The document summarizes research on the use of Swiss balls for lumbar stabilization exercises. It discusses how Swiss ball exercises target the core muscles and spinal stabilizers to improve spinal stability and balance. Several studies found that Swiss ball exercises led to increased muscle activity and improvements in trunk strength, endurance, flexibility, balance and pain levels. Exercises were performed on Swiss balls to encourage maintaining a neutral spine position and heighten the function of local spinal muscles.

1. 2018
ROLE OF SWISS
BALL IN LUMBAR
STABILIZATION
Presented by
Sana Masroor
MPT-3RD SEM.
Jamia Millia Islamia

2. •LUMBAR STABILIZATION
The lumbar stabilization exercise is an active approach which is used as a therapeutic intervention in
the management of low back pain (waddel et al., 1997).
The core muscles are targeted in the lumbar stabilization exercises to re-establish the neuromuscular
control of the spinal segment by restoring the normal function of the local stabilizer of the spine
(luque-suarez et al., 2015).

3. •THE STABILIZATION SYSTEM OF THE SPINE
Active subsystem
Passive subsystem
Neural subsystem

4. •STABILIZING PROGRAM NEED SPINE
NEUTRAL ZONE
Neutral position of the spine- in which the overall internal
stresses in the spinal column and muscular effort to hold the
posture are minimal (punjabi, 1992).
Neutral zone of the spine- in which physiological IV motion
is within the spinal motion is produced with a minimal internal
resistance.
Spinal instability: ↓ in capacity of spinal stabilizing system to
maintain the IV neutral zone within physiological limits

7. •The lumbar stabilization exercises with the use of a swiss ball are used to
improve the spinal stability, and that focuses on exercises with a neutral spine
targeting the specific function of the local muscles during the early phases of
training for improving the spinal stability (Jaqueline M. Carter et al., 2006).

8. •The swiss-ball core training programs are among the most popular trends in
physiotherapy and strength and conditioning programs.
Benefits of swiss-ball core training exercises that facilitate spinal stability and balance ,
strength, endurance, flexibility, and neuromuscular control as a cost effective and
enjoyable way to prevent lower back injury and lower back pain (marshall et al., 2005).
Swiss balls that increase the facilitation and activation of the spinal stabilizers because of
the unstable characteristic of the ball (marshall et al., 2006).

9. •In this study, 20 sedentary individual get training on
swiss ball, twice a week for 30 minutes for 10 weeks.
The objective is to encouraged the subjects to maintain
the neutral spine throughout the training, thus, heighten
the use of local muscles in maintaining the position of
the spine and emphasize their capacity for endurance.
These exercise are fit for beiginners so that before
doing exertional training, a person develop a proper
static back endurance.

11. 21 sedentary female train for 45 min. A day, 3days a week for 8 weeks. Exercise was performed 2 sets of 10
repetition with 10min warm warm up and cool down period.
Isokinetic measurement oftrunk flexors and extensors trunk endurance, trunk flexibility, lower limb
endurance dynamic balance
The results of the 8-week swiss-ball core strength training exercise protocol showed significant
improvements in both the endurance and strength of the lower back and abdominals.

12. FIRSTUP
CONSULTANTS 12

13. FIRSTUP
CONSULTANTS 13

14. 36 patients of CLBP randomly
allocated into conservative treatment
group, floor exercise group and ball
exercise group; 40min a day, 3 times
a week for 16 weeks.
VAS
BMD measurement was
done by DEXXUMT
Increase in BMD by 0.96%in FEG
and 2.81% BEG and reducing pain
Method Outcome measures Conclusion

15. Method Outcome measures Conclusion
42 untrained adults recruited.
Randomly into twoo group;
Performed abdominal crunch on ball
with elastic tubing and ; and the group
performed crunch in isotonic machine
MVIC EMG was highest in the rectus
abdominis and the external obliques
However, crunches on Swiss ball with
elastic resistance showed higher
activity of the rectus abdominis than
crunches performed on the machine.

16. FIRSTUP
CONSULTANTS 16

17. Method Outcome measures Conclusion
20 elderly of age > 65 years, with no
history of fall, randomly assign into EG
and CG. The EG performed trunk
stabilization exercise on swiss ball for 20
minutes, 5 times a wk for 4 week.
Balance ability was measured by
good balance sytem
The EG group achieved a greater
increase in static balance than CG

19. Method Outcome measures Conclusion
14 healthy subject, each subject was
asked to perform curl up and
abdominal drawing in on stable as well
as unstable surface.
EMG of TrA, EO, IO and RA EMG activity was higher for RA and EO
unstable surface, RA was lower with
abdominal hollowing on both the
surfaces, TrA and IO was higher with
the abdominal hollowing ex than curl
upon both the surfaces.

22. References
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23. THANK YOU
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