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Sports Medicine

, Volume 35, Issue 1, pp 43–53 | Cite as

The Impact of Instability Resistance Training on Balance and Stability

  • Kenneth Anderson
  • David G. BehmEmail author
Review Article

Abstract

The most predominant literature regarding balance has emphasised the physiological mechanisms controlling stability. Topics range from extrinsic factors (environment) to intrinsic factors (i.e. muscle coordination, vestibular response). Balance is achieved through an interaction of central anticipatory and reflexive actions as well as the active and passive restraints imposed by the muscular system. However, less research has attempted to document the effects of balance on performance measures (i.e. force, power). Furthermore, short- and long-term adaptations to unstable environments need more substantial research. While force and other performance measures can be adversely affected by a lack of balance, the transferability of instability training to activities of daily living and sport is not precisely known. The applicability of instability and resistance training using unstable platforms or implements may have strong relevance in a rehabilitative or athletic setting. Therefore, a comprehensive review of the literature in this area may possibly be of benefit to practitioners who deal with the general population, athletes or persons debilitated by balance and/or stability disabilities.

Keywords

Resistance Training Maximal Voluntary Contraction Rectus Femoris Rectus Abdominus Balance Training 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

No sources of funding were used to assist in the preparation of this review. The authors have no conflicts of interest that are directly relevant to the content of this review.

