the relationship between core - hkbu
TRANSCRIPT
AN HONOURS PROJECT SUBMITTED IN PARTIAL FULFILMENT OF
THE REQUIREMENTS FOR THE DEGREE OF
BACHELOR OF ARTS
IN
PHYSICAL EDUCATION AND RECREATION MANAGEMENT (HONOURS)
HONG KONG BAPTIST UNIVERSITY
APRIL 2011
THE RELATIONSHIP BETWEEN CORE
MUSCLES FUNCTION AND PERFORMANCE IN
LONG DISTANCE RUNNERS
BY
GI KA MAN 08024529
2
HONG KONG BAPTIST UNIVERSITY
APRIL 2011
We hereby recommend that the Honors Project by Mr.
Gi Ka man entitled: “The relationship between core
muscles function and performance in long distance
runners” to be accepted in partial fulfillment of the
requirements for the Bachelor of Arts Honors Degree in
Physical Education and Recreation Management.
Dr. Tom Tong
Chief Advisor
Dr. Patrick Lau
Second Reader
Process Grade:
Product Grade:
Overall Grade:
3
ACKNOWLEDGEMENTS
I would like to take this opportunity to express
my sincere thanks to all people who had provided support
to my study. Foremost among them is my supervisor, Dr.
Tom Tong, whose valuable guidance and suggestions were
of great value to me. Besides, I must thank Professor
Chung, Head of the Department, for his encouragement
in my study. I would also like to thank my second reader,
Dr. Patrick Lau, for reviewing my project. Last but not
least, my heartfelt thanks go to all the runners
participated in this study, for their kind cooperation
and understanding.
Gi Ka Man
Department of Physical Education
Hong Kong Baptist University
4
ABSTRACT
The purpose of this study was to identify the
relationship between core muscles function and
performance in long distance runners. The participants
were 51 Hong Kong Chinese male long distance runners
with a mean age of 22.24 years (ranged from 16 to 36
years-old). The Modified Plank Test was used to examine
the core muscles function of participants. Their
performance in the Standard Chartered Hong Kong
Marathon 2011 – 10 km Race was recorded. The
relationships between the two Modified Plank Test
results and the results in the Standard Chartered Hong
Kong Marathon 2011 – 10 km Race were high and negative
(r ranged from -.60 to -.63, p < .01).The findings of
this study suggested that runners with better core
muscles function tended to have better running
performance in 10 km race.
5
TABLE OF CONTENTS
Page
ACKNOWLEDGEMENTS…………………………………………... 3
ABSTRACT…………………………………………...................... 4
TABLE OF CONTENTS………………………….………………... 5
LIST OF TABLES…………………………………………........... 8
LIST OF FIGURES…………………………………………........ 9
CHAPTER 1
INTRODUCTION…………………………………………............. 10
Background of Study…………………………………… 10
Statement of the Problems…………………………… 11
Purpose of the Study…………………………………… 12
Significance of the Study…………………………… 12
CHAPTER 2
REVIEW OF LITERATURE……………………………………… 13
Anatomy and Functions of Core Muscles…………… 13
Methods of Assessing Core Muscles
Function………………………………………….................. 17
The Role of Core Muscles in Sport-specific
Performance…………………………………………........... 23
Summary…………………………………………..................... 28
Research Hypothesis …………………………………… 29
6
Page
CHAPTER 3
METHODOLOGY…………………………………………............... 30
Participants……………………………………………... 30
Research Design…………………………………………... 31
Definition of Terms…………………………………… 32
Procedures………………………………………….............. 32
Test protocol…………………………………………........ 34
Delimitations…………………………………………….. 36
Assumptions…….………………………………………….. 37
Methods of Analysis…………………………………… 37
CHAPTER 4
ANALYSIS OF DATA……………………………...……………... 40
Results……………………………………………………..... 40
Discussion………………………………………….............. 53
Limitations………………………………………………... 57
CHAPTER 5
SUMMARY AND CONCLUSIONS………………………………... 58
Summary……………………………………..………………... 58
Conclusions………………………………………………... 59
Recommendations for Further Study……………… 59
7
Page
REFERENCES………………………………………….................. 61
APPENDIX…………………………………………...................... 70
A. Physical Activity Readiness
Questionnaire……………………………………….. 70
B. Written Inform Consent Form…………………… 71
C. Record Sheet………………………………………….... 74
D. Pictorial Illustration of the Modified
Plank Test………………………………………......... 75
CURRICULUM VITAE…………………………………………..... 78
8
LIST OF TABLES
Table Page
1. Demographic Information of the Participants
(N = 51) ……...…………………………………….............. 41
2. Summary of Intercorrelation for the Modified
Plank Test and Variables Related to Running
Performance (N = 51) ………………………………… 46
3. Comparison between the Junior Group (n = 21)
and the Senior Group (n = 30) ……………………. 50
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LIST OF FIGURES
Figure Page
1. Scatter plot for results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race
and results in the first trial of the Modified
Plank Test (N = 51)………………………………… 47
2. Scatter plot for results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race
and results in the second trial of the
Modified Plank Test (N = 51)……………………… 48
3. Modified Plank Test results (min) for the
Junior Group and the Senior Group…………… 51
10
CHAPTER 1
INTRODUCTION
Background of Study
Core muscles training was popular in the health and
fitness industry. Exercises that focused on the
training of abdominals, hip, and back muscles were
common in most strength and endurance workouts. It was
believed that stronger core muscles would contributed
to health-related and sport-related benefits. For
instance, it was found that strong core muscles improved
athletic performance and helped prevent injury (McGill,
2001; Olmsted, Carcia, Hertel, & Shultz, 2002).
Despite this strong belief, there was no concrete
evidence demonstrating the relationship between core
muscles function and sports performance. Further, there
was little information showing the role of core muscles
in endurance sports in a quantitative way. In running,
core muscles training was an important component in the
workout packages of many long distance runners. Apart
from running drills, core muscles training was commonly
incorporated into the training schedules. It was
believed that stronger core muscles were essential to
maintain optimal ground reaction forces and adequate
dynamic stability of the lower extremity which were both
important to long distance running (Sato & Mokha, 2009).
11
Based on these connections, a clearer understanding
about the role of core muscles in long distance running
would be desirable. Therefore, the purpose of this study
was to identify the relationship between core muscles
function and performance in long distance runners. With
the information provided in this study, the importance
of core muscles to running performance would be
identified. The coaches and athletes would be able to
revisit the contents of their training programs.
