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Effects of Bridging Exercise using Vibration Stimulation and ADIMs on the Lengthening and Thickness of Transversus Abdominis in Healthy Adults

  • Kong, Kwan-Woo (Graduate School of Rehabilitation Science, Daegu University)
  • Received : 2016.11.18
  • Accepted : 2016.12.08
  • Published : 2016.12.31

Abstract

Purpose: This study was conducted in an effort to determine the effects of various abdominal drawing-in maneuver (ADIM) on the thickness and length of the transversus abdominis (TrA) when using lumbar stabilization exercises on healthy adults. Methods: 72 healthy adults were divided into four groups of 18 subjects each, to which different ADIM methods were applied. 1) a simple ADIM exercise, 2) an ADIM with pressure bio-feedback units, 3) an ADIM exercise with sling, and 4) an ADIM exercise with sling and vibration. Changes in the thickness and sliding length of TrA were measured when ADIM was conducted in the supine position prior to exercise and again when beginning the exercises. Following exercise, changes in the thickness and sliding length of TrA were measured using the same methods. Differences in group measurements prior to and following exercise were compared using a one-way analysis of variance. A paired t-test was applied to compare the before and after differences within each group. Results: Differences in TrA thickness change revealed that the ADIM exercise with sling and vibration group showed a significant difference in measurements taken prior to and following exercise. Differences in TrA length change revealed that the ADIM exercise with sling and vibration group showed a significant difference in measurements taken prior to and following exercise. Conclusion: ADIM exercise with vibration stimulation conducted in the bridge posture while in a prone position using a sling can be recommended as an effective exercise to improve the function of lumbar TrA.

Keywords

References

  1. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain: a motor control evaluation of trasversus abdominis. Spine. 1996;21(22):2640-50. https://doi.org/10.1097/00007632-199611150-00014
  2. Song GB, Heo JY. The effects of bridge exercise with abdominal drawing-in on balance in patients with stroke. J Kor Phys Ther. 2016;28:1-7.
  3. Lee M. Effect of abdominal muscle activity in combination with the abdominal drawing-in maneuver for grip strength in healthy young adults. J Kor Phys Ther. 2012;24:1-6. https://doi.org/10.1589/jpts.24.1
  4. Yun K, Lee S, Park J. Effects of closed chain exercises for the lumbar region performed with local vibration applied to an unstable support surface on the thickness and length of the transverse abdominis. J Phys Ther Sci. 2015;27(1):101-3. https://doi.org/10.1589/jpts.27.101
  5. Kim ER, Oh JS, Yoo WG. Effect of vibration frequency on serratus anterior muscle activity during performance of the push-up plus with a redcord sling. J Phys Ther Sci. 2014;26(8):1275-6. https://doi.org/10.1589/jpts.26.1275
  6. Prisby RD, Lafage-Proust MH, Malaval L et al. Effects of whole body vibration on the skeleton and other organ systems in man and animal models: what we know and what we need to know. Ageing Res Rev. 2008;7(4):319-29. https://doi.org/10.1016/j.arr.2008.07.004
  7. Richardson CA, Jull G. Muscle control-pain control. what exercise would you prescribe. Man Ther. 1995;1(1):2-10. https://doi.org/10.1054/math.1995.0243
  8. Sapsford RR, Hodges PW. Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil. 2001;82(8):1081-8. https://doi.org/10.1053/apmr.2001.24297
  9. Mannion AF, Pulkovski N, Gubler D et al. Muscle thickness changes during abdominal hollowing: an assessment of between-day measurement error in control sand patients with chronic low back pain. Eur Spine J. 2008;17(4):494-501. https://doi.org/10.1007/s00586-008-0589-x
  10. Koppenhaver SL, Hebert JJ, Fritz JM et al. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Arch Phys Med Rehabil. 2009;90(1):87-94. https://doi.org/10.1016/j.apmr.2008.06.022
  11. Childs JD. 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):34.
  12. McMeeken JM, Beith LD, Newham DJ et al. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech. 2004;19(4):337-42. https://doi.org/10.1016/j.clinbiomech.2004.01.007
  13. Whittaker JL. Ultrasound imaging of the lateral abdominal wall muscle in individuals with lumbopelvic pain and sign of concurrent hypocapnia. Man Ther. 2008;13(5):404-10. https://doi.org/10.1016/j.math.2007.03.008
  14. Monica UT, Tom ILN, Jon M et al. Is activation of transversus abdominis and obliquus internus abdominis associated with long-term changes in chronic low back pain? a prospective study with 1-year follow-up. Br J Sports Med. 2012;46(10):729-34. https://doi.org/10.1136/bjsm.2011.085506
  15. Hides JA, Wilson SJ, Stanton W et al. An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine. 2006;31(6):175-8. https://doi.org/10.1097/01.brs.0000202740.86338.df
  16. Critchley DJ, Coutts FJ. Abdominal muscle function in chronic low back pain patients: measurement with real-time ultra sound scanning. Physiotherapy. 2002;88(6):322-32. https://doi.org/10.1016/S0031-9406(05)60745-6
  17. Shi J, Zheng YP, Chen X et al. Assessment of muscle fatigue using sonomyography: muscle thickness change detected from ultrasound images. Med Eng Phys. 2007;29(4):472-9. https://doi.org/10.1016/j.medengphy.2006.07.004
  18. Cardinale M, Bosco C. The use of vibration as an exercise intervention. exercise and sport sciences reviews. 2003;31(1):3-7. https://doi.org/10.1097/00003677-200301000-00002
  19. Belavy DL, Hides JA, Wilson SJ et al. Resistive simulated weight bearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-rest. Spine. 2008;33(5):E121-31. https://doi.org/10.1097/BRS.0b013e3181657f98
  20. Yun KH. The effects of closed chain exercise of the neck using vibrations on the thicknesses of normal adults. Daegu University. Dissertation of Doctorate Degree. 2014.

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