A CORRELATION AMONG CORE STABILITY, CORE STRENGTH, CORE POWER, AND KICKING VELOCITY IN DIVISION II COLLEGE SOCCER ATHLETES A THESIS Submitted to the Faculty of the School of Graduate Studies and Research of California University of Pennsylvania in partial fulfillment of the requirements for the degree of Master of Science by Atsuko Takatani Research Advisor, Dr. Rebecca Hess California, Pennsylvania 2012 ii iii ACKNOWLEDGEMENTS First, I would like to thank you to my thesis committee chairperson, Dr. Rebecca Hess. She has helped and guided me on my path to completion of this thesis. I cannot thank her enough for all of the time she spent reviewing my work and encourage me of this difficult topic from the beginning. She has helped me to think deeper and work consistently, which helped shape this thesis. Thanks to my thesis committee members, Dr. Hargraves and Mr. Daley, for all of their knowledge, input and encouragement, which helped strengthen my work. This would not have been possible without all of their help. Special thanks to Coach Dennis Laskey, Emedin Sabic, and the California University of Pennsylvania men’s soccer athletes for taking part in my study. I enjoyed working with all of the coaches and athletes and had great memories through the season. Sincere thanks to Sarah Beaulieu for being a wonderful roommate and a peer researcher. I also thank all my classmates, faculty, coaches, and students at California University of Pennsylvania for their support and a fun year. Finally, I thank to my parents, Toshihiro and Kyoko, iv for always supporting me and understanding my desire to complete my Master of Science Degree and my love of working as an athletic trainer. I appreciate all the help. I also thank to my twin sister, Yuko, and my grandma, Hisako for their support and words of encouragement. I strived to make them proud of the work I did; they were my motivation to succeed. v TABLE OF CONTENTS Page SIGNATURE PAGE . . . . . . . . . . . . . . . ii AKNOWLEDGEMENTS . . . . . . . . . . . . . . . iii TABLE OF CONTENTS LIST OF TABLES INTRODUCTION METHODS . . . . . . . . . . . . . . v . . . . . . . . . . . . . . . viii . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . 6 Research Design Subjects . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . 6 Preliminary Research. . . . . . . . . . . . . 7 Instruments . . . . . . . . . . . . . . . . 8 Procedures . . . . . . . . . . . . . . . . 13 Hypothesis . . . . . . . . . . . . . . . . 20 Data Analysis RESULTS . . . . . . . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . 21 Demographic Data . . . . . . . . . . . . . . 21 Hypothesis Testing . . . . . . . . . . . . . 22 Additional Findings . . . . . . . . . . . . . 24 DISCUSSION . . . . . . . . . . . . . . . . . 26 Discussion of Results . . . . . . . . . . . . 26 Conclusions . . . . . . . . . . . . . . . . 34 Recommendations. . . . . . . . . . . . . . . 35 vi REFERENCES . . . . . . . . . . . . . . . . . 37 APPENDICES . . . . . . . . . . . . . . . . . 39 APPENDIX A: Review of Literature . . . . . . . . 40 RE VIEW OF LITERATURE . . . . . . . . . . . . . 41 Review of the Core . . . . . . . . . . . . . 41 Anatomy of the Core . . . . . . . . . . . 42 Core Stability . . . . . . . . . . . . . 45 Core Strength . . . . . . . . . . . . . . 47 Core Endurance . . . . . . . . . . . . . 48 Core Power . . . . . . . . . . . . . . . 49 Assessment of Core Function . . . . . . . . . . 50 Isokinetic Dynamometer for Strength and Work Sahrmann’s Test for Core Stability . . 51 . . . . . . 52 McGill Test for Strength and Endurance . . . . . 54 Double Leg Lowering Test for Core Strength . . . 56 60s Maximal Sit Up Test for Core Power . . . . . 57 The Role of the Core in Athletic Performance . . . 58 Core Stability Exercise and Athletic Performance . 59 Core Stability and Athletic Performance . . . . 61 Core in Soccer Kicking . . . . . . . . . . . 66 Summary . . . . . . . . . . . . . . . . . 68 APPENDIX B: The Problem . . . . . . . . . . . . 70 Statement of the Problem . . . . . . . . . . . 71 vii Definition of Terms . . . . . . . . . . . . . 72 Basic Assumptions . . . . . . . . . . . . . . 73 Limitations of the Study . . . . . . . . . . . 73 Significance of the Study . . . . . . . . . . 74 APPENDIX C: Additional Methods . . . . . . . . . 75 Informed Consent Form (C1) . . . . . . . . . . 76 Subject Information/Individual Data Collection Sheet (C2) . . . . . . . . . . . . 80 IRB: California University of Pennsylvania (C3) . . 82 Pictures: Equipment (C4) . . . . . . . . . . . 98 Pictures: Rotary Stability Test (RS) (C5) . . . . 102 Pictures: Double Leg Lowering Test (C6) . . . . . 105 Pictures: 60s Maximal Sit Up Test (C7) Testing Directions (C8) . . . . . 108 . . . . . . . . . . . 111 REFERENCES . . . . . . . . . . . . . . . . . 115 RABSRTACT . . . . . . . . . . . . . . . . . 120 viii LIST OF TABLES Table Title 1 Demographic Data . . . . . . . . . . . . 22 2 Descriptive statistics for RS, DLLT, 60sMSUT and SK Page . . . . . . . . . . . . 23 3 Correlations among RS, DLLT, 60sMSUT and SK 4 Descriptive statistics for TSPU . . . . . . 25 5 Correlations among TSPU, RS, DLLT, 60sMSUT, and SK . 24 . . . . . . . . . . . . 25 1 INTRODUCTION The correlation between core stability and athletic performance has not been determined in the available literature. Although several researchers have attempted to quantify the relationship between core stability/strength and functional performance, recent findings suggest that further research is needed to investigate important components and measurement of core stability in relation to athletic performance.1,2 Therefore, the primary purpose of this study was to examine the relationship among core power, core strength, core stability, and athletic performance in college soccer athletes. It is important to examine the correlation to assess core power and its effect on athletic performance because core power is an integrated component of core stability, strength and endurance during dynamic movement.1 In addition to the lack of current scientific evidence to support the correlation between core function and athletic performance, a valid core assessment has not been established yet. Therefore, the secondary purpose of this study was to establish a valid assessment tool of core. It 2 would be beneficial to clarify the definition of core power, as a component of core stability, and its effect on performance in the field of sports science. Recently, two research groups1,3 investigated the relationship between core stability and athletic performance in a sports specific manner. These researchers assumed that selecting core tests that are specific to performance capabilities is a key to investigate the relationship between two variables successfully. By estimating the tests of core stability that have similar movement patterns of the specific athletic performance, researchers were able to analyze the core muscular contributions in dynamic movement. Wagner3 and Dendas1 successfully observed the relationship between the function of the core and athletic performance; although their conclusions conflicted within the context of core stability and its effect on athletic performance. Dendas1 investigated the relationship between athletic performance and core stability in Division II football players. Athletic performance included 3-repetition maximums for the power clean, back squat, and bench press, as well as vertical jump height, and 40m sprint time with a 20m split time.1 Findings showed a significant relationship 3 among athletic performance, 60s and 30s maximum sit-up tests, and the McGill trunk flexion test. While it was hypothesized that the Ball Explosive Sit-up Throw Test (MBESTT) would show a significant relationship to the core power, scores on the MBESTT were not related to scores on any of the other measures of core stability.1 The researcher stated that “a 30-second or 60-second sit-up test is the best field test of core stability currently available”1(p79) in measuring athletic performance in collegiate football players. Wagner3 identified the relationship between core fitness and tests of soccer sport performance in female soccer players. The researcher defined core fitness as “the combination of isometric core stability and concentric core strength to perform a task of sport performance.”3(p8) According to the researcher, isometric core strength (ISC) was used to evaluate the ability of the core to provide a stable base of support using the trunk flexion and bilateral rotation core strength test, while concentric functional core strength (CFCS) was used to evaluate the ability of the core to produce and transfer forces to the limbs using the front abdominal power test (FAPT) and side abdominal power test (SAPT). The researcher compared these 4 two types of core tests with the soccer-style standing kick and throw-in for maximum speed to examine the role of core function on soccer athletic performance. Results indicated that ICS correlated more strongly with tests of soccer sport performance than CFCS. These findings conflicted with other studies and rejected the research hypothesis.3 The researcher assumed that ICS elicited a greater muscular activation due to a larger load placed on the core, which could have resulted in a greater correlation with tests of soccer athletic performance.3 In comparing these studies, Dendas’ findings suggested that core power has a greater contribution to athletic performance in football player than ICS. On the other hand, Wagner’s finding suggested that ICS has a greater contribution to soccer performance (standing kick and throw-in) than CFCS. Although both researchers have established valid assessments of core and athletic performance, their findings leave the question, which type of core function has a greater contribution to athletic performance? In other words, is it necessary to assess core stability with a test involving limb movements (specifically of the upper and/or lower extremity) in order 5 to identify the contribution of core to athletic performance (involving upper and/or lower extremity)? Theoretically, the core musculature is the kinetic link between the lower and upper bodies and should have direct influence on the kinetic chain on athletic performance. Thus, the purpose of the present study was to examine whether the core has a significant role in providing a base of support for optimal lower extremity function, and the ability to produce and transfer force to the distal segments during a functional soccer task, specifically maximal kicking velocity. Findings may help to generate a valid means of assessing core stability on a base of all core functions, and may be able to guide future studies testing sport performance with the use of core training. 