The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

Activation of Trunk Muscles during Stabilization Exercises in Four-point Kneeling

네발기기 자세에서 실시하는 안정화 운동에 따른 체간 근육의 활성도

  • Lee, Hyun-Ok (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 이현옥 (부산가톨릭대학교 물리치료학과)
  • Received : 2010.07.29
  • Accepted : 2010.10.09
  • Published : 2010.10.25
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Abstract

Purpose: This study examined the activation of the rectus abdominis (RA), external abdominal oblique (EO), transversus abdominis, internal abdominal oblique (TrA/IO), and Multifidus (MF) muscles while stabilization exercise was performed in a four-point kneeling position. Methods: Experiments were conducted on 21 healthy male adults (mean age=25.29 years) who voluntarily agreed to participate in the study. Each subject was instructed regarding maximal voluntary contractions (MVC) and stabilization exercise in four-point kneeling. While MVC and stabilization exercise of individual muscles were being performed, activation of the muscles was measured using surface electromyography (EMG). Activation of the muscles while performing stabilization exercise in four-point kneeling was normalized to a percentages of the MVC. Results: Left RA, right TrA/IO, right and left MF muscles showed significant differences among the positions. Conclusion: Selecting an optimal position can aid subjects on physical conditions while performing stabilization exercises in the four-point kneeling position.

