Is lumbopelvic motor control associated with dynamic stability during gait, strength, and endurance of core musculatures?: The STROBE study

Abstract

Core stability has been described as the product of motor control and muscular capacity of the lumbopelvic-hip complex. Because of the wide range of functions of the lumbopelvic-hip complex, the gold standard for evaluating core stability remains controversial. The Sahrmann core stability test (SCST), used in conjunction with the stabilizer pressure biofeedback unit (PBU), is widely applied to objectively evaluate core stability as this pertains lumbopelvic motor control. However, the association between such control and other elements of core stability including core strength, endurance, and dynamic stability during gait has not been well-studied. We investigated the relationships among the ability to control the lumbopelvic complex, core strength and endurance, and gait parameters. We compared lateral core endurance, hip strengths, and gait parameters (lateral oscillation of the center of mass (COM), the single support time, and the peak ground reaction force) between good and poor core stability groups, as determined by the SCST. In addition, logistic regression analysis was used to determine whether other core stability measures correlated with the core stability status defined by the SCST. Only lateral oscillation of the COM during walking differed significantly between the good and poor core stability groups and was a significant predictor of SCST core stability status. Lumbopelvic motor control, (as defined by the SCST), affects dynamic stability during gait, but not to the strength or endurance of the core musculatures.Abbreviations: BMI = body mass index, BW = body weight, COM = center of mass, GRF = ground reaction force, PBU = pressure biofeedback unit, SCST = Sahrmann core stability test, VAS = visual analog scale.