References

  1. 1.
    Stokes I, Gardner-Morse M. Strategies used to stabilize the elbow joint challenged by inverted pendulum loading. J Biomech 2000; 33 (6): 737–43PubMedCrossRefGoogle Scholar
  2. 2.
    Gardner-Morse M, Stokes I, Laible J. Role of muscles in lumbar spine stability in maximum extension efforts. J Orthop Res 1995; 13 (5): 802–8PubMedCrossRefGoogle Scholar
  3. 3.
    Milner T, Cloutier C. Compensation for mechanically unstable loading in voluntary wrist movement. Exp Brain Res 1993; 94 (3): 522–32PubMedCrossRefGoogle Scholar
  4. 4.
    Eloranta V. Coordination of the thigh muscles in static leg extension. Electromyogr Clin Neurophysiol 1989; 29 (4): 227–33PubMedGoogle Scholar
  5. 5.
    Lacquaniti F, Soechting J. Responses of mono- and bi-articular muscles to load perturbations of the human arm. Exp Brain Res 1986; 65 (1): 135–44PubMedCrossRefGoogle Scholar
  6. 6.
    Ivanenko Y, Solopova I, Levik Y, et al. The direction of postural instability affects postural reactions to ankle muscle vibration in humans. Neurosci Lett 2000; 292 (2): 103–6PubMedCrossRefGoogle Scholar
  7. 7.
    Kollmitzer J, Ebenbichler G, Sabo A, et al. Effects of back extensor strength training versus balance training on postural control. Med Sci Sports Exerc 2000; 32 (10): 1770–6PubMedCrossRefGoogle Scholar
  8. 8.
    Nashner L. Adapting reflexes controlling the human posture. Exp Brain Res 1976; 26 (1): 59–72PubMedCrossRefGoogle Scholar
  9. 9.
    Allum J. Organization of stabilizing reflex responses in tibialis anterior muscles following ankle flexion perturbations of standing man. Brain Res 1983; 264 (2): 297–301PubMedCrossRefGoogle Scholar
  10. 10.
    Allum J, Honegger F. Interactions between vestibular and proprioceptive inputs triggering and modulating human balance-correcting responses differ across muscles. Exp Brain Res 1998; 121 (4): 478–94PubMedCrossRefGoogle Scholar
  11. 11.
    Mizuno Y, Shindo M, Kuno S, et al. Postural control responses sitting on unstable board during visual stimulation. Acta Astronaut 2001; 49 (3): 131–6PubMedCrossRefGoogle Scholar
  12. 12.
    Nardone A, Schieppati M. Postural adjustments associated with voluntary contraction of leg muscles in standing man. Exp Brain Res 1988; 69 (3): 469–80PubMedCrossRefGoogle Scholar
  13. 13.
    Ivanenko Y, Levik Y, Talis V, et al. Human equilibrium on unstable support: the importance of feet-support interaction. Neurosci Lett 1997; 235 (3): 109–12PubMedCrossRefGoogle Scholar
  14. 14.
    Gantchev G, Dimitrova D. Anticipatory postural adjustments associated with arm movements during balancing on unstable support surface. Int J Psychophysiol 1996; 22 (1–2): 117–22PubMedCrossRefGoogle Scholar
  15. 15.
    Kornecki S, Kebel A, Siemienski A. Muscular cooperation during joint stabilization, as reflected by EMG. Eur J Appl Physiol 2001; 85 (5): 453–61CrossRefGoogle Scholar
  16. 16.
    Nouillot P, Bouisset S, Do M. Do fast voluntary movements necessitate anticipatory postural adjustments even if equilibrium is unstable? Neurosci Lett 1992; 147 (1): 1–4PubMedCrossRefGoogle Scholar
  17. 17.
    Lin S, Woollacott M. Postural muscle responses following changing balance threats in young, stable, older, and unstable older adults. J Motor Behav 2002; 34 (1): 37–44CrossRefGoogle Scholar
  18. 18.
    Slijper H, Latash M. The effects of instability and additional hand support on anticipatory postural adjustments in leg, trunk, and arm muscles during standing. Exp Brain Res 2000; 135 (1): 81–93PubMedCrossRefGoogle Scholar
  19. 19.
    Hortobagyi T, DeVita P. Favorable neuromuscular and cardiovascular responses to 7 days of exercise with an eccentric overload in elderly women. J Gerontol Biol Sci Med 2000; 55 (8): B401–10CrossRefGoogle Scholar
  20. 20.
    Durak E, Jovanovic-Peterson L, Peterson C. Randomized crossover study of the effect of resistance training on glycemic control, muscular strength, and cholesterol in type I diabetic men. Diabetes Care 1990; 13 (10): 1039–43PubMedCrossRefGoogle Scholar
  21. 21.
    Goreham C, Green H, Ball-Burnett M, et al. High-resistance training and muscle metabolism during prolonged exercise. Am J Physiol 1999; 276 (3 pt 1): E489–96Google Scholar
  22. 22.
    Hakkinen K, Newton R, Gordon S, et al. Changes in muscle morphology, electromyographic activity, and force production characteristics during progressive strength training in young and older men. J Gerontol A Biol Sci Med Sci 1998; 53 (6): B415–23CrossRefGoogle Scholar
  23. 23.
    Lord S, Clark R, Webster I. Physiological factors associated with falls in an elderly population. J Am Geriatr Soc 1991; 39 (12): 1194–201PubMedGoogle Scholar
  24. 24.
    Heitkamp H, Horstmann T, Mayer F, et al. Gain in strength and muscular balance after balance training. Int J Sports Med 2001; 22 (4): 285–90PubMedCrossRefGoogle Scholar
  25. 25.
    Krebs D, Jettte A, Assmann S. Moderate exercise improves gait stability in disabled elders. Arch Phys Med Rehabil 1998; 79 (12): 1489–95PubMedCrossRefGoogle Scholar
  26. 26.
    Buchner D, Cress M, de Lateur B, et al. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community living older adults. J Gerontol 1997; 52 (4): M218–24Google Scholar
  27. 27.
    Topp R, Mikesky A, Wigglesworth J, et al. The effect of a 12-week dynamic resistance strength training program on gait velocity and balance of older adults. Gerontologist 1993; 33 (4): 501–6PubMedCrossRefGoogle Scholar
  28. 28.
    Judge J, Lindsey C, Underwood M, et al. Balance improvements in older women: effects of exercise training. Phys Ther 1993; 73 (4): 254–62PubMedGoogle Scholar
  29. 29.
    Schlicht J, Camaione D, Owen S. Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults. J Gerontol 2001; 56 (5): M281–6CrossRefGoogle Scholar
  30. 30.
    Carroll T, Barry B, Riek S, et al. Resistance training enhances the stability of sensorimotor co-ordination. Proc R Soc Lond 2001; 268 (1464): 221–7CrossRefGoogle Scholar
