Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
The Effect of Core Stabilization Exercises on Upper Extremity Motor Skills in Overweight and Obese Children: Quasi-Experimental Controlled Study
Fazla Kilolu ve Obez Çocuklarda Kor Stabilizasyon Egzersizlerinin Üst Ekstremite Motor Becerileri Üzerine Etkisi:Yarı Deneysel Kontrollü Çalışma
Cemre Yaren GÜNGÖRENLERa , Tülay TARSUSLUb
aDepartment of Physiotherapy and Rehabilitation, Yüksek İhtisas University Faculty of Health Science, Ankara, Türkiye
bDepartment of Neurological Rehabilitation, Dokuz Eylül University Faculty of Physical Therapy and Rehabilitation, İzmir, Türkiye
Turkiye Klinikleri J Pediatr. 2023;32(2):96-105
doi: 10.5336/pediatr.2023-96298
Article Language: EN
Full Text
ABSTRACT
Objective: This study was planned to investigate the effect of core stabilization exercises on upper extremity motor skills in overweight and obese children. Material and Methods: The study, which included obese, overweight and normal weight children, was designed as a quasi-experimental controlled study. An eight-week core stabilization exercise program was implemented to the children. In the first two-weeks of the eight-weeks exercise training, the children were taught how to stabilize the core region. Upper extremity motor skills were evaluated before-after the exercise program. The push-up test, grip strength measurement, Modified Closed Kinetic Chain Upper Extremity Stability Test (M-CKCUEST), Bruininks-Oseretsky Test of Motor Proficiency-2 Short Form (BOT-2 SF), was used to evaluate upper extremity motor skills. SPSS 25.0 program was used for statistical analysis of the data. Significance level was determined as p0.05). Conclusion: Core stabilization exercises in overweight and obese children can improve upper extremity motor skills.

Keywords: Obesity; core stability; upper extremity
ÖZET
Amaç: Bu çalışma, fazla kilolu ve obez çocuklarda kor stabilizasyon egzersizlerinin üst ekstremite motor becerilerine etkisini araştırmak amacıyla planlandı. Gereç ve Yöntemler: Obez, fazla kilolu ve normal kilolu çocukların dâhil edildiği çalışma yarı deneysel kontrollü bir çalışma olarak tasarlandı. Çocuklara 8 haftalık kor stabilizasyon egzersiz programı uygulandı. Sekiz haftalık egzersiz eğitiminin ilk iki haftasında çocuklara kor bölgesini nasıl stabilize edecekleri öğretildi. Egzersiz programı öncesi ve sonrası üst ekstremite motor becerileri değerlendirildi. Üst ekstremite motor becerilerini değerlendirmek için şınav testi, kavrama kuvveti ölçümü, Modifiye Kapalı Kinetik Zincir Üst Ekstremite Stabilite Testi (M-KKZÜEST), Bruininks-Oseretsky Motor Yeterlilik Testi-2 Kısa Form (BOT-2 KF) kullanıldı. Verilerin istatistiksel analizinde SPSS 25.0 programı kullanıldı. Anlamlılık düzeyi p0,05). Sonuç: Aşırı kilolu ve obez çocuklarda kor stabilizasyon egzersizleri üst ekstremite motor becerilerini geliştirebilir.