6 METHODS This section includes the following subsections: research design, subjects, instruments, procedures, hypotheses, and data analysis. Research Design A correlational design was used to determine whether core stability (Rotatory Stability test), core strength (the Double Leg Lowering test) and core power (60s Maximum Sit-Up test) are related to soccer performance (kicking speed). Subjects performed the Functional Movement Screen (FMS) as their warm up, which was conducted by a peer researcher who is a certified FMS specialist. A limitation of the study is the inability to generalize the results beyond DII male soccer players. Subjects The subjects were volunteer male student athletes from California University of Pennsylvania’s (NCAA Division II) soccer team (n~20). The subjects had some familiarity with 7 the testing protocols; core training and soccer style kicking as the result of collegiate team participation and training. Subjects needed to be actively participating and/or competing with the varsity soccer team at the time of testing. All subjects in the study read and signed an Informed Consent Form (Appendix C1) prior to participation in the study. Subject information and data collection were contained and documented by the researcher (Appendix C2). Each participant’s identity remained confidential and was not included in the study. Preliminary Research Preliminary research was performed prior to beginning the research study. The researcher conducted trials with the core tests; the 60s Maximum Sit-Up test (60s MSUT), the Double Leg Lowering test (DLLT), and the soccer kicking test (SK) to become familiar with the equipment, determine a time frame for testing sessions, and identify any modifications that were made to the testing procedures. All test directions were provided using the same text (Appendix C8). The researcher was familiar with the equipment including; sphygmomanometer; 360º universal goniometry and 8 JUGS™ radar gun. These preliminary trials were conducted on two physically active students within the same age-range as the desired subjects. Instruments The instruments used in this study were a Subject Information Sheet/ Data Collection Sheet (Appendix C2), the Rotary Stability Test (FMS 2x6in board), the 60s MSUT, the DLLT (sphygmomanometer and 360º universal goniometer), and the SK (JUGS™ radar gun)(Appendix C4). Subject Information/Data Collection Sheet Demographic information was collected on a Subject Information/Data Collection Sheet (Appendix C2). The sheet included questions regarding: (a) date of birth (age), (b) type of kick used, (c) kicking leg, and(d) years of soccer experience, (e) position. Rotary Stability Test (RS) The RS is one of seven tests used to test functional movement by the Functional Movement Screen (FMS),4 and was used to grade core stability. The FMS is an assessment tool 9 comprised of seven different movements to identify asymmetry and dysfunctions of movement pattern within the body. This RS test consists of multi-plane trunk stability during a combination of asymmetric upper and lower extremity movement, which requires proper neuromuscular coordination and energy transfer through the trunk (Appendix C5). Not only has the FMS been widely used, but the reliability of the FMS has been reported to have an intraclass correlation coefficient (ICC) value of 0.98.5 The range of scores for each test on the FMS are from zero to three; three being the best possible score.4 A score of three is given if the subject performs the movement of RS correctly without any compensation (Appendix C5-Figure 4). A score of two is given if the person is able to complete the movement with compensation (Appendix C5-Figure 5). If the requirements for a score of two are not met, then a score of a 1 is given (Appendix C5-Figure 6). If there is pain with the movement, a final score of a zero will be given for the RS test. Double Leg Lowering Test (DLLT) The modified double leg-lowering test was used to grade core strength (Appendix C6). The test was adopted 10 from Zingaro’s study.6 The lower the subject can lower the legs correlates to a stronger core.6-8 The degree from starting point (hip flexed to 90º)to ending point was used for data analysis. A blood pressure cuff was used to measure the pressure under the back during the DLLT. A 12inch, 360º degree universal goniometer was used to measure the angle of hip flexion during the core strength testing. The angle of hip from 90º of hip flexion was measured with a goniometer when the pressure of the sphygmomanometer dropped below 20mmHg.6,9 This is unlike the double leglowering test, which takes a measurement at 40 mmHg. The DLLT has been found to be reliable; the ICC for repeated measures of the DLLT was 0.98.7 Core strength was interpreted by the hip angle at the time of pressure change where a greater angle indicated greater core strength. An average score of three trials was used for data analysis.6 The verbal directions for the test are described in Appendix C8. 60s Maximum Sit-Up test (60s MSUT) Core power was measured by the maximum sit-ups in 60 seconds. The 60s MSUT was adopted from similar tests described by Dendas.1 Reliability for the timed sit-up tests 11 have previously been established.1,10 Dendas reported that test-retest reliability coefficients for 60s timed sit-up test was statistically significant (r = 0.862 ).1 Augustsson et al10 also reported an ICC of 0.93 with a 95% confidence interval of 0.77.10 Each up-down cycle was counted as a successful repetition of the sit-up. The subject had to flex the trunk up until the elbows touched the thighs and then lower the trunk back until the scapulae came into contact with the floor for a successful sit-up. The test was scored as maximal number of correct sit-ups within the 60-second time period.1,10 Higher numbers of repetitions indicates better core power. Subjects only performed one sit-up trial per testing session.1 The lengthy in depth directions of the test are described in Appendix C8. Soccer Kicking Test (SK) Prior to kicking assessment, the subjects performed a series of dynamic warm-up exercises adapted from Wagner’s study.3 The warm-up consisted of two laps of jogging, 10 yards of hip external rotation, forward lunges, backward lunges, lateral squat, high knees, butt kickers, side shuffle, Carioca, A-skip, power skip, and straight leg kick followed by the leg swing to front/back and side to side in 12 place. The subjects started with two laps of jogging from the start point, and then were instructed dynamic warm up at the station where the corns were set up for the dynamic warm-up.3 After performing the leg swing by the fence, the subjects had kicking/passing warm-up with the partner for five minutes.11,12 Soccer performance was evaluated with a dynamic soccer-style kick for maximal speed. The speed of a dynamic instep, toe kick or shoelace kick (top of the foot) while attempting to kick a dead ball as hard as possible was used to seek the dynamic stability of the core in the current study.3 The maximum kicking velocity (meters per second, m/s) was assessed with use of the JUGS™ radar gun (Jugs Sports, Tualatin, OR), which was placed behind the soccer goal. The ball was placed 5m from where the ball was struck.11,12 The radar gun is a good instrument to measure soccer kicking velocity.11 According to Sedano et al,11 the speed of soccer kicking measured by radar and the measurement protocol was validated by a photogrammetry system. A value of Rxy = 0.998 was obtained in this study.11 According to Sedano et al,12 there was a positive correlation (rxy = 0.994, p < 0.05) between the maximal kicking speeds registered by the radar gun and those recorded by high speed video camera. The JUGS™ radar gun 13 has a reported accuracy of ±0.4 display unit and range of speeds of 40-200kph.13 Using a radar gun to measure the soccer kicking velocity has been reported reliable.12 The radar gun was calibrated by manufacture instruction prior to the study.13 A standard size five soccer ball was used for the test. Higher speeds indicated better kicking performance in this case. The subjects had two practice trials. Average of three kicks after the practice trials was recorded. Procedures Once approved by the Institutional Review Board at California University of Pennsylvania (Appendix C3), the study took place over a 3-day period which consisted of an orientation meeting with a practice trial of each test on Day 1 and two testing days, Day 2 and 3. Orientation and testing were conducted at the Phillipsburg soccer complex at California University of Pennsylvania. On Day 1, the researcher had a meeting with all potential subjects and explained the concept of the study and offered the Informed Consent Form (Appendix C1) in order for them to understand the requirements and risks of 14 involvement in the study. Qualifications for the subjects (mentioned in the subject section), requirements, testing date (approximately 7 days later), and approximate time frame for entire study, 20 minutes on each of the two testing days, were announced. Then the subjects, who met the qualifications, had a practice session for all core tests. All subjects, who met the qualifications, were asked to participate in the rest of the study. Day 2 consisted of a warm up using the FMS and measurement of two core assessments. Prior to the core testing session, the subjects performed the FMS assessed by a peer researcher who is a certified FMS specialist. The following testing were performed in the following order; Core stability test (RS as a part of the FMS); Core strength test (DLLT); Core power test (60s MSUT). Day 3 consisted of a series of dynamic warm ups and soccer performance assessment (SK). Warm Up 1: Functional Movement Screen (FMS) The following seven tests for the FMS served as the warm-up for the core testing and were conducted by a peer researcher who possesses the FMS certification. The assessment variables included: (1) Deep Squat; (2) Hurdle 15 Step; (3) In-line Lunge; (4) Shoulder mobility; (5) Active Straight Leg Raise; (6) Trunk Stability Push Up; (7) Rotatory Stability (RS).4 Scores of the RS were used as the assessment of core stability in the current study. Rotatory Stability Test (RS) for Core Stability For the RS, the subject was in a quadruped position with shoulders and hips at 90º relative to the torso with the FMS kit, a 2x6 in board (Appendix C4-Figure 1), parallel to the spine in between the hands and the knees. The ankles were in a dorsiflexed position. The subjects then flexed the shoulder while extending the same-side hip and knee, and then slowly brought the elbow to the sameside knee while remaining in line over the board. For a score of a 3 on the RS, the subject must perform the task correctly using the same-side leg and arm while keeping the torso parallel to the FMS kit board and keeping the elbow and knee in line with the FMS kit board (Appendix C5-Figure 4). A score of a 2 was given, the subject performed a diagonal pattern using the opposite shoulder and hip in the same manner as for a score of a 3 (Appendix C5-Figure 5). The knee and opposite elbow had to make contact over the FMS kit. If the requirements for a score of a 2 were not 16 met, then a score of a 1 was given (Appendix C5-Figure 6). If there was pain with the movement, a final score of a zero was given for the RS test. The researcher viewed the movement from the side of the subject. After completing the FMS, the subjects moved to the core testing session. All subjects performed the core tests in the following order; DLLT; 60s MSUT. Double Leg Lowering Test for Core Strength The DLLT began with the athlete in a supine position. A sphygmomanometer was placed beneath the umbilicus. Once the sphygmomanometer was placed in a correct position, the subject flexed his hips into 90º with full knee extension and arms laid along the side of the body with hands palm down on the field (Appendix C6-Figure 7). However, the knees were flexed slightly to reduce tension on the hamstrings, which allowed subjects to flex their hips to 90º. The goniometer was placed at the hip joint. The stationary arm was placed parallel to the mid axillary line of the torso (parallel to the floor) and the moveable arm was parallel to the longitudinal axis of the femur.6 The subject was instructed to relax the abdominal muscles to 20 mmHg and told to ‘flatten out the back,’ in a drawing-in 17 motion, to stabilize the lumbar spine and increase the pressure of the sphygmomanometer to 40 mmHg.6 Then the legs were slowly lowered, maintaining the posterior pelvic tilt until the pressure of the sphygmomanometer drops below 20mmHg (Appendix C6-Figure 8). The subject’s legs were held by