Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label core stability training. Show all posts
Showing posts with label core stability training. Show all posts

Tuesday, April 14, 2026

7 Lower Ab Exercises to Strengthen Your Core and Improve Stability

 By the time you leave the hospital you need to be able to do all of these! NOT GETTING THERE is doctor incompetence!

7 Lower Ab Exercises to Strengthen Your Core and Improve Stability

  • Hollow holds engage your deep core muscles for improved strength and stability.
  • Lying leg raises target your lower abs and support pelvic stability.
  • Doing lower ab exercises has benefits for your stability and balance.

Lower abdominal exercises are essential for achieving a fully developed core. A strong core supports your posture, protects your spine, and enhances your overall movement. Lower ab workouts, in particular, help strengthen the deepest parts of your core, giving you better stability, strength, and control.1

1. Hollow Hold(Video at link)

The hollow hold works your entire core from bottom to top with an emphasis on the lower region. This exercise activates the transverse abdominis (the deepest ab muscle, which wraps your abdomen horizontally) and rectus abdominis (the top layer of your abs, also called the "six-pack") through sustained tension.23

This exercise also builds isometric (static) strength in the core muscles, which is critical for stability.4 Follow these steps to perform a hollow hold:

  1. Lie on the floor on your back with your arms extended overhead and legs straight.
  2. Engage your core and lift your arms, head, shoulders, and legs a few inches off the floor.
  3. Make sure to keep your lower back pressed firmly into the ground so you only feel your abs working.
  4. Hold the position for 30–60 seconds, rest, and repeat.

Modification: If the original exercise is too challenging, sit up into a V-shape, balancing on your butt while you keep your knees slightly bent, feet off the floor, and arms by your sides. Hold the position for as long as you can.

2. Lying Leg Raises(Video at link)

Lying leg raises target your lower abs by keeping your torso static while creating tension by lifting your legs off the floor straight into the air. This isolates the lower half of the rectus abdominis and works the hip flexors, which support pelvic stability.5

Follow these steps to perform lying leg raises:

  1. Lie on your back with your legs extended and hands under your hips, right below your butt.
  2. Keeping your legs straight and engaged, flex your stomach and lift your legs toward the ceiling until about 90 degrees.
  3. Slowly lower your legs, stopping to hover them a couple of inches above the floor. Avoid letting your lower back arch off the floor.
  4. Repeat for 5–15 reps.

Modification: If you find the full range version too challenging, bend your knees more and don’t bring your legs down as far. This will help offload your core and make it a bit easier. 

3. Butterfly Kicks(Video at link)

Butterfly kicks target your lower abs similarly to leg raises and hollow holds. However, this exercise incorporates dynamic movement into your legs, making it even more challenging for your lower abs. 

Follow these steps to perform butterfly kicks:

  1. Lie flat on your back with your hands under your glutes.
  2. Brace your core and lift your legs a few inches off the floor while your head and neck stay on the ground.
  3. Kick your legs in small up-and-down fluttering motions while keeping your lower back flat and abs tight throughout.
  4. Perform for 30–45 seconds.

Modification: To make this exercise less challenging, bend your knees and lift your legs a little higher off the ground while you do the fluttering motion. 

4. Dead Bug(Video at link)

This movement is highly effective for targeting your entire core and exercising spinal stability while emphasizing your lower abs. It engages the deep core muscles by opposing arm and leg movement, all while maintaining a neutral spine.

Follow these steps to perform dead bug:

  1. Start on your back with your arms extended toward the ceiling and knees bent at 90 degrees.
  2. Slowly lower your right arm and left leg toward the floor while keeping your back flat, pressing into the floor beneath you.
  3. Return to the starting position, then alternate sides.
  4. Do 10–12 reps per side.

Modification: If your lower back comes off the floor as you do the exercise, you can modify by reducing how far you extend your legs and arms. This will make the movement easier and prevent your lower back from rising up.

5. Russian Twist(Video at link)

Although it’s often thought of as an oblique exercise, the Russian twist engages your entire core, including your lower abs. The twisting motion strengthens your rectus abdominis and internal and external obliques, while holding the declined position keeps your lower abs engaged.

Follow these steps to perform a Russian twist:

  1. Sit on the floor with your knees bent and feet slightly lifted.
  2. Lean back slightly to form a V-shape with your body.
  3. Twist your torso side to side while holding a light weight. Go slowly enough so that each twist feels intentional. Keep your abs engaged throughout the movement.
  4. Complete 10–30 total reps.