Statement of the Problems
Core muscle training was commonly applied in long
distance run training programs. However, whether core
muscles function was related to the performance of long
distance running was not well known. The problem of
the study was to evaluate the core muscles function
of Hong Kong Chinese male long distance runners by
conducting modified plank test. Included in this study
was an attempt to identify the relationship between
long distance runners’ core muscles function and their
self-reported results in their results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race.
12
Purpose of the Study
The purpose of this study was to examine the
relationship between core muscles function and
performance in long distance runners. This would
determine the importance of core muscles to long
distance running.
Significance of the Study
Developing core muscles was becoming a common
element in sports training. For long distance runners,
workouts for core muscles were usual in ordinary
training routines. However, scientific evidence of
supporting the emphasis on core muscles training was
limited. The relationship between core muscles function
and performance in running sports was not well
established. The focus of this study was to provide
information on the relationship between core muscles
function and performance in long distance runner. This
information provided coaches, runners, and
practitioners with a clearer picture about the role of
core muscles in overall performance in long distance
running. Based on the information obtained in this study,
the coaches, runners, and practitioners would gain more
insights in developing effective training plans.
13
CHAPTER 2
REVIEW OF LITERATURE
In this study, the objective of literature review
was to present previous studies which related to the
issues about core muscles functions. This chapter
included: (a) anatomy and functions of core muscles,
(b) methods of assessing core muscles function, (c) the
role of core muscles in sport-specific performance, (d)
summary, and (e) research hypotheses.
Anatomy and Functions of Core Muscles
Core muscles were an important muscle group to
human beings. Several models were published to describe
the musculature of the core (Hibbs, Thompson, French,
Wrigley, & Spears, 2008). This muscle group was the
muscles in the abdomen, pelvic floor, sides of the trunk,
back, buttocks, hip, and pelvis (Fahey, Insel, & Roth,
2007, p. 155). Major muscles included are the pelvic
floor muscles, transversus abdominis, multifidus,
external and internal obliques, rectus abdominis, and
erector spinae (sacrospinalis). Minor core muscles
included the latissimus dorsi, gluteus maximus, and
trapezius.
The anatomy and function of major muscles were
discussed in this section. Pelvic floor muscles
consisted of levator ani and coccygeus. They helped
14
support and maintain position of pelvic viscera
(Tortora, 2005, p. 324). Transversus abdominis was the
deepest muscle of the abdominal wall, its main function
was to compress abdominal contents (Marieb, 1998, p.
324). Multifidus was one of the deepest muscles of the
back, it functioned as an aid to extend the vertebral
column (Tortora, 2005, p. 354). External and internal
obliques were muscles of the abdominal wall. External
oblique located inferior to the serratus anterior
muscle (Tortora, 2005, p. 391) while the internal
oblique was the intermediate flat muscle (Tortora, 2005,
p. 317). Their function was to compress abdomen and flex
vertebral column (Tortora, 2005, p. 318). Rectus
abdominis referred to the medial superficial muscle
pair, it extended from the pubis to the rib cage. It
was ensheathed by aponeuroses of lateral muscles and
segmented by three reinforcing tendinous intersections
(Marieb, 1998, p. 324). It was a key muscle to flex and
rotate lumbar region of vertebral column (Marieb, 1998,
p. 324).
Erector spinae was also called sacrospinalis,
including iliocostalis, longissimus, and spinalis.
They formed the intermediate layer of intrinsic back
muscles and provided resistance that helped control
action of bending forward at the waist and acted as the
15
powerful extensors to promote return to erect position
(Marieb, 1998, p. 320).
The core muscles served important functions to
human movements. They acted as a bridge that helped
transfer force between the upper body and the lower body.
For instance, when hitting a forehand in tennis, most
of the force was transferred from the lower extremity,
through the core, to the arms (Fahey, Insel, & Roth,
2007).
Several studies demonstrated the role of core
muscles in preventing injury, especially back pain.
Strong core muscles stabilized the spine and reduced
unnecessary movement intersegmentally (Carter, Beam,
McMahan, Barr, & Brown, 2006). This helped decrease the
risk of back pain by promoting a reduction in tissue
strain, deformation, compression, and overstretching.
The benefits of strong core muscles were also mentioned
in another study (Willson, Dougherty, Ireland, & Davis,
2005). Core muscles were essential to the
musculoskeletal system. They maintained low back health
and prevented knee ligament injury.
More specifically, a study conducted by Richardson
et al. (2002) showed that strong transversus abdominis,
one of the major muscles of the core, reduced the
occurrence of low back pain. Whittaker (2004) explored
16
the relationship between pelvic floor muscles and low
back pain. It was found that better pelvic floor motor
control contributed to better back health and therefore
reduced the chance of having lumbopelvic dysfunction.
Reid and Mcnair (2000) identified the factors
contributing low back pain in rowers. It was suggested
that the fatigue of erector spinae muscles might incur
low back injury. Therefore, core muscles training were
recommended to rowers.
Based on the above, a clear relationship between
core muscles and body health was well established. This
explained the high popularity of core muscles training
in health and rehabilitation settings.
17
Methods of Assessing Core Muscles Function
Although core muscles performed important
functions, a standardized and well recognized method
of assessing core muscles function was yet to be
confirmed. This section reviewed some common methods
of examining core muscles function. A typical fitness
test for abdominal endurance was the Sit-up Test
(Pollock, Wilmore, & Fox, 1978). The starting position
was to have the participants assumed a supine position
on the exercise mat with the knees flexed, feet flat
on the floor. The arms crossed on the chest with the
hands placing on the opposite shoulders. The feet of
the participants were anchored by a test partner. On
the “Go” command, the participants curled to a sitting
position and touched the thighs with the elbows. Then
the participants curled back to the starting position.
The score was the number of sit-ups properly performed
in 1 minute. Although the Sit-up Test was easy to be
administered, McGill (1995) determined that the Sit-up
Test would stress compressive load to participants and
suggested that this test might trigger low back pain.
The Front Abdominal Power Test was developed by
Cowley and Swensen (2008). This test was adapted from
plyometric medicine ball training. The testing area was
a 10 m x 3 m space with no obstacles. An exercise mat
18
was placed on the floor parallel to the testing area.
