DOI QR코드

DOI QR Code

복부 할로잉 운동과 복부 브레이싱 운동이 동적 균형에 미치는 즉각적 효과

Immediate Effects of Abdominal Hollowing Exercise and Abdominal Bracing Exercise on Dynamic Balance

  • 이정인 (신성대학교 물리치료학과 ) ;
  • 최지혜 (신성대학교 물리치료학과 ) ;
  • 이예원 (신성대학교 물리치료학과 ) ;
  • 김지은 (신성대학교 물리치료학과 ) ;
  • 임가영 (신성대학교 물리치료학과 ) ;
  • 박종윤 (신성대학교 물리치료학과 ) ;
  • 윤병욱 (신성대학교 물리치료학과 ) ;
  • 유형균 (신성대학교 물리치료학과 ) ;
  • 진민재 (신성대학교 물리치료학과 ) ;
  • 형인혁 (신성대학교 물리치료학과 )
  • Jeong-In Lee (Department of Physical Therapy, Shinsung University) ;
  • Ji-Hye Choi (Department of Physical Therapy, Shinsung University) ;
  • Ye-Won Lee (Department of Physical Therapy, Shinsung University) ;
  • Ji-Eun Kim (Department of Physical Therapy, Shinsung University) ;
  • Ga-Young Lim (Department of Physical Therapy, Shinsung University) ;
  • Jong-Yun Park (Department of Physical Therapy, Shinsung University) ;
  • Byeong-Wook Youn (Department of Physical Therapy, Shinsung University) ;
  • Hyeong-Kyun Yu (Department of Physical Therapy, Shinsung University) ;
  • Min-Jae Jin (Department of Physical Therapy, Shinsung University) ;
  • In-hyouk Hyong (Department of Physical Therapy, Shinsung University)
  • 투고 : 2022.03.20
  • 심사 : 2023.06.20
  • 발행 : 2023.06.30

초록

목적:본 연구는 복부 할로잉 운동과 복부 브레이싱 운동을 통해 동적 균형에 미치는 즉각적 효과를 알아 보고자 실시하였다. 방법: 성인 남녀 학생 90명을 대상으로 하였고, Y-균형검사와 기능적 팔 뻗기 검사를 이용하여 측정하였다. 결과: 그룹 간의 동적 균형 검사에서, 특히 복부 할로잉 운동을 실시한 그룹과 대조군 사이에 통계적으로 유의한 차이가 있었다. 결론: 대표적인 척추안정화 운동 복부 할로잉 운동과 복부 브레이싱 운동 모두 동적균형의 증가에 있어 유의미하지만, 즉각적 효과라는 측면에서 어떠한 방법이 더 효과적이라고 제시하는 것은 어렵다.

Purpose: This study was conducted to find out the immediate effect on dynamic balance through Abdominal hollowing exercise and Abdominal bracing exercise. Method: 90 healthy male and female students in their 20s were surveyed and measured using Y-balance test and Functional reach test. Result: In the dynamic balance Test between groups, there was a statistically significant difference between the group that performed Abdominal hollowing exercise and the control group. Conclusion: Although both representative spinal stabilization exercises Abdominal hollowing exercise and Abdominal bracing exercise are meaningful in increasing dynamic equilibrium, it is difficult to suggest that any method is more effective in terms of immediate effects.