the researcher once the pressure of the sphygmomanometer got to below 20mmHg or when this pelvic position could no longer be maintained. Then the goniometer measurement of hip joint was taken while being held the legs so that the athlete did not have to keep contraction of the abdominal muscles and hold the leg position during the goniometer measurement. The subject performed the test three times with one minute rest in between each trial. Average score from three trials were used for data analysis. If the subject performed the technique incorrectly no score was recorded.2 The subject performed the test on another day in order to practice pelvic tilt and perform the DLLT correctly. The subject had a rest for two minutes before moving to the 60s MSUT. 60s Maximal Sit-up Test for Core Power For the 60s MSUT, the subject lay supine with knees flexed to 90°and hips flexed about 45°. Fingers were 18 interlocked behind the neck and the backs of the hands touched the floor (Appendix C7-Figure 9). The feet were together and another subject stepped on the subject’s feet to stabilize the position. On the command “go”, the subject began flexing the trunk to perform the sit up until the elbows touched to the thighs (Appendix C7-Figure 10) and then lowered the trunk back until the scapulae came into contact with floor without touching their head or hands to the floor for 60 seconds timed by a stopwatch. At 60 seconds, the researcher recorded the number of successful repetitions. Subjects performed one sit-up trial per testing session.1 Warm-up 2: Dynamic Stretch Prior to the kicking test, subjects performed a series of dynamic warm-up exercises selected from their soccer practice and those used in previous research.3 The warm-up consisted of two laps of jogging, 10 yards of hip external rotation, forward lunges, backward lunges, lateral squat, high knees, butt kickers, side shuffle, Carioca, A-skip, power skip, and straight leg kick followed by the leg swing to front/back and side to side in place. The subjects started with two laps of jogging from the start point, and 19 then were instructed dynamic warm up at the station where the corns were set up for the dynamic warm-up.3 After performing the leg swing by the fence, the subjects had kicking/passing warm-up with the partner for five minutes.11,12 Then the subjects were taken to the area where the kicking test took place. Soccer Kicking Test Soccer performance was evaluated with a dynamic soccer-style kick for maximal speed. Each subject was allowed to choose the distance of the run-up to a stationary ball as well as the type of kick (instep, toe kick, or shoelace). The subjects approached to the ball from the starting point, produced a counter movement swing with the kicking leg, and kicked the ball as hard as possible towards the radar gun. The researcher recorded the maximal speed using the radar gun. The subjects had two practice trials, and three test kicks An average of the three test kicks was used for data analysis. The subject had 90 second rest in between each trial. 20 Hypothesis The following hypothesis was investigated in this study: There will be a positive correlation among core power, core strength, core stability, and kicking velocity. Data Analysis An alpha level of < 0.05 was used for all statistical tests. SPSS version 18.0 for Windows was used for all statistical analyses. The research hypothesis was analyzed using a Pearson Product Moment correlation to determine any relationship among core power, core strength, core stability and soccer kicking velocity. 21 RESULTS The purpose of the study was to examine the relationship among core power, core strength, core stability, and athletic performance in college soccer athletes. Subjects were tested by using the RS, the 60s MSUT, the DLLT, and the soccer kicking test (SK). The RS was used to measure core stability, the DLLT was used to measure core strength, the 60s MSUT was used to measure core power, and the SK was used to measure maximal kicking speed. Demographic Information A total of 19 male subjects volunteered to complete this study. All subjects were physically active individuals participating in NCAA Division II soccer at California University of Pennsylvania. One subject’s data was excluded from data analysis because he was unable to perform 60s MSUT due to pre-existing conditions, although actively participating in practice and games without problems. Table 22 1 presents demographic data for the 18 subjects that completed the study. Years of soccer experience was determined by active participation from age group to collegiate soccer. Table 1. Demographic Information N Minimum Age (yrs) 18 Soccer experience 18 (yrs) SD = Standard Deviation Maximum Mean SD 23 20 20.39 14.94 1.614 2.920 18 8 Hypothesis Testing Hypothesis testing was performed by using data from the 18 subjects who completed all tests at an alpha level of ≤ 0.05. Descriptive statistics for the RS, the DLLT, the 60s MSUT and the SK are shown in Table 2. The range of scores for the RS was from zero to three; three being the best possible score.4 The range of the DLLT was zero to 90; the degree from starting point (hip flexed to 90º)to ending point was used for data analysis. The 60s MSUT test was scored as maximal number of correct sit-ups within the 60second time period.1,10 Higher numbers of repetitions 23 indicate better core power. For the SK, higher speeds indicated better kicking performance in this case. Table 2. Descriptive statistics for RS,DLLT,60s MSUT and SK RS 60s MSUT DLLT (Degrees) SK (mph) N 18 18 18 18 Minimum Maximum 2 3 31 60 26 63 58 75 Mean 2.39 47.28 37.39 67.69 SD 0.502 8.079 8.991 4.540 Hypothesis: There will be a positive correlation among the RS, the DLLT, the 60s MSUT and the SK, for core stability, core strength, core power and a maximum kicking velocity respectively. A Pearson Product Moment Correlation coefficient was calculated to examine the linear relationship among all four variables using a one-tailed test. Conclusion: There were no significant correlations among the RS, the DLLT, the 60s MSUT and the SK, for core stability, core strength, core power and maximum kicking velocity (Table 3). 24 Table 3. Correlations among RS, DLLT, 60sMSUT and SK RS RS DLLT MSUT SK Pearson Correlation Sig. (1-tailed) Pearson Correlation Sig. (1-tailed) Pearson Correlation Sig. (1-tailed) Pearson Correlation Sig. (1-tailed) -.241 .168 .001 .499 -.091 .360 DLLT MSUT SK -.241 .168 1 .001 .499 .328 .092 1 -.091 .360 .348 .078 .020 .469 1 .328 .092 .348 .078 .020 .469 Additional Findings An additional Pearson Product Moment correlation was performed to examine the relationship among the RS, the DLLT, the 60s MSUT, and the Trunk Stability Push-up test(TSPU) completed as one of seven tests measured for the Functional Movement Screen (FMS)with a peer researcher, and is used to grade core stability. Unlike the RS, which requires multi-plane trunk stability during a combined upper and lower extremity motion, the TSPU assesses trunk stability during a closed-chain upper body movement.4 The subject was asked to perform a pushup with hands aligned under the top of the forehead for men. A possible score of three was given if the subject performed the push-up with the hands aligned with the top of the forehead correctly 25 without any compensation such as excessive movement in the lumbar spine or not lifting the body as a unit when performing this push-up. A score of two is given if the person is able to complete the push up with the hands aligned with the chin. If the requirements for a score of two are not met, then a score of a 1 is given. Descriptive statistics for the TSPU test are shown in Table 4. A significant moderate low correlation between the TSPU and the SK was present (r = .435, P = .036) where the average score of the TSPU was 2.61 with a range of 2-3 (Table 5). Also, no correlations were reported for years of experience in the athletes (8-20 years) and any of the performance variables. Table 4. Descriptive statistics for TSPU TSPU N 18 Minimum 2 Maximum 3 Mean 2.61 SD .502 Table 5. Correlations among TSPU, RS, DLLT, 60sMSUT, and SK TSPU TSPU 1 RS .169 .252 1 DLLT .073 .387 -.241 .168 1 MSUT SK -.059 .435* .408 .036 RS Pearson Correlation .169 .001 -.091 Sig. (1-tailed) .252 .499 .360 DLLT Pearson Correlation .073 -.241 .328 .348 Sig. (1-tailed) .387 .168 .092 .078 MSUT Pearson Correlation -.059 .001 .328 1 .020 Sig. (1-tailed) .408 .499 .092 .469 SK Pearson Correlation .435* -.091 .348 .020 1 Sig. (1-tailed) .036 .360 .078 .469 *. Correlation is significant at the 0.05 level (1-tailed) 26 DISCUSSION Discussion of Results The main finding was that no significant correlations among the RS, the DLLT, the 60s MSUT and the SK, for core stability, core strength, core power and maximum kicking velocity were observed in NCAA Division II soccer athletes. While these findings are consistent with findings of previous studies, 14,15 the recent research by Dendas1 and Wagner3 has reported a relationship between core stability and athletic performance in American football athletes1 and female soccer athletes3). Nesser et al14,15 investigated the relationship between core stability and various strength and power variables in Division I football athletes14 and NCAA Division I female soccer athletes.15 The core stability was assessed using McGill Protocol that consists of back extension, trunk flexion, and left and right bridges in these studies.14,15 Performance variables in the study14 included three strength variables; one-repetition maximum (1RM) bench press, 1RM squat, and 1RM power clean, and four performance variables; 27 countermovement vertical jump, 20 and 40 yard sprints, and a 10 yard shuttle run. Data revealed a number of significant, but weak to moderate correlations between core strength/stability and strength and performance.14 The researchers14 concluded that increases in core strength does not contribute significantly to strength and power, and that training programs with emphasis on strength and power should not focus on core stability and strength.14 Nesser et al15 also investigated the relationships between core stability and various strength and power variables in NCAA Division I female soccer players. The researchers assessed core stability using the McGill protocol, two strength variables (1RM bench press and 1RM squat), and three performance variables (Countermovement vertical jump, 40 yard sprint, and a 10 yard shuttle run) in this study. According to their findings, no significant correlations among core strength, strength, and power were confirmed. Thus, the researchers15 concluded that core strengthening programs should not be the focus of strength and conditioning because increases in core strength will not contribute significantly to strength and power. Dendas1 and Wagner3 successfully observed the relationship between the function of the core and athletic performance in a sports 28 specific manner. Dendas7 investigated the relationship between athletic performance and core stability in Division II football players where core power using Medicine Ball Explosive Sit-up Throw Test (MBESTT) and a 60 second maximum sit-up test with a built-in 30 second test, and core endurance using McGill protocol were used. Performance variables to investigate included 3RM for the power clean, back squat, and bench press, as well as vertical jump height, and 40m sprint time with a 20m split time.7 The findings suggested that the 60s maximum sit-up test was significantly correlated with the relative power clean (1.09 ± 0.17; r = .836), relative squat (1.64 ± 0.28; r = .608), relative bench press (1.24 ± 0.19; r = .590), vertical jump height (29.11 ± 3.70 in; r = .721), 40-m sprint time (5.26 ± 0.37 s; r = -.680), and 20-m sprint time (3.23 ± 0.27 s; r = -.803). Thus, Dendas’ findings suggested that core power has a greater contribution to athletic performance in football players than isometric core stability. On the other hand, Wagner’s findings suggested that isometric core stability (ICS) has a greater contribution to soccer performance (standing kick and throw-in for maximum speed) than concentric functional core strength 29 (CFCS).3 According to the researcher,3 ICS test was used to evaluate the ability of the core to provide a stable base of support with use of a isokinetic dynamometer during movements of trunk flexion (TF) and bi-lateral rotation, while CFCS test was used to evaluate the ability of the core to produce and transfer forces to the limbs by performing the front abdominal power test (FAPT) and side abdominal power test (SAPT).15 This researcher found significant and meaningful correlations between isometric TF and throw-in (r = 0.526) and isometric left rotation (LR) and right footed kick (r = 0.622). Also, there were significant correlations between isometric right rotation (RR) and right footed kick (r = 0.753) and isometric TF and left footed (r = 0.615).15 Although the main finding in the current study did not support their findings and the question,1,3 which type of core function has a greater contribution to athletic performance, additional analysis supported Wagner’s findings between trunk stability and athletic performance measured by kicking speed. Specifically, core stability measured by the TSPU was positively moderately correlated to kicking velocity as measured by the SK. Wagner3 identified the relationship between core fitness and tests 30 of soccer sport performance in female soccer players, and defined core fitness as “the combination of isometric core stability and concentric core strength to perform a task of sport performance.”3(p8) His finding suggested that isometric core stability has a greater contribution to soccer performance (standing kick and throw-in for maximum speed) than concentric functional core strength in female soccer athletes.3 The current additional finding supported that isometric core stability has a greater contribution to soccer performance when maximal effort is required. Although the previous researchers1,3 assumed that selecting core tests that are specific to performance capabilities is a key to investigate the relationship between two variables successfully, the finding between the TSPU and the SK supported the idea that isometric core strength elicited a greater muscular activation due to a larger load placed on the core, which could have resulted in a greater correlation with tests of soccer athletic performance.3 Considering that the isometric core stability test used by Wagner3 has same characteristics of core function with the TSPU in the current study, the tests that measure the isometric core stability without dynamic limb movements 31 may be valid and reliable to assess core stability. Unlike the RS, which require multi-plane trunk stability during a combined upper and lower extremity motion, the TSPU assesses trunk stability during a closed-chain symmetrical upper body movement.4 As Sharrock et al2 discussed in their literature, it would be appropriate to measure core function during dynamic movements in sports which require complex, explosive, and multilane movements. However, there is no gold standard used to measure core function, and no reliable and valid measurements that have been established in the previous literature.2 The tests of the core function in the current study (RS, DLLT, and 60s MSUT) were selected due to existing reliability and/or validity, these tests did not have similar movement patterns of the specific athletic performance. Not only have these core tests have been widely used, but the reliability of the tests has been reported. The FMS has been reported to have an intraclass correlation coefficient (ICC) value of 0.98.5 Reliability for the timed sit-up tests have previously been established.1,10 Dendas reported that test-retest reliability coefficients for 60s timed sit-up test was statistically significant (r = 0.862).1 Augustsson et al10 also reported 32 an ICC of 0.93 with a 95% confidence interval of 0.77.10 Sharrock et al reported that DLLT has been found to be reliable; the ICC for repeated measures of the DLLT was 0.98.7 From author’s knowledge, the study7 is only one literature that has reported ICC of the DLLT. Sharrock et al suggested that “the DLL test is an appropriate way to measure core stability as it pertains to athletic function”16 based on evidence in previous literature, while Krause et al7 reported the DLLT has excellent intra-tester reliability as an assessment of core strength. The researcher7 reported an ICC of 0.98 that for repeated measures of the DLLT. Although the validity of the DLLT has not been shown in the previous literature,2,6-8 this test has been found to be reliable,7 and the DLLT has been used in several studies.2,6-8 Thus, the DLLT is a typical method to measure core strength.17,18 Prentice described DLLT as the Straight Leg Lowering Test (SLLT), and suggested that core strength can be assessed with using SLLT as well.17 However, we experienced difficulty assessing core strength with the use of a BP cuff during the DLLT when subjects had increased lumber lordosis. According to procedures, the BP cuff is used to determine subject’s ability of maintaining posterior pelvic tilt. A peer 33 researcher was needed to observe subject’s pelvic movement to assess their core strength, while the researcher read the change of BP cuff in that case. Although all athletes were able to perform posterior pelvic tilt, some of them were not able to increase BP cuff pressure as described in the procedure (increase BP cuff to 40mmHg before lowering the legs.) The score of the DLLT was then determined by the point where the subjects keep posterior pelvic tilt. While the selected core tests measured some aspect of core function in the current study, it appears that the test criteria were not sufficient to differentiate each core function. To seek the relationship between core function and athletic performance, future research is needed to establish valid and reliable core measurements first. It seems to be difficult to define core variables based on each core function since all core muscles work synergistically to provide stability. However, Wagner’s3 and our additional finding suggested that tests used to measure isometric core stability may be valid and reliable to assess core stability. Further research is needed with larger number of subjects, elite/professional athletes in variety of sports, a greater variety of core tests, and more demographically diverse subjects. 34 Conclusions While no significant correlations among the selected tests for core stability, core strength, core power and maximum kicking velocity in healthy Division II college male soccer athletes were reported, an additional test for core stability yielded different results. The significant moderate correlation between the push up test for core stability and kicking velocity indicates that isometric core stability/strength elicited a greater muscular activation due to a larger load placed on the core during a maximal kick. These findings support the current literature in that isometric core stability has a greater contribution to soccer performance measured by standing kick and dynamic style kick for maximum kicking velocity.3 35 Recommendations Our findings suggested that it may be necessary to assess core stability with a test involving no limb movements (specifically of the upper and/or lower extremity) in order to identify contribution of the core to athletic performance. Only moderate relationships between core stability sports performance have been reported here and in previous research, further research is needed not only to establish validity and reliability of core tests, but also to quantify the relationship between core function and athletic performance. Our findings support the theory that the core musculature is the kinetic link between the lower and upper body and should directly influence any distal kinetic chain movement. Implications that the core has a significant role in providing a base of support for optimal lower extremity function, and the ability to produce and transfer force to the distal segments during a functional soccer task, specifically maximal kicking velocity could be used in future testing for injury prevention or performance enhancement. 36 Considering the complexity of the core musculature and its synergic function, however, it may not be important to quantify the relationship for the athletic trainers and allied health care professionals. Whether the relationship between core function and athletic performance is determined or not, it would be more beneficial to have the ability to assess athletes’ various aspects of core function and performance, to train athletes with appropriate exercise selections/applications, and to prevent/rehabilitate athletic injury with the concept of kinetic chain, particularly when assessing for return to play. Application of a valid core stability test, such as the trunk stability push-up test (TSPU from the FMS) and other core stability tests involving no limb movements, may help to assess soccer kicking performance after lower extremity injuries. 37 REFERENCES 1. Dendas A. The relationship between core stability and athletic performance. [master’s thesis]. Arcata, CA: Humboldt State University; 2010. 2. Sharrock C, Cropper J, Mostad J, Johnson M, Malone T. A pilot study of core stability and athletic performance: is there a relationship? Int J Sports Phys Ther. 2011;6(2):63-74. 3. Wagner J. Convergent validity between field tests of isometric core strength, functional core strength, and sport performance variables in female soccer players. [master’s thesis]. Boise, ID: Boise State University; 2010. 4. Cook G, Burton L, Hoogenboom B. Pre-participation screening: The use of fundamental movements as an assessment of function - Part 2. North Am J Sports Phys Ther. 2006;1(3):132-139. 5. Anstee L, Docherty C, Gansneder B, Shultz S. Intertester and intra-tester reliability of the Functional Movement Screen Paper presented at: National Athletic Training Association National Convention, 2003; St. Louis, MO. 6. Zingaro R. Correlation between core strength and serve velocity in collegiate tennis players. [master’s thesis]. California, PA : California University of Pennsylvania; 2008. 7. Krause D, Youdas J, Hollman J, Smith J. Abdominal muscle performance as measured by the double leg lowering test. Arch Phys Med Rehabil. 2005;86:13451348. 8. Butcher S, Craven B, Chilibeck P, Spink K, Grona S, Sprigings E. The effect of trunk stability training on vertical takeoff velocity. J Orthop Sports Phys Ther. 2007;37(5):223-231. 38 9. Ladeira C, Hess L, Galin B, Fradera S, Harkness M. Validation of an abdominal muscle strength test with dynamometry. J Strength Cond Res.2005;19(4):925-930. 10. Augustsson S, Bersas E, Magnusson-Thomas E, Sahlberg M, Augustsson J, Svantesson U. Gender differences and reliability of selected physical performance tests in young women and men. Adv. Physiother. 2009;11:64-70. 11. Sedano S, Benito A, Izquierdo J, Redondo J, Cuadrado G. Validation of a measuring system for kicking speed in soccer. Apunts Educ Fís Deportes. 2009;96:42-46. 12. Sedano S, Vaeyens R, Philippaerts R, Redondo J, De Benito A, Cuadrado G. Effect of lower-limb plyometric training on body composition, explosive strength, and kicking speed in female soccer players. J Strength Cond Res. 2009;23(6):1714-1722. 