables

    Author Spine Load Force Output EMG Function Tests

    Anderson KG and Behm DG. 2004 X YES YES X

    Behm DG et al. 2005 X X YES X

    Marshall PW et al. 2005 X X YES X

    Stanton R et al. 2004 X X X YES

    Hildernbrand K and Noble L. 2004 X X YES X

    Mori A. 2004 X X YES X

    Vera Garcia FJ et al. 2000 X X YES XDrake J et al. In Press YES X YES X

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    Research From the Rock

    Anderson & Behm 2004

    Examined Chest

    Press on ball

    Increased activation

    on ball

    Decreased maximum

    force output

    Behm et al. 2005

    Examined a series of

    core exercises

    Ball elicits higher

    muscle activation

    Superman elicits

    highest activation***

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    Marshall et al. 2005

    University of Auckland

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    Hildenbrand and Noble 2004

    Kansas State University

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    Vera-Garcia et al. 2000

    University of Waterloo Unstable surface

    caused increases inmuscle activity andactivation patterns

    Unstable surfaceprovides greaterdemand on the motor

    system, but may causehigh load demands onthe spine

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    Does Core Training on the Ball

    Increase Performance?

    Stanton et al. 2004

    Studies effects of 6

    week ball training

    program on running

    economy

    Core stability scores

    increasedNo increase in running

    performance

    Tse et al. 2005

    Studies effects of 8

    week ball training

    program on rowing

    performance

    Core stability scores

    increasedNo increase in rowing

    performance

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    Safety in Ball Use

    McGill (2002) discusses when and howto implement Swiss ball useRehabilitation should focus on establishing

    positive slope of improvement on stablesurfaces first!

    New users may not have the core stabilityor motor programming to effectively use a

    ball without assistanceDo not ignore increased spine load

    demands with Swiss ball use

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    Sitting on the Ball

    www.bodytrends.com/ballchar.htm

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    Bringing It All Together

    Ball Advantages

    Higher activation

    Greater recruitment

    of stabilizersProvides adequate

    training stimulus forrectus abdominus

    Ball Disadvantages

    Imposes higher loaddemands

    Increases need forpelvic stability

    Decreased ability toproduce max force

    No link to increasesin performance

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    Questions?