키워드

참고문헌

  1. Allum, J. H. J., Bloem, B. R., Carpenter, M. G., Hulliger, M., & Hadders-Algra, M. (1999). Proprioceptive Control of Posture: a review of new concepts. Journal of Gait & posture, 8(3), 214-242 
  2. Hwang, S. J. et al. (2010). Effects of Core Program Exercise on Static Balance of Females in Their Twenties. The Korean Academy of Clinical Electrophysiology, 8(1), 31-36  https://doi.org/10.5627/KACE.2010.8.1.031
  3. Jung, S. M. (2011), Effects of Trunk-Stabilization Exercise Program on Static and Dynamic Balance of Elderly With History of Leprosy Patients According to Sole Sensory Conditions. Physical Therapy Korea, 18(1), 18-26 
  4. Akuthota, V., & Nadler SF. (2004) Core strengthening. Arch Phys Med Rehabil, 85(3 Suppl 1), S86-92. 
  5. Ferreira, P. H., Ferreira, M. L., Maher, C. G., Herbert, R. D., & Refshauge, K. (2006). Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Australian Journal of Physiotherapy, 52(2), 79-88. DOI : 10.1016/S0004-9514(06)70043-5 
  6. Richardson C, Jull G, Toppenberg R, Comerford M. (1992). Techniques for active lumbar stabilisation for spinal protection: a pilot study. Aust J Physiother, 38, 105-12.  https://doi.org/10.1016/S0004-9514(14)60555-9
  7. Hodges. (1996). Muscle co-ordination during rapid body movements evidence for feed-forward control mechanisms. 
  8. Richardson, C., & Jull, G. (1995). Muscle control-pain control. What Exercises would you prescribe?. Manual therapy, 1(1), 2-10 DOI : 10.1054/math.1995.0243 
  9. Akuthota, V., & Nadler, S. F. (2004). Core strengthening. Archives of physical medicine and rehabilitation, 85, 86-92.  https://doi.org/10.1053/j.apmr.2003.12.005
  10. Mcgill. (1997). Low Back Exercises: evidence for improving Exercises regimens.
  11. Grenier, S. G., & McGill, S. M. (2007). Quantification of lumbar stability by using 2 different abdominal activation strategies. Archives of physical medicine and rehabilitation, 88(1), 54-62. DOI : 10.1016/j.apmr.2006.10.014 
  12. Stuart M. McGill. (2002). The Effect of Abdominal Belts on Trunk Muscle Stength and Lumbosacral Torque. 
  13. McGill, S. M., & Karpowicz, A. (2009). Exercises for spine stabilization: motion/motor patterns, stability progressions, and clinical technique. Archives of physical medicine and rehabilitation, 90(1), 118-126. DOI : 10.1016/j.apmr.2008.06.026 
  14. Plisky, P. J., Gorman, P. P., Butler, R. J., Kiesel, K. B., Underwood, F. B., & Elkins, B. (2009). The reliability of an instrumented device for measuring components of the star excursion balance test. North American journal of sports physical therapy: NAJSPT, 4(2), 92. 
  15. Vuillerme, N., Nougier, V., & Prieur, J. M. (2001). Can vision compensate for a lower limbs muscular fatigue for controlling posture in humans?. Neuroscience letters, 308(2), 103-106. DOI : 10.1016/S0304-3940(01)01987-5 
  16. Wikstrom, E. A., Tillman, M. D., Smith, A. N., & Borsa, P. A. (2005). A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index. Journal of Athletic Training (National Athletic Trainers' Association), 40(4). 305-9 
  17. Choi, W. J. & No, H. L. (2019). Inter-rater reliability on the Functional Reach Test. In Proceedings of the Korea Contents Association Conference (pp. 381-382). The Korea Contents Association. 
  18. Yun, K., Jung, K. B., & Lee, Y. (2022). Comparison of Abdominal Muscle Activity Between the Abdominal Bracing Technique Emphasizing Inhalation and the General Bracing Technique and Hollowing Technique. Physical Therapy Rehabilitation Science, 11(2), 245-252. DOI : 10.14474/ptrs.2022.11.2.245 
  19. Norris C. (2005). Functional load abdominal training: part 1. Physical Therapy in Sport, 2, 29-39.  https://doi.org/10.1054/ptsp.2000.0032
  20. Mills, J. D., Taunton, J. E., & Mills, W. A. (2005). The effect of a 10-week training regimen on lumbo-pelvic stability and athletic performance in female athletes: a randomized-controlled trial. Physical Therapy in sport, 6(2), 60-66. DOI : 10.1016/j.ptsp.2005.02.006 
  21. Lee, J. M., Yi, C. H., Kwon, O. Y., & Jeon, H. S. (2011). The effect of lumbar stabilization exercise for caregivers with chronic low back pain. Physical Therapy Korea, 18(2), 9-17. 
  22. McGill,S.M. (2001). Low back stability: from for maldescriptiontoissues for performance and rehabilitation. Exercise and sport sciences reviews, 29(1), 26-31,  https://doi.org/10.1097/00003677-200101000-00006
  23. Neumann, P., & Gill, V. (2002). Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. International Urogynecology Journal and Pelvic Floor Dysfunction, 13(2), 125-132. DOI : 10.1007/s001920200027 
  24. Moon, H. J., Cho, S. H., & Goo, B. O. (2013). Difference of trunk muscles activity during hollowing vs bracing contraction in various position. Journal of Korean Society of Physical Medicine, 8(1), 11-18.  https://doi.org/10.13066/kspm.2013.8.1.011
  25. Lee, T. H. (2008). The effects on back strength by the breath training. Journal of Sport and Leisure Studies, 34(2), 1247-55.  https://doi.org/10.51979/KSSLS.2008.11.34.1247
  26. Taniguchi, M., Tateuchi, H., Takeoka, T., & Ichihashi, N. (2012). Kinematic and kinetic characteristics of Masai Barefoot Technology footwear. Gait & Posture, 35(4), 567-572.  https://doi.org/10.1016/j.gaitpost.2011.11.025
  27. Kisner, C., Colby, L. A., & Borstad, J. (2017). Therapeutic exercise: foundations and techniques. Fa Davis. 
  28. Hodges, P. W., & Richardson, C. A. (1997). Contraction of the abdominal muscles associated with movement of the lower limb. Physical therapy, 77(2), 132-142.  https://doi.org/10.1093/ptj/77.2.132
  29. McGill, S. M. (2001). Low back stability: from formal description to issues for performance and rehabilitation. Exercise and sport sciences reviews, 29(1), 26-31.  https://doi.org/10.1097/00003677-200101000-00006
  30. Cholewicki, J., & McGill, S. M. (1994). EMG assisted optimization: a hybrid approach for estimating muscle forces in an indeterminate biomechanical model. Journal of biomechanics, 27(10), 1287-1289.  https://doi.org/10.1016/0021-9290(94)90282-8
  31. Arab, A. M., & Chehrehrazi, M. (2011). Ultrasound measurement of abdominal muscles activity during abdominal hollowing and bracing in women with and without stress urinary incontinence. Manual therapy, 16(6), 596-601.  https://doi.org/10.1016/j.math.2011.06.002
  32. Kim, M. S. (2015). The comparison of effects for hollowing and bracing strategy with spinal stabilization exercise for trunk strength, static balance and low back disability to the elderly women with non-specific chronic low back pain. Seoul, Korea university (Doctoral dissertation, Master Thesis).