Keywords

References

  1. Leone A, Guglielmi G, Cassar-Pullicino VN et al. Lumbar intervertebral instability: a review. Radiology. 2007;245(1): 62-77. https://doi.org/10.1148/radiol.2451051359
  2. Pope MH, Panjabi M. Biomechanical definition of spinal instability. Spine (Phila Pa 1976). 1985;10(3):255-6. https://doi.org/10.1097/00007632-198504000-00013
  3. Cholewicki J, Juluru K, McGill SM. Intra-abdominal pressure mechanism for stabilizing the lumbar spine. J Biomech. 1999;32(1):13-7. https://doi.org/10.1016/S0021-9290(98)00129-8
  4. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine. 2003;28(14):1593-600.
  5. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):S86-92.
  6. Beith ID, Synnott RE, Newman SA. Abdominal muscle activity during the abdominal hollowing manoeuvre in the four point kneeling and prone positions. Man Ther. 2001;6(2):82-7. https://doi.org/10.1054/math.2000.0376
  7. Saal JA. The new back school prescription: stabilization training. Part II. Occup Med. 1992;7(1):33-42.
  8. McGill SM. Low back disorders: evidenced-based prevention and rehabilitation. 2nd ed. Champaign, Human Kinetics, 2007:226-34.
  9. Queiroz BC, Cagliari MF, Amorim CF et al. Muscle activation during four Pilates core stability exercises in quadruped position. Arch Phys Med Rehabil. 2010;91(1):86-92. https://doi.org/10.1016/j.apmr.2009.09.016
  10. McGill SM. Low back exercises: evidence for improving exercise regimens. Phys Ther. 1998;78(7):754-65.
  11. Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995;1(1):2-10. https://doi.org/10.1054/math.1995.0243
  12. Stevens VK, Vleeming A, Bouche KG et al. Electromyographic activity of trunk and hip muscles during stabilization exercises in four-point kneeling in healthy volunteers. Eur Spine J. 2007;16(5):711-8. https://doi.org/10.1007/s00586-006-0181-1
  13. Marshall P, Murphy B. The validity and reliability of surface EMG to assess the neuromuscular response of the abdominal muscles to rapid limb movement. J Electromyogr Kinesiol. 2003;13(5):477-89. https://doi.org/10.1016/S1050-6411(03)00027-0
  14. Ng JK, Kippers V, Richardson CA. Muscle fibre orientation of abdominal muscles and suggested surface EMG electrode positions. Electromyogr Clin Neurophysiol. 1998;38(1):51-8.
  15. Arokoski JP, Kankaanpaa M, Valta T et al. Back and hip extensor muscle function during therapeutic exercises. Arch Phys Med Rehabil. 1999;80(7):842-50. https://doi.org/10.1016/S0003-9993(99)90237-X
  16. Ng JK, Kippers V, Parnianpour M et al. EMG activity normalization for trunk muscles in subjects with and without back pain. Med Sci Sports Exerc. 2002;34(7):1082-6. https://doi.org/10.1097/00005768-200207000-00005
  17. Danneels LA, Coorevits PL, Cools AM et al. Differences in electromyographic activity in the multifidus muscle and the iliocostalis lumborum between healthy subjects and patients with sub-acute and chronic low back pain. Eur Spine J. 2002;11(1):13-9. https://doi.org/10.1007/s005860100314
  18. Lee HO, Gu BO. Recruitment Patterns of Lumbar Extensor and Hip Extensors in Trunk Flexion and Extension. J Kor Soc Phys Ther. 2009;21(1):57-64.
  19. Kim BG, Seo HK, Jung YW. The effect of sling exercise on lumbar stabilization and muscle strength. J Kor Soc Phys Ther. 2004;16(4): 129-141.
  20. Kim H, Park RJ, Bae SS. Effect of diaphragmatic breathing exercise on activation of trunk muscle of patients with low back pain. J Kor Soc Phys Ther. 2005;17(3): 311-327.
  21. Kim TH, Seo HK, Gong WT. The Change of Muscle Activities of Trunk Muscles during Various Leg-Crossing Positions in Low Back Pain Patients. J Kor Soc Phys Ther. 2007;19(5):1-10.
  22. Park DJ, Lee HO. Activation of abdominal muscles during abdominal hollowing in four different positions. J Phys Ther Sci. 2010;22(2):203-7. https://doi.org/10.1589/jpts.22.203
  23. Chanthapetch P, Kanlayanaphotporn R, Gaogasigam C et al. Abdominal muscle activity during abdominal hollowing in four starting positions. Man Ther. 2009;14(6):642-6. https://doi.org/10.1016/j.math.2008.12.009
  24. Cresswell AG, Oddsson L, Thorstensson A. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Brain Res. 1994;98(2):336-41.
  25. Drake JD, Fischer SL, Brown SH et al. Do exercise balls provide a training advantage for trunk extensor exercises? A biomechanical evaluation. J Manipulative Physiol Ther. 2006;29(5):354-62. https://doi.org/10.1016/j.jmpt.2006.04.011
  26. Souza GM, Baker LL, Powers CM. Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises. Arch Phys Med Rehabil. 2001;82(11): 1551-7. https://doi.org/10.1053/apmr.2001.26082
  27. Moore KL, Dalley AF. Clinically oriented anatomy. 4th ed. Philadelphia, Lippincott Williams & Wilkins, 1999:184-5.
  28. Henry SM, Westervelt KC. The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther. 2005;35(6):338-45.
  29. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Man Ther. 2009;14(6):690-5. https://doi.org/10.1016/j.math.2009.05.003
  30. McGill S, Juker D, Kropf P. Appropriately placed surface EMG electrodes reflectdeep muscle activity (psoas, quadratus lumborum, abdominal wall) in the lumbar spine. J Biomech. 1996;29(11):1503-7. https://doi.org/10.1016/0021-9290(96)84547-7
  31. Danneels LA, Cagnie BJ, Cools AM et al. Intra-operator and inter-operator reliability of surface electromyography in the clinical evaluation of back muscles. Man Ther. 2001; 6(3):145-53. https://doi.org/10.1054/math.2001.0396
  32. Jorgensen K, Nicholaisen T, Kato M. Muscle fiber distribution, capillary density, and enzymatic activities in the lumbar paravertebral muscles of young men. Significance for isometric endurance. Spine (Phila Pa 1976). 1993;18(11): 1439-50.
  33. McArdle WD, Katch FI, Katch VL. Exercise physiology, energy, nutrition and human performance. 3rd ed. Philadelphia, Lea and Febiger, 1991:384-417.
  34. American College of Sports Medicine. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009;41(3):687-708. https://doi.org/10.1249/MSS.0b013e3181915670