Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Heel Contact Methods of Stair Ascent on Abdominal Muscle Activation in Healthy Subjects: A Cross-Sectional Pilot Study

계단 오르기 시 발뒤꿈치 접지 방법이 정상인의 복부 근육 활성도에 미치는 영향: 단면 예비연구

  • Kang, Jeong-Hyeon (Division of Rehabilitation Science, Department. of Health Science, The Graduate School, Korea University, Department of Physical Therapy Center, Neulchan Hospital) ;
  • Kim, Chang-Yong (The Biomechanics and Movement Rehabilitation Laboratory, Health and Sciences institute, Korea University) ;
  • Kim, Jae-Hwan (Division of Rehabilitation Science, Department. of Health Science, The Graduate School, Korea University, Department of Physical Therapy Center, Neulchan Hospital) ;
  • Kim, Hyeong-Dong (School of Health and Environmental Science, College of Health Science, Korea University)
  • 강정현 (고려대학교 일반대학원 보건과학과 재활과학전공, 늘찬병원 물리치료센터) ;
  • 김창용 (고려대학교 보건과학연구소 생체역학 및 운동재활연구실) ;
  • 김재환 (고려대학교 일반대학원 보건과학과 재활과학전공, 늘찬병원 물리치료센터) ;
  • 김형동 (고려대학교 보건과학과 보건환경융합과학부)
  • Received : 2016.05.25
  • Accepted : 2016.06.16
  • Published : 2017.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study was to determine the changes of abdominal muscles activation according to the heel contact methods of stair ascent in healthy young adults. METHODS: 33 healthy young subjects (mean age: $26.37{\pm}9.72$ years, age range: 20-32 years) volunteered under two conditions. They were performed stair ascent with heel contact and without heel contact. The effects of heel contact methods were assessed using the surface electromyography (sEMG) analysis during stair ascent for activation of abdominal muscles (internal oblique; IO, transverse abdominis; TrA, external oblique; EO rectus abdominis; RA). The interventions were conducted over three trials in each method, and measurements were performed on each subject by one examiner in three trials. RESULTS: Our results revealed that there were significantly greater increase in the EMG activation of IO and TrA muscles in the performance of stair ascent with heel contact (p<.05) compared to those of stair ascent without heel contact. The results also showed that there were greater decrease in the ratio of abdominal muscle activation in those of stair ascent with heel contact compared with stair ascent without heel contact. CONCLUSION: These findings demonstrated that the method of stair ascent with heel contact would suggest positive evidence for improving activation of abdominal muscles.