13. Jugs [package insert]. Tualatin, OR: JUGS Sports Inc. 14. Nesser T, Huxel K, Tincher J, and OkadoT. The relationship between core stability and performance in Division I football players. J Strength Cond Res. 2008;22(6):1750-1754. 15. Nesser T, Lee W. (2009). The relationship between core strength and performance in division I female soccer players. J Exerc Physiol Online. 2009;12(2):21-28. 16. Sharrock C, Cropper J, Mostad J, Johnson M, Malone T. A pilot study of core stability and athletic performance: is there a relationship? Int J Sports Phys Ther. 2011;6(2):66. 17. Prentice W. Rehabilitation Techniques for Sports Medicine and Athletic Training. 4th ed. Boston, MA: McGraw Hill;2004:200-223. 18. Muscolino, JE, Cipriani S. 2004. Pilates and the ‘‘powerhouse’’. J Body Mov Ther. 2004;8(1):15–24. 39 APPENDICES 40 APPENDIX A Review of literature 41 REVIEW OF LITERATURE The purpose of this review of literature is to overview previous studies examining core power and its effect on athletic performance. This literature review includes the following four sections: (1) Review of the Core, (2) Assessment of Core function, (3) Role of the Core in Athletic Performance, and (4) Summary of the research performed to date. Review of the Core The core has been identified as a key component for functional athletic performance in the field of sports science.1-7 The core is referred as the region of the body that provides an adequate support for upper and lower extremity movements, during athletic performance.7 An efficient core provides optimum force production, as well as transfers and controls force and movement in the integrated functional athletic performance.3,4,7,8 The basic foundation of the core comes from more than 20 muscles that attach to the lumbo-pelvic-hip complex.7,9(p290) Although some 42 researchers10,11 previously advocated the importance of a few core stabilizers, especially the transversus abdominis and multifidi, all core muscles work synergistically to provide stability and mobility of the spine in order for optimum athletic performance.7,9-11 Several researchers have attempted to explain the musculature of lumbo-pelvic-hip complex and its role in rehabilitation and athletic performance in their previous literature.7,9(p295),12 However, the complexity and integrated function of the lumbo-pelvichip complex causes confusion regarding the definition of the core; differences among core stability, core strength, and core power; valid assessment of the core stability; and its application to functional athletic performance.1-7 Therefore, it is very important to have an understanding of core anatomy and a clear definition of core strength, stability and power in order to assess the functional athletic performance. Anatomy of the Core The core is referred to as the “powerhouse,” its where breathing and all the physical movements originate in Pilates exercise. The concept of core strength and stabilization was first addresses by Joseph Pilates who 43 created the Pilates exercise philosophy.13 Akuthota et al4 have also described the function of the core as being a “powerhouse,” the center of the functional kinetic chain, that provides optimum force and power and initiates limb movement.4 The researcher4 also describe the core as a box that consists of core stabilizers; abdominal muscles in the front, paraspinals and gluteal muscles in the back, the diaphragm on the top, and the pelvic floor and the hip girdle muscles as the bottom. The core musculature works together synergically in order to support the “powerhouse” and provide optimum performance. Bergmark originally introduced the concept of “global” and “local” core musculature in his literature in 1989.12 According to Bergmark,12 the “local” system consists of all the muscles that originate and insert at the vertebrae, with the exception of the psoas muscles. Local muscles are referred to as deep stabilizers and are responsible for the lumbar and thoracic stabilization. Global muscles are more superficial, are responsible for movement of the trunk, and transfers forces from the torso and the pelvis out to the extremities.4,7,12 Since Bergmark’s classification of local and global system, several researchers have introduced the concept and attempted to explain the function of the lumbo- 44 pelvic-hip complex with some modifications in their studies.2,4,7 Dendas7 categorized the transverse abdominis and multifidus as primary local core stabilizers, and internal oblique, medial fibers of the external oblique, quadratus lumborum, diaphragm, pelvic floor muscles, iliocostalis and longissimus as secondary local core stabilizer. The rectus abdominis, lateral fibers of the external obliques, psoas major, and erector spinae were defined as the global core system based on Norris’ study.14 Dendas also included all muscles that attach at the hip or cross the lumbo-pelvic region, such as the gluteals, hamstrings and quadriceps into the global system since the core consists of the musculature of the lumbar, pelvic, and hip regions contribute to spinal stability.9 Some researchers4,7,15 described the hip musculature as playing a significant role in transferring forces from the lower extremities to the pelvis and spine, and then out to the upper extremity. The lumbo-pelvic-hip complex also contributes to the piriformis and psoas major-iliacus complex that work as synergists and stabilizers of the core.4,6 These global core muscles are responsible for spinal orientation and control of external forces on the spine.1 The large moment arms and long levers of these 45 muscles allow these global muscles to produce powerful movements and torque.5,7 Core Stability Although the term of the “core stability” has been very popular in the field of sports science, there is no clear definition of the term “core stability.”7 It may be because that any musculoskeletal structures of the lumbopelvic-hip complex have been used to describe core stability, which include strength of hip and core musculature; core muscle endurance; maintenance of a particular pelvic inclination or of vertebral alignment; and ligamentous laxity of the vertebral column.6 Because core stability, core strengthening, and core power are terms that appear to be used interchangeably throughout literature,1,7,16 it is important to have a clear definition of core stability and its components including core strength, core endurance and core power. Core stability can be defined as the ability of lumbopelvic-hip complex to stabilize the spine, which is produced by the coordinated efforts of the core musculature and its functions.5,7,12,17 Although the core stability is mainly maintained by the “local” core musculature, the 46 muscles that originate and insert at the vertebrae, with the exception of the psoas muscles , most core muscles, both the local and global stabilizers, must work together synergistically to achieve core stability.2,6 According to Tse et al, “the core musculature includes muscles of the trunk and pelvis that are responsible for maintaining the stability of the spine and pelvis and are critical for the transfer of energy from the larger torso to smaller extremities during many sports activities.”18 Kibler et al defines core stability as “the ability to control the position and motion of the trunk over the pelvis to allow optimum production, transfer, and control of force and motion to the terminal segment in integrated athletic activities.”19 According to Willson et al,6 core stability functions to effectively recruit the core musculatures and to provide a stable foundation for movements of the upper and lower extremities during athletic performance. Borghuis et al2 suggested the role of sensory-motor control of core musculature is responsible for a precise balance between the amount of stability and mobility, compared with the role of strength or endurance of the core musculature. Therefore, appropriate muscle recruitment and timing has a 47 significant role in creating core stability as a base for all functions of core and extremities. Finally, Dendas defined core stability as a foundation of all core functions, which is comprised of components including core strength, core power, balance, and coordination.7 In short, core stability primarily contributes to optimal neuromuscular efficiency in entire kinetic chain, transfer of force, control of upper and lower extremity in dynamic movement, and production of power. Core Strength When discussing the core, it is important to differentiate between core stability and core strength. These two terms are often used interchangeably not only in the literature but also in the practical field. Core stability and core strength differ based on their functions and involved musculature that are used.1 Cholewicki et al20 defined that core strength is more active control of spine stability achieved through the regulation of force in the surrounding muscles. According to Dendas,21 core strength was best described as “a necessity for core stability, meaning that there cannot be one without the other; the 48 core musculature has to possess both.” Since the core works synergically to provide stability and mobility to the spine, core stability and core strength may be confused for one another in the literature and by practitioners.15 Core Endurance Core endurance, a component of core stability, can be defined as the ability of the lumbo-pelvic-hip musculature to hold a core contraction for a prolonged time and/or perform repeated contractions over a period of time.7,22 Although core strength aids in producing force by maintaining intra-abdominal pressure,7 core endurance contributes more to length of time that a muscle or muscle group can hold a neutral stable position. Since core endurance also plays an important role in core stability and strength, it often causes the confusion regarding the definition of core endurance. Lehman17 has suggested that the core endurance influence to spinal stability is more than muscular strength due to the ability of local core musculature to stabilize the lumbar spine. Several researchers have also suggested that good core endurance reduces back pain.10-11 49 Core Power Power is referred as “the product of muscular force and the velocity of muscle shortening” in human biomechanical science.22 Dendas defined power as “the amount of mechanical work done over a certain amount of time” and core power as “explosive concentric contractions of the musculature over a certain amount of time against an object, such as throwing a weighted medicine ball.”23 The core power is commonly measured with use of medicine ball. The assessment includes the medicine ball toss using the overhead and reverse overhead throws. Dendas7 suggested that core power is also a component of core stability, which was measured by the medicine ball explosive sit-up throw test and maximum sit-ups in 30 and 60 seconds in the study.7 the researcher found a significant relationship between the core power measured with 60s and 30s maximum sit-up tests and athletic performance tested by the relative power clean, relative squat, relative bench press, vertical jump height, 40m sprint time, and 20m sprint time.7 50 Assessment of Core Function Due to the complexity of the core musculature and its synergic function, the core cannot be assessed with one test or one aspect of core functions.7 Although several researchers have attempted to measure core stability and these components as they examined the relationships between core stability and performance,7,15-16,24-25 or effects of core training on performance, 26-30 there is currently no gold standard recommended to assess core stability and it’s components, which include core strength, core endurance, and core power.1,7 Common methods of core assessment have included isokinetic dynamometer for measures of strength and work, isometric exercises for measures of strength and endurance, and dynamic exercises for measures of strength and power.7,15 Isokinetic dynamometry, the Sahrmann test of core stability, and McGill protocol have been mainly used to assess function of the core in clinical or laboratory settings. Other measures using dynamic exercises such as timed situps,7 front abdominal power,31 side abdominal power,31 and double leg lowering,32 were preferred in practical settings, especially in the field of strength and conditioning. 