안정 지지면과 슬링을 이용한 교각 자세에서 양발지지와 한발지지 동작 시 복부 근육 두께 비교

Comparison of Abdominal Muscles Thickness During Both-Foot Support and One-Foot Support Motion in Bridge Exercises Using the Stable Surface and Sling

  • 투고 : 2022.07.04
  • 심사 : 2022.07.18
  • 발행 : 2022.08.31

초록

Purposed: This study was conducted to find out by ultrasonic waves the thickness change of the deep abdominal muscles, such as transverse abdominal, internal oblique and external oblique when performing general bridge exercise on the stable surface (GBE), single-legged bridge exercise on the stable surface (BES), bridge exercise with a sling (SBE) and single-legged bridge exercise with a sling (SBS). Methods: The subject, 33 healthy adults(18 men and 15 women) in their 20s of V university in J city were subjected to take four postures of GBE, BES, SBE, and SBS. When performing each posture, the thickness of transverse abdominal, internal oblique and external oblique were measured by ultrasonic waves and analyzed by repeated measures of ANOVA. This significance level was set to be p<.05. Results: Muscle thickness was increased in the order of BES, SBE, and GBE in the external oblique, resulting in statistically significant differences(p<.001). The internal oblique was significantly thicker in SBE and SBS rather than in GBE, and was thicker in SBE and SBS rather than in BES (p<.01). The thickness of the transverse abdominal was significantly increased in SBS than in GBE (p<.01). Conclusion: As the result, it may be more effective for the trunk stabilization exercises to activate the internal oblique and transverse abdominal by applying both-legged or single-legged bridge exercise in slings.

