The Effect of Real-time Ultrasound Imaging Feedback during Abdominal Hollowing in Four Point Kneeling to Healthy Men

  • Park, Du-Jin (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • Received : 2010.09.15
  • Accepted : 2010.12.06
  • Published : 2010.12.25

Abstract

Purpose: This study investigated the effects of visual feedback during abdominal hollowing (AH) in four point kneeling position, using real-time ultrasound imaging through measurement of the changes in the thickness of transversus abdominis (TrA), internal abdominal oblique (IO), and external abdominal oblique (EO). Methods: The subjects of this study were 32 healthy males who were divided intothe experimental group of 16 subjects and the control group of 16 subjects. The real-time ultrasound feedback was applied to the experimental group while they were educated on the AH exercise in four point kneeling whereas only general education and training were given to the control group. After the training, the changes in the thickness of abdominal muscles during AH in four point kneeling were compared between the experimental group and the control group. Results: The differences of the changes in the thickness of TrA and EO between the two groups were statistically significant. Conclusion: The experimental group experienced a higher increase in the thickness of TrA than the control group while the thickness of IO and EO of the experimental.

Keywords

References

  1. Ferreira PH, Ferreira ML, Maher CG et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Aust J Physiother. 2006;52(2):79-88. https://doi.org/10.1016/S0004-9514(06)70043-5
  2. Rackwitz B, de Bie R, Limm H et al. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil. 2006;20(7):553-67. https://doi.org/10.1191/0269215506cr977oa
  3. 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
  4. 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
  5. McGill SM. Low back exercises: evidence for improving exercise regimens. Phys Ther. 1998;78(7):754-65.
  6. 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
  7. 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
  8. Norasteh A, Ebrahimi E, Salavati M et al. Reliability of B-mode ultrasonography for abdominal muscles in asymptomatic and patients with acute low back pain. J Bodyw Mov Ther. 2007;11(1):17-20. https://doi.org/10.1016/j.jbmt.2005.11.002
  9. 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
  10. Vasseljen O, Fladmark AM. Abdominal muscle contraction thickness and function after specific and general exercises: a randomized controlled trial in chronic low back pain patients. Man Ther. 2010;15(5):482-9. https://doi.org/10.1016/j.math.2010.04.004
  11. Mannion AF, Pulkovski N, Gubler D et al. Muscle thickness changes duringabdominal hollowing: an assessment of between-day measurement error in controls and patients with chronic low back pain. Eur Spine J. 2008;17(4):494-501. https://doi.org/10.1007/s00586-008-0589-x
  12. 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.
  13. Van K, Hides JA, Richardson CA. The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. J Orthop Sports Phys Ther. 2006;36(12):920-5. https://doi.org/10.2519/jospt.2006.2304
  14. Teyhen DS, Gill NW, Whittaker JL et al. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 2007;37(8):450-66.
  15. Springer BA, Mielcarek BJ, Nesfield TK et al. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther. 2006; 36(5):289-97.
  16. Hodges PW, Gandevia SC. Activation of the human diaphragm during a repetitive postural task. J Physiol. 2005;22 Pt 1:165-75.
  17. Seo SK. The analysis of ultrasonography on gastrocnemius medialis of patient with stroke. J Kor Soc Phys Ther. 2007;19(2):11-9.
  18. Min SG, Chun JS, Yong JH et al. The effects of pulsed ultrasound on the bone healing process in fracture model of diabetes mellitus rat. J Kor Soc Phys Ther. 2006;18(2):47-58.
  19. Kim HA, Han JM. The effect of ultrasound irradiation on the neural cell adhesion molecules (NCAM) expression in rat spinal cord after the sciatic nerve crush injury. J Kor Soc Phys Ther. 2007;19(2):41-55.
  20. Critchley DJ, CouttsFJ. Abdominal muscle function in chronic low back pain patients: measurement with real-time ultrasound scanning. Physiotherapy. 2002;88(6):322-32.
  21. Hides JA, Richardson CA, Jull GA. Use of real-time ultrasound imaging for feedback in rehabilitation. Man Ther. 1998; 3(3):125-31. https://doi.org/10.1016/S1356-689X(98)80002-7
  22. Kim HJ, Kramer JF. Effectiveness of visual feedback during isokinetic exercise. J Orthop Sports Phys Ther. 1997;26(6): 318-23.
  23. Wright DL, Smith-Munyon VL, Sidaway B. How close is too close for precise knowledge of results? Res Q Exerc Sport. 1997;68(2):172-6. https://doi.org/10.1080/02701367.1997.10607994
  24. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine (Phila Pa 1976). 2001;26(11):E243-8. https://doi.org/10.1097/00007632-200106010-00004
  25. Teyhen DS, Miltenberger CE, Deiters HM et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35(6):346-55.