  31. 31.
    Sporrong H, Palmerud G, Herberts P. Hand grip increases shoulder muscle activity, an EMG analysis with static hand contractions in 9 subjects. Acta Orthop Scand 1996; 67 (5): 485–90PubMedCrossRefGoogle Scholar
  32. 32.
    Kronberg M, Nemeth G, Brostrom L. Muscle activity and coordination in the normal shoulder: an electromyographic study. Clin Orthop 1990; (257): 76–85PubMedGoogle Scholar
  33. 33.
    Behm D, Anderson K, Curnew S. Muscle force and neuromuscular activation under stable and unstable conditions. J Strength Cond Res 2002; 16 (3): 416–22PubMedGoogle Scholar
  34. 34.
    Milner T, Cloutier C, Leger A, et al. Inability to activate muscles maximally during co-contraction and the effect on joint stiffness. Exp Brain Res 1995; 107 (2): 293–305PubMedCrossRefGoogle Scholar
  35. 35.
    Arokoski J, Valta T, Airaksinen O, et al. Back and abdominal muscle function during stabilization exercises. Arch Phys Med Rehabil 2001; 82 (8): 1089–98PubMedCrossRefGoogle Scholar
  36. 36.
    Comerford M, Mottram S. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Man Ther 2001; 6 (1): 3–14PubMedCrossRefGoogle Scholar
  37. 37.
    Kiefer A, Shirazi-Adl A, Parnianpour M. Stability of the human spine in neutral postures. Eur Spine J 1997; 6 (1): 45–53PubMedCrossRefGoogle Scholar
  38. 38.
    Danneels L, Vanderstraeten G, Cambier D, et al. A function subdivision of hip, abdominal, and back muscles during asymmetric lifting. Spine 2001; 26 (6): E114–21CrossRefGoogle Scholar
  39. 39.
    Cresswell A, Oddsson L, Thorstensson A. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Brain Res 1994; 98 (2): 336–41PubMedCrossRefGoogle Scholar
  40. 40.
    Vezina M, Hubley-Kozey C. Muscle activation in therapeutic exercises to improve trunk stability. Arch Phys Med Rehabil 2000; 81 (10): 1370–9PubMedCrossRefGoogle Scholar
  41. 41.
    Thorstensson A, Carlson H. Fiber types in human lumbar back muscles. Acta Physiol Scand 1987; 131 (2): 195–202PubMedCrossRefGoogle Scholar
  42. 42.
    Richardson C, Jull G, Hodges P, et al. Therapeutic exercises for spinal segmental stablization in low back pain. London: Churchill Livingston, 1999Google Scholar
  43. 43.
    Sheth P, Yu B, Laskowski E, et al. Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med 1997; 25 (4): 538–43PubMedCrossRefGoogle Scholar
  44. 44.
    Wester J, Jespersen S, Nielson K, et al. Wobble board training after partial sprains of the lateral ligaments of the ankle: a prospective random study. J Orthop Sports Phys Ther 1996; 23 (5): 332–6PubMedGoogle Scholar
  45. 45.
    Behm D. Neuromuscular implications and applications of resistance training. J Strength Cond Res 1995; 9 (4): 264–74Google Scholar
  46. 46.
    Sale D. Neural adaptation to resistance training. Med Sci Sports Exerc 1988; 20 (5): S135–45Google Scholar
  47. 47.
    Rutherford O, Jones D. The role of learning and coordination in strength training. Eur J Appl Occup Physiol 1986; 55 (1): 100–5CrossRefGoogle Scholar
  48. 48.
    Kornecki S, Zschorlich V. The nature of stabilizing functions of skeletal muscles. J Biomech 1994; 27 (2): 215–25PubMedCrossRefGoogle Scholar
  49. 49.
    Siff M. The functional mechanics of abdominal exercise. South Afr J Sports Med 1991; 6: 15–9Google Scholar
  50. 50.
    Stanforth D, Stanforth P, Hahn S, et al. A 10-week training study comparing Resistaball and traditional trunk training. J Dance Med Sci 1998; 2 (4): 134–40Google Scholar
  51. 51.
    Vera-Garcia F, Grenier S, McGill S. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther 2000; 80 (6): 564–9PubMedGoogle Scholar
  52. 52.
    Behm DG, Leonard A, Young W, et al. Trunk muscle EMG activity with unstable and unilateral exercises. Can J Appl Physiol 2003; 28 Suppl.: S30CrossRefGoogle Scholar
  53. 53.
    Kornecki S. Mechanism of muscular stabilization process in joints. J Biomech 1992; 25 (3): 235–45PubMedCrossRefGoogle Scholar
  54. 54.
    Itoi E, Kuechle D, Newman S, et al. Stabilizing function of the biceps in stable and unstable shoulders. J Bone Joint Surg 1993; 75 (4): 546–50Google Scholar
  55. 55.
    Lear L, Gross M. An electromyographical ananlysis of the scapular stabilizing synergists during a push-up progression. J Orthop Sport Phys Ther 1998; 28 (3): 146–57Google Scholar
  56. 56.
    Anderson K, Behm DG. Maintenance of EMG activity and loss of force output with instability. Can J Appl Physiol 2003; 28 Suppl.: S27CrossRefGoogle Scholar
  57. 57.
    Anderson K, Behm DG. Trunk muscle activity increases with unstable squat movements. Can J Appl Physiol 2003; 28 Suppl.: S26Google Scholar
  58. 58.
    Johanson M, Valero-Cuevas F, Hentz V. Activation patterns of the thumb muscles during stable and unstable pinch tasks. J Hand Surg [Am] 2001; 26 (4): 698–705CrossRefGoogle Scholar
  59. 59.
    Garhammer J. Free weight equipment for the development of athletic strength and power: part I. Natl Strength Cond Assoc J 1981; 3 (6): 23–33Google Scholar
  60. 60.
    Stone M. Considerations in gaining a strength-power training effect (machines versus free weights): free weights, part II. Natl Strength Cond Assoc J 1982; 4 (4): 22–54Google Scholar
  61. 61.
    Stone M, O’Bryant H. Weight training: a scientific approach. Minneapolis (MN): Burgess International, 1987Google Scholar
  62. 62.
    Baechle T. Essentials of strength and conditioning. Champaign (IL): Human Kinetics, 1994Google Scholar
  63. 63.
    Behm D, Sale D. Velocity specificity of resistance training. Sports Med 1993; 15 (6): 374–88PubMedCrossRefGoogle Scholar
  64. 64.
    McCaw S, Friday J. A comparison of muscle activity between a free weight and machine bench press. J Strength Cond Res 1994; 8 (4): 259–64Google Scholar

Copyright information

© Adis Data Information BV 2005

Authors and Affiliations

  1. 1.School of Human Kinetics and RecreationMemorial University of NewfoundlandSt John’sCanada

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