Anahtar Kelimeler: Obezite; kor stabilitesi; üst ekstremite
REFERENCES:
  1. Greydanus DE, Agana M, Kamboj MK, Shebrain S, Soares N, Eke R, et al. Pediatric obesity: current concepts. Dis Mon. 2018;64(4):98-156. [Crossref]  [PubMed] 
  2. World Health Organization. Obesity. Accessed June 20, 2023. [Link] 
  3. O'Malley GC, Shultz SP, Thivel D, Tsiros MD. Neuromusculoskeletal health in pediatric obesity: incorporating evidence into clinical examination. Curr Obes Rep. 2021;10(4):467-77. [Crossref]  [PubMed]  [PMC] 
  4. Merder-Coşkun D, Uzuner A, Keniş-Coşkun Ö, Çelenlioğlu AE, Akman M, Karadağ-Saygı E. Relationship between obesity and musculoskeletal system findings among children and adolescents. Turk J Phys Med Rehabil. 2017;63(3):207-14. [Crossref]  [PubMed]  [PMC] 
  5. Han A, Fu A, Cobley S, Sanders RH. Effectiveness of exercise intervention on improving fundamental movement skills and motor coordination in overweight/obese children and adolescents: a systematic review. J Sci Med Sport. 2018;21(1):89-102. [Crossref]  [PubMed] 
  6. Gazbare P, Deshmukh S, Palekar TJ, Varghese N, Abraham B, Singh G, et al. Assessment of body coordination, strength and agility using Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) in overweight and obese children aged 7-12 years. Indian J Physiother Occup Ther. 2020;14(1):185-9. [Crossref] 
  7. Webster EK, Sur I, Stevens A, Robinson LE. Associations between body composition and fundamental motor skill competency in children. BMC Pediatr. 2021;21(1):444. [Crossref]  [PubMed]  [PMC] 
  8. Gentier I, D'Hondt E, Shultz S, Deforche B, Augustijn M, Hoorne S, et al. Fine and gross motor skills differ between healthy-weight and obese children. Res Dev Disabil. 2013;34(11):4043-51. [Crossref]  [PubMed] 
  9. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. [Crossref]  [PubMed] 
  10. Barbara J. Hoogenboom KK. Core stabilization training. In: Brotzman SB, Manske RC, eds. Clinical Orthopaedic Rehabilitation: A Team Approach. 4th ed. Philadelphia: Elsevier; 2018. p.467-81.
  11. Colston M. Core stability, part 1: overview of the concept. Athletic Therapy Today. 2012;17(1):8-13. [Crossref] 
  12. Milton JA, Martina AT. Correlation between body mass index and core muscular strength among school children between 11 and 14 years of age: a cross sectional study. Indian Journal of Physiotherapy & Occupational Therapy. 2019;13(3):196-200. [Crossref] 
  13. Silfies SP, Ebaugh D, Pontillo M, Butowicz CM. Critical review of the impact of core stability on upper extremity athletic injury and performance. Braz J Phys Ther. 2015;19(5):360-8. [Crossref]  [PubMed]  [PMC] 
  14. Bashir SF, Nuhmani S, Dhall R, Muaidi QI. Effect of core training on dynamic balance and agility among Indian junior tennis players. J Back Musculoskelet Rehabil. 2019;32(2):245-52. [Crossref]  [PubMed] 
  15. Lengkana AS, Tangkudung J, Asmawi A. The effect of core stability exercise (CSE) on balance in primary school students. Journal of Education, Health and Sport. 2019;9(4):160-7. [Link] 
  16. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002;(246):1-190. [PubMed] 
  17. Morrow JR Jr, Martin SB, Jackson AW. Reliability and validity of the FITNESSGRAM: quality of teacher-collected health-related fitness surveillance data. Res Q Exerc Sport. 2010;81(3 Suppl):S24-30. [Crossref]  [PubMed] 
  18. Taylor JB, Wright AA, Smoliga JM, DePew JT, Hegedus EJ. Upper-extremity physical-performance tests in college athletes. J Sport Rehabil. 2016;25(2):146-54. [Crossref]  [PubMed] 
