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Review Article| Volume 16, ISSUE 3, P669-689, August 2005

Muscular Balance, Core Stability, and Injury Prevention for Middle- and Long-Distance Runners

      Martial artists long have recognized the importance of well-developed core musculature. One of the main differences between a novice practitioner and a black belt is the black belt's development and use of his core (called “center” or “Ki”) to produce balanced, powerful, and explosive movements. For middle- and long-distance runners—whose chosen sport involves balanced and powerful movements of the body propelling itself forward and catching itself in complex motor patterns—this stable core, as well as a strong foundation of muscular balance, is essential. In many runners, however—even those at an Olympic level—this core musculature is not developed fully. Weakness or lack of sufficient coordination in core musculature can lead to less efficient movements, compensatory movement patterns, strain, overuse, and injury. This article discusses the importance of muscle balance and core stability for injury prevention and for improving a distance runner's efficiency and performance. It includes a detailed series of core exercises that can be incorporated gradually into a runner's training program. The program starts with restoration of normal muscle length and mobility to correct any muscle imbalances. Next, fundamental lumbo-pelvic stability exercises are introduced which teach the athlete to activate the deeper core musculature. When this has been mastered, advanced lumbo-pelvic stability exercises on the physioball are added for greater challenge. As the athlete transitions to the standing position, sensory motor training is used to stimulate the subcortex and provides a basis for functional movement exercises that promote balance, coordination, precision, and skill acquisition. The ultimate goal of core stabilization is to train “movements” and “positions” rather than muscles. Exercises are most effective when they mirror the demands of the athlete's sport.
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      References

        • Richardson C.
        • Jull G.
        • Hodges P.
        • et al.
        Therapeutic exercise for spinal stabilization and low back pain: scientific basis and clinical approach.
        Churchill Livingstone, Edinburgh (Scotland)1999
      1. Lee D. An integrated model of “joint” function and its clinical application. Fourth Interdisciplinary World Congress on Low Back and Pelvic Pain. Montreal, Canada, p. 138.

        • Nicholas J.A.
        • Strizak A.M.
        • Veras G.
        A study of thigh muscle weakness in different pathological states of the lower extremity.
        Am J Sports Med. 1976; 4: 241-248
        • McGill S.
        Ultimate back fitness and performance.
        Wabuno Publishers, Waterloo2004
        • Comerford M.J.
        • Mottram S.L.
        Movement and stability dysfunction–contemporary developments.
        Man Ther. 2001; 6: 15-26
        • Hodges P.W.
        • Richardson C.A.
        Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds.
        Arch Phys Med Rehabil. 1999; 80: 1005-1012
        • Hodges P.W.
        • Richardson C.A.
        Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis.
        Spine. 1996; 21: 2640-2650
        • Hides J.A.
        • Richardson C.A.
        • Jull G.A.
        Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain.
        Spine. 1996; 21: 2763-2769
        • Akuthota V.
        • Nadler S.F.
        Core strengthening.
        Arch Phys Med Rehabil. 2004; 85: S86-S92
        • Janda V.
        On the concept of postural muscles and posture in man.
        Aust J Physiother. 1983; 29: 83-84
        • Kendall F.
        • McCreary E.
        • Provance P.
        Muscle testing & function.
        Williams and Wilkins, Baltimore1993
        • Schiottz-Christensen B.
        • Mooney V.
        • Azad S.
        • et al.
        The role of active release manual therapy for upper extremity overuse syndromes-a preliminary report.
        J Occup Rehabil. 1999; 9: 201-211
        • Sahrmann S.
        Diagnosis and treatment of movement impairment syndromes.
        Mosby, St. Louis2000
        • Fredericson M.
        • Cookingham C.L.
        • Chaudhari A.M.
        • et al.
        Hip abductor weakness in distance runners with iliotibial band syndrome.
        Clin J Sport Med. 2000; 10: 169-175