The end of the exercise mat was aligned with a piece
of tape that was placed on the floor.
As for the starting position, the participants
were asked to lay with their back on the mat with arms
aside and feet shoulder width apart. They assumed a
supine position on the exercise mat with the knees at
90 degrees and the arms were put over their head. Further,
the tips of the feet were aligned with the end of the
exercise mat, with shoulders flexed, elbows and wrists
extended, hands supinated with left and right thumbs
touching. A 2-kg medicine ball was then placed on the
participants’ hands. They were instructed to cradle the
ball. The participants were asked to keep the shoulders,
elbows, and wrists locked in this position with the
medicine ball securely grasped in the hands.
The participants were then asked to execute an
explosive concentric contraction of the abdominal and
hip flexor muscles, while using the arms as a lever to
release the medicine ball. The score was the distance
between the landing point of the medicine ball and the
tip of the feet. Based on the study conducted by Cowley
and Swensen (2008), the Front Abdominal Power Test was
found to be a reliable test that could be used to examine
the power component of core muscles.
19
The Biering-Sorensen test (Biering-Sorenson, 1984)
was another method to assess lumbar extension, one of
the important functions of the core muscles. It was a
popular isometric measure of back muscle endurance.
Under the Biering-Sorensen test, the participants were
instructed to perform the “Biering-Sorensen position”
with the upper body cantilevered out over the end of
a test bench and with the pelvis, knees, and hips secured.
The upper body was held across the chest with the hands
placing on the opposite shoulders. The time in which
the participants were able to retain the
“Biering-Sorensen position” was recorded as the score.
Latimer, Maher, Refshauge, and Colaco (1999) suggested
that the Biering-Sorensen test was a reliable test to
measure back endurance which was able to identify back
health of individuals.
The V-sit Flexor Endurance Test was an alternative
to assess core muscles function (McGill, Belore, Crosby,
& Russell, 2010). The focus of this test was to measure
the endurance of the rectus abdominis and the oblique
muscles. To perform this test, the participants were
asked to hold a sit-up posture with the back lying on
a jig angled at 55 degrees from the floor. The knees
and hips of participants were flexed at 90 degrees. The
arms were crossed on the chest with the hands rested
20
on the opposite shoulders. The toes were secured under
toe straps. The test started by pulling the jig back
10 cm. The participants were asked to hold the isometric
posture for as long as possible. The score was the time
the proper position was maintained.
The Side Bridge Endurance Test was used to measure
isometric endurance of lateral flexors. This test was
development by McGill (2001). To perform the Side Bridge
Endurance Test, the participants were instructed to lie
in the full side-bridge position on the exercise mat.
Their legs are extended, with the top foot placing in
front of the lower foot for support. The body was
supported by one elbow and the feet while having the
hips off the exercise mat to form a straight line over
the body length. The free arm was held across the chest
with the hand placed on the opposite shoulder. The time
the participants were able to maintain the side bridge
position with hips and knees off the exercise mat was
recorded as the score. The reliability of Side Bridge
Endurance Test was demonstrated by Evans, Refshauge,
and Adams (2007).
The endurance of the flexors could be measured by
the Flexor Endurance Test (McGill, Belore, Crosby, &
Russell, 2010). The participants were instructed to lie
face down on the exercise mat with the body trunk
21
straight, elbows directly placed under the shoulders
and the hands together. The feet of participants were
placed close to each other to form a base. The test
administrator began the time as soon as the participants
were in the proper position and stopped the time when
the participants failed to maintain the rigid plank
position.
The Core Muscle Strength and Stability Test was
a simple field test to assess core muscle strength and
endurance (Mackenzie, 2005). This test contained a
protocol which required the participants to perform
different actions in a prescribed sequence. The test
started by having the participants in plank position
with elbows placing on the ground. The participants were
instructed to maintain this position for 60 seconds.
Then, the participants were asked to perform the
followings:
1. Lift the right arm off the ground and hold for 15
seconds
2. Return the right arm to the ground and lift the left
arm off the ground, hold for 15 seconds
3. Return the left arm to the ground and lift the right
leg off the ground, hold for 15 seconds
22
4. Return the right leg to the ground and lift the left
leg off the ground, hold for 15 seconds
5. Lift the left leg and right arm off the ground, hold
for 15 seconds
6. Return the left leg and right arm to the ground
7. Lift the right leg and left arm off the ground, hold
for 15 seconds
8. Return to the plank position and maintain the posture
for 30 seconds
The participants were regarded as having good core
muscles function if they were able to perform the whole
protocol. In this study, the Modified Plank Test was
used to examine the core muscles functions of
participants. The essence of this test came from the
Core Muscle Strength and Stability Test (Mackenzie,
2005). Participants were instructed to repeat the
sequences of the Core Muscle Strength and Stability Test
for as many as possible. Their performance was then
quantified by the time elapsed in proper forms.
23
The Role of Core Muscles in Sport-specific
Performance
The relationship between core muscles function and
sports performance was documented in several studies.
In general, most major muscles of the upper and lower
body attached with the core muscles. Strong core muscles
provided a stable platform, which allowed more powerful
and efficient movement of the limbs (Handzel, 2003).
Racket sports players or athletes who relied on other
implement to impart power required strong core muscles
to better themselves.
More specific relationship between core muscles
function and sports performance were illustrated in
numerous investigations. Abt et al. (2007) studied the
relationship between cycling mechanics and core
stability. It was suggested that although cycling was
mainly a sagittal plane activity, core muscles were
still an important physical quality to cyclists.
Strengthening core muscles could enhance the stability
of the foundation leverage from which the cyclist would
be able to produce more power.
The influence of core muscles training on
performance in female professional golfer was
investigated by Kim (2010). It was found that the female
professional golfers who receive a 12-week core muscles
24
training showed improvement in divers shot performance
while the control group did not demonstrate such changes.
These findings supported the value of core muscles
training in professional sports.
Another study outlined the relationship between
core muscles function and performance in professional,
college, high school, and youth baseball players
(Aguinaldo, Buttermore, & Chambers, 2007). It was
suggested that strong core muscles provided a basis for
powerful upper truck rotation which contributed to
better overhead throwing performance in baseball. The
performance of pitch in baseball also related to core
muscles. In the study of Stodden, Fleisig, McLean, Lyman,
and Andrews (2001), the role of trunk in pitching
performance was examined. It was found that five pelvis
and upper torso variables were associated with
variations in ball velocity among individual pitchers.
