Effect of core stabilization exercises on pulmonary functions : a systematic review /

Mohamed Ahmed Omar Mohamed,

Effect of core stabilization exercises on pulmonary functions : a systematic review / تأثير تمارين الإستقرار الأساسية علي وظائف الرئة : دراسة منهجية by Mohamed Ahmed Omar Mohamed ; Supervisors Prof. Dr. Nagwa Mohamed Hamed Badr, Prof. Dr. Fatma Aboelmagd Mohamed, Prof Dr. Ali Mohamed Ali Ismail. - 75 pages : illustrations ; 25 cm. + CD.

Thesis (Ph.D)-Cairo University, 2025.

Bibliography: pages 59-75.

Background: Pulmonary function tests (PFTs) are noninvasive tests which examine the functionality of the lungs and permit accurate assessment of the functional state of the respiratory system. Core stability is the capability to strengthen the lumbopelvic complex and transfer forces from the upper to lower limbs of the body while maintaining the spine in a neutral position. This review aimed to provide conclusive evidence about the effect of core stabilization exercises on pulmonary functions. Methods: Seven databases (Scopus, EMBASE, Web of Science, PubMed, EBSCO host, SAGE, and Cochrane library) were searched from 2000 to 2024. Randomized controlled trials investigated pulmonary functions before and after application of core stability exercises. The two reviewers, Mohamed Ahmed Omar Mohamed and Ali Mohamed Ali Ismail independently screened articles and assessed the risk of bias. Data extraction was performed by the first reviewer and crosschecked by a second reviewer. The quality of findings was assessed and rated according to Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) guidelines. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FEV1/FVC ratio, peak expiratory flow rate (PEFR), and maximal oxygen uptake (VO2max) outcomes were extracted and synthesized qualitatively and quantitatively. Results: out of the seven studies, two studies investigated the effect of core stability exercises on VO2max. Meta-analysis of the results demonstrated a non-significant effect of core stability exercise on VO2max but with considerable heterogeneity. Two studies investigated the effect of core stability exercises on PEFR; Meta-analysis of the results demonstrated a significant effect on PEFR with no heterogeneity. Six studies investigated the effect of core stability exercises on FVC; the analysis of the results demonstrated significant effect of core stability exercise on FVC but with considerable heterogeneity. Four studies investigated the effect of core stability exercises on FEV1; The analysis of the results demonstrated significant effect of core stability exercise on FEV1, with no heterogeneity. Three studies investigated the effect of core stability exercises on FEV1/FVC. The analysis of the results demonstrated significant effect of core stability exercise on FEV1/FVC. Conclusion: In the current study, we found that core stability exercises have a significant effect on FVC, FEV1, FEV1/FVC, PEFR unfortunately, we did not find a significant effect on VO2max because of limited studies included in the meta-analysis investigating the effect of core stability on VO2max (two studies only). The current level of evidence supports the effectiveness of core stabilization exercises and pelvic floor exercises on pulmonary functions. but further clinical trials are required to clinically support the effect of core stabilization exercises and pelvic floor exercises on pulmonary functions. اختبارات وظائف الرئة هي اختبارات لفحص وظائف الرئتين مما يسمح بتقييم دقيق للحالة الوظيفية للجهاز التنفسي. تقيس هذه الاختبارات حجم الرئة وقدرتها ومعدلات تدفق وتبادل الغازات. الإستقرار الأساسي هو القدرة على تقوية منطقة الحوض والعمود الفقري ونقل القوى بين الأطراف العلوية والسفلية للجسم مع الحفاظ على استقامة العمود الفقري في وضع معتدل.
هدف هذه المراجعة هو تقديم دليل علمي موثوق حول تأثير تمارين الإستقرار الأساسية على وظائف الرئة.تم البحث في سبع قواعد بياناتScopus، EMBASE، Web of Science، PubMed، EBSCO Host، SAGE، وCochrane Library وكل الابحاث التي تم نشرها من عام ٢٠٠٠ إلى عام ٢٠٢٤. وقد بحثت التجارب المعشاة ذات الشواهد في وظائف الرئة قبل وبعد تطبيق تمارين الإستقرار الأساسية.




Text in English and abstract in Arabic & English.


Physical Therapy
العلاج الطبيعي

core stability exercises pulmonary functions forced expiratory volume at one second Forced vital capacity FEV1/FVC ratio peak expiratory flow rate VO2max systematic review

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