Journal of the Korean Society of Physical Medicine (대한물리의학회지)

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

DOI QR Code

Comparison of the Abdominal Muscle Thickness during Abdominal Hollowing Exercise According to the Visual Feedback Method

할로잉 운동 시 시각적 피드백 방법에 따른 복근 두께에 미치는 영향 비교

  • Kim, Ha-Rim (Department of Sports Exercise Therapy Center, Good Samsun Hospital) ;
  • Son, Ho-Hee (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 김하림 (좋은삼선병원 스포츠센터) ;
  • 손호희 (부산가톨릭대학교 보건과학대학 물리치료학과)
  • Received : 2021.05.27
  • Accepted : 2021.08.09
  • Published : 2021.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: Selective strengthening of the transverse abdominis muscle (TrA) during abdominal hollowing makes an important contribution to the stability and control of the spine. This study examined the effects of abdominal hollowing exercise (AHE) according to the visual feedback method on the external oblique, internal oblique, and transverse abdominis muscles. METHODS: Twenty healthy subjects were assigned randomly to an AHE with visual feedback from real-time ultrasound image (group A, n = 10), AHE with visual feedback with pressure biofeedback unit (group B, n = 10). Both groups underwent 20 min of AHE with visual feedback once daily, five days/week for two weeks. The changes in the muscle thickness of the TrA, internal oblique abdominal muscle (IO), and external oblique abdominal muscle (EO) were measured by ultrasonography. RESULTS: The thickness of TrA was changed significantly in both groups (p < .05). However, the lowest minimal detectable changes were achieved in Group A. The thickness of the IO and EO muscles in group A was changed significantly, but there were no significant changes in group B. CONCLUSION: Both visual feedback methods were effective for strengthening the TrA muscles selectively. Nevertheless, AHE with visual feedback using real-time ultrasound images may be more useful in trA muscle contraction.

Keywords

Acknowledgement

이 논문은 2020년도 부산가톨릭대학교 교내연구비에 의하여 연구되었음.

References

  1. Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am. 2003;34(2):245-54. https://doi.org/10.1016/S0030-5898(03)00003-8
  2. Akuthota V, Ferreiro A, Moore T, et al. Core stability exercise principles. Curr Sports Med Rep. 2008 Feb;7(1):39-44. https://doi.org/10.1097/01.CSMR.0000308663.13278.69
  3. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003 Aug;13(4):371-9. https://doi.org/10.1016/S1050-6411(03)00044-0
  4. Neumann P, Gill V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(2):125-32. https://doi.org/10.1007/s001920200027
  5. Hides J, Gilmore C, Stanton W, et al. Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects. Man Ther. 2008;13(1):43-9. https://doi.org/10.1016/j.math.2006.07.017
  6. Henry SM, Westervelt KC. The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther. 2005;35(6):338-45. https://doi.org/10.2519/jospt.2005.35.6.338
  7. Jull G, Richardson C, Toppenberg R, et al. Towards a measurement of active muscle control for lumbar stabilisation. Aust J Physiother. 1993;39(3):187-93. https://doi.org/10.1016/S0004-9514(14)60481-5
  8. Souza GM, Baker LL, Powers CM. Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises. Arch Phys Med Rehabil. 2001;82(11):1551-7. https://doi.org/10.1053/apmr.2001.26082
  9. Maffey-Ward L, Jull G, Wellington L. Toward a clinical test of lumbar spine kinesthesia. J Orthop Sports Phys Ther. 1996;24(6):354-8. https://doi.org/10.2519/jospt.1996.24.6.354
  10. C.A. Richardson, P.W. Hodges, J. Hides. Therapeutic Exercises for Lumbopelvic Stabilization (second ed.), Churchill Livingstone, Edinburgh, 2004.
  11. de Paula Lima PO, de Oliveira RR, Costa LO. et al., Measurement properties of the pressure biofeedback unit in the evaluation of transversus abdominis muscle activity: a systematic review. Physiotherapy. 2011;97(2):100-6. https://doi.org/10.1016/j.physio.2010.08.004
  12. Cairns MC, Harrison K, Wright C. Pressure Biofeedback: A useful tool in the quantification of abdominal muscular dysfunction? Physiotherapy. 2000;86(3):127-38. https://doi.org/10.1016/S0031-9406(05)61155-8
  13. Whittaker JL, Thompson JA, Teyhen DS, et al. Rehabilitative ultrasound imaging of pelvic floor muscle function. J Orthop Sports Phys Ther. 2007 Aug;37(8):487-98. https://doi.org/10.2519/jospt.2007.2548
  14. 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
  15. Norasteh A, Ebrahimi E, Salavati M, et al. Reliability of B-mode ultrasonography for abdominal muscles in asymptomatic and patients with acute low back pain. Journal of Bodywork and Movement Therapies. 2007;11(1):17-20. https://doi.org/10.1016/j.jbmt.2005.11.002
  16. Teyhen DS, Miltenberger CE, Deiters HM, et al. 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):346-55. https://doi.org/10.2519/jospt.2005.35.6.346
  17. Springer BA, Mielcarek BJ, Nesfield TK, et al., Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther. 2006;36(5):289-97. https://doi.org/10.2519/jospt.2006.2217
  18. Macedo LG, Maher CG, Latimer J, McAuley JH. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Phys Ther. 2009;89(1):9-25. https://doi.org/10.2522/ptj.20080103
  19. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):S86-S92.
  20. Prentice CLS, Milanese S, Massy-Westropp N, et al. The reliability of rehabilitative ultrasound to measure lateral abdominal muscle thickness: A systematic review and meta-analysis. Musculoskeletal Science and Practice. 2021;53:1023-57.
  21. Takasaki H, Kawazoe S. Reliability of ultrasound measurement for isolated control of the transversus abdominis muscle during abdominal hollowing: A secondary analysis. Journal of Electromyography and Kinesiology. 2020;55:1024-76.
  22. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Man Ther. 2009;14(6):690-5. https://doi.org/10.1016/j.math.2009.05.003
  23. Richardson C, Hodges P. Local segmental control. In: Richardson CA, Hodges PW, Hides JA, editors. Therapeutic exercises for lumbopelvic stabilisation. A motor control approach for the treatment and prevention of low back pain. 2nd ed. Edinburgh: Churchill Livingstone; 2004.
  24. Mannion AF, Pulkovski N, Toma V, Sprott H. Abdominal muscle size and symmetry at rest and during abdominal hollowing exercises in healthy control subjects. J Anat. 2008 Aug;213(2):173-82. https://doi.org/10.1111/j.1469-7580.2008.00946.x
  25. Manshadi FD, Parnianpour M, Sarrafzadeh J, et al. Abdominal hollowing and lateral abdominal wall muscles' activity in both healthy men & women: An ultrasonic assessment in supine and standing positions. Journal of Bodywork and Movement Therapies. 2011;15(1):108-13. https://doi.org/10.1016/j.jbmt.2009.10.004
  26. Herbert WJ, Heiss DG, Basso DM. Influence of feedback schedule in motor performance and learning of a lumbar multifidus muscle task using rehabilitative ultrasound imaging: a randomized clinical trial. Phys Ther. 2008;88(2):261-9. https://doi.org/10.2522/ptj.20060308