More trunk strengthening exercises were recommended to
pitchers.
The importance of core muscles function to elite
tennis players was also investigated (Ellenbecker &
Roetert, 2004). The evolution of strokes in the modern
tennis games increased the demands on trunk rotation
in elite tennis players. It was found that strong core
muscles enabled stable and powerful truck rotation
25
which was essential for elite tennis players to perform
powerful groundstroke.
A study conducted at the Indiana State University
(2009) established a relationship between core muscle
strength and performance among collegiate football
players. Those collegiate football players with better
performance in core muscles assessment, including back
extension, trunk flexion, and right and left side bridge,
performed better in the football skills tests.
However, the role of core muscles in sports
performance was not confirmed in all studies. The
relationship between core stability and performance in
football players was examined by Nesser, Huxel, Tincher,
and Okada (2008). It was found that there was no strong
relationship between core strength and football
performance variables (strength and power). The authors
suggested that improvement in core muscles function
would not contribute to better performance in football.
The significance of core muscles training was
questioned.
Tse, McManus, and Masters (2005) produced similar
results. It was revealed that participants who received
core muscles training and showed improvements in core
muscle endurance did not demonstrate improvements in
rowing-specific test (a 2000-m time trial on a rowing
26
ergometer). The relationship between training of core
muscles and improvements in physical performance tasks
in rowing was not supported.
The role of core muscles in distance running was
mentioned in different studies and sources. It was
believed that strengthening core muscles was important
for maintaining good running forms (Pierce, Murr, & Moss,
2007). For instance, strong erector spinae muscle
enabled runners to maintain the most efficient upright
running posture. For long distance runners, the
abdominals muscles were important as well. As suggested
by Bosch and Klomp (2005), the abdominals muscles
functioned as an elastic band cum a corset during running.
The abdominals muscles worked concentrically,
eccentrically, and statically so as to produce ideal
intermuscular coordination to maintain efficient
running form.
In the biomechanics aspect, strong core muscles
would also help running. Ground reaction force (GRF)
was refereed as the force exerted by the ground on the
runners (Bosch & Klomp, 2005). Research showed that
strong core muscles helped keep ground reaction forces
within an optimal range and therefore promote better
running economy (Sato & Mokha, 2009). Further, strong
core muscles improved dynamic stability of the lower
27
limbs. This helped keep vertical ground reaction forces
and horizontal ground reaction forces within an optimal
range and correspondingly maintain desirable running
efficiency.
However, the relationship between core muscles and
running performance was not firmly established. In the
study of Stanton, Reaburn, and Humphries (2004), the
male young runners who received a 6-week Swiss ball
training on core muscles did not show improvement in
neither running economy nor running posture.
Based on the studies stated above, the
relationship between core muscles function and sports
performance, especially in running performance, was not
well established. More research was needed to further
explore the importance of core muscles to running
performance.
28
Summary
The review of literature section identified
previous studies on core muscles function. Core muscles
involved several muscles in the abdominals, hip, and
back. These muscles are important to support posture,
transfer force, and coordinate muscular actions
(Handzel, 2003). Core muscles training was commonly
applied in the strength and conditioning workouts,
health and fitness activities, and rehabilitation
programs (McGill, 2001). However, there was no
consensus on the role of core muscles in sports
performance. Some studies showed relationship between
stronger core muscles and better athletic performance,
while some studies did not support such relationship.
With the increasing popularity of core muscles training,
there was a research gap to further explore the role
of core muscles in sports performance. Therefore, the
purpose of this study was to identify the relationship
between core muscles function and running performance
of Hong Kong Chinese male long distance runners. The
information provided in this study enabled the coaches
and athletes to evaluate the effectiveness of their
training programs.
29
Research Hypothesis
In this study, the following hypothesis was stated
as follows:
1. There would be a negative relationship between the
results in the Modified Plank Test and the time used
to complete the 10 km Race in the Standard Chartered
Hong Kong Marathon 2011 among Hong Kong Chinese male
long distance runners.
30
CHAPTER 3
METHODOLOGY
The aim of this study was to investigate the
relationship between core muscles function and
performance in long distance runners. This chapter
illustrated the methodology used in the study. The
sections of this chapter included: (a) participants,
(b) research design, (c) definition of terms, (d)
procedures, (e) test protocol, (f) delimitations, (g)
assumptions, and (h) methods of analysis.
Participants
Fifty one Hong Kong Chinese male long distance
runners volunteered for this study. Their ages ranged
from 16 to 36 years. They were recruited from cross
country teams and athletic teams of secondary schools
as well as community athletic clubs. Each participant
was asked to complete a physical activity readiness
questionnaire (Appendix A) and a written informed
consent form (Appendix B) prior to data collection. The
participants were all physically active individuals
with no history of having chronic diseases. They had
no injuries at the time of data collection.
As for their running background, all participants
were regular long distance runners with more than two
years experiences in this sport. They had been
31
participated in long distance races organized by the
Hong Kong Amateur Athletic Association and other sports
organizations. They had also competed in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race which
was held on 20 February 2011.
Research Design
This study was a correlational research which aimed
at identifying the relationship between core muscles
function and performance in Hong Kong Chinese male long
distance runners.
In this study, the Modified Plank Test was adopted
to assess the core muscles function of participants.
This test was modified from the Core Muscle Strength
and Stability Test. The Core Muscle Strength and
Stability Test was developed by Mackenzie (2005). It
was a one-cycle core muscles function test. The Modified
Plank Test turned the Modified Plank Test into a repeated
cycle exercise which required the participants to
perform as many as possible.
32
Definition of Terms
In this study, the following operational
definitions were used:
Core Muscles
The core muscles referred to the muscles in the
abdomen, pelvic floor, sides of the trunk, back,
buttocks, hip, and pelvis (Fahey, Insel, & Roth, 2007,
p. 155). A total of 29 muscles were attached to the core.
Long Distance Running
Long distance running referred to the races up to
and including distances of 10000 m (Hickey, 2006, p.
53).
