Core strength: a new model for injury prediction and prevention

W F Peate, Gerry Bates, Karen Lunda, Smitha Francis, Kristen Bellamy, W F Peate, Gerry Bates, Karen Lunda, Smitha Francis, Kristen Bellamy

Abstract

Objective: Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups. Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed.

Methods: A battery of FMS tests were performed on 433 firefighters. We analyzed the correlation between FMS performance and injuries and other selected parameters. An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated.

Results: The intervention reduced lost time due to injuries by 62% and the number of injuries by 42% over a twelve month period as compared to a historical control group.

Conclusion: These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted.

Figures

Figure 1
Figure 1
Keeping the transversus abdominus contracted and using the upper and lower extremities.
Figure 2
Figure 2
Bridging with shoulders on a ball.
Figure 3
Figure 3
Bridging with feet on the ball.

References

    1. National Institute of Occupational Safety and Health (NIOSH) National Occupation Research Agenda. Washington, D.C.: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, NIOSH; 1996.
    1. Morse L, Owen D, Becker CE. Firefighter's health and safety. In: Rom WN, editor. Environmental and Occupational Medicine. Boston: Little Brown; 1992. pp. 197–1204.
    1. Rivera F, Thompson D. Systematic reviews of injury- prevention strategies for occupational injuries. Am J Prev Med. 2000;18:1–3. doi: 10.1016/S0749-3797(00)00134-3.
    1. Firefighter Injuries for 2003. NFPA Journal. 2004;1:56–78.
    1. U.S. Fire Administration. Topical fire research series. 2001;2:2–22.
    1. Reichelt PA, Conrad Km. Musculoskeletal injury: ergonomics and physical fitness in firefighters. In: Orris, Melius J, Duffy RM, editor. Occup Med. Vol. 10. 1995. pp. 735–756.
    1. Cady LD, Bischoff DP, O'Connell ER, Thomas PC, Allan JH. Strength and fitness and subsequent back injuries in firefighters. J Occup Med. 1979;21:269–72. doi: 10.1097/00043764-197911000-00003.
    1. Hilyer JC, Brown KC, Sirles AT, Peoples L. A flexibility intervention to reduce the incidence and severity of joint injuries among municipal firefighters. J Occup Med. 1990;32:631–7. doi: 10.1097/00043764-199007000-00015.
    1. Fire Service Joint Labor Management Wellness Fitness Initiative. 1997.
    1. Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13:316–25.
    1. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004;36:926–34. doi: 10.1249/01.MSS.0000128145.75199.C3.
    1. Liemohn WP, Baumgartner TA, Gagnon LH. Measuring core stability. J Strength Cond Res. 2005;19:583–6. doi: 10.1519/1533-4287(2005)19[583:MCS];2.
    1. Potvin JR, Brown SH. An equation to calculate individual muscle contributions to joint stability. J Biomech. 2005;38:973–80. doi: 10.1016/j.jbiomech.2004.06.004.
    1. Davis PO, Dotson Co, Laine Santa Maria D. The relationship between simulated firefighting tasks and physical performance measure. Med Sci Sport Exer. 1982;14:65–71.
    1. Guralnik JM, Ferrucci L. Assessing the building blocks of function. Am J Prev Med. 2003;25:112–121. doi: 10.1016/S0749-3797(03)00174-0.
    1. SAFFIRE conference proceedings Tucson, Arizona March 1, 2005.
    1. Kirshblum S. New rehabilitation interventions in spinal cord injury. J Spinal Cord Med. 2004;27:342–50.
    1. Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C. Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke. Phys Med Rehabil. 2005;86:204–9. doi: 10.1016/j.apmr.2004.05.007.
    1. Adams TD, Yanowitz FG, Chandler S, Specht P, Lockwood R, Yeh MP. A study to evaluate and promote total fitness among fire fighters. J Sports Med Phys Fitness. 1986;26:337–45.
    1. Womack WW, Green SG, Crouse SF. Cardiovascular risk markers in firefighters: A longitudinal study. CVR&R. 2000;8:544–548.
    1. US Preventive Services Task Force . Guide to Clinical Preventive Services. Baltimore: Williams & Wilkins; 1989. Methodology; pp. xxvii–xxxviii.
    1. Brandon LJ, Boyette LW, Lloyd A, Gaasch DA. Resistive training and long-term function in older adults. J Strength Cond Res. 2004;18:115–20. doi: 10.1519/1533-4287(2004)018<0115:PCTPFP>;2.
    1. Sherrington C, Lord SR, Finch CF. Physical activity interventions to prevent falls among older people: update of the evidence. J Aging Phys Act. 2004;12:10.

Source: PubMed

3
Iratkozz fel