TY - JOUR A1 - Granacher, Urs A1 - Schellbach, Jörg A1 - Klein, Katja A1 - Prieske, Olaf A1 - Baeyens, Jean-Pierre A1 - Mühlbauer, Thomas T1 - Effects of core strength training using stable versus unstable surfaces on physical fitness in adolescents BT - a randomized controlled trial JF - BMC sports science, medicine & rehabilitation N2 - Background It has been demonstrated that core strength training is an effective means to enhance trunk muscle strength (TMS) and proxies of physical fitness in youth. Of note, cross-sectional studies revealed that the inclusion of unstable elements in core strengthening exercises produced increases in trunk muscle activity and thus provide potential extra training stimuli for performance enhancement. Thus, utilizing unstable surfaces during core strength training may even produce larger performance gains. However, the effects of core strength training using unstable surfaces are unresolved in youth. This randomized controlled study specifically investigated the effects of core strength training performed on stable surfaces (CSTS) compared to unstable surfaces (CSTU) on physical fitness in school-aged children. Methods Twenty-seven (14 girls, 13 boys) healthy subjects (mean age: 14 ± 1 years, age range: 13–15 years) were randomly assigned to a CSTS (n = 13) or a CSTU (n = 14) group. Both training programs lasted 6 weeks (2 sessions/week) and included frontal, dorsal, and lateral core exercises. During CSTU, these exercises were conducted on unstable surfaces (e.g., TOGU© DYNAIR CUSSIONS, THERA-BAND© STABILITY TRAINER). Results Significant main effects of Time (pre vs. post) were observed for the TMS tests (8-22%, f = 0.47-0.76), the jumping sideways test (4-5%, f = 1.07), and the Y balance test (2-3%, f = 0.46-0.49). Trends towards significance were found for the standing long jump test (1-3%, f = 0.39) and the stand-and-reach test (0-2%, f = 0.39). We could not detect any significant main effects of Group. Significant Time x Group interactions were detected for the stand-and-reach test in favour of the CSTU group (2%, f = 0.54). Conclusions Core strength training resulted in significant increases in proxies of physical fitness in adolescents. However, CSTU as compared to CSTS had only limited additional effects (i.e., stand-and-reach test). Consequently, if the goal of training is to enhance physical fitness, then CSTU has limited advantages over CSTS. KW - Resistance training KW - Trunk muscle strength KW - Physical fitness Y1 - 2014 U6 - https://doi.org/10.1186/2052-1847-6-40 SN - 2052-1847 VL - 6 PB - BioMed Central CY - London ER - TY - JOUR A1 - Granacher, Urs A1 - Mühlbauer, Thomas A1 - Gschwind, Y. J. A1 - Pfenninger, B. A1 - Kressig, R. W. T1 - Assessment and training of strength and balance for fall prevention in the elderly. Recommendations of an interdisciplinary expert panel JF - Zeitschrift für Gerontologie und Geriatrie N2 - The proportion of elderly people in societies of western industrialized countries is continuously rising. Biologic aging induces deficits in balance and muscle strength/power in old age, which is responsible for an increased prevalence of falls. Therefore, nationwide and easy-to-administer fall prevention programs have to be developed in order to contribute to the autonomy and quality of life in old age and to help reduce the financial burden on the public health care system due to the treatment of fall-related injuries. This narrative (qualitative) literature review deals with a) the reasons for an increased prevalence of falls in old age, b) important clinical tests for fall-risk assessment, and c) evidence-based intervention/training programs for fall prevention in old age. The findings of this literature review are based on a cost-free practice guide that is available to the public (via the internet) and that was created by an expert panel (i.e., geriatricians, exercise scientists, physiotherapists, geriatric therapists). The present review provides the scientific foundation of the practice guide. KW - Fall risk KW - Resistance training KW - Preventive therapy KW - Exercise therapy KW - Frail elderly Y1 - 2014 U6 - https://doi.org/10.1007/s00391-013-0509-5 SN - 0948-6704 SN - 1435-1269 VL - 47 IS - 6 SP - 513 EP - 525 PB - Springer CY - Heidelberg ER -