키워드

참고문헌

  1. Arokoski JP, Valta T, Airaksinen O, et al. Back and abdominal muscle function during stabilization exercises. Arch Phys Med Rehabil. 2001;82(8):1089-1098. https://doi.org/10.1053/apmr.2001.23819
  2. Barnett F, Gilleard W. The use of lumbar spinal stabilization techniques during the performance of abdominal strengthening exercise variations. J Sports Med Phys Fitness. 2005;45(1):38-43.
  3. Bak JW, Cho MK, Chung YJ. The effects of performing a one-legged bridge with hip abduction and unstable surface on trunk and gluteal muscle activation in healthy adults. The Journal of Korean Physical Therapy. 2016;28(3):205-211. https://doi.org/10.18857/jkpt.2016.28.3.205
  4. Bergmark A. Stability of the lumbar spine: A study in mechanical engineering. Acta Orthopaedica Scandinavica. 1989;60(sup230):1-54. https://doi.org/10.3109/17453678909154177
  5. Cho M, Jeon H. The effects of bridge exercise on an unstable base of support on lumbar stability and the thickness of the transversus abdominis. Journal of Physical Therapy Science. 2013;25(6):733-736. https://doi.org/10.1589/jpts.25.733
  6. Dannelly BD, Otey SC, Croy T, et al. The effectiveness of traditional and sling exercise strength training in women. The Journal of Strength & Conditioning Research. 2011;25(2):464-471. https://doi.org/10.1519/jsc .0b013e318202e473
  7. Lee SC, Kim TH, Shin HS, et al. The influence of unstability of supporting surface on trunk and lower extremity muscle activities during bridging exercise combined with ocre-stabilization exercise. Physical Therapy Korea. 2010;17(1):17-25.
  8. Lee WH. Rehabilitation imaging anatomy, Daehan Narae Publisher, 2018.
  9. Feldwieser FM, Sheeran L, Meana EA, et al. Electromyographic analysis of trunk-muscle activity during stable, unstable and unilateral bridging exercises in healthy individuals. European Spine Journal. 2012;21(2):171-186. https://doi.org/10.1007/s00586-012-2254-7
  10. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001;26(11):e243-e248. https://doi.org/10.1097 /00007632-200106010-00004 https://doi.org/10.1097/00007632-200106010-00004
  11. Hodges PW, Richardson CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neuroscience letters. 1999;265(2):91-94. https://doi.org/10.1016/s0304-3940(99)00216-5
  12. Hubley-Kozey CL, Vezina MJ. Muscle activation during exercises to improve trunk stability in men with low back pain. Archives of physical medicine and rehabilitation. 2002;83(8):1100-1108. https://doi.org/10.1053/apmr.2002.33063
  13. Kim HH. Effects of bridge exercise using sling on muscle activation of gluteal maximus and elector spine in college student. The Journal of Korean of Orthopedic Manual Physical Therapy. 2020;26(2):55-61.
  14. Kim HS, Lee KC, Bae WS. Comparison of the abdominal muscle thickness and activity by using tool and unstable surface which is accompanied bridge exercise doing abdominal drawing-in breath. Journal of The Korean Society of Integrative Medicine. 2017;5(1):25-34. https://doi.org/10.15268/KSIM.2017.5.1.025
  15. Kim HS, Hyoung IH, Kim EY. The effects of trunk stabilization exercise on the isometric muscle powerand muscle activation in chronic low back pain. Korean Society Of Sport Biomechanics. 2008;18(4):115-124.
  16. Kim SJ, Oh JS, Won JH, et al. Comparison of abdominal oblique muscle activity during leg raising in hook-lying position according to surface conditions. Physical Therapy Korea. 2006;13(3):102-110
  17. Kim SY, Baek IH. Effects of transversus abdominal muscle stabilization exercise to spinal segment motion on trunk flexion-extension. Physical Therapy Korea. 2003;10(1):63-76.
  18. Kim SY, Kwon JH. Lumbar stabilization exercises using the sling system. Korean Journal of Orthopedic Manual Therapy. 2001;7(2):23-39.
  19. Kong YS, Cho YH, Park JW. Changes in the activities of the trunk muscles in different kinds of bridging exercises. Journal of Physical Therapy Science. 2013;25(12):1609-1612. https://doi.org/10.1589/jpts.25.1609
  20. Marshall PW, Murphy BA. 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
  21. Moon HJ. Comparison of Activity of Trunk Muscle in Accordance with Abdominal Muscle Contraction Method and the Surface During Bridging Exercise. Busan Catholic University. Master Thesis, 2013.
  22. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a swissball. Chiropractic & Osteopathy. 2005;13(1):1-8. https://doi.org/10.1186/1746-1340-13-14
  23. O'Sullivan SB, Schmitz TJ, Fulk G. Physical Rehabilitation. FA Davis. 2019
  24. Panjabi MM. Clinical spinal instability and low back pain. Journal of Electromyography and Kinesiology. 2003;13(4):371-379. https://doi.org/10.1016/s1050-6411(03)00044-0
  25. Park HJ, Oh DW, Kim SY. Effects of integrating hip movements into bridge exercises on electromyographic activities of selected trunk muscles in healthy individuals. Man Ther. 2014;19(3):246-251. https://doi.org/10.1016/j.math.2013.11.002
  26. Richardson C. Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. Churchill Livingstone. 2004.
  27. Richardson CA, Snijders CJ, Hides JA, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine. 2002;27(4):399-405. https://doi.org/10.1097/00007632-200202150-00015
  28. Shi J, Zheng YP, Chen X, Assessment of muscle fatigue using sonomyography: Muscle thickness change detected from ultrasound images. Med Eng Phys. 2007;29(4):472-479. https://doi.org/10.1016/j.medengphy.2006.07.004
  29. Stevens VK, Bouche KG, Mahieu NN, et al. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7(1):1-8. https://doi.org/10.1186/1471-2474-7-75
  30. Stevens VK, Coorevits PL, Bouche KG, et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther. 2007;12(3):271-279. https://doi.org/10.1016/j.math.2006.07.009
  31. Stuge B, Lerum E, Kirkesola G, et al. 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
  32. Yoon SW, Goo BO. Changes in thickness of transverse abdominis, internal oblique, and external oblique through the abdominal drawing-in maneuver exercise incorporating a stabilizer or the bridge exercise. PNF and Movement. 2021;19(3):321-329. https://doi.org/10.21598/JKPNFA.2021.19.3.321