Procedures
Data collection of this study was conducted from
February to April 2011. All tests were conducted by the
same test administrator. Each test session accommodated
one participant. Prior to data collection, each
participant was asked to complete a physical activity
readiness questionnaire (Appendix A) and a written
informed consent form (Appendix B). They were explained
about the potential risks of taking part in this study.
Afterwards, the participants were asked about their age,
running workout (average weekly training duration and
average weekly training distance), and results in the
Standard Chartered Hong Kong Marathon 2011 – 10 km Race.
33
After answering the questions above, participants
were instructed to remove their shoes to measure body
weight and body height. The body weight of participants
was measured by a digital scale with an accuracy of +
0.1 kg. Standing height was measured to the nearest 0.1
cm with the use of a commercial stadiometer. The
participants were instructed to stand in an erect
posture with heels together and looking forward. Body
Mass Index (BMI) was calculated by dividing weight (kg)
by height (m2).
Before performing the Modified Plank Test, a
ten-minute warm up session was given to each participant.
The participants performed some low intensity movements
and stretching exercises under the supervision of the
test administrator. The main objectives of the warm up
were to increase participant’s body temperature
slightly above resting level and to reduce the chance
of injury.
Following the warm up session, the test
administrator demonstrated the sequences of the
Modified Plank Test to the participants. A practice
trial was given to each participant. Afterwards, the
participants were instructed to perform the first test
trial. The participants were asked to perform Sequence
1 through Sequence 8 of the Modified Plank Test. The
34
test administrator started counting the time once the
participants performed Sequence 1. If the participants
were able to finish Sequence 1 to Sequence 8, they would
be instructed to perform Sequence 2 to Sequence 8
repeatedly until exhaustion or failing to maintain
proper forms for 3 times. The test results were the total
time the participants getting in the sequences with
proper forms.
A 30-minute rest would be assigned after the first
test trial. The second test trial was conducted after
the rest. The procedures and arrangement were identical
to the first test trial. All test results were recorded
in the record sheet (Appendix C).
A 10-minute cool down session was arranged after
the test. The participants were asked to do some
stretching exercises. The whole test session lasted for
around 120 minutes. The participants were informed that
they were allowed to withdraw from the test with any
reasons.
Test Protocol
In this study, the Modified Plank Test was adopted
to assess the core muscles function of participants.
The origin of this test came from the Core Muscle
Strength and Stability Test, which was developed by
Mackenzie, an England athletic coach, in 2005. The Core
35
Muscle Strength and Stability Test was a one-cycle core
muscles function test. The Modified Plank Test was
applied as a repeated cycle exercise test until
exhaustion or failure of attaining prescribed criteria.
The Modified Plank Test started by asking the
participants to hold a basic prone bridge position using
toes and forearms for support. The feet were placed
shoulder width apart while the upper body rested on the
elbows and forearms. Each arm formed a 90-degree angle
(upper arm to lower arm) and kept shoulder width apart.
The shoulders, hips, and ankles formed a straight line.
The components and sequences (Sequence 1 to
Sequence 8) of the Modified Plank Test were listed as
follows (Pictorial illustration of the Modified Plank
Test was provided in Appendix D):
1. Maintain the basic plank position for 60 seconds
2. Lift the right arm and hold this position for 15
seconds
3. Resume the right arm and lift the left arm, hold this
position for 15 seconds
4. Resume the left arm and lift the right leg, hold this
position for 15 seconds
5. Resume the right leg and lift the left leg; hold this
position for 15 seconds
36
6. Lift the left leg and the right arm simultaneously,
hold this position for 15 seconds
7. Resume the left leg and the right arm, lift both right
leg and left arm, hold this position for 15 seconds
8. Return to the basic plank position and hold this
position for 30 seconds
If the participants were able to complete Sequence
1 to Sequence 8 with proper forms, they would be
instructed to perform Sequence 2 to Sequence 8
repeatedly until they failed to attain the prescribed
criteria for 3 times or they fell on the exercise mat.
The test results were the total time the participants
getting in the sequences with proper forms.
Delimitations
The delimitations of this study were as follows:
1. Fifty one Hong Kong Chinese male long distance
runners aged from 16 to 36 years participated in this
study.
2. As for the recruitment of participants, this study
adopted the convenience sampling method.
3. The Modified Plank Test was used to examine the core
muscles function of participants.
37
4. The running background of the participants were
reflected by their average weekly training duration,
average weekly training distance, and their results
in the Standard Chartered Hong Kong Marathon 2011 –
10 km Race.
5. The study was conducted for a period of three months,
from February to April, 2011.
Assumptions
The assumptions of this study were as follows:
1. The participants understood the instructions of the
Modified Plank Test.
2. The participants performed their best in the
Modified Plank Test.
3. The participants’ self-reported results in the
Standard Chartered Hong Kong Marathon 2011 – 10 km
Race were accurate. In order to ensure accuracy,
the test administrator countered check the results
of the participants on the official website of the
Race (Standard Chartered Hong Kong Marathon, 2011).
Methods of Analysis
The data obtained in this study was entered into
the Statistical Package for Social Science (version,
16.0) (SPSS, SPSS INC., Chicago, IL, USA) file for data
analysis. The levels of significance were set at .05.
The variables included participants’ age, body weight,
38
body height, body mass index, average weekly training
duration, average weekly training distance, results in
the Standard Chartered Hong Kong Marathon 2011 – 10 km
Race, and performance in the Modified Plank Test (Two
test trials).
Pearson product-moment correlation was employed
for the relationship between the Modified Plank Test
data and 10 k race results. The coefficient of
determination was used to show the common variance
between modified plank test data and 10 k results. The
reliability of the Modified Plank Test was assessed by
the intraclass correlation coefficient. For
statistical purpose, the following null hypothesis was
stated as follows:
1. There would be no relationship between the results
in the Modified Plank Test and the time used to
complete the 10 km Race in the Standard Chartered
Hong Kong Marathon 2011 among Hong Kong Chinese male
long distance runners.
39
Further, the participants (N = 51) were divided into
2 groups, the Junior Group (n = 21) of 19-years-old or
below and the Senior Group (n = 30) of 20-years-old or
above. This arrangement was in line with the divisioning
mechanism suggested by the Hong Kong Amateur Athletic
Association (2011). T-test for independent groups was
conducted to compare their performance in the Modified
Plank Test and results in the Standard Chartered Hong
Kong Marathon 2011 – 10 km Race to depict the performance
of Hong Kong long distance runners.