51 Reliability of core assessments has been established in previous studies using non-athletic populations31,33-35 and athletes.7,16,24,36-37 According to Baumgartner et al,38 the reliability of most core stability tests was acceptable based on magnitude of the test-retest correlation coefficients. In order to assess the relationship between core and athletic performance, however, further research on validity and reliability of core assessments are needed because previous core assessments have been limited in regards to the sports and performance specificity, including the type of muscular contractions and movement speeds.7 Isokinetic Dynamometer for Strength and Work The use of an isokinetic dynamometer is one of the standard methods of assessing core strength and work.15 In isokinetics, work is defined as torque multiplied by angular displacement or the area under the torque curve.10(p152-153) In other words, it is define as the amount of rotational force being produced. It allows researchers to measure three different strength variables (peak torque, total work, and average power) within one testing session.39-40 Wagner15 recently used isokinetic dynamometer 52 during movements of trunk flexion and bi-lateral rotation to assess isometric core strength. Although isokinetic machines have exhibited high reliability coefficients in the previous literature,35,38 it is still unknown whether the use of an isokinetic dynamometer is valid in assessing core strength and power to accurately measure force of the intended musculature.15 Sahrmann’s Test for Core Stability According to Faries and Greenwood, the Sahrmann core stability test is a measurement for the "ability of the core musculature to stabilize the spine with or without motion of the lumbo-pelvic-hip complex."41 The test consists of five levels with each level increasing in difficulty, progressing from a static position with activating transverse abdominals to positions that incorporate with lower extremity movement. The individual has to maintain the lumber stabilization with a change of no more than 10 mmHg in pressure on a blood pressure cuff that is placed directly under individual’s lumbar spine. Faries and Greenwood5 illustrated the Sahrmann assessment protocol as the following. 53 The level 1 begins in the supine with hip-flexed at 45º degrees and knee-flexed at 90º. The blood pressure cuff then is inflated to 40 mmHg, while the individual flatten out the back, in a drawing-in motion (hollowing), to stabilize the lumbar spine. This abdominal hollowing is the key component of the Sahrmann core stability test. If performed correctly, the pressure blood pressure cuff does not change or slightly decrease from the initial 40 mmHg.5 At level one, the individual slowly raises one leg to 100° of hip flexion with comfortable knee flexion from supine, hook-lying position with abdominal hollowing. The opposite leg is brought up to same position. At level 2, the individual slowly lowers one leg until the heel contacts the ground from the hip flexed position, and then slides out the leg to full knee extension. The leg returns to the starting flexed position and then alternates the leg. At level 3, the individual performs the same motion as level 2 except the heel contact on ground. The subject is not allowed to contact both heels on ground as lowering the legs at level 3. At level 4, the individual slowly lowers both legs until both heels contact the ground from hip flexed position, and then slides out both legs to full knee extension. At level 5, the individual performs the same 54 motion as level 4 except heel contact. The subject is not allowed to contact both heels on ground as lowering the legs level 5. Although the Sahrmann core stability test has widely used in the clinical setting with established reliability,42 its validity is currently unknown in available literature.7 McGill Test for Strength and Endurance When measuring core stability and/or core strength in athletes, some researchers16,24,36-37 have assessed core with use of the McGill protocol.34 The McGill protocol was originally established to assess core stability in patients with low-back pain by determining muscle endurance of the core stabilizer muscles.34 This protocol consists of four isometric core endurance tests: trunk flexor test, trunk extensor test, and left and right lateral musculature test. The longer the person holds the position without movement correlates to strong core endurance. The trunk flexor test starts in a sit-up position at 60º from the floor with knees and hips flexed to 90º. The test ends when any part of the individual’s back touches the jig that is placed 10 cm away from the back.24 The trunk extensor test is evaluated with the upper body off the supporting bench with 55 the lower legs secured. The test ends when the upper body drops below the horizontal position from the supporting bench.24 The lateral musculature test is evaluated in the side plank position. The person maintains the full sidebridge position with straight Legs. The person supports the torso on one elbow and on the feet while holding the hips off the floor. The test ends when the person loses the straight-back posture and/or the hip drops to the ground. Dendas7 discussed that there has not been reliability coefficients determined for the McGill protocol using football athletes, however, this protocol seemed to be valid as a widely used test to assess core endurance among non-athletic population. Durall et al38 reported intraclass correlation coefficient (ICC) with the range from 0.89 to 0.92 for the McGill protocol in college gymnasts. Dendas reported that only two out of the four individual tests were considered to have "acceptable" reliability where test-retest reliability correlation coefficients of the trunk flexion (r = 0.828, p = 0.000) and Left flexion 0.742, p = 0.000) (r = were present.7 The researcher also found that left and right lateral musculature tests were related to one another (r = 0.830, p = 0.000).7 56 Double Leg Lowering Test for Core Strength The DLLT has been commonly used to assess either core stability or core strength in previous literature.25,32,43-44 Sharrock et al suggested that “the DLL test is an appropriate way to measure core stability as it pertains to athletic function”45 based on evidence in previous literature, while Krause et al32 reported the DLLT has excellent intra-tester reliability as an assessment of core strength. The researcher32 reported an ICC of 0.98 that for repeated measures of the DLLT. Although the validity of the DLLT has not been shown in the previous literature,25,32,43-44 this test has been found to be reliable,32 and the DLLT has been used in several studies.25,32,43-44 Thus, the DLLT is a typical method to measure core strength.11,13, Prentice described DLLT as the Straight Leg Lowering Test (SLLT), and suggested that core strength can be assessed with using SLLT as well.11 In the current study, the modified DLLT will be used to measure core strength. The angle of the hip is measured with a goniometer will be taken the pressure of the blood pressure cuff drops below 20mmHg.43,46 This is unlike the double leg-lowering test, which takes a measurement at 40 mmHg. The angle of the hip interprets strength of core. The 57 lower the subject can lower the legs correlates to a stronger core.32,43-44 The modified DLLT test has shown to be reliable.44 60s Maximal Sit Up Test for Core Power The sit-up test is one of the most common tests used in assessing the core musculature in the practical setting.7 It has been used into many training programs as a traditional core exercise because this exercise effectively activates the abdominal and hip flexor muscles at the same time.7 According to Dendas,7 sit-ups activate mainly the "global" core muscles such as rectus abdominis and internal and external obliques, while minimally activate “local” muscles such as transverse abdominis, to ensure sufficient spinal stiffness.34 Reliability for the timed sit-up tests have previously been established in both of young adults and athletes.7,35 Augustsson et al35 examined the reliability of the maximum sit-ups and the 30-second sit-up test in their study. The researchers used ICC for analyses of the test/retest reliability calculated at 95% CI.35 The researchers reported an ICC of 0.92 with a 95% CI of 0.77-0.98 for the maximal number of sit-ups and an ICC of 0.93 with a 95% CI of 0.77- 58 0.98 for the 30-second maximum sit-up test, suggesting that the tests are highly reliable for both muscular endurance and power testing in young active male and female.35 Recently, Dendas used a test similar to the 60-second maximum sit-up, with a built in 30-second test, in order to assess core power in collegiate Division II football players.7 This test starts in the supine position with knees flexed to 90°and hips flexed about 45°. Subjects are required to elbows touch thighs on up portion and then lower the trunk back until the scapulae came in contact with ground, without touching their head or hands. The athlete moves quickly through the repetitive movement pattern. The 60-second maximum sit-up test, with a built in 30-second test, was found to have a high reliability coefficient (r = 0.862, p = 0.000).7 The test is scored as maximal number of correct sit-ups within the 60-second time period.7,47 The Role of the Core in Athletic Performance Over the past several years, the amount of literature regarding a correlation between core function and athletic performance has significantly increased. Although several 59 researchers previously showed the effect of core exercise participation on core stability, 27-30 relatively few studies have attempted to quantify a correlation between the two variables.7,15-16,24-25 Regarding previous studies on the relationship between core and sport performance, researchers have suggested that there was little to no correlation between the two variables.16,24,48 According to Wagner,15 a possible reason for these findings was the failure to select appropriate testing methods. The researcher suggested that previous studies did not take into account the physiologic energy systems and movement specificity patterns required by the sport in selecting core assessment.15 Therefore, recent research7,15 has attempted to adapt specific physiologic characteristics and movement patterns of the core musculature into both the core assessment protocols and the sport performance tests. Core Stability Exercise and Athletic Performance Sato et al26 investigated the effects of six weeks of participation in a core strengthening program on running kinetics, lower-extremity stability, and 5000 meter performance in runners. Although the researchers provided evidence of a significant effect on running time in the 60 experimental group after six weeks of training, the core stability test did not significantly influence ground force production and lower-leg stability functions. The researchers concluded that core strength training may be an effective training method for improving performance in runners due to the effect of effect on running