DOI QR코드

DOI QR Code

견관절 등척성 수축을 동반한 복부 드로우-인 기법이 젊은 성인의 복근 두께에 미치는 효과

The Effects of Abdominal Draw-in Maneuver With Shoulder Isometric Contractions on Abdominal Muscles Thickness in Healthy Person

  • 박상규 (대전대학교 보건스포츠 대학원 물리치료학과) ;
  • 김예나 (베데스다 병원 물리치료실) ;
  • 정은이 (한가족병원 물리치료실) ;
  • 박현주 (대전대학교 일반대학원 물리치료학과) ;
  • 최종덕 (대전대학교 자연과학대학 물리치료학과)
  • Park, Sang-Kyu (Dept. of Physical Therapy, The Health and Sports School, Deajeon University) ;
  • Kim, Ye-Na (Dept. of Physical Therapy, The Bethesda Hospital) ;
  • Jung, Eun-Yi (Dept. of Physical Therapy, Yuseong Hangajok Hospital) ;
  • Park, Hyun-Ju (Dept. of Physical Therapy, The Graduate School, Deajeon University) ;
  • Choi, Jong-Duk (Dept. of Physical Therapy, College of Natural Science, Deajeon University)
  • 투고 : 2013.02.04
  • 심사 : 2013.04.05
  • 발행 : 2013.05.21

초록

This study was conducted in order to examine whether abdominal draw-in maneuver (ADIM) with isometric shoulder flexion, extension, adduction, and abduction selectively contracted deep abdominal muscles. This study's subjects were 13 males 17 females. In order to evaluate the comparison of effects of ADIM and ADIM with isometric shoulder flexion, extension, adduction and abduction, measurements were made on transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) using a real-time ultrasonic diagnostic imaging system. Each position was repetitively measured three times with a real-time ultrasonic diagnostic imaging system and their mean values were used for analysis. The ADIM with isometric shoulder flexion, extension, adduction and abduction significantly increased the thickness of TrA relative to the ADIM only (p<.05). The ADIM with isometric shoulder abduction significantly increased the thickness of IO compared to the ADIM only (p<.05). The ADIM with isometric shoulder extension and abduction significantly decreased the thickness of EO compared to the ADIM only and the ADIM with isometric shoulder extension significantly decreased the thickness of EO relative to the ADIM with isometric shoulder adduction (p<.05). ADIM with isometric shoulder abduction is an effective method to selectively strengthen deep abdominal muscles and therefore may be employed as an intervention for trunk stabilization.

키워드

참고문헌

  1. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):s86-s92.
  2. Chon SC, Chang KY, You JS. Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults: A preliminary, randomised, controlled study. Physiotherapy. 2010;96(2):130-136. https://doi.org/10.1016/j.physio.2009.09.007
  3. Cresswell AG, Grundstrom H, Thorstensson A. observation on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand. 1992;144(4):409-418. https://doi.org/10.1111/j.1748-1716.1992.tb09314.x
  4. Critchley DJ, Coutts FJ. Abdominal muscle function in chronic low back pain patients: Measurement with real-time ultrasound scanning. Physiotherapy. 2002;88(6):322-332. https://doi.org/10.1016/S0031-9406(05)60745-6
  5. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007;37(12):754-762. https://doi.org/10.2519/jospt.2007.2471
  6. Ferreira PH, Ferreira ML, Hodges PW. Changes in recruitment of the abdominal muscles in people with low back pain: Ultrasound measurement of muscle activity. Spine (Phila Pa 1976). 2004;29(22):2560-2566. https://doi.org/10.1097/01.brs.0000144410.89182.f9
  7. 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):t243-t248. https://doi.org/10.1097/00007632-200106010-00004
  8. Hodges PW, Cresswell A, Thorstensson A. Preparatory trunk motion accompanies rapid upper limb movement. Exp Brain Res. 1999;124(1):69-79. https://doi.org/10.1007/s002210050601
  9. Hodges P, Richardson C. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil. 1999;80(9):1005-1012. https://doi.org/10.1016/S0003-9993(99)90052-7
  10. Hodges PW, Richardson CA, Jull G. Evaluation of the relationship between laboratory and clinical tests of transversus abdominis function. Physiother Res Int. 1996;1(1):30-40. https://doi.org/10.1002/pri.45
  11. Hodges PW, Pengel LH, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27(6):682-692. https://doi.org/10.1002/mus.10375
  12. Hodges PW. Ultrasound imaging in rehabilitation: Just a fad? J Orthop Sports Phys Ther. 2005;35(6):333-337. https://doi.org/10.2519/jospt.2005.0106
  13. Kim CY, Choi JD, Kim SY, et al, Reliability and validity of ultrasound imaging and sEMG measurement to external abdominal oblique and lumbar multifidus muscles. Phys Ther Kor. 2011;18(1):37-46.
  14. Kim JW, Lee KM. The relationship between distance and force during isometric strength examination. J Korean Acad Rehabil Med. 1996;20(1):133-139.
  15. Kisner C, Colby LA. Therapeutic Exercise: Foundations and techniques. 5th ed. Philadelphia, PA, F.A. Davis Co., 2007:383-480.
  16. Macedo LG, Maher CG, Latimer J, et al. Motor control exercise for persistent, nonspecific low back pain: A systematic review. Phys Ther. 2009;89(1):9-25. https://doi.org/10.2522/ptj.20080103
  17. Myers TW, Juhan D, Chaitow L. Anatomy Trains: Myofascial meridians for manual and movement therapists. UK, Churchill Livingstone, 2001:159-175.
  18. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-389. https://doi.org/10.1097/00002517-199212000-00001
  19. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-379. https://doi.org/10.1016/S1050-6411(03)00044-0
  20. Park HJ, Shim SM, Choi JD, et al. The effects of isometric lower limb contraction on the activation of contralateral trunk muscles in healthy young adults in supine position. Phys Ther Kor. 2012;19(3):11-19. https://doi.org/10.12674/ptk.2012.19.3.011
  21. Rankin G, Stokes M, Newham DJ. Abdominal muscle size and symmetry in normal subjects. Muscle Nerve. 2006;34(3):320-326. https://doi.org/10.1002/mus.20589
  22. Richardson C, Jull G, Toppenberg R, et al. Techniques for active lumbar stabilization for spinal protection: A pilot study. Aust J Physiother. 1992;38(2):105-112. https://doi.org/10.1016/S0004-9514(14)60555-9
  23. Richardson C, Jull G, Hodges P. Therapeutic Exercise for Spinal Segmental Stabilitation in Low Back Pain: Scientific basis and clinical appraoch. Edinburgh, Churchill Livingstone, 1999:111-123.
  24. Stetts DM, Freund JE, Allison SC, et al. A rehabilitative ultrasound imaging investigation of lateral abdominal muscle thickness in healthy aging adults. J Geriatri Phys Ther. 2009;32(2): 60-66.
  25. Stevens VK, Bouche KG, Mahieu NN, et 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
  26. Stuge B, Laerum E, Kirkesola G, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: A randomized controlled trial. Spine (Phila Pa 1976). 2004;29(4):351-359. https://doi.org/10.1097/01.BRS.0000090827.16926.1D

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