40
CHAPTER 4
ANALYSIS OF DATA
The purpose of this study was to examine the
relationship between core muscles function and
performance in Hong Kong Chinese male long distance
runners. This chapter presented the results of the data
analysis and the testing of hypotheses. Discussion on
the results was also included.
Results
Characteristics of the Participants
A total of 51 Hong Kong Chinese male long distance
runners participated in this study. Their physical
characteristics, running background, and results of the
Modified Plank Test were presented in Table 1. Overall,
the participants were intermediate long distance
runners, with 69% (n = 35) averaged 8 km or more per
week, and 49 % (n = 25) covered 40 km or more per week.
41
Table 1
Demographic Information of the Participants (N = 51)
Minimum Maximum M SD
Age 16.00 36.00 22.24 5.24
H (m) 1.55 1.81 1.71 0.06
W (kg) 47.63 77.11 62.65 6.79
BMI (kg / m2) 16.59 32.10 21.33 2.32
D(hr) 4.00 18.00 8.59 3.60
DS(km) 10.00 100.00 39.12 23.51
R(min) 33.20 69.90 45.15 10.22
P1 (min) 1.05 8.08 2.90 1.29
P2 (min) 1.47 9.00 3.27 1.59
Note. H = Body height; W = Body weight; BMI = Body mass
index; D = Average weekly training duration; DS = Average
weekly training distance; R = Results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race; P1 =
Results in the first trial of the Modified Plank Test;
P2 = Results in the second trial of the Modified Plank
Test.
42
Reliability of the Modified Plank Test
The reliability of the Modified Plank Test was
examined using the intraclass correlation coefficient.
In this study, the R value of .87 demonstrated a high
reliability of the Modified Plank Test (Nunnally &
Bernstein, 1994).
Relationships among Variables
Pearson correlation coefficients were calculated
as measures of association between core muscles
function and performance of long distance runners.
Correlation among results of the Modified Plank Test,
running background, and running performance was given
in Table 2. A number of significant correlations were
shown. Age was found to have weak and positive
relationships with the two Modified Plank Rest results
(r ranged from .39 to .48, p < .01). Elder participants
tended to have better performance in the Modified Plank
Test. Further, low and a weak and negative relationship
was also reveled between age and results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race. Elder
runners most likely had better performance in the
Standard Chartered Hong Kong Marathon 2011 – 10 km Race.
43
The two Modified Plank Test results both showed a
high negative relationship (r ranged from -.60 to -.63,
p < .01) with results in the Standard Chartered Hong
Kong Marathon 2011 – 10 km Race. The r2 values for the
first trial and second trial of the Modified Plank Test
were .36 and .40 respectively. This revealed that 36%
to 40% of the variability in the Modified Plank Test
scores was associated with 10K running performance.
Runners with better results in the Standard Chartered
Hong Kong Marathon 2011 – 10 km Race tended to have better
performance in the Modified Plank Test.
The relationships among the Modified Plank Test
scores, average weekly training duration and average
weekly training distance were found to be significant.
There were moderate positive relationships between the
first trial of the Modified Plank Test and average weekly
training duration (r = .57, p < .01), as well as average
weekly training distance (r = .58, p < .01). These
translated to the r2 values of .32 and .34 respectively,
demonstrating that 32% and 34% of variance could be
explained. High positive relationships were observed
between the second trial of the Modified Plank Test and
average weekly training duration (r = .66, p < .01),
as well as average weekly training distance (r = .65,
p < .01). The corresponding r2 values were .44 and .42,
44
meaning that 44% and 42% of variance could be explained.
These results suggested that more frequent running
training related to better performance in the Modified
Plank Test.
As expected, very high relationships were observed
between training frequency and running performance. The
relationship between results in the Standard Chartered
Hong Kong Marathon 2011 – 10 km Race and average weekly
training duration was strong and negative (r = -.84,
p < .01), with r2 value of .71, meaning that 71% of the
variability in the running performance was associated
with training duration. Similar results were found
between results in the Standard Chartered Hong Kong
Marathon 2011 – 10 km Race and average weekly training
distance. A strong and negative relationship (r = -.87,
p < .01) and r2 value of .76 were observed. This suggested
that 76% of the variability in the running performance
was associated with training distance. These results
showed that more frequent training related to better
running performance.
45
To further confirm the significance of the
correlation coefficient, degrees of freedom were
considered. In the calculation of r values for the
Modified Plank Test and variables related to running
performance, the degrees of freedom were N – 2 = 49.
By reviewing the Critical Values for the correlation
coefficient table, it was concluded that all the
correlations mentioned above were significant at
the .01 level (Miller, 2010).
46
Table 2
Summary of Intercorrelation for the Modified Plank Test
and Variables Related to Running Performance (N = 51)
1 2 3 4 5 6
1. Age - .48** .39** -.37** .12 .25
2. P1 (min) - .92** -.60** .57** .58**
3. P2 (min) - -.63** .66** .65**
4. R (min) - -.84** -.87**
5. D (hr) - .93**
6. DS(km) -
Note. P1 = Results in the first trial of the Modified
Plank Test; P2 = Results in the second trial of the
Modified Plank Test; R = Results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race; D =
Average weekly training duration; DS = Average weekly
training distance.
*p < .05. **p < .01.
47
Further, two scatter plots in Figure 1 and 2 were
given to further illustrate the relationship between
core muscles function (results of the Modified Plank
Test) and running performance (results of the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race) of
participants.
Figure 1. Scatter plot for results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race and
results in the first trial of the Modified Plank Test
(N = 51). R = Results in the Standard Chartered Hong
Kong Marathon 2011 – 10 km Race; P1 = Results in the
first trial of the Modified Plank Test.
48
Figure 2. Scatter plot for results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race and
results in the second trial of the Modified Plank Test
(N = 51). R = Results in the Standard Chartered Hong
Kong Marathon 2011 – 10 km Race; P2 = Results in the
seond trial of the Modified Plank Test.
