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Effect of One Leg Bridge Exercise with Abdominal Pressure Control on the Trunk Muscle Activation in Healthy Adults

  • Jeong, Seunghoon (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Chung, Yijung (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2022.06.21
  • Accepted : 2022.06.28
  • Published : 2022.06.30

Abstract

Objective: This study aimed to determine the effect of internal abdominis pressure(normal, hollowing and bracing) on trunk muscle activity during one leg bridge exercise. Design: Cross-sectional study. Methods: Thirteen healthy adults (9 men and 4 women) were instructed to perform Internal abdominal pressure(IAP) control(Normal, Hollowing, Bracing) during one leg bridge. Electromyography (EMG) data (% Maximum Voluntary Isometric Contraction, MVIC) were recorded three times on both sides of the participant's Internal Oblique(IO), Effector Spinae(ES), and Multifidus(MF) muscles and the average value was analyzed. Results: As a result, Abdominal bracing one leg bridge (BOLB) group and Abdominal hollowing one leg bridge (HOLB) group showed significantly increased muscle activation of bilateral internal oblique, erector spinae and multifidus activation compared to the Normal one leg bridge (NOLB) group (p<0.05). Abdominal hollowing one leg bridge (HOLB) group had a significant difference in bilateral Internal oblique muscle activation in compared to the NOLB group (p<0.05). Conclusions: Bilateral internal oblique, erector spinae, and multifidus muscles activation in healthy adults at one leg bridge exercise showed greater activation at abdominal bracing. Therefore, in this study, IAP control can be used as an indicator of choice to the dysfunction with trunk muscle weakness and corrective exercise subject's situation when the goal is to activate the trunk muscles by performing one leg bridge.

