DOI QR코드

DOI QR Code

Effect of the Abdominal Bracing Maneuver on Muscle Activity of the Trunk and Legs during Walking in Healthy Adults

  • Park, Daechan (Department of Physical Therapy, Korea University Hospital) ;
  • Lee, Miyoung (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Chung, Yijung (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2022.03.14
  • Accepted : 2022.05.04
  • Published : 2022.06.30

Abstract

Objective: This study aimed to investigate the effect of the application of abdominal brace techniques on muscle activity of the trunk and lower extremities when walking. Design: Cross-sectional study Methods: This study was conducted on 26 healthy adults in their 20s, and the subjects performed two conditions in random order: walking with the abdominal bracing technique and walking in an abdominal relaxation state (normal gait). Muscle activity was measured on the dominant side of all subjects using surface electromyography, and the attachment sites were the erector spinae, external oblique, internal oblique, vastus lateralis, and vastus medialis oblique muscles. Each condition was measured three times to calculate and analyze the average value. Results: When walking using the abdominal brace technique, the muscle activity of the erector spinae, external oblique, internal oblique, and vastus lateralis increased significantly (p<0.05), and the muscle activity of the vastus medialis increased as well but was not significant. Conclusions: The results of this study indicate that it is possible to be used as an effective guide to increasing the muscle activity and stability of the trunk and lower extremities through the application of the abdominal bracing technique during walking.

