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Influence of Difficulty Variation of the Core Stabilization Exercise on Thickness Changes of Abdominal Muscles in Healthy Subjects: A Pilot Study

  • Kang, Jeong-Hyeon (Department of Health Science, Graduate School, Korea University) ;
  • Suh, Hye-Rim (Department of Physiology, College of Medicine and Neuroscience Research Institute, Korea University) ;
  • Kim, Chang-Yong (The Biomechanics and Movement Rehabilitation Laboratory, Health and Sciences Institute, Korea University) ;
  • Kim, Hyeong-Dong (Department of Physical Therapy, College of Health Science, Korea University) ;
  • Kim, Hyungkun (Department of Health Science, Graduate School, Korea University)
  • 투고 : 2016.03.22
  • 심사 : 2016.04.26
  • 발행 : 2016.04.30

초록

Purpose: This study examined thickness changes in abdominal muscles according to difficulty level of core stabilization exercise in healthy subjects. Methods: Thirty healthy subjects (age range: 21-30 years) volunteered under three conditions. In the first condition, the subjects performed an abdominal draw-in maneuver (ADIM). In the second condition, they performed the ADIM during quadruped exercise using a suspension device without extending their lower limbs. In the third condition, the subjects performed the ADIM during quadruped exercise using a suspension device while extending both lower limbs. The changes in thickness of transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles were measured by ultrasonography (US) imaging during the three experimental conditions, and US was used to measure the improvement ratio of muscle thickness at rest. The interventions were conducted over three trials in each condition, and measurements were performed on each subject by one examiner. Results: Our results showed a significantly greater increase in the muscle thickness of TrA and IO muscles after performance of quadruped exercise using a suspension device without knee extension (p<0.05) compared to the other conditions. The results also showed a significantly greater increase in the thickness changes of EO muscle in those who performed the ADIM during quadruped exercise using a suspension device with knee extension (p<0.05) compared with the ADIM only. Conclusion: These findings demonstrated positive evidence that a low-level core stabilization exercise could improve thickness of abdominal muscles.

