Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Effect of Bridging Stabilization Exercises on Trunk Muscles Activity On and Off a Swiss Ball

교각운동 시 공 적용이 체간근 활동에 미치는 영향

  • Kim, Moung-Jin (Department of Physical Therapy, Gangneung-Yeongdong College)
  • 김명진 (강릉영동대학 물리치료과)
  • Received : 2009.01.05
  • Accepted : 2009.02.07
  • Published : 2009.02.19
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to assess the effect of bridging stabilization exercises on trunk muscles activity on and off a Swiss ball. 20 healthy university students volunteered to participate in this study. Subjects were required to complete following four exercises: exercise 1, single bridging exercise; exercise 2, feet on ball bridging exercise; exercise 3, calf on ball bridging exercise; exercise 4, back on ball bridging exercise. Surface electromyography from selected trunk muscles was normalized to maximum voluntary isometric contraction. A repeated measures of ANOVA with post-hoc Bonferroni's correction was used to determine the influence of exercise type on muscle activity for each muscle and descriptive statistics was used to determine local/global muscle ratios. The rectus abdominis of exercise 4 showed significantly higher muscle activity than rectus abdominis of exercise 1, 2, 3 (p<.05). The external oblique of exercise 2, 4 showed significantly higher muscle activity than external oblique of exercise 1 (p<.05). The internal oblique of exercise 2, 4 showed significantly higher muscle activity than internal oblique of exercise 1 (p<.05). The erector spinae of exercise 2, 3, 4 showed significantly higher muscle activity than erector spinae of exercise 1 (p<.05). Median of internal oblique/rectus abdominis ratio of exercise 1 was 1.16, exercise 2 was 2.43, exercise 3 was 2.45, exercise and 4 was 1.27. Median of internal oblique/external oblique ratio of exercise 1 was 1.01, exercise 2 was .91, exercise 3 was .99, and exercise 4 was .93. Muscle activity can be influenced by addition of a Swiss ball in bridging exercises. It is recommend to use a Swiss ball for trunk stabilization exercise.

Keywords

References

  1. 김선엽, 권재확. 슬링시스템을 이용한 요부 안정화 운동. 대한정형물리치료학회지. 2001:7(2)23-39.
  2. 오재섭, 김선엽, 권오윤 등. 슬링과 고정된 지지면에서의 팔 굽혀 펴기 동작 시 근 활성도 비교. 한국전문물리치료학회지. 2003;10(3):29-40.
  3. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):S86-S92.
  4. Arokoski JP, Valta T, Airaksinen O, et al. Back and abdominal muscle function during stabilization exercise. Arch Phys Med Rehabil. 2001;82(8):1089-1098. https://doi.org/10.1053/apmr.2001.23819
  5. Bergmark, A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand suppl. 1989;230:1-54.
  6. Cram JR, Kasman GS, Holtz J. Introduction to Surface Electromyography. Maryland, Aspe, 1998:360-374.
  7. Edgerton VR, Wolf ST, Levendowski DJ, et al. Theoretical basis for patterning EMG amplitudes to assess muscle dysfunction. Med Sci Sports Exerc. 1996;28(6):744-751. https://doi.org/10.1097/00005768-199606000-00013
  8. Hodges P. Is there a role for transversus abdominis in lumbo-pelvic stability? Man Ther. 1999;4(2):74-86. https://doi.org/10.1054/math.1999.0169
  9. Hodges P, Moseley GL. Pain and motor control of the lumbopeIvic region: Effect and possible mechanism. J Electromyogr Kinesiol. 2003;13(4):361-370. https://doi.org/10.1016/S1050-6411(03)00042-7
  10. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and Pain. 5th ed. Baltimore. Lippincott Williams & Wilkins. 2005.
  11. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a Swiss ball. Chiropa & Osteopat. 2005;13:14. https://doi.org/10.1186/1746-1340-13-14
  12. McGill S. Low Back Disorders: Evidence based prevention and rehabilitation. Idaho. Human Kinetics Publishers, 2002.
  13. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil. 2005;33(2):242-249.
  14. Mirka GA, Marras WS. A stochastic model of trunk muscle coactivation during trunk bending. Spine. 1993;18(11):1396-1409. https://doi.org/10.1097/00007632-199318110-00003
  15. O'Sullivan PB. Lumbar segmental 'instability': Clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12. https://doi.org/10.1054/math.1999.0213
  16. O'Sullivan PB, Twomey L, Allison GT. Altered abdominal muscle recruitment in patients with chronic back pain following a specific exercise intervention. J Orthop Sports Phys Ther. 1998;27(2):114-124. https://doi.org/10.2519/jospt.1998.27.2.114
  17. Panjabi MM. The stabilizing system of spine. Part I . Function, dysfunction adapatation, and enhancement. J Spinal Disord. 1992;5(4):373-389.
  18. Richardson C, Jull G, Hodges P, et al. Therapeutic Exercises for Spinal Segemental Stabilization in Low Bock Pain: Scientific basis and clinical approach. London, Churchill Livingstone, 1999.
  19. Richardson C, Hodges P, Hides J. Therapeutic Exercise for Lumbopelvic Stabilization. 2nd ed. London, Churchill Livingstone, 2004.
  20. Stevens VK, Bouche KG, Mahieu NN, el al. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7:75. https://doi.org/10.1186/1471-2474-7-75
  21. Stevens VK, Coorevits PL, Bouche KG, et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Manu Ther. 2007;12(3):271-279. https://doi.org/10.1016/j.math.2006.07.009
  22. Vera-Garcia FJ, Grenier SG, Mc Gill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 2000;80(6):564-569.