Core stability exercise for the impact of weightlifting and deadlifting on herniated nucleus pulposus (HNP): a systematic review

Abstract

Background: Herniated nucleus pulposus or disc herniation is a serious medical condition, the common cause of sciatic pain, and the most common indication for spine surgery. People doing athletic sports, especially weightlifting and deadlifting, may face significant acute and overuse spinal injuries that can cause HNP. Core stability exercise (CSE) improves athletes' sports performance and can prevent injury. This systematic review aims to determine the impact of core stability exercises on weightlifting and deadlifting on herniated nucleus pulposus. Method: According to PRISMA recommendations, a systematic review using an online database was carried out. The inclusion criteria set includes studies regarding the impact of core stability exercise on deadlifting and weightlifting to prevent HNP, using adult samples>18 years old and providing the type of CSE exercise. In contrast, the exclusion criteria were studied not available in full text and not available in Bahasa or English. Study quality assessments were done using a checklist for the Joanna Briggs Institute. Result: Ten studies are included in this systematic review, consisting of six randomized controlled trials, two review articles, one case-control study, and one prospective cohort study. The CSE effectively improves the endurance, strength, mobility, and dynamic balance of core muscles, especially spinal muscles, which can prevent back injury, especially for weightlifters and dead lifters. Core stability exercises should be incorporated into athletes' training programs to improve sports performance and reduce the risk of back injury, especially HNP. Conclusion: The CSE effectively improves the endurance, strength, mobility, and dynamic balance of core muscle, especially spinal muscle, which can prevent back injury in athletes, especially weightlifters and dead lifters.