49
Group Difference Analysis
A series of independent sample t tests were
conducted to determine the differences between the
Junior Group (n = 21, age ranged from 16 to 19 years-old)
and the Senior Group (n = 30, age ranged from 20 to 36
years-old). The rationale of grouping followed the
divisioning mechanism suggested by the Hong Kong
Amateur Athletic Association (2011). The comparison
between the Junior Group and the Senior Group was
presented in Table 3. Significant difference was
observed in the Modified Plank Test results between the
Junior Group and the Senior Group, with t values of -2.71
(df = 49, p < .01) and -2.07 (df = 49, p < .05) for the
first and second trials respectively. Figure 3 depicted
the differences between the two groups in the Modified
Plank Test.
50
Table 3
Comparison between the Junior Group (n = 21) and the
Senior Group (n = 30)
Junior Group Senior Group
M (SD) M (SD) t
Age 17.48 (1.21) 25.57 (4.30) -8.38**
H (m) 1.69 (0.06) 1.73 (0.05) -2.12*
W (kg) 58.49 (6.55) 65.56 (5.35) -4.23**
BMI (kg / m2) 20.33 (1.70) 22.03 (2.46) -2.74**
D (hr) 8.48 (4.13) 8.67 (3.25) -0.18
DS (km) 35.48 (24.59) 41.67 (22.79) -0.92
R (min) 48.00 (10.23) 43.16 (9.89) 1.70
P1 (min) 2.35 (1.07) 3.29 (1.30) -2.71**
P2 (min) 2.74 (1.26) 3.64 (1.70) -2.07*
Note. H = Body height; W = Body weight; BMI = Body mass
index; D = Average weekly training duration; DS = Average
weekly training distance; R = Results in the Standard
Chartered Hong Kong Marathon 2011 – 10 km Race; P1 =
Results in the first trial of the Modified Plank Test;
P2 = Results in the second trial of the Modified Plank
Test.
*p < .05. **p < .01.
51
Figure 3. Modified Plank Test results (min) for the
Junior Group and the Senior Group. P1 = Results in the
first trial of the Modified Plank Test; P2 = Results
in the second trial of the Modified Plank Test.
0.000.501.001.502.00
2.503.003.504.00
P1 P2
JuniorSenior
52
Analysis to Research Hypothesis
The results of this study supported the
hypothesized relationship between core muscles
function and performance in Hong Kong Chinese male long
distance runners. This section showed the results with
respect to the research hypothesis:
1. There would be a negative relationship between the
results in the Modified Plank Test and the time used
to complete the 10 km Race in the Standard Chartered
Hong Kong Marathon 2011 among Hong Kong Chinese male
long distance runners.
In this study, a high and negative relationship was
found between the results in the first trial and the
second trial of the Modified Plank Test and the time
used to complete the 10 km Race in the Standard Chartered
Hong Kong Marathon 2011. Therefore, hypothesis one was
substantiated.
53
Discussion
The purpose of this study was to identify the
relationship between core muscles function and running
performance in Hong Kong Chinese male long distance
runners. It appeared that the relationship was
established. This study suggested that long distance
runners with better core muscles function most likely
had better performance in 10 km race.
Similar findings were reported in previous studies.
Core muscles training was shown to improve 5000 m running
performance in runners (Sato & Mokha 2009). Running
involved a series of unilateral hip flexion and
extension movements which placed considerable
destabilizing torques on the trunk (Schache, Bennell,
Blanch, & Wrigley, 1999). Ferber (2010) suggested that
core muscles training was common to runners. Sufficient
core muscles training contributed to a positive effect
to running performance. Behm, Cappa, and Power (2009)
stressed that strong core musculature help runners
attaining optimal performance and maintaining
musculoskeletal trunk health.
The relationship between core muscles function and
sport performance found in this study was in line with
previous studies. Roetert (2001) suggested that core
muscles function was essential for good performance in
54
almost all sports. Strong hip and truck muscles assisted
the athletes to produce better sporting movements.
Kibler, Press, and Sciascia (2006) commended that core
muscles group as a pivotal part in normal three-planar
motions which were common in most sports activities.
Stronger core muscles provided a basis for greater force
production in the upper and lower body (McCurdy,
Langford, Doscher, Wiley, & Mallard, 2005; Willardson,
2007). McGill (2010) also supported the role of strong
core muscles in maximizing sports performance.
Specifically, core muscles were important to different
athletic performances such as pitching speed and
accuracy (Marsh, Richard, Williams, & Lynch, 2004),
golf club head speed (Thompson, Cobb, & Blackwell, 2007),
and tennis (Ellenbecker & Roetert, 2004).
The results of this study on the correlation between
core muscles function and performance in long distance
runners were promising. The findings confirmed the role
of core muscles in long distance running. This provided
more evidence to support the existence of core muscles
training in runners’ workouts.
Besides the relationship core muscles function and
55
running performance, the results obtained in this study
also supported the relationship between training
frequency and running performance. Frequency and
duration of running were the key factors to running
performance (Pierce, Murr, Moss, 2007). Despite
muscular strength and endurance training on the core
muscles group, well planned running drills were also
essential for good running performance.
Group difference in the Modified Plank Test was
observed in this study. Elder participants tend to
performed better than their younger counterparts in the
Modified Plank Test. The difference in level of maturity
might explain this age difference.
Besides, such difference might be explained by the
less emphasis on core muscles training for young runners.
In this study, the participants of the Junior Group were
mainly members of the athletics teams and cross country
teams in secondary schools. In Hong Kong, the focus of
running training in secondary schools lied on running
frequency and duration. The supplement of muscular
strength and endurance training was not emphasized.
According to the findings of this study, it was advised
that more core exercises could be arranged for junior
runners. This study outlined the relationships among
age, training, and running performance. Other studies
56
were recommended to further explore the causal
relationships among theses variables.
Based on the results of this study, it was found
that the Modified Plank Test was a reliable assessment
tool to examine core muscles function. The Modified
Plank Test originated from the Core Muscle Strength and
Stability Test which was developed by Mackenzie (2005).
The Modified Plank Test turned a single-cycle Core
Muscle Strength and Stability Test into a repeated
exercise test. In the Modified Plank Test, the
participants were instructed to perform as many
sequences as possible with proper forms. The score was
the time in which the participants performed proper
sequences and forms. The Modified Plank Test was easy
to administer which only required an exercise mat,
stopwatch, and limited testing space. Based on the
reliability results found in this study, it was valuable
to further investigate the validity of Modified Plank
Test to confirm the application of this test to examine
individual core muscles function.