time.26 Stanton et al27 examined the effect of a short-term Swiss ball training on core stability and running economy. The researchers assessed core stability using Sahrmann’s core test, and observed electromyographic (EMG) activity of abdominal and back muscles, VO2max, and running economy. Since there were no significant differences observed for EMG activity of the abdominal and back muscles, treadmill VO2max, running economy, or running posture, researchers concluded that Swiss ball training may positively affect core stability without concomitant improvements in physical performance.27 Marshall and Desai28 determined muscle activity of upper body, lower body, and abdominal muscles during advanced Swiss ball exercises with use of EMG analysis. The researchers concluded that performing more complicated Swiss ball exercises may reduce potential benefits due to the practical difficulty and risk. However, 61 this study provided evidence that advanced Swiss ball exercise provides a significant whole body stimulus.28 Abt et al29 also suggested that improved core stability and core endurance could promote greater alignment of the lower extremity when riding bicycle for extended duration due to the ability of the core to resist to fatigue. It was suggested that core fatigue resulted in altered cycling mechanics that might increase the risk of injury because the knee joint is potentially exposed to greater stress.29 Core Stability and Athletic Performance To the authors' knowledge, there were only five studies which have investigated the relationship between athletic performance and components of core stability core functions, which include core strength, core endurance, core power, and “core fitness.”7,15-16,24-25 The study by Nesser et al16 was the first study, to the author’s knowledge, to examine the relationship between core stability and athletic performance in Division I football athletes. The core stability was assessed using McGill Protocol that consists of back extension, trunk flexion, and left and right bridges. Performance variables included three strength variables; one-repetition maximum 62 (1RM) bench press, 1RM squat, and 1RM power clean, and four performance variables; countermovement vertical jump, 20 and 40 yard sprints, and a 10 yard shuttle run. The collected data revealed that core stability is moderately related to strength and performance. The researchers16 concluded that increases in core strength do not contribute significantly to strength and power, and that training programs with emphasis on strength and power should not focus on core stability and strength.16 Nesser et al24 also investigated the relationships between core stability and various strength and power variables in NCAA Division I female soccer players. The researchers assessed core stability using the McGill protocol (back extension, trunk flexion, and left and right bridges), two strength variables (1RM bench press and 1RM squat), and three performance variables (Countermovement vertical jump, 40 yard sprint, and a 10 yard shuttle run). According to their findings, no significant correlations among core strength, strength, and power were confirmed. The researchers concluded that core strengthening program should not be the focus of strength and conditioning because increases in core strength will not contribute significantly to strength and power.24 63 Sharrock25 examined the relationship between a core stability test and tests of performance using the doubleleg lowering test as a measure of core strength/stability collegiate athletes in a variety of sports. Performance tests included the forty yard dash, the T-test, vertical jump, and a medicine ball throw. Although correlational data results showed a fair to weak relationship between the DLLT as a measure of core stability and the medicine ball throw, no significant correlations between abdominal strength and the T-test (r = 0.052), forty-yard dash (r = 0.138), and the vertical jump (r = –0.172)were reported.30 Recently, two research groups7,15 investigated the relationship between core stability and athletic performance in a sports specific manner. These researchers assumed that selecting core tests specific to performance capabilities is a key to investigating the relationship between two variables successfully. By estimating the tests of core stability that has similar movement patterns of the specific athletic performance, researchers were able to analyze the core muscular contributions in dynamic movement. Wagner15 and Dendas7 successfully observed the relationship between the function of the core and athletic performance; although their conclusions were conflicted within the 64 context of core stability and its effect on athletic performance. Dendas7 investigated the relationship between athletic performance and core stability in Division II football players where core power using Medicine Ball Explosive Situp Throw Test (MBESTT) and a 60 second maximum sit-up test with a built-in 30 second test, and core endurance using McGill protocol were used. Performance variables to investigate included 3RM for the power clean, back squat, and bench press, as well as vertical jump height, and 40m sprint time with a 20m split time.7 The findings showed that there was a significant relationship between athletic performance and 60 second and 30second maximum sit-up tests, and the McGill trunk flexion test. The 60s maximum sit-up test was significantly correlated with the relative power clean (r = 0.836), relative squat (r = 0.608), relative bench press (r = 0.590), vertical jump height (r = 0.721), 40-m sprint time (r = -0.680), and 20-m sprint time (r = -0.803). The MBESTT was only significantly correlated to the absolute bench press (r = 0.496). Although Dendas7 hypothesized that MBESTT represented the contribution of the core power, scores on the MBESTT were not related to scores on any of the other 65 measures of core stability in the study, the researcher concluded that most of the core stability measures had acceptable field-based test reliability. Wagner15 identified the relationship between core fitness and tests of soccer sport performance in female soccer players. The researcher defined core fitness as “the combination of isometric core stability and concentric core strength to perform a task of sport performance.”49 According to the researcher, isometric core strength was used to evaluate the ability of the core to provide a stable base of support with use of a isokinetic dynamometer during movements of trunk flexion and bi-lateral rotation, while concentric functional core strength was used to evaluate the ability of the core to produce and transfer forces to the limbs by performing the front abdominal power test (FAPT) and side abdominal power test (SAPT).15 The researcher compared these two core tests with the soccer kick and throw-in to see which core function played a greater role in soccer athletic performance. The researchers assessed isometric core strength while they assessed concentric functional core strength The researchers concluded that the isometric core strength correlated more strongly with tests of soccer sport 66 performance than concentric functional core strength, as opposed to other previous studies and their own hypothesis.15 The researcher explained the results that “the isometric tests had a much larger load placed on them, which elicited a greater muscular activation and could explain why there was a greater correlation with tests of soccer sport performance.”21(vi) Wagner’s finding suggested that isometric core stability has a greater contribution to soccer performance (kicking and throw-in) than concentric functional core strength. Although both researchers7,15 have established valid assessments of core and athletic performance, their findings leaves the question, which type of core function has a greater contribution to athletic performance? Core in Soccer Kicking Theoretically, the core musculature links the lower and upper body in the kinetic chain and directly influences the control and force production of the kicking motion.15 In approaching a soccer ball for a kick, the core musculature helps to stabilize the spine and produce maximum force into the ball by which the core musculature co-contract and increase intra-abdominal pressure. 67 The soccer kick significantly depends on various factors including the strength of musculature of lower extremity, the distance of the kick from the goal, the type of kick used, the air resistance, the rate of rapid movement of knee flexion and extension, and any other biomechanical factors.50 Kellis et al50 examined research findings on the biomechanics of soccer kick performance and identified weaknesses of present research. The researchers also summarized previous studies of muscle activation during the kick. According to Kellis et al,50 previous researchers have examined muscle activation patterns of the iliopsoas, rectus femoris, vastus lateralis, vastus medialis, biceps femoris, gluteus maximus, semitendinosis, and tibialis anterior during the kick with use of EMG. Dorge et al51 examined the EMG activity of hip flexion, knee extension and ankle plantarflexion moments (N·m) during soccer kicking. The researchers observed a high activation of iliopsoas during the backswing phase in the soccer kicking. The findings suggested a high activation of the iliopsoas during the beginning of the kicking which was followed by a high activation of the rectus femoris during backswing. In turn, high activation of vastus lateralis was observed during forward swing phase.50-51 The researchers 68 also suggested that the EMG activity levels correspond to the proximal-to-distal pattern of segmental angular velocities for kick performance. Although there are a few studies that examined muscle activation patterns during the soccer kick,50 the muscles examined were mostly lower extremity and hip flexors; no literature was found regarding the activation of abdominal muscles and other core musculature. According to the researcher’s knowledge, only one previous study exists that examined the relationship between kicking speed and core measures.15 Summary In summary, various reasons exist as to why previous research has not been able to firmly establish the role that the core plays in sport performance. It can be mainly because the complexity and integrated function of the lumbo-pelvic-hip complex causes confusion regarding the definition of the core, differences among core stability, core strength, and core power, valid assessment of the core stability, and/or its application to functional athletic performance.1-7 Although several researchers previously showed the effect of core exercise participation on core 69 stability,26-30 relatively few studies have attempted to quantify a correlation between the core function and athletic performance.7,15-16,24-25 As mentioned in Wagner’s study,15 a possible reason for these findings was the failure to select appropriate testing methods. Thus, the literature suggests that further research should focus on the specific physiologic characteristics and movement patterns of the core musculature when choosing the core assessment protocols and the sport performance tests. Apparently, core function can be associated with upper or lower extremity movement as long as those movements are similar to the specific athletic performance.7,15 70 APPENDIX B The Problem 71 STATEMENT OF THE PROBLEM The correlation between core stability and athletic performance has not been determined in the available literature. Although several researchers have attempted to quantify the relationship between core stability/strength and functional performance, recent researchers suggested