The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
권호 표지

Effect of suspension plank exercise with hip abduction and modified bridge exercise on the trunk muscle thickness in healthy adults

건강한 성인의 엉덩관절 벌림 서스펜션 플랭크 운동과 수정된 브릿지 운동이 몸통근육 두께에 미치는 영향

  • Yo-han Kim (Dept. of Physical Therapy, College of Healthscience, Sunmoon University) ;
  • Ji-heon Hong (Dept. of Physical Therapy, College of Healthscience, Sunmoon University) ;
  • Jae-ho Yu (Dept. of Physical Therapy, College of Healthscience, Sunmoon University) ;
  • Jin-seop Kim (Dept. of Physical Therapy, College of Healthscience, Sunmoon University) ;
  • Dong-yeop Lee (Dept. of Physical Therapy, College of Healthscience, Sunmoon University)
  • 김요한 (선문대학교 건강보건대학 물리치료학과) ;
  • 홍지헌 (선문대학교 건강보건대학 물리치료학과 ) ;
  • 유재호 (선문대학교 건강보건대학 물리치료학과) ;
  • 김진섭 (선문대학교 건강보건대학 물리치료학과 ) ;
  • 이동엽 (선문대학교 건강보건대학 물리치료학과)
  • Received : 2022.11.09
  • Accepted : 2023.01.09
  • Published : 2023.04.28
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Abstract

BACKGROUND: The purpose of this study was to find out which exercise is more effective for the activation of the trunk, when the suspension plank and modified bridge exercise are performed. Weakening of the trunk muscles can lead to secondary injuries such as back injuries. In order to prevent injury, trunk muscles must be strengthened, and representative trunk strengthening exercises include planks and bridges. Each has been developed with a modified method, but since there is no paper comparing which exercise is more effective for trunk muscle strength, it was written to compare the two exercises. METHODS: The subjects were a random sample of 30 healthy men who agreed to participate in the study. The subjects were divided into two groups of 15 people each, and the suspension plank and the modified bridge exercise were performed for six weeks. The thickness of the transverse abdominis (TrA), internal abdominal oblique (IO), external abdominal oblique (EO), rectus abdominis (RA), multifidus (MF) was measured before and after the exercise. The two groups were analyzed using an independent t-test and paired t-test to compare the muscle thickness and the difference before and after exercise. RESULTS: The trunk muscle thickness was increased in both groups with suspension plank and modified bridge exercise, and there was a statistically significant difference. When comparing the two groups, the suspension plank group also showed a significant difference in RA (p<.05). CONCLUSION: As a result of this study, suspension plank exercise can have a positive effect on activating the trunk muscles and strengthening the strength of RA. Therefore, it is considered that suspension plank exercise is a more effective intervention to strengthen trunk muscle than modified bridge exercise.

Keywords

References

  1. Bak JW, Shim SY, Cho MW, et al. The effect of plank exercises with hip abduction using sling on trunk muscle activation in healthy adults. J Kor Phys Ther. 2017;29(3):128-134. https://doi.org/10.18857/jkpt.2017.29.3.128
  2. Cho M. The effects of bridge exercise with the abdominal drawing-in maneuver on an unstable surface on the abdominal muscle thickness of healthy adults. J Phys Ther Sci. 2015;27(1):255-257. https://doi.org/10.1589/jpts.27.255
  3. Choi SA, Cynn HS, Yi CH, et al. Isometric hip abduction using a TherBand 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
  4. Duncan M. Muscle activity of the upper and lower rectus abdominis during exercises performed on and off a Swiss ball. J Bodyw Mov Ther. 2009;13(4):364-367. https://doi.org/10.1016/j.jbmt.2008.11.008
  5. Franca FR, Burke TN, Hanada ES, et al. Segmental stabilization and muscular strengthening in chronic low back pain: A comparative study. Clinics (Sao Paulo). 2010; 65(10):1013-1017. https://doi.org/10.1590/ S1807-59322010001000015
  6. Garcia-Vaquero MP, Moreside JM, Brontons-Gil E, et al. 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
  7. Gong WT. 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
  8. Kang KW, Son SM, Ko YM. Changes in abdominal muscle thickness and balance ability on plank exercises with various surfaces. J Kor Phys Ther. 2016;28(5):264-268. https://doi.org/10.18857/jkpt.2016.28.5.264
  9. Kim HD, Jeon DM, Bae HW, et al. Changes in activation of abdominal muscles at selected angles during trunk exercise by using ultrasonography. Ann Rehabil Med. 2015;39(6):950-956. https://doi.org/10.5535/arm.2015.39.6.950
  10. Kisner C, Colby LA. Therapeutic exercise: Foundations and techniques. (6th ed). F.A. Davis, Philadelphia; 2017.
  11. Lee CW, Hyun J, Kim SG, et al. Influence of pilates mat and apparatus exercises on pain and balance of businesswomen with chronic low back pain. J Phys Ther Sci. 2014;26(4):475-477. https://doi.org/10.1589/jpts.26.475
  12. Lee J, Jeong KH, Lee HA, et al. Comparison of three different surface plank exercises on core muscle activity. Phys Ther Rehabil Sci. 2016;5(1):29-33. https://doi.org/10.14474/ptrs.2016.5.1.29
  13. Macedo LG, Saragiotto BT, Yamato TP, et al. Motor control exercise for acute non-specific low back pain. Cochrane Database Syst Rev. 2016;10 2:CD012085. https://doi.org/10.1002/14651858.CD012085
  14. McGill SM, Grenier S, Kavcic N, et al. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol.2003;13(4):353-359. https://doi.org/10.1016/S1050-6411(03)00043-9
  15. Mehyar F, Santos M, Wilson SE, et al. Immediate effect of lumbar mobilization on activity of erector spinae and lumbar multifidus muscles. J Chiropr Med. 2017;16(4):271-278. https://doi.org/10.1016/j.jcm.2017.09.001
  16. Mok NW, Yeung EW, Cho JC, et al. Core muscle activity during suspension exercises. J Sci Med Sport. 2015;18(2):189-194. https://doi.org/10.1016/j.jsams.2014.01.002
  17. Park HJ, Oh DW, Kim SY, et al. 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
  18. Saragiotto BT, Maher CG, Yamato TP, et al. Motor control exercise for chronic non-specific low-back pain. Cochrane Database Syst Rev. 2016;8(1):CD012004. https://doi.org/10.1002/14651858.CD201601
  19. Schoenfeld BJ, Contreras B, Tiryaki-Sonmez G, et al. An electromyographic comparison of a modified version of the plank with a long lever and posterior tilt versus the traditional plank exercise. Sports Biomech. 2014;13(3):296-306. https://doi.org/10.1080/14763141. 2014.942355
  20. Toro ASV, Cools AMJ, de Oliveira AS, et al. Instruction and feedback for conscious contraction of the abdominal muscles increases the scapular muscles activation during shoulder exercises. Man Ther. 2016;25:11-18. https://doi.org/10.1016/j. math. 2016.05.331
  21. Yoon JO, Kang MH, Kim JS, et al. Effect of modified bridge exercise on trunk muscle activity in healthy adults: a cross sectional study. Braz J Phys Ther. 2018;22(2):161-167. https://doi.org/10.1016/j.bjpt.2017.09.005