Hernandez-Lucas Pablo, Escobio-Prieto Isabel, Moro López-Menchero Paloma
Department of Functional Biology and Health Sciences, Faculty of Physiotherapy, Universidade de Vigo, Campus A Xunqueira, s/n, 36005 Pontevedra, Spain.
Research Group HI10, 36005 Pontevedra, Spain.
Healthcare (Basel). 2025 Jun 16;13(12):1443. doi: 10.3390/healthcare13121443.
The CORE complex refers to the muscles of the core region of the body, including the abdominal muscles, lower back muscles, and diaphragm. Among the various techniques aimed at improving CORE strength and functionality, abdominal hypopressive techniques have gained popularity. : To evaluate the available scientific literature on the effects of AHT on the CORE complex. : A systematic search was conducted in January 2025 in PubMed, Web of Science, PEDro, Cochrane, ClinicalTrials.gov and Scopus. Only randomized controlled trials (RCTs) involving adults were included. Two reviewers independently selected studies and extracted data. The review was registered in PROSPERO (CRD-42023424933) and followed PRISMA guidelines. : Of 258 studies identified, 13 of them met the eligibility criteria for the final review. Showing the application of abdominal hypopressive techniques could have positive effects on the pelvic floor, transverse abdominis muscle, lumbar region, and diaphragm. The average methodological quality of the articles is 6.6 according to the PEDro scale. The risk of bias was high in 12 articles. : Although the results show improvements in the CORE muscles after applying abdominal hypopressive techniques, further research is necessary to confirm these findings, given the insufficient methodological quality of the scientific literature and its high risk of bias.
核心复合体指的是身体核心区域的肌肉，包括腹部肌肉、下背部肌肉和膈肌。在旨在提高核心力量和功能的各种技术中，腹部减压技术越来越受欢迎。：评估关于腹部减压技术（AHT）对核心复合体影响的现有科学文献。：于2025年1月在PubMed、科学网、PEDro、考科蓝、ClinicalTrials.gov和Scopus中进行了系统检索。仅纳入涉及成年人的随机对照试验（RCT）。两名评审员独立选择研究并提取数据。该综述已在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD-42023424933）注册，并遵循PRISMA指南。：在检索到的258项研究中，有13项符合最终综述的纳入标准。结果表明，腹部减压技术的应用可能对盆底、腹横肌、腰椎区域和膈肌有积极影响。根据PEDro量表，这些文章的平均方法学质量为6.6分。12篇文章存在高偏倚风险。：尽管结果显示应用腹部减压技术后核心肌肉有改善，但鉴于科学文献的方法学质量不足及其高偏倚风险，仍需进一步研究来证实这些发现。