Modification: If the exercise is too challenging, don’t hold a weight and just focus on the rotation instead. If you want to increase the challenge, use a heavier dumbbell or medicine ball. 

6. Mountain Climbers(Video at link)

This exercise combines core activation with upper body strength, particularly for the shoulders and triceps. The rapid knee-driving motion keeps your lower abs under continuous tension while recruiting your other upper body muscles for support.

Follow these steps to perform mountain climbers:

  1. Start in a high plank position with your shoulders stacked over your wrists. Keep your back flat and core engaged.
  2. Drive one knee toward your chest, and then bring it back to a straight position as you bring the other knee up to your chest. Continue switching your legs back and forth, increasing your speed to create a continuous motion.
  3. Maintain a consistent pace while keeping your hips low and core engaged.
  4. Perform for somewhere between 30 and 60 seconds.

Modification: You can make this exercise easier by slowing down your pace, or increase the difficulty by going faster and holding for longer.

7. Alternating Leg Drops(Video at link)

Leg drops are similar to the dead bug exercise. They’re a slow, controlled movement that challenges your core through eccentric (lengthening) muscle contraction. The movement forces you to stabilize your spine and control the descent of your legs, which engages the lower part of your abdominal muscles.

Follow these steps to perform alternating leg drops:

  1. Start on your back with legs lifted straight up at 90 degrees.
  2. Slowly lower one leg toward the floor, aiming your heel toward the ground.
  3. Stop just before your heel touches the floor and raise your leg back to the starting position before switching legs, going back and forth.
  4. Repeat for 12–15 reps, keeping your back pressed into the floor beneath you for maximal core engagement.

Modification: If your lower back is lifting off the floor or feels like it's supporting part of the exercise, try placing your hands under your hips to take the pressure off your back. You can also make this exercise more challenging by keeping your legs straight as you go through the motion. 

How To Create a Lower Ab Workout

You can safely exercise your core multiple times per week. Try incorporating your lower ab workouts into the rest of your workout. This way, you can be efficient and not have to set aside separate time exclusively for your lower abs. Pick a handful of exercises and complete 3-5 sets of each. Over time, you’ll want to increase the difficulty of the exercise by adding more sets and reps or complexity. 

Benefits of Lower Ab Workouts

Training your lower abs and improving your core strength has several benefits, including:

  • Increased stability: Strengthening your lower ab muscles improves the stability of your torso and pelvis.6
  • Reduced back pain: By enhancing spinal stability, core exercises can help decrease lower back pain.7
  • Better balance: A strong core leads to more controlled and coordinated movement.8

Safety Tips

When doing core exercises, it's important to avoid activating your lower back, which can cause unnecessary strain. This can happen if your pelvis and spine aren’t in a neutral position. Aim to keep a flat back during all core exercises and maintain intraabdominal pressure by flexing your stomach muscles.

Sunday, October 21, 2018

Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients: A Randomized Controlled Trial

You'll have to hope your doctor and therapists will read this and deduce the protocol for it. 

Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients: A Randomized Controlled Trial


First Published November 7, 2016 Research Article
Background. Trunk function is important for standing balance, mobility, and functional outcome after stroke, but few studies have evaluated the effects of exercises aimed at improving core stability in stroke patients.  
Objective. To investigate the effectiveness of core stability training on trunk function, standing balance, and mobility in stroke patients.  
Methods. An assessor-blinded, randomized controlled trial was undertaken in a stroke rehabilitation ward, with 32 participants randomly assigned to an experimental group or a control group (n = 16 each). The experimental group received 400 minutes of core stability training in place of conventional programs within total training time, while the control group received only conventional programs. Primary outcome measures were evaluated using the Trunk Impairment Scale (TIS), which reflects trunk function. Secondary outcome measures were evaluated by pelvic tilt active range of motion in the sagittal plane, the Balance Evaluation Systems Test–brief version (Brief-BESTest), Functional Reach test, Timed Up-and-Go test (TUG), and Functional Ambulation Categories (FAC). A general linear repeated-measures model was used to analyze the results.  
Results. A treatment effect was found for the experimental group on the dynamic balance subscale and total score of the TIS (P = .002 and P < .001, respectively), pelvic tilt active range of motion (P < .001), Brief-BESTest (P < .001), TUG (P = .008), and FAC (P = .022).  
Conclusions. Core stability training has beneficial effects on trunk function, standing balance, and mobility in stroke patients. Our findings might provide support for introducing core stability training in stroke rehabilitation.
Further information at the link.

Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients

Wrong objective, every stroke research should have an objective to create and distribute a protocol with efficacy ratings. This is just useless crapola as is. Unless you really think your doctor has the ability to create stroke protocols out of this.

 

Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients

First Published November 7, 2016 Research Article


Background. Trunk function is important for standing balance, mobility, and functional outcome after stroke, but few studies have evaluated the effects of exercises aimed at improving core stability in stroke patients.  
Objective. To investigate the effectiveness of core stability training on trunk function, standing balance, and mobility in stroke patients.  
Methods. An assessor-blinded, randomized controlled trial was undertaken in a stroke rehabilitation ward, with 32 participants randomly assigned to an experimental group or a control group (n = 16 each). The experimental group received 400 minutes of core stability training in place of conventional programs within total training time, while the control group received only conventional programs. Primary outcome measures were evaluated using the Trunk Impairment Scale (TIS), which reflects trunk function. Secondary outcome measures were evaluated by pelvic tilt active range of motion in the sagittal plane, the Balance Evaluation Systems Test–brief version (Brief-BESTest), Functional Reach test, Timed Up-and-Go test (TUG), and Functional Ambulation Categories (FAC). A general linear repeated-measures model was used to analyze the results.  
Results. A treatment effect was found for the experimental group on the dynamic balance subscale and total score of the TIS (P = .002 and P < .001, respectively), pelvic tilt active range of motion (P < .001), Brief-BESTest (P < .001), TUG (P = .008), and FAC (P = .022).
Conclusions. Core stability training has beneficial effects on trunk function, standing balance, and mobility in stroke patients. Our findings might provide support for introducing core stability training in stroke rehabilitation.
 

Tuesday, July 10, 2018

Effects of core stability exercise on rehabilitation in stroke patients with hemiplegia: a meta-analysis

Useless, No description of core stability training.  I expect to be able to take these research articles directly to my medical staff and have them be able to instantly use them in a rehab intervention.

A great stroke association president would ensure that all stroke research is understandable and usable by survivors in order to bring such research to the attention of their doctors and therapists. Anything less is pure incompetency.

http://www.tmrdrug.com/EN/abstract/abstract260.shtml

Liu Ting-Ting1, Lei Meng-Jie1, Liu Ya-Qian1, Meng Li-Na1, Jin Chang-De1,*()
1Tianjin University of Traditional Chinese Medicine, School of Postgraduate, Tianjin, China.




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Highlights

Core stability training on the basis of conventional rehabilitation therapy can improve the trunk control ability, balance ability, walking function and activity of daily living in patients with stroke hemiplegia.
Editor’s Summary
Core stability exercise, as one of the non-drug therapies, combined with conventional rehabilitation therapy has better effects on rehabilitation in stroke patients with hemiplegia.
Abstract
Objective: To evaluate the effects of core stability exercise (CST) on rehabilitation in stroke patients with hemiplegia.

Methods: Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise / core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder / cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis / stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software.

Results: Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group.Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI (8.83-12.04), P < 0.001], banlace [MD = 5.6, 95% CI (4.81-6.39), P < 0.001], activities of daily living [MD = 12.06, 95% CI (7.65-16.46), P < 0.001], ambulation functional [MD = 0.72, 95% CI (0.32-1.12), P < 0.001] and walking speed [MD = 3.39, 95% CI (2.03-4.76), P < 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI (-0.25-5.29), P = 0.07] between two groups.  
Conclusion: CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.



Key words: Stroke      Hemiplegia      Core stability exercise      Rehabilitation      Meta-analysis     
Published: 06 June 2018
Corresponding Authors: Jin Chang-De     E-mail: jcd1886@sina.cn
About author: Abbreviations: TGF-β, Transforming growth factor-β; STAT3, Signal transducers and activators of transcription 3; ZO-1, Zonula occludens-1 protein; NSCLC, Non-samll cell lung cancer; EMT, Epithelial-mesenchymal transition; PBS, Phosphate buffer saline. Competing interests: Authors declare that they have no competing interests.Executive Editor: Yu-Chan Cao


Cite this article:
Liu Ting-Ting, Lei Meng-Jie, Liu Ya-Qian, Meng Li-Na, Jin Chang-De. Effects of core stability exercise on rehabilitation in stroke patients with hemiplegia: a meta-analysis. TMR Non-Drug Therapy, 2018, 1(2): 41-52.
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