Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review
Open accessAbstract
Objectives To research and summarize the literature regarding the role of core stability as a risk factor in the development of lower extremity injuries in an athletic population. Methods Pubmed, Web of Science and Embase were searched in August 2016 to systematically review studies, which related core muscle functioning and core stability to lower extremity injuries. Results Nine articles were included in the systematic review. Various components of core stability were found to be related to lower extremity musculoskeletal injuries in healthy athletic populations. Core strength, core proprioception and neuromuscular control of the core were found to be a risk factor in the development of lower extremity injuries. However, conflicting evidence was found for core endurance as a risk factor for lower extremity injuries. Conclusion This systematic review provides preliminary evidence for the association between impaired core stability and the development of lower extremity injuries in healthy athletes. Deficits in various aspects of core stability were identified as potential risk factors for lower extremity injuries. As such, core stability needs to be considered when screening athletes.
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Little is known about the effect of an artificial increase in muscle mass on joint mechanics and core stability.
“little is known about the effect of an artificial increase in muscle mass on joint mechanics and core stability.44,45”
From Creatine supplementation in the pediatric and adolescent athlete-- A literature review (2023) · cites this paper as [45]
Creatine supplementations do not appear to affect training-related plasma lactate levels, which have been correlated with muscle damage in the acute phase.
“Although creatine supplementations do not appear to affect training-related plasma lactate levels, which have been correlated with muscle damage in the acute phase, little is known about the effect of an artificial increase in muscle mass on joint mechanics and core stability.44,45”
From Creatine supplementation in the pediatric and adolescent athlete-- A literature review (2023) · cites this paper as [45]
Cites
Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S., Colosimo, A. J., McLean, S. G., van den Bogert, A. J., Paterno, M. V., & Succop, P. (2005) · The American Journal of Sports Medicine · doi:10.1177/0363546504269591 · Cited by 3,577 · see citing works
Understanding injury mechanisms: a key component of preventing injuries in sport
Bahr, R., & Krosshaug, T. (2005) · British Journal of Sports Medicine · doi:10.1136/bjsm.2005.018341 · Cited by 1,255 · cited 1× · see citing works
“Participation in sports and physical activity entails a considerable risk for musculoskeletal injury for both elite and recreational athletes (Bahr & Krosshaug, 2005).”
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Creatine supplementation in the pediatric and adolescent athlete-- A literature review
Metzger, G. A., Minneci, P. M., Gehred, A., Day, A., & Klingele, K. E. (2023) · Journal of Orthopaedics · doi:10.1016/j.jor.2023.03.010 · Cited by 10 · see citing works
Understanding the biomechanical influence of core contribution in squat: A systematic review
Shu, H., Yang, X., Wang, Y., Fernandez, J., Mei, Q., & Gu, Y. (2025) · Isokinetics and Exercise Science · doi:10.1177/09593020251323773
“11 The core plays a crucial role in lower body movement, making it essential to understand the strategies for recruiting core muscles.”
- Authors
- De Blaiser, C., Roosen, P., Willems, T., Danneels, L., Bossche, L. V., & De Ridder, R.
- Affiliations
- Ghent University (BE)
- Ghent University Hospital (BE)
- Venue
- Physical Therapy in Sport
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 30
- Pages
- 48-56
- ISSN
- 1466-853X (ISSN-L)
- OpenAlex
- W2749186112
- Cited by
- 159
- References
- 2
- Citations by year
- 2026: 16 · 2025: 23 · 2024: 18 · 2023: 19 · 2022: 26 · 2021: 15 · 2020: 22 · 2019: 15 · 2018: 4 · 2017: 1
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- green
- biblio.ugent.be
- Licence
- Locations
- Physical Therapy in Sport (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- World Physiotherapy Congress Archive
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Keywords
- core stability, lower limb injuries, sports injuries, injury risk factors, core strength, neuromuscular control, core endurance, athlete screening
- MeSH terms
- Athletic Injuries, Humans, Leg Injuries, Proprioception, Risk Factors, Athletes, Torso
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