Keywords

References

  1. Simonsen EB. Contributions to the understanding of gait control. Dan Med J. 2014;61(4):B4823.
  2. Keefe FJ, Hill RW. An objective approach to quantifying pain behavior and gait patterns in low back pain patients. Pain. 1985;21(2):153-161. https://doi.org/10.1016/0304-3959(85)90285-4
  3. van der Hulst M, Vollenbroek-Hutten MM, Rietman JS, Hermens HJ. Lumbar and abdominal muscle activity during walking in subjects with chronic low back pain: support of the "guarding" hypothesis? J ElectromyogrKinesiol. 2010;20(1):31-38.
  4. Ghamkhar L, Kahlaee AH. Trunk muscles activation pattern during walking in subjects with and without chronic low back pain: a systematic review. PM R. 2015;7(5):519-526. https://doi.org/10.1016/j.pmrj.2015.01.013
  5. Raabe ME, Chaudhari AMW. Biomechanical consequences of running with deep core muscle weakness. J Biomech. 2018;67:98-105. https://doi.org/10.1016/j.jbiomech.2017.11.037
  6. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 2001;29(1):26-31. https://doi.org/10.1097/00003677-200101000-00006
  7. Moon HJ, Cho SH, Goo BO. Difference of Trunk Muscles Activity during Hollowing vs Bracing Contraction in Various Position. Journal of the Korean Society of Physical Medicine 2013; 8(1), 11-18. https://doi.org/10.13066/kspm.2013.8.1.011
  8. Oshikawa T, Adachi G, Akuzawa H, Okubo Y, Kaneoka K. Electromyographic analysis of abdominal muscles during abdominal bracing and hollowing among six different positions. The Journal of Physical Fitness and Sports Medicine. 2020;9(4):157-163. https://doi.org/10.7600/jpfsm.9.157
  9. Koh HW, Cho SH, Kim CY. Comparison of the Effects of Hollowing and Bracing Exercises on Cross-sectional Areas of Abdominal Muscles in Middle-aged Women. J Phys Ther Sci. 2014;26(2):295-299. https://doi.org/10.1589/jpts.26.295
  10. Grenier SG, McGill SM. Quantification of lumbar stability by using 2 different abdominal activation strategies. Arch Phys Med Rehabil. 200;88(1):54-62. https://doi.org/10.1016/j.apmr.2006.10.014
  11. Lee WH. Effects of the abdominal hollowing and abdominal bracing maneuvers on the pelvic rotation angle during leg movement. J Musculoskelet Sci Technol. 2020;4(2):70-75. https://doi.org/10.29273/jmst.2020.4.2.70
  12. Maeo S, Takahashi T, Takai Y, Kanehisa H. Trunk muscle activities during abdominal bracing: comparison among muscles and exercises. J Sports Sci Med. 2013;12(3):467-474.
  13. Hwang JH, Sung KS, Yi CH. Effects of abdominal hollowing and bracing maneuvers on hip extension strength in prone standing position. Isokinetics and Exercise Science. 2020;28(2):161-169. https://doi.org/10.3233/ies-193225
  14. Moghadam N, Ghaffari MS, Noormohammadpour P, Rostami M, Zarei M, Moosavi M, Kordi R. Comparison of the recruitment of transverse abdominis through drawing-in and bracing in different core stability training positions. J ExercRehabil. 2019;15(6):819-825.
  15. Kim DW, Kim TH. Effects of abdominal hollowing and abdominal bracing during side-lying hip abduction on the lateral rotation and muscle activity of the pelvis. J ExercRehabil. 2018;14(2):226-230.
  16. Coenen P, Campbell A, Kemp-Smith K, O'Sullivan P, Straker L. Abdominal bracing during lifting alters trunk muscle activity and body kinematics. Appl Ergon. 2017;63:91-98. https://doi.org/10.1016/j.apergo.2017.04.009
  17. Shnayderman I, Katz-Leurer M. An aerobic walking programme versus muscle strengthening programme for chronic low back pain: a randomized controlled trial. Clin Rehabil. 2013;27(3):207-214. https://doi.org/10.1177/0269215512453353
  18. Lee, M. S., & Lee, H. J. The Effects of Walking Exercise on the Pain, Physical Disability, Depression, and Sleep Quality in Older Adults with Low Back Pain. Global Health Nurs. 2019;9(2), 70-79.
  19. Vanti C, Andreatta S, Borghi S, Guccione AA, Pillastrini P, Bertozzi L. The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials. DisabilRehabil. 2019;41(6):622-632.
  20. Ahn SH, Lee SK, Jo HD. Effects of abdominal drawing-in maneuver on muscle activity of the trunk and legs during flat walking. Journal of the Korean Society of Physical Medicine. 2020;15(2):49-56. https://doi.org/10.13066/kspm.2020.15.2.49
  21. Lee SK. The effects of abdominal drawing-in maneuver during stair climbing on muscle activities of the trunk and legs. J ExercRehabil. 2019;15(2):224-228.
  22. McGill SM, Karpowicz A, Fenwick CM, Brown SH. Exercises for the torso performed in a standing posture: spine and hip motion and motor patterns and spine load. J Strength Cond Res. 2009;23(2):455-464. https://doi.org/10.1519/jsc.0b013e3181a0227e
  23. Kahlaee AH, Ghamkhar L, Arab AM. Effect of the Abdominal Hollowing and Bracing Maneuvers on Activity Pattern of the Lumbopelvic Muscles During Prone Hip Extension in Subjects With or Without Chronic Low Back Pain: A Preliminary Study. J Manipulative PhysiolTher. 2017;40(2):106-117. https://doi.org/10.1016/j.jmpt.2016.10.009
  24. Criswell, E. Cram's introduction to surface electromyography. Jones & Bartlett Publishers; 2010.
  25. McGill SM. Low back exercises: evidence for improving exercise regimens. Phys Ther. 1998;78(7): 754-765. https://doi.org/10.1093/ptj/78.7.754
  26. McGill SM, Norman RW. Effects of an anatomically detailed erector spinae model on L4/L5 disc compression and shear. J Biomech. 1987;20(6):591-600. https://doi.org/10.1016/0021-9290(87)90280-6
  27. van Dieen JH, Kingma I, van der Bug P. Evidence for a role of antagonistic cocontraction in controlling trunk stiffness during lifting. J Biomech. 2003;36(12):1829-1836. https://doi.org/10.1016/S0021-9290(03)00227-6
  28. Saunders SW, Rath D, Hodges PW. Postural and respiratory activation of the trunk muscles changes with mode and speed of locomotion. Gait Posture. 2004;20(3):280-290. https://doi.org/10.1016/j.gaitpost.2003.10.003
  29. Harput G, Calik M, Erdem MM, Cigercioglu N, Gunduz S, Cinar N. The effects of enhanced abdominal activation on quadriceps muscle activity levels during selected unilateral lower extremity exercises. Hum Mov Sci. 2020;70:102597. https://doi.org/10.1016/j.humov.2020.102597
  30. Lee HJ, Lee NG, Tae KS. Comparison of lower-limbs muscle activity according to the abdominal co-contractive activation. Journal of rehabilitation welfare engineering & assistive technology. 2016;10(1):81-86.
  31. Butcher SJ, Craven BR, Chilibeck PD, Spink KS, Grona SL, Sprigings EJ. The effect of trunk stability training on vertical takeoff velocity. J Orthop Sports Phys Ther. 2007;37(5):223-31. https://doi.org/10.2519/jospt.2007.2331
  32. Myer GD, Paterno MV, Ford KR, Quatman CE, Hewett TE. Rehabilitation after anterior cruciate ligament reconstruction: criteria-based progression through the return-to-sport phase. J Orthop Sports Phys Ther. 2006;36(6):385-402. https://doi.org/10.2519/jospt.2006.2222
  33. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. Elsevier Health Sciences; 2016.
  34. Hwang BJ, Kim JW. Effects of Lumbar Stabilization Exercise on Lumbar and Lower Extremity Strength of Elderly women. Journal of Korean Society of Physical Medicine. 2011;6(3);267-275.
  35. Lee SK. The effects of abdominal drawing-in on muscle activity in the trunk and legs during ramp walking. PNF and Movement. 2019;17(1):137-144. https://doi.org/10.21598/JKPNFA.2019.17.1.137