Document Detail

Muscle onset can be improved by therapeutic exercise: A systematic review.
MedLine Citation:
PMID:  22085715     Owner:  NLM     Status:  Publisher    
OBJECTIVES: To determine whether therapeutic exercise can improve the timing of muscle onset following musculoskeletal pathology, and examine what exercise prescription parameters are being used to achieve these effects. PARTICIPANTS: People with a musculoskeletal pathology. MAIN OUTCOME MEASURE: Muscle onset timing as measured by electromyography. RESULTS: Sixteen investigations were identified containing 19 therapeutic exercise groups. Three exercise modes were identified including: isolated muscle training, instability training, and general strength training. Isolated muscle training is consistently shown to have a positive effect on the muscle onset timing of transversus abdominus in people with low back pain. There is some evidence from cohort studies that instability training may change muscle onset timing in people with functional ankle instability, however controlled trials suggest that no effect is present. General strength training shows no effect on muscle onset timing in people with low back or neck pain, although one cohort study suggests that a positive effect on gluteus maximus may be present in people with low back pain. CONCLUSION: Therapeutic exercise training is likely to improve muscle onset timing. Additionally, isolated muscle training appears to be the best exercise mode to use to achieve these effects.
Justin Crow; Tania Pizzari; David Buttifant
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-26
Journal Detail:
Title:  Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine     Volume:  12     ISSN:  1873-1600     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940513     Medline TA:  Phys Ther Sport     Country:  -    
Other Details:
Languages:  ENG     Pagination:  199-209     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
School of Physiotherapy, La Trobe university, Bundoora, VIC 3086, Australia; Sport Science Department, Collingwood Football Club, PO Box 165, Abbotsford, VIC 3067, Australia.
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