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Figure 8. T rotation.
seen in Figures 8–14. The activity of ing exercises (46). Beyond our knowl- phology of the passive and active sys-
global muscles, which tend to shorten or edge of basic muscle physiology and tems, but also the correct functioning
tighten, will differ from that of the sag- adaptation, there is little research on the of the neuromuscular system (52). The
ging local system (51). Rapid movement specific types of core exercises to be used patterns of recruitment and relative
and higher resistances also will recruit and their effects on the ability of the onset times between muscles are mod-
these global muscles, especially the rec- musculature to stabilize the spine in ulated by the CNS, ensuring optimal
tus abdominis (51). These types of exer- varying planes of motion. With the lim- movement control, muscle perfor-
cises not only emphasize the global sys- ited research in this area, specificity to mance of the core, and control of reac-
tem, but also create an environment for the individual’s history and goals, along tive forces produced by the limb move-
the local system to begin to stabilize the with progression, should not be over- ments (10, 35). Training and exercise
spine in varying, multiplanar move- looked. can lead to great increases in maximal
ments. Training the core for an emphasis dynamic strength through neural
in strength would include high load, low Neural System adaptations in all musculature, so the
repetition tasks, while endurance en- The stability of the lumbar spine is not neuromuscular system then can specif-
hancement requires longer, less demand- dependent solely on the basic mor- ically compensate and improve dynam-
ic stability of the spine (31, 51). More trunk may be too fast and/or with too exertions compromised neural coordi-
focus may be directed toward coordi- high of a magnitude for the reflex re- nation and that the increased cocon-
nation and timely muscle activation of sponse to control intersegmental dis- traction served to maintain stability of
the deeper local system to enhance placement effectively and safely (16). the spine. As with other forms of train-
spine stability, rather than just toward In these scenarios, it may be more im- ing, the neural component, as well as
improving strength and range of mo- portant to consider that it is not the optimal gains in musculature adapta-
tion (17, 26). There are no current strength of the stabilizing muscula- tion, should be considered for future
guidelines to accomplish these adapta- ture, but the speed with which the research.
tions, emphasizing another important muscles contract in reaction to the
area for future research. The reflex re- forces that are capable of displacing the It also should be noted here that
sponse of the stabilizing musculature spine (51). Potvin and O’Brien showed much emphasis has been placed on
to applied or produced force combines that trunk muscle cocontraction in- the ability of the TrA and multifidi
with the mechanical stability level to creased firing during lateral bend con- (core stabilization system) to activate
determine the kinematic response of tractions as the agonist trunk muscles prior to the limbs and global system
the trunk (16). It also seems that some fatigued (55). The investigators pro- muscles in order to stabilize the spine
unexpected loading scenarios onto the posed that the fatigue produced by the against gross movement patterns. De-