57
Limitations
This study provided a clearer picture about the
relationship between core muscles function and
performance in Hong Kong Chinese male long distance
runners. However, some limitations in this study were
identified as follows:
1. The adoption of convenience sampling method
necessitated caution in the generalization of data
to a larger population.
2. The test performance of participants in the Modified
Plank Test might be affected by other reasons such
as their motivation, emotional status, or attention
span.
3. The results of this study were limited to the
validity and reliability of the Modified Plank Test.
58
CHAPTER 5
SUMMARY AND CONCLUSIONS
Summary
Many long distance runners regarded core muscles
training as a part of their training modules. Numerous
core endurance and strength exercises were introduced
in different health, fitness, and sports settings. This
study attempted to identify the relationship between
core muscles function and performance in Hong Kong
Chinese male long distance runners. To this end, a total
of 51 long distance runners participated in this study.
The training schedules and running performance of
participants were recorded. All participants performed
the Modified Plank Test to examine their core muscles
function. The data for this study was collected from
February to April 2011.
The data analysis showed the following major
findings:
1. The Modified Plank Test results related to the
results in the Standard Chartered Hong Kong Marathon
2011 – 10 km Race.
2. Group differences in the Modified Plank Test results
were found.
3. The Modified Plank Test demonstrated high
reliability.
59
Conclusions
Findings of this study depicted the relationship
between core muscles function and performance in long
distance running. The following conclusions were
warranted in this study:
1. Male long distance runners with stronger core muscles
most likely had better performance in 10 k race.
2. Elder runners demonstrated better core muscles
function than younger runners.
3. The Modified plank Test was a reliable tool to examine
core muscles function.
Recommendations for Further Study
The following recommendations were made for
further research in the aspect of core muscles function:
1. The sample of this study was limited to male long
distance runners. The results of this study might
not be able to illustrate the relationship between
core function and performance in female runners due
to anatomical and physiological differences.
Therefore, this study could be replicated using both
male and female participants.
60
2. The core muscles function was assessed solely by the
Modified Plank Test in this study. Due to the
multi-facets of core muscles, more assessments were
recommended to evaluate participants’ core muscles
function in future study.
3. Another investigation could be conducted to examine
the causal relationship between core muscles
function and running performance.
61
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APPENDIX A
Physical Activity Readiness Questionnaire (PAR-Q)
Source: Public Health Agency of Canada and the Canadian
Society for Exercise Physiology (2002)
71
APPENDIX B
Written Informed Consent Form
Purpose and Explanation of the Test You will perform the Modified Plank Test on the exercise
mat. The aim of the Modified Plank Test is to assess
your core muscles function. The Modified Plank Test
started by asking you to hold a basic prone bridge
position using toes and forearms for support.
The components and sequences (Sequence 1 to Sequence
8) of the Modified Plank Test were listed as follows:
1. Maintain the basic plank position for 60 seconds
2. Lift the right arm and hold this position for 15
seconds
3. Resume the right arm and lift the left arm, hold this
position for 15 seconds
4. Resume the left arm and lift the right leg, hold this
position for 15 seconds
5. Resume the right leg and lift the left leg; hold this
position for 15 seconds
6. Lift the left leg and the right arm simultaneously,
hold this position for 15 seconds
7. Resume the left leg and the right arm, lift both right
leg and left arm, hold this position for 15 seconds
8. Return to the basic plank position and hold this
position for 30 seconds
72
If you are able to complete Sequence 1 to Sequence 8
with proper forms, you would perform Sequence 2 to
Sequence 8 repeatedly until you fail to attain the
prescribed criteria for 3 times or you fell on the
exercise mat.
Attendant Risks and Discomforts
During the tests, certain changes may occur. These
changes include abnormal blood pressure responses,
fainting, irregularities in heart beat, and heart
attack. Every effort is made to minimize these
occurrences. Emergency equipment and trained personnel
are available to deal with these situations if they
occur.
Benefits to be expected from the Test
The tests allow us to examine your core muscles function
and to assess your physical fitness status. The results
are used to prescribe a safe, sound exercise program
for you. Records are kept strictly confidential unless
you consent to release this information.
Inquiries
Any questions about the test procedures and the results
of your test are encouraged. If you have any questions
or concerns, please ask the test administrator to
explain further.
73
Freedom of Consent
I hereby consent to voluntarily engage in the Modified
Plank Test to determine my core muscles function. My
permission to perform this test is given voluntarily.
I understand I am free to stop the test at any point
if I so desire.
I have read this form, and I understand the test
procedures that I will perform and the attendant risks
and discomfort. Knowing these risks and discomforts,
and having an opportunity to ask questions that have
been answered to my satisfaction, I consent to
participate in this test.
Date:
Signature of
Participant:
Date:
Signature of
Witness:
Source: modified from American College of Sports
Medicine (2010, p. 56-57)
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APPENDIX C
Record Sheet
Participant ID: __________
Test Date: (yy) (mm) (dd)
Background information
Name:
Date of Birth: (yy) (mm) (dd)
Height: m
Weight: kg
BMI: kg / m2
Running background and performance
Average weekly training distance: hr
Average weekly training distance: km
Results in the Standard Chartered
Hong Kong Marathon 2011 – 10 km Race: min
Performance in the Modified Plank Test
First trial: min
Second trial: min
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APPENDIX D
Pictorial Illustration of the Modified Plank Test
Sequence Description
1 Maintain the basic plank position for 60
seconds
2 Lift the right arm and hold this position
for 15 seconds
3 Resume the right arm and lift the left arm,
hold this position for 15 seconds
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Sequence Description
4 Resume the left arm and lift the right leg,
hold this position for 15 seconds
5 Resume the right leg and lift the left leg;
hold this position for 15 seconds
6 Lift the left leg and the right arm
simultaneously, hold this position for 15
seconds
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Sequence Description
7 Resume the left leg and the right arm, lift
both right leg and left arm, hold this
position for 15 seconds
8 Return to the basic plank position and hold
this position for 30 seconds
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CURRICULUM VITAE
Biographical items on the author of the dissertation,
Mr. Gi Ka Man:
1) Studied the Sport and Recreation Studies, Associate
Degree Program, from 2006 to 2008 at Hong Kong Baptist
University.
2) Studied the Physical Education and Recreation
management Program, Bachelor of Arts (Honours), at
Hong Kong Baptist University from 2006 to present.
April 2011