The Short-Term Effect of Kettlebell Swings on Lumbopelvic Pressure Pain Thresholds: A Randomized Controlled Trial

Keilman, B.; Hanney, William J.; Kolber, Morey J.; Pabian, Patrick; Salamh, Paul A.; Rothschild, Carey E.; Liu, Xinliang

doi:10.1519/jsc.0000000000001743

Cited by 11 publications

(5 citation statements)

References 34 publications

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“…Training style/technique was unclear or not reported in 21 studies (43%). Three studies were given 2 category allocations [57–59] and 3 were uncategorised, deemed incompatible for synthesis [60–62].…”

Section: Resultsmentioning

confidence: 99%

“…Three publications (Table 7) were not categorised as the outcomes were unique and incompatible for synthesis. Small effect size reductions in pain pressure threshold (PPT) have been reported in lumbar and hip musculature following a Tabata-inspired (2:1) work:rest ratio, using a low-load, load-volume protocol [60]. A bilateral kettlebell carry was shown to be highly predictive of stretcher carry performance among Australian Army soldiers [61] with lean leg mass determined to be the most influential physical characteristic [62].…”

Section: Resultsmentioning

confidence: 99%

“…Consistent with temporal and kinetic data [78], no significant difference in countermovement jump performance [82] suggests that kettlebell swings are unlikely to provide any meaningful benefit to jump performance. Change in pain pressure threshold may be used in clinical practice, however there is no suggestion that this phenomenon would be unique to a kettlebell swing, or that change in pain pressure threshold following kettlebell swings [60] has a clinically meaningful effect. Loaded carries are also not unique to kettlebells, so the utility of carry data for clinical practice in relation to the specific prescription of kettlebell exercises remains limited [61, 62].…”

Section: Discussionmentioning

confidence: 99%

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Kettlebell training in clinical practice: a scoping review

Meigh

Keogh

Schram

et al. 2019

BMC Sports Sci Med Rehabil

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Background A scoping review of scientific literature on the effects of kettlebell training. There are no authoritative guidelines or recommendations for using kettlebells within a primary care setting. Our review objectives were to identify the extent, range and nature of the available evidence, to report on the types of evidence currently available to inform clinical practice, to synthesise key concepts, and identify gaps in the research knowledge base. Methods Following the PRISMA-ScR Checklist, we conducted a search of 10 electronic databases from inception to 1 February 2019. There were no exclusions in searching for publications. A single reviewer screened the literature and abstracted data from relevant publications. Articles were grouped and charted by concepts and themes relevant to primary care, and narratively synthesised. Effect sizes from longitudinal studies were identified or calculated, and randomised controlled trials assessed for methodological quality. Results Eight hundred and twenty-nine records were identified to 1 February 2019. Four hundred and ninety-six were screened and 170 assessed for eligibility. Ninety-nine publications met the inclusion criteria. Effect sizes were typically trivial to small. One trial used a pragmatic hardstyle training program among healthy college-age participants. Two trials reported the effects of kettlebell training in clinical conditions. Thirty-three studies explicitly used ‘hardstyle’ techniques and 4 investigated kettlebell sport. Also included were 6 reviews, 22 clinical/expert opinions and 3 case reports of injury. Two reviewers independently evaluated studies using a modified Downs & Black checklist. Conclusions A small number of longitudinal studies, which are largely underpowered and of low methodological quality, provide the evidence-informed therapist with little guidance to inform the therapeutic prescription of kettlebells within primary care. Confidence in reported effects is low to very low. The strength of recommendation for kettlebell training improving measures of physical function is weak, based on the current body of literature. Further research on reported effects is warranted, with inclusion of clinical populations and investigations of musculoskeletal conditions common to primary care. There is a need for an externally valid, standardised approach to the training and testing of kettlebell interventions, which better informs the therapeutic use of kettlebells in primary care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Kettlebell training in clinical practice: a scoping review

Meigh

Keogh

Schram

et al. 2019

BMC Sports Sci Med Rehabil

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“…Studies have confirmed that cervical muscle strength and ROM in patients with cervical spondylosis is significantly decreased and the musculature around the cervical spine is relatively easier to fatigue [6, 8, 10]. Active exercise intervention is a key method for correcting dynamic unbalance of the cervical spine [22, 23]. However, subsequent radiologic examinations often do not produce positive results, which can be frustrating for both patients and physicians.…”

