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Effect of abdominal drawing in maneuver with pelvic floor exercise on abdominal muscle thickness measured by ultrasonography

골반 바닥근육 운동을 이용한 복부 드로잉-인이 초음파 측정 방법을 이용한 복부 근육 두께에 미치는 영향

  • Choi, You-Jeong (Department of Physical Therapy, Sunmoon University) ;
  • Son, A-Reum (Department of Physical Therapy, Sunmoon University) ;
  • Hong, Ji-Heon (Department of Physical Therapy, Sunmoon University) ;
  • Yu, Jae-Ho (Department of Physical Therapy, Sunmoon University) ;
  • Kim, Jin-Seop (Department of Physical Therapy, Sunmoon University) ;
  • Lee, Dong-Yeop (Department of Physical Therapy, Sunmoon University)
  • 최유정 (선문대학교 물리치료학과) ;
  • 손아름 (선문대학교 물리치료학과) ;
  • 홍지헌 (선문대학교 물리치료학과) ;
  • 유재호 (선문대학교 물리치료학과) ;
  • 김진섭 (선문대학교 물리치료학과) ;
  • 이동엽 (선문대학교 물리치료학과)
  • Received : 2019.05.31
  • Accepted : 2019.07.20
  • Published : 2019.07.28

Abstract

The purpose of this study is to measure abdominal muscle thickness when Pelvic Floor contraction (PFC) and Abdominal Drawing-In Maneuver (ADIM) were separately applied and combined exercise was applied and to compare the effects of the exercise. After the pre-investigation, the subjects were given a explanation of the purpose and the method of the research and then an experiment was conducted targeting a total of 30 subjects, who voluntarily agreed with this. Thicknesses of internal oblique (IO), transverse abdominis (TrA) and external oblique (EO) were measured during a break and then three types of exercise. All the measured values of the experiment were processed using Repeated measure ANOVA, and Bonferroni method was applied. As a result, the three types of exercise showed significant differences in thicknesses of IO, TrA and EO. In conclusion, the subjects had the thickest muscles and muscular activity increased during PFC+ADIM, compared to PFC and ADIM.

본 연구에서는 복부 드로잉-인 운동과 함께 골반바닥근운동 적용이 복부 근육 두께에 미치는 영향을 알아보고자 하였다. 건강한 성인 30명이 본 연구에 참여하였다. 대상자들은 복부 드로잉인 운동, 골반바닥근육 운동, 복부드로잉인+골반바닥근육운동의 결합, 세 가지 동작을 수행하였다. 동작을 수행하는 동안 모든 대상자의 배바깥빗근, 배속빗근, 배가로근의 두께가 측정되었다. 각 운동에 따른 근육의 두께 차이를 비교하기 위해 일원배치분산분석을 사용하였다. 사후분석으로는 Bonferroni 검정이 사용되었다. 본 연구 결과에 따르면 배바깥빗근은 골반바닥근육 운동만 적용했을 때보다 두 가지 운동이 결합되었을 때 통계적으로 근육의 두께가 증가하는 것을 발견하였다. 배속빗근과 배가로근의 경우는 골반바닥근육 운동, 복부 드로잉인 운동, 두 가지 운동의 결합 순서로 근육의 두께가 증가하는 것을 발견하였다. 이러한 연구 결과는 임상적으로 체간 안정화에 더 효율적인 운동방법을 제시할 수 있을 것으로 사료된다.

Keywords

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Fig. 1. Measuring equipment

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Fig. 2. Measurement site

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Fig. 3. Experiment method

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Fig. 4. A: Resting, IO muscle, B: Resting, EO muscle, C : Resting, TrA muslce

Table 1. Subject characteristic

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Table 2. Difference of abdominal muscle thickness according to each exercise.

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