Keywords

References

  1. Borschmann K, Pang MY, Bernhart J, et al. Stepping towards prevention of bone loss after stroke: a systemic review of the skeletal effects of physical activity after stroke. Int J Stroke. 2012;7(4):330-5. https://doi.org/10.1111/j.1747-4949.2011.00645.x
  2. Choi SA, Cynn HS, Yi CH, et al. Isometric hip abduction using a Thera-Band alters gluteus maximus muscle activity and the anterior pelvic tilt angle during bridging exercise. J Electromyogr Kinesiol. 2015; 25(2):310-5. https://doi.org/10.1016/j.jelekin.2014.09.005
  3. Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. ClinBiomech. 1996;11(1):1-15.
  4. Crisco JJ, Panjabi MM. The intersegmental and multisegmental muscles of the lumbar spine. A biomechnical model comparing lateral stabilizing potential. Spine. 1991; 16(7):793-9. https://doi.org/10.1097/00007632-199107000-00018
  5. Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. https://doi.org/10.3758/BF03193146
  6. Feldwieser FM, Sheeran L, Meana-Esteban A, et al. Electromyographic analysis of trunk-muscle activity during stable, unstable and unilateral bridging exercises in healthy individuals. Eur Spine. 2012; 21(2):171-86. https://doi.org/10.1007/s00586-012-2254-7
  7. Gardner-Morse MG, Stokes IA. The effects of abdominal muscle coactivation on lumbar spine stability. Spine. 1998;23(1):86-92. https://doi.org/10.1097/00007632-199801010-00019
  8. Gardner-Morse M, Stokes IA, Laible JP. Role of muscles in lumbar spine stability in maximum extension efforts. J Orthop Res. 1995;13(5):802-8. https://doi.org/10.1002/jor.1100130521
  9. 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
  10. Juker D, McGill S, Kropf P, et al. Quantitative intramuscular myoelecric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks. Med Sci Sports Exerc. 1998;30(2):301-10. https://doi.org/10.1097/00005768-199802000-00020
  11. Kim H, Kim CY, Kang JH, et al. Influence of the supplementary Ki-hap technique and verbal encouragement on abdominal muscle activation during crunch exercise in healthy subjects: a pilot randomized controlled trial. J Korean Soc Phys Med. 2016;11(2):53-62. https://doi.org/10.13066/kspm.2016.11.2.53
  12. Lee AY, Kim EH, Cho YW, et al. Effects of abdominal hollowing during stair climbing on the activations of local trunk stabilizing muscles: a cross-sectional study. Ann Rehabil Med. 2013;37(6):804-13. https://doi.org/10.5535/arm.2013.37.6.804
  13. Lee JK, Desmoulin GT, Khan AH, et al. Comparison of 3D spinal motion during stair-climbing between individuals with and without low back pain. Gait Posture. 2011;34(2):222-6. https://doi.org/10.1016/j.gaitpost.2011.05.002
  14. Meyer P, Kayser B, Mach F. Stair use for cardiovascular disease prevention. Eur J Cardiovasc Prev Rehabil. 2009;16(2):17-8. https://doi.org/10.1097/01.hjr.0000359230.73270.2e
  15. Ng JK, Richardson CA, Parnianpour M, et al. EMG activity of trunk muscles and torque during isometric axial rotation exertion: a comparison between back pain patients and matched controls. J Orthop Res. 2002; 20(1):112-21. https://doi.org/10.1016/S0736-0266(01)00067-5
  16. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. USA. Human Kinetics. 2010.
  17. Radebold A, Cholewicki J, Panjabi MM, et al. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine. 2000;25(8):947-54. https://doi.org/10.1097/00007632-200004150-00009
  18. Rao S, Carter S. Regional plantar pressure during walking, stair ascent and descent. Gait Posture. 2012;36(2): 265-70. https://doi.org/10.1016/j.gaitpost.2012.03.006
  19. Richardson C, Hodges PW, Hides J. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain (2nd ed). London. Churchill Livingstone. 2004.
  20. Richter P, Hebgen E. Trigger points and muscle chains in osteopathy (2nd ed). Germany. Thieme. 2007.
  21. Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait Posture. 2002;15(1): 32-44. https://doi.org/10.1016/S0966-6362(01)00162-X
  22. Smeets RJ, Hijdra JM, Kester AM, et al. The usability of six physical performance tasks in a rehabilitation population with chronic low back pain. ClinRehabil. 2006;20(11):989-97.
  23. Stokes IA, Henry SM, Single RM. Surface EMG electrodes do not accurately record from lumbar multifidus muscles. ClinBiomech (Bristol, Avon). 2003;18(1): 9-13. https://doi.org/10.1016/S0268-0033(02)00140-7
  24. Yoon JY, An DH, Yoo WG. Differences in activities of the lower extremity muscles with and without heel contact during stair ascent by young women wearing high-heeled shoes. J Orthop Sci. 2009;14(4):418-22. https://doi.org/10.1007/s00776-009-1351-x
  25. Youn HJ, Kim JS. The effect of abdominal drawing-in maneuver and pelvic floor muscle contraction in individuals with and without low back pain. J Korean Soc Phys Med. 2016;11(1):56-60.

Cited by

  1. 수중걷기운동이 여성노인의 보행 및 평형능력에 미치는 영향 vol.30, pp.1, 2020, https://doi.org/10.5103/kjsb.2020.30.1.73