Section: Discussionmentioning

confidence: 99%

Shi’s Daoyin Therapy for Neck Pain: A Randomized Controlled Trial

Wang

Jiang

Wang

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Objective To compare the immediate and short term effectiveness of Shi's Daoyin therapy (DT) rather than the Melbourne Protocol (MP) in terms of pain, mobility, and isometric strength of cervical muscles in nonacute nonspecific neck pain patients. Material and Methods A total of 114 nonacute nonspecific neck pain patients aged 20~50 years were recruited and randomly assigned to be treated by either Shi's DT or the MP. 56 cases and 54 cases received treatment for 3 weeks and were evaluated before and after intervention and at 3-week follow-up in Shi's DT group and MP group, respectively. The outcome measures were Chinese version of the Neck Disability Index (NDI), cervical range of motion (ROM), maximal voluntary isometric force (MVIF), and pain intensity (Numeric Pain Rating Scale, NPRS). Results All outcomes of both groups showed statistically significant improvements after the intervention and at 3-week follow-up (P < 0.05), while no statistically significant difference was found in NDI between groups. When followed up after 3 weeks, the ROM in axial rotation was significantly greater in the Shi's DT group (P < 0.05), and the NPRS in the Shi's DT group was significantly lower than the MP group (P < 0.05). At the end of the treatment period, the MVIF in lateral bending in the Shi's DT group had a lower value (P = 0.044) than in the MP group, but there was no significant difference in flexion and extension between the two groups. Conclusions Both Shi's DT and MP groups demonstrated an obvious reduction in pain intensity and improvements in neck mobility after a short term follow-up period. The improvement of Shi's DT in disability and pain during functional activities is generally similar to that of the MP for the treatment of nonacute nonspecific neck pain.

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“…23 Less frequently studied physical activities were combined in the "other" category because of their unique modality. Some examples include Kendo (Japanese martial arts), 40 kettlebell swings, 41 pilates, 42 active video games, 43 and wheelchair basketball. 44 Exercise programs (e.g., aquatic training, 45 unsupervised daily isometric exercise, 46 weekly strength training sessions 47 ), and stretching were less frequently studied in relation to QST measures.…”

Section: Populations Studiedmentioning

confidence: 99%

Quantitative Sensory Changes Related to Physical Activity in Adult Populations

Baehr

Law

Finley

2021

Am J Phys Med Rehabil

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Exercise-induced hypoalgesia related to physical activity produces sensory adaptations, but its mechanism remains unclear. Quantitative sensory testing is an effective measurement tool to identify sensory changes, but the extent of evidence linking quantitative sensory testing and physical activity has not been explored. The purpose of this scoping review is to synthesize the evidence on using quantitative sensory testing to evaluate psychophysical changes related to physical activity in adult populations. The researchers developed a comprehensive search strategy with a Health Sciences Librarian using the Arksey and O'Malley Methodological framework. Four databases (Medline [PubMed], CINAHL, Web of Science, and Embase) were searched for peer-reviewed primary research. After 2790 articles were evaluated, 196 studies were included for final review. More than half of studies used randomized controlled trial design (50.5%), followed by quasi-experimental (24.0%) and observational (25.5%) strategies. Healthy adults (42.9%) and individuals with chronic health conditions (20.9%) were examined most frequently. Aerobic (27.6%) and strength (21.4%) physical activity types were most commonly studied. Static quantitative sensory testing measures of pressure pain threshold (84%) were used most frequently. The findings of this scoping review demonstrate available evidence for quantitative sensory testing as a measurement tool of neuromodulation related to physical activity in adult populations. A systematic review is warranted to examine outcomes and recommendations.

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The Short-Term Effect of Kettlebell Swings on Lumbopelvic Pressure Pain Thresholds: A Randomized Controlled Trial

Cited by 11 publications

References 34 publications

Kettlebell training in clinical practice: a scoping review

Kettlebell training in clinical practice: a scoping review

Shi’s Daoyin Therapy for Neck Pain: A Randomized Controlled Trial

Quantitative Sensory Changes Related to Physical Activity in Adult Populations

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