  19. Balogun JA, Akomolafe CT, Amusa LO. Grip strength: effects of testing posture and elbow position. Arch Phys Med Rehabil. 1991;72(5):280-3. [PubMed] 
  20. Mülazımoğlu Ballı ÖM, Gürsoy F. Bruininks-Oseretsky Motor Yeterlik Testinin beş-altı yaş grubu Türk çocuklar için geçerlik ve güvenirlik çalışması [The study of validity and reliability of Bruininksoseretsky Motor Proficiency Test for five-six-years-old Turkish children]. Hacettepe J. of Sport Sciences. 2012;23(3):104-18. [Link] 
  21. Ji MY, Yoon JH, Song KJ, Oh JK. Effect of dry-land core training on physical fitness and swimming performance in adolescent elite swimmers. Iran J Public Health. 2021;50(3):540-9. [Crossref]  [PubMed]  [PMC] 
  22. Rahmat A, Naser H, Belal M, Hasan D. The effect of core stabilization exercises on the physical fitness in children 9-12 years. Journal of Romanian Sports Medicine Society. 2014;10(3):2401-5. [Link] 
  23. Boyacı A, Afyon Y. The effect of the core training to physical performance in children. Journal of Education and Practice. 2017;8(33):81-8. [Link] 
  24. de Oliveira VM, Pitangui AC, Nascimento VY, da Silva HA, Dos Passos MH, de Araújo RC. Test-retest reliability of the closed kinetic chain upper extremity stability test (CKCUEST) in adolescents: reliability of ckcuest in adolescents. Int J Sports Phys Ther. 2017;12(1):125-32. [PubMed]  [PMC] 
  25. Callaway A, Peck J, Ellis S, Williams J. A randomised observational study of individualised variations in the start position of the closed-kinetic chain upper extremity stability test. Phys Ther Sport. 2020;41:16-22. [Crossref]  [PubMed] 
  26. Lust KR, Sandrey MA, Bulger SM, Wilder N. The effects of 6-week training programs on throwing accuracy, proprioception, and core endurance in baseball. J Sport Rehabil. 2009;18(3):407-26. [Crossref]  [PubMed] 
  27. Boyaci A, Tutar M, Biyikli T. The effect of dynamic and static core exercises on physical performance in children. European Journal of Physical Education and Sport. 2018;4(7):50-61. [Link] 
  28. Öztürk N. 5-6 yaş çocuklarında pilatesin postür ve fiziksel uygunluk parametrelerine etkisi: kontollü bir çalışma [Dokora tezi]. Denizli: Pamukkale Üniversitesi; 2020. Accessed 21 June 2023. [Link] 
  29. İskenderoğlu C. Obez ve sağlıklı adölesanlarda günlük yaşam aktiviteleri, fiziksel uygunluk ve yaşam kalitesinin karşılaştırılması [Yüksek lisans tezi]. Ankara: Hacettepe Üniversitesi; 2020. Accessed 21 June 2023. [Link] 
  30. Ervin RB, Fryar CD, Wang CY, Miller IM, Ogden CL. Strength and body weight in US children and adolescents. Pediatrics. 2014;134(3):e782-9. [Crossref]  [PubMed]  [PMC] 
  31. Deforche B, Lefevre J, De Bourdeaudhuij I, Hills AP, Duquet W, Bouckaert J. Physical fitness and physical activity in obese and nonobese Flemish youth. Obes Res. 2003;11(3):434-41. [Crossref]  [PubMed] 
  32. Nuhmani S. Correlation between core stability and upper-extremity performance in male collegiate athletes. Medicina (Kaunas). 2022;58(8):982. [Crossref]  [PubMed]  [PMC] 
  33. Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. J Bodyw Mov Ther. 2013;17(2):259-65. [Crossref]  [PubMed] 
  34. Marmeleira J, Veiga G, Cansado H, Raimundo A. Relationship between motor proficiency and body composition in 6- to 10-year-old children. J Paediatr Child Health. 2017;53(4):348-53. [Crossref]  [PubMed] 
  35. Banjevic B, Aleksic D, Aleksic Veljkovic A, Katanic B, Masanovic B. Differences between healthy-weight and overweight serbian preschool children in motor and cognitive abilities. Int J Environ Res Public Health. 2022;19(18):11325. [Crossref]  [PubMed]  [PMC] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com