Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

Changes of abdominal muscle activity according to trunk stabilization exercises using a Swiss ball

  • Lee, Suk Min (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Lim, Hee Sung (Department of Physical Education, College of Sport Science, Korea National Sport University) ;
  • Byun, Hyo Jin (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Kim, Myung Joon (Department of Physical Therapy, Kyungdong University)
  • Received : 2019.07.25
  • Accepted : 2019.09.17
  • Published : 2020.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study was to compare the activities of the abdominal muscles according to trunk stabilization exercises using Swiss ball in normal individuals. Design: Cross-sectional study. Methods: Ten healthy university students participated in this study. The subjects were required to complete the following three exercise positions: Exercise position 1, sitting on a Swiss ball and lifting the legs; Exercise position 2, pushing to a plank position from an ending position; and Exercise position 3, push-up posture with the legs on a Swiss ball. Changes in the trunk muscle activities were estimated using Biometric electromyography (EMG). Activities of the dominant side internal oblique muscle (IOM) and external oblique muscle (EOM) were estimated in all participants. The maximal voluntary isometric contraction (MVIC %) was measured to standardize the EMG signals for the IOM and EOM during maximum resistance when sitting up with each shoulder pointing towards the contralateral pelvis with knees bent and both arms crossed on the chest for 5 seconds. Results: There was a significant difference in the activity of the internal and external oblique muscles between Exercises 1 and 2 and Exercises 1 and 3 (p<0.05). Furthermore, the IOM/EOM activity ratio was the greatest during Exercise 3 and the smallest during Exercise 1. IOM and EOM activities were the greatest during Exercise 2 with greater EOM activity. Conclusions: In future studies, it will be necessary to investigate muscle activities by supplementing the above-mentioned limitations during the stabilization exercise. The results of this study may be used as a basis for controlling the intensity and frequency of exercise while prescribing trunk stabilization exercises.

Keywords

References

  1. Lee JY. Effects of aerobic exercise on body composition and blood lipid in middle-aged obesity woman [Master thesis]. Seoul: Korea University; 2002.
  2. Kwon HR. The effects of lumbar self-exercise program on physical strength factors (strength, flexibility), pain and OSI in patients with the chronic low back pain [Master thesis]. Seoul; Ewha Womans University; 2005.
  3. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004;85(3 Suppl 1):S86-92.
  4. Granata KP, Lee PE, Franklin TC. Co-contraction recruitment and spinal load during isometric trunk flexion and extension. Clin Biomech (Bristol, Avon) 2005;20:1029-37. https://doi.org/10.1016/j.clinbiomech.2005.07.006
  5. McGill SM, Grenier S, Kavcic N, Cholewicki J. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol 2003;13:353-9. https://doi.org/10.1016/S1050-6411(03)00043-9
  6. Brill PW, Couzens GS. The core program: 15 minutes a day that can change your life. New York (NY): Bantam Books; 2001. p. 1-231.
  7. Panjabi M, Abumi K, Duranceau J, Oxland T. Spinal stability and intersegmental muscle forces. A biomechanical model. Spine (Phila Pa 1976) 1989;14:194-200. https://doi.org/10.1097/00007632-198902000-00008
  8. Peate WF, Bates G, Lunda K, Francis S, Bellamy K. Core strength: a new model for injury prediction and prevention. J Occup Med Toxicol 2007;2:3. https://doi.org/10.1186/1745-6673-2-3
  9. Arokoski JP, Valta T, Airaksinen O, Kankaanpaa M. Back and abdominal muscle function during stabilization exercises. Arch Phys Med Rehabil 2001;82:1089-98. https://doi.org/10.1053/apmr.2001.23819
  10. Kavcic N, Grenier S, McGill SM. Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises. Spine (Phila Pa 1976) 2004;29:2319-29. https://doi.org/10.1097/01.brs.0000142222.62203.67
  11. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil 2005;86:242-9. https://doi.org/10.1016/j.apmr.2004.05.004
  12. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord 1992;5:383-9; discussion 397. https://doi.org/10.1097/00002517-199212000-00001
  13. Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther 1995;1:2-10. https://doi.org/10.1054/math.1995.0243
  14. Andersson EA, Nilsson J, Ma Z, Thorstensson A. Abdominal and hip flexor muscle activation during various training exercises. Eur J Appl Physiol Occup Physiol 1997;75:115-23. https://doi.org/10.1007/s004210050135
  15. Neumann DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. St. Louis: Mosby; 2002.
  16. Richardson C, Hodges P, Hides J. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. 2nd ed. Amsterdam: Churchill Livingston; 2004.
  17. Reeves NP, Cholewicki J. Modeling the human lumbar spine for assessing spinal loads, stability, and risk of injury. Crit Rev Biomed Eng 2003;31:73-139.
  18. Kim KY, Shin SB, Kang JH, Lee KI, Kim YS. Physical science: the effects of exercise for trunk muscle using Swiss ball in chronic low back patients. J Korea Sport Res 2006;17:101-12.
  19. Yuk DH. Effect of Swiss ball lumbar stabilization exercise on the balance, oswestry disability index of chronic low back pain patients [Master thesis]. Seoul: Sahmyook University; 2010.
  20. Karatas M, Cetin N, Bayramoglu M, Dilek A. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil 2004;83:81-7. https://doi.org/10.1097/01.PHM.0000107486.99756.C7
  21. Kim LC. The effects of core stability exercise with physioball and floor exercise on electromyographic activity of selected trunk and abdominal muscles and balance in healthy adults [Master thesis]. Cheonan: Dankook University; 2004.
  22. Hall CM, Brody LT. Therapeutic exercise: moving toward function. Philadelphia: Lippincott Williams & Wilkins; 1999.
  23. Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 1994;3:184-201. https://doi.org/10.1007/BF02221591
  24. Roaf R. A study of the mechanics of spinal injuries. J Bone Joint Surg 1960;42:810-23. https://doi.org/10.1302/0301-620X.42B4.810
  25. Han SW, Cho SY, Kim YS, Lee HJ, Oh TY, Kong SA. The effect of isometric exercise using Swiss ball on the flexibility, the strength and the waist and hip circumferences. J Korean Soc Phys Ther 2001;13:73-82.
  26. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a Swiss ball. Chiropr Osteopat 2005;13:14. https://doi.org/10.1186/1746-1340-13-14
  27. Escamilla RF, Lewis C, Bell D, Bramblet G, Daffron J, Lambert S, et al. Core muscle activation during Swiss ball and traditional abdominal exercises. J Orthop Sports Phys Ther 2010;40:265-76. https://doi.org/10.2519/jospt.2010.3073
  28. Stevens VK, Coorevits PL, Bouche KG, Mahieu NN, Vanderstraeten GG, Danneels LA. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther 2007;12:271-9. https://doi.org/10.1016/j.math.2006.07.009
  29. Stuge B, Veierod MB, Laerum E, Vollestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a two-year follow-up of a randomized clinical trial. Spine (Phila Pa 1976) 2004;29:E197-E203. https://doi.org/10.1097/00007632-200405150-00021
  30. Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther 2000;80:564-9. https://doi.org/10.1093/ptj/80.6.564
  31. Shumway-Cook A, Woollacott MH. Motor control: theory and practical applications. Baltimore: Lippincott Williams & Wilkins; 1995.
  32. Lee HS, Choi HS, Kwon OY. A literature review on balance control factors. Phys Ther Korea 1996;3:82-91.