키워드

참고문헌

  1. Kibler WB. Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med. 1995;14(1):79-85.
  2. Mok NW, Yeung EW, Cho JC et al. Core muscle activity during suspension exercises. J Sci Med Sport. 2015;18(2):189-94. https://doi.org/10.1016/j.jsams.2014.01.002
  3. Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl. 1989;230:1-54.
  4. 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
  5. McGill SM, Grenier S, Kavcic N et al. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol. 2003;13(4): 353-9. https://doi.org/10.1016/S1050-6411(03)00043-9
  6. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic resolution of acute, first-episode low back pain. Spine. 1996; 21(23):2763-9. https://doi.org/10.1097/00007632-199612010-00011
  7. Kang JH, Shim JH, Chon SC. The effect of five different trunk stabilization exercise on thickness of abdominal muscle using an ultrasonography imaging in normal people. Phys Ther Kor. 2012;19(3):1-10. https://doi.org/10.12674/ptk.2012.19.3.001
  8. Escamilla RF, Lewis C, Bell D et al. Core muscle activation during swiss ball and traditional abdominal exercises. J Orthop Sports Phys Ther. 2010;40(5):265-76. https://doi.org/10.2519/jospt.2010.3073
  9. Urquhart DM, Hodges PW, Allen TJ et al. Abdominal muscle recruitment during a range of voluntary exercises. Man Ther. 2005;10(2):144-53. https://doi.org/10.1016/j.math.2004.08.011
  10. 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
  11. Comerford MJ, Mottram SL. Functional stability re-training: Principles and strategies for managing mechanical dysfunction. Man Ther. 2001;6(1):3-14. https://doi.org/10.1054/math.2000.0389
  12. Kim K, Kim EK, Lee DK. Effects of PNF patterns exercise on pain, functional disability and fear avoidance belief in chronic low back pain patients. J Korean Soc Ther. 2014;26(2):110-6.
  13. Kim BK, Lee MH, Kim GC. Comparison of abdominal muscle activity during exercises using a sling and swiss-ball. J Korean Soc Phys Ther. 2013;25(3):149-54.
  14. O’Sullivan PB, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylosis or spondylolisthesis. Spine. 1997;15(22):2959-67.
  15. Ebben WP, Wurm B, Zanden TLV et al. Kinetic analysis of several variations of push-ups. J Strength Cond Res. 2011;25(10):2891-4. https://doi.org/10.1519/JSC.0b013e31820c8587
  16. Faul F, Erdfelder E, Lang AG et al. G*Power 3: A flexible statistical poweranalysis program for the social, behavioral, and biomedical sciences. BehavRes Methods. 2007;39(2):175-91.
  17. John EK, Beith ID. Can activity within the external abdominal obliquebe measured using real-time ultrasound imaging? Clin Biomech. 2007; 22(9):972-9. https://doi.org/10.1016/j.clinbiomech.2007.07.005
  18. Mannion AF, Pulkovski N, Gubler D et al. Muscle thickness changes during abdominal 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
  19. Koppenhaver SL, Hebert JJ, Fritz JM et al. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Aech Phys Med Rehabil. 2009;90(1):87-94. https://doi.org/10.1016/j.apmr.2008.06.022
  20. Henry SM, Teyhen DS. Ultrasound imaging as a feedback tool in the rehabilitation of trunk dysfunction for people with low back pain. J Orthop Sports Phys Ther. 2007;37(10):627-34. https://doi.org/10.2519/jospt.2007.2555
  21. Teyhen DS, Rieger JI, Westrick AC. Changes in deep abdominal muscle thickness during common trunk-strengthening exercises using ultrasound imaging. J Orthop Sports Phys Ther. 2008;38(10):596-605. https://doi.org/10.2519/jospt.2008.2897
  22. Atkins SJ, Bentley I, Brooks D et al. Electromyographic response of global abdominal stabilizers in response to stable- and unstable-base isometric exercise. J Strength Cond Res. 2015;29(6):1609-15. https://doi.org/10.1519/JSC.0000000000000795
  23. Lee NG, Jung JH, You JS et al. Novel augmented ADIM training using ultrasound imaging and electromyography in adults with core instability. J Back Musculoskelet Rehail. 2011;24(4):233-40. https://doi.org/10.3233/BMR-2011-0300
  24. Hicks GE, Frintz JM, Delitto A et al, Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehail. 2005;86(9):1753-62. https://doi.org/10.1016/j.apmr.2005.03.033
  25. Koh EK, Jung DY. Effect of visual and palpation feedback on muscle activity of gluteus maximus and motion of pelvic rotation during clam exercise. J Korean Soc Ther. 2013;25(5):337-42.
  26. Lee WJ, Park S, Park JW. Influence of trunk stabilization exercise upon the lumbar stabilization and foot pressure in patients with back pain. J Korean Soc Ther. 2014;26(1):21-6.
  27. Hodges PW. 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
  28. 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
  29. Kavcic N, Gremier S, McGill SM. Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises. Spine. 2004;29(20):2319-29. https://doi.org/10.1097/01.brs.0000142222.62203.67
  30. 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
  31. Darke JD, Fischer SL, Brown SH et al. Do exercise balls provide a traning advantage for trunk extensor exercise? A biomechanical evaluation. J Manipulative Physiol Ther. 2006;29(5):354-62. https://doi.org/10.1016/j.jmpt.2006.04.011
  32. Whittaker JL. Ultrasound imaging of the lateral abdominal wall muscles in individuals with lumbopelvic pain and signs concurrent hypocapnia. Man Ther. 2008;13(5):404-10. https://doi.org/10.1016/j.math.2007.03.008
  33. Bunce SM, Hough AD, Moore AP. Measurement of abdominal muscle thickness using M-mode ultrasound imaging during functional activities. Man Ther. 2004;9(1):41-4. https://doi.org/10.1016/S1356-689X(03)00069-9
  34. Borreani S, Calatayud J, Colado JC et al. Shoulder muscle activation during stable and suspend push-ups at different heights in healthy subjects. Phys Ther Sport. 2015;16(3):248-54. https://doi.org/10.1016/j.ptsp.2014.12.004
  35. Calatayud J, Brreani S, Martin J et al. Core muscle activity in a series of balance exercises with different stability conditions. Gait Posture. 2015; 42(2):186-92. https://doi.org/10.1016/j.gaitpost.2015.05.008
  36. Kolar P, Sulc J, Kyncl M et al. Postural function of the diaphragm in persons with and without chronic low back pain. J Orthop Sports Phys Ther. 2012;42(4):352-62. https://doi.org/10.2519/jospt.2012.3830

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  1. Effects of Sling and Resistance Rotation Exercises on Pelvic Rotation and Pain in Patients with Chronic Low Back Pain vol.30, pp.5, 2018, https://doi.org/10.18857/jkpt.2018.30.5.166
  2. Effects of Lumbar Stabilization Exercise on the Strength, Range of Motion and Pain vol.11, pp.4, 2016, https://doi.org/10.20540/jiaptr.2020.11.4.2229