that further research is needed to investigate important components of core stability and the measurement of core stability in relation to athletic performance.7,25 Therefore, the primary purpose of this study was to examine the relationship the primary purpose of this study is to examine the relationship among core power, core strength, core stability, and athletic performance in college soccer athletes. It is important to examine the correlation to assess core power and its effect on athletic performance because core power is an integrated component of core stability, strength and endurance among dynamic movement. In addition to the lack of current scientific evidence to support the correlation between core and athletic performance, a valid core assessment has not established yet. Therefore, the secondary purpose of this study is to 72 establish a valid assessment of core. It would be beneficial to clarify the definition of core power, as a component of core stability, and its effect on performance in the field of sports science. Definition of Terms The following definitions of terms were defined for this study: 1) Core power - the combination of isometric core stability and concentric core strength to perform a task of sport performance that needs to produce maximum speed and/or strength.15 2) Core stability – the ability to control the position and motion of the lumbo-pelvic-hip complex to allow optimum production, transfer, and control of force and motion to the terminal segment in integrated athletic activities.3,15 3) Core strength – the ability of the musculature to generate force through contractile forces and intraabdominal pressure.15 4) Dynamic balance - the ability to maintain equilibrium or the center of gravity with proper body alignment in motion.52 73 5) Functional balance – the ability to maintain dynamic balance for optimal extremity function, producing and transferring force to the distal segments during dynamic movement. 6) Work - torque multiplied by angular displacement.10(p152153) In other words, it is the area under the torque curve where the torque curve is torque against angular displacement.10 Basic Assumptions The following are basic assumptions of this study: 1) The subjects will be honest when they complete their demographic sheets. 2) The subjects will perform to the best of their ability during testing sessions and adhere to the pre-test conditions 3) All tests and procedures are valid and reliable as previously determined in the literature. Limitations of the Study The following is a possible limitation of the study: The results in this study may be only applicable to Division II men’s soccer players. 74 Significance of the Study The purpose of the study was to examine whether the core has a significant role in providing a base of support for optimal lower extremity function and the ability to produce and transfer force to the distal segments during a functional soccer task, specifically maximal kicking velocity. This study may be able to provide not only a better explanation of the relationship between the core and sport performance, but also a better concept of core stability that is a base of all core functions. It may be able to provide better idea of preventing and rehabilitating athletic injury with the concept of kinetic chain. It will also guide future studies that improve training and sport performance with use of core training. 75 APPENDIX C Additional Methods 76 APPENDIX C1 Informed Consent Form 77 78 79 80 Appendix C2 Subject Information/Individual Data Collection Sheet 81 Subject Information/Data collection Sheet Subject #___________ Date______________ Date of Birth (Age):_________(___) Position:____________ Type of kick used: Toe kick / Top of the foot / In-step (Please circle one) Kicking leg: Right / Left Year of soccer experience: _______ RS* Score (Right) RS 2 Score (Left) RS Final Score 60s sit-ups # 1 DLLT angle 1 DLLT angle 2 DLLT angle 3 kicking Velocity 1 kicking Velocity 2 kicking Velocity 3 AVG AVG 82 APPENDIX C3 Institutional Review Board – California University of Pennsylvania 83 84 85 86 87 88 89 90 91 92 93 94 95 96 Institutional Review Board California University of Pennsylvania Morgan Hall, Room 310 250 University Avenue California, PA 15419 instreviewboard@calu.edu Robert Skwarecki, Ph.D., CCC-SLP,Chair Dear Atsuko Takatani: Please consider this email as official notification that your proposal titled "A Correlation Among Core Stability, Core Strength, Core Power, and Kicking Velocity in Division II College Soccer Athletes” (Proposal #11-043) has been approved by the California University of Pennsylvania Institutional Review Board as submitted. The effective date of the approval is 2-28-2012 and the expiration date is 227-2013. These dates must appear on the consent form . Please note that Federal Policy requires that you notify the IRB promptly regarding any of the following: (1) Any additions or changes in procedures you might wish for your study (additions or changes must be approved by the IRB before they are implemented) (2) Any events that affect the safety or well-being of subjects (3) Any modifications of your study or other responses that are necessitated by any events reported in (2). (4) To continue your research beyond the approval expiration date of 2-27-2013 you must file additional information to be considered for continuing review. Please contact instreviewboard@calu.edu Please notify the Board when data collection is complete. Regards, Robert Skwarecki, Ph.D., CCC-SLP Chair, Institutional Review Board 97 98 Appendix C4 Pictures: Equipment 99 Figure 1. FMS 2x6in board 100 Figure 2. Blood Pressure Cuff and 360º universal goniometer for the Double Leg Lowering Test 101 Figure 3. JUGS™ radar gun 102 Appendix C5 Pictures: Rotary Stability Test (RS) 103 Figure 4. Rotatory stability given score 3 Figure 5. Rotatory stability given score 2 104 Figure 6. Rotatory stability given score 1 105 Appendix C6 Pictures: Double Leg Lowering Test 106 Figure 7. Double Leg Lowering Test – Starting Position 107 Figure 8. Double Leg Lowering Test 108 Appendix C7 Pictures: 60s Maximal Sit Up Test 109 Figure 9. 60s Maximal Sit Up Test – Starting position 110 Figure 10. 60s Maximal Sit Up Test 111 Appendix C8 Testing Directions 112 Double Leg Lowering Test 1. The researcher finds the subject’s Posterior Superior Iliac Spine (PSIS) and places the blood pressure (BP) cuff on the back while the client sits straight on the floor 2. “Lay spine on the floor.” 3. The BP cuff is placed beneath the umbilicus 4. “Maintain the legs in full extension, or slightly bended, and then flex hips to 90°.” 5. “Relax the abdominal muscles” (The BP cuff is at 20 mmHg.) 6. “On the ‘Flatten out his back’ command, try to keep your belly button towards the table.” 7. “Flatten out your back” “Slowly lower the legs towards the floor, with squeezing the core and keeping knee extension.” 8. The subject’s legs will be held once the BP cuff drops below 20mmHg. 9. The hip angle is then measured with a goniometer to determine the angle. (Adapted from Prentice, 2004 and Zingaro, 2008) 60-s Maximum Sit-up 1. “Lay spine on the floor with knee flexion to 90° and hip flexion to 45°.” 2. To another subject: “Step on the subject toes.” 3. “Interlock fingers behind head, but do not pull on neck.” 4. “On ‘Go’ command, quickly perform sit-ups.” 5. “Make sure elbows touch thighs on up portion.” 6. “Lower trunk down to floor, let upper back touch floor.” 7. “Make sure hands and head DO NOT touch floor.” 8. “Quickly perform as many sit-ups (i.e., up-down cycles) as possible.” 9. “Ready, Go.” (Adopted from Dendas, 2010) 113 Dynamic Warm-up 1. Jogging Take 2 laps around the field 2. Hip External Rotation Open hips, externally rotate hips and step to 45° with skipping motion repeat with opposite leg 3. Forward lunges Step backward into lunge with right foot and contract right glute Twist your trunk and take your left elbow towards the outside of the right knee Push off with left foot and step forward into lunge 4. Backward lunges Step backward into lunge with right foot and contract right glute Twist over the front leg by taking right elbow to the outside of the left knee Reverse the twist back to neutral and return to standing position by pulling through with left hip flexor, and immediately step into lunge with other leg Continue for prescribed number of repetitions 5. Lateral squat Shift your weight to the right, bending your right knee and keeping your left knee straight Turn to the back, shift your weight to the left, bending your left knee and keeping your right knee straight 6. High knees Run 10 yards by alternately lifting your knees towards chest as high as possible Move your legs as quickly as possible 7. Butt kickers Pull one ankle up toward butt alternately in running 10 yards 114 8. Side shuffle Begin in an athletic ready position with feet hip width apart. Shuffle sideways towards the other side of corn. 9. 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J Sports Sci Med. 2007; 6:154-165. 51. Dorge H, Bull-Andersen T, Sorensen H, Simonsen E, Aagaard H, Dyhre Poulsen P, Klausen K. EMG activity of the iliopsoas muscle and leg kinetics during the 120 soccer place kick. Scand J Med Sci Sports. 1999;9:155200. 52. Cook G. Athletic Body in Balance. Champaign, IL: Human Kinetics;2003:39. 121 Abstract Title: A CORRELATION AMONG CORE STABILITY, CORE STRENGTH, CORE POWER, AND KICKING VELOCITY IN DIVISION II COLLEGE SOCCER ATHLETES Researcher: Atsuko Takatani Advisor: Dr. Rebecca Hess Date: May 2012 Research Type: Master’s Thesis Context: Recent studies suggest that further research is needed to investigate important components and measurement of core stability in relation to athletic performance. The correlation between core stability and athletic performance has not been determined in the available literature. Objective: The purpose of this study was to examine the relationship among core power, core strength, core stability, and athletic performance in college soccer athletes. Design: A descriptive correlational design was used to determine a relationship among core power, core strength, core stability, and athletic performance in college soccer athletes. Setting: The testing was performed in a controlled soccer field setting by the researcher. Participants: Eighteen Division II college male soccer athletes volunteered this study that were actively participating practice without any limitations. Interventions: Each subject was tested on two days. All subjects were tested by using the Rotatory Stability test (RS), the 60s Maximum Sit-Up 122 test (60s MSUT), the Double Leg Lowering test (DLLT), and the soccer kicking test (SK). The RS was used to measure core stability, the DLLT was used to measure core strength, the 60s MSUT was used to measure core power, and a dynamic soccerstyle kick (SK) was used to measure maximal kicking speed. Main Outcome Measures: RS score, 60s MSUT score, DLLT score, and SK score were computed from all test trials and correlation was examined among all four variables. Existing data on TSPU scores were additionally used for trunk stability. Results: There were no significant correlations among the RS, the DLLT, the 60s MSUT and the SK, for core stability, core strength, core power and maximum kicking velocity in healthy Division II 18 college soccer athletes. A significant moderate low correlation between the TSPU and the SK was present (r = .435, P = .036). Conclusion: Trunk stability and kicking velocity appears to be moderately related in healthy Division II collegiate athletes. The core tests that measure the isometric core stability without dynamic limb movements may be valid and reliable to assess core stability. Word Count: 363