Keywords

References

  1. Saragiotto BT, Maher CG, Yamato TP, et al. Motor control exer-cise for chronic non-specific low-back pain. Cochrane Database Syst Rev. 2016;1:CD012004.2.
  2. Macedo LG, Saragiotto BT, Yamato TP, et al. Motor control exer-cise for acute non-specific low back pain. Cochrane Database Syst Rev. 2016;2:CD012085.
  3. Stokes, I.A.F., Gardner-Morse, M.G., Henry, S.M., Abdominal muscle activation increases lumbar spinal stability: analysis of contributions of different muscle groups. Clin. Biomech. 2011;26(8), 797-803. https://doi.org/10.1016/j.clinbiomech.2011.04.006
  4. Lehman, G. J., Hoda, W., & Oliver, S. Trunk muscle activity during bridging exercises on and off a swissball. Chiropr Osteopat, 2005;13(1), 14. https://doi.org/10.1186/1746-1340-13-14
  5. Marshall, P. W., & Murphy, B. A. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil, 2005;86(2), 242-249. https://doi.org/10.1016/j.apmr.2004.05.004
  6. Stuge, B., Laerum, E., Kirkesola, G., & Vollestad, N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine, 2004;29(4), 351-359. https://doi.org/10.1097/01.BRS.0000090827.16926.1D
  7. Kahlaee, A. H., Ghamkhar, L., & Arab, A. M. 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 lo back pain: a preliminary study. J Manipulative Physiol Ther. 2017;40(2):106-117. https://doi.org/10.1016/j.jmpt.2016.10.009
  8. Suehiro, T., Mizutani, M., Watanabe, S., Ishida, H., Kobara, K., & Osaka H. Comparison of spine motion and trunk muscle activity between abdominal hollowing and abdominal bracing maneuvers during prone hip extension. J Bodyw Mov Ther. 2014;18(3):482-488 https://doi.org/10.1016/j.jbmt.2014.04.012
  9. Richardson, C. A., & Jull, G. A. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995;1(1):2-10 https://doi.org/10.1054/math.1995.0243
  10. Matthijs, O. C., Dedrick, G. S., Kames, G. R., Brismee, J. M., hooper, T. L., McGalliard, M, K. et al. Cocontractive activation of the superficial multifidus during volitional preemptive abdominal contraction. PM R. 2014;6(1):13-21. https://doi.org/10.1016/j.pmrj.2013.08.606
  11. Grenier, S. G., & McGill, S. M. Quantification of lumbar stability by using 2 different abdominal activation strategies. Arch Phys Med Rehabil. 2007;88(1):54-62. https://doi.org/10.1016/j.apmr.2006.10.014
  12. Vera-Garcia, F. J., & Elvira, J. L .L. Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk pertubations. J Electromyogr Kinesiol. 2007;17(5):556-567. https://doi.org/10.1016/j.jelekin.2006.07.004
  13. Monfort-Panego, M, Vera-Garcia, F. J, Sanchez-Zuriga, D., & Sarti-Martinez, M. A. Electromyographic studies in abdominal exercise; a literature synthesis. J Manipulative Physiol Ther. Mar-Apr 2009;32(3):232-244. https://doi.org/10.1016/j.jmpt.2009.02.007
  14. Gong, W. The effects of the continuous bridge exercise on the thickness of abdominal muscles in normal adults. J Phys Ther Sci. 2018;30(7):921-925. https://doi.org/10.1589/jpts.30.921
  15. Yang, H. S., Lee, Y. S., & Jin, S. A. Effect of evidence-based trunk stability exercises on the thickness of the trunk muscles. J Phys Ther Sci. 2015;27(2):473-475. https://doi.org/10.1589/jpts.27.473
  16. O'Sullivan, S. B., & Schmitz, T. J. Physical Rehabilitation. Philadelphia: FA Davis. 2007.
  17. Choi, S. A., Cynn, H. S., Yi, C. H., Kwon, O. Y., Yoon, T. L., Choi, W. J., & Lee, J. H. 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):310-315. https://doi.org/10.1016/j.jelekin.2014.09.005
  18. Garci-Vaquero, M. P., Moreside, J. M., Brontons-Gil, E., Peco-Gonzaez, N., & Vera-Garcia, F. J. Trunk muscle activation during stabilization exercises with single and double leg support. J Electromyogr Kinesiol. 2012;22(3):398-406. https://doi.org/10.1016/j.jelekin.2012.02.017
  19. Muramoto, Y., & Kuruma, H. Comparison between bracing and hollowing trunk exercise with a focus on the change in T2 values obtained by magnetic resonance imaging. PLoS One. 2020;15(10):e0240213. https://doi.org/10.1371/journal.pone.0240213
  20. Lehecka, B. J., Edwards, M., Haverkamp, R., Martin, L., Porter, K., Thach, K., ... & Hakansson, N. A. Building a better gluteal bridge: electromyographic analysis of hip muscle activity during modified single-leg bridges. Int J Sports Phys Ther. 2017;12(4):543-549.
  21. Bjerkefors, A., Ekblom, M. M., Josefsson, K., & Thorstensson, A. Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow. Man Ther. 2010;15(5):502-507. https://doi.org/10.1016/j.math.2010.05.006
  22. McGill, S. M., & Karpowicz, A. Exercises for spine stabilization: motion/motor patterns, stability progressions, and clinical technique. Arch Phys Med Rehabil. 2009;90(1):118-126. https://doi.org/10.1016/j.apmr.2008.06.026
  23. Criswell, E. Cram's introduction to surface electromyography. Jones & Bartlett Publishers. 2007.
  24. Kendall, F. P., McCreary, E. K., Provance, P. G., Rodgers, M. M., & Romani, W. A. Muscles: testing and function with posture and pain. Baltimore, MD: Lippincott Williams & Wilkins. 2005;Vol. 5, pp. 1-100.
  25. McGill, S. Low back disorders: evidence-based prevention and rehabilitation. Human Kinetics. 2015.
  26. O'Sullivan, P. B. Lumbar segmental instability': clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12. https://doi.org/10.1054/math.1999.0213
  27. Garci-Jae, M., Cortell-Tormo, J. M., Hernadez-Sachez, S., & Tortosa-Martinez, J. Influence of abdominal hollowing maneuver on the core musculature activation during the prone plank exercise. Int J Environ Res Public Health. 2020;17(20):7410. https://doi.org/10.3390/ijerph17207410
  28. Hwang, J. H., Sung, K. S., & Yi, C. H. Effects of abdominal hollowing and bracing maneuvers on hip extension strength in prone standing position. Isokinet Exerc Sci. 2020;28(2), 161-169. https://doi.org/10.3233/ies-193225