• 한국응용과학기술학회지
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• 제37권3호
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• pp.496-508
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• 2020

This study reviews studies on the core stabilization of respiratory muscle training for the elderly health. Previous research data and presenting basic literature data suggest that respiratory activation is an important mechanism for core strengthening via exercise interventions for the elderly. The review found that first, the mechanism of improving the respiratory muscles weakened by aging to address the loss of core function due to old age sarcopenia among the elderly results entails promoting the autonomic nervous system by focusing on the respiratory muscle activation pattern, the core muscle sensation mobilized for body centering. Second, nerve roots, intraperitoneal pressure, and deep muscles in the trunk of the body can be promoted while controlling respiratory stimulation with cognitive feedback. Effortful inspiration increases the activation of respiratory assistive muscles and effortless exhalation can improve the core muscle mobilization by involving abdominal muscles. Third, through respiratory muscle training, the elderly can increase their awareness of spinal centering and improve the ability to control the deep core muscles that must be mobilized for core stabilization. In conclusion, respiratory muscle training to increase the utilization of the trunk muscles seems to be a useful core stabilization exercise for the elderly with chronic tension and joint degeneration.

• 한국정밀공학회지
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• 제29권7호
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• pp.805-810
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• 2012

Determining of the exercise intensity is very important in terms of induction of low fatigue during exercise. Little information is available on the contraction level of the trunk muscles during whole body tilts with and without axial rotation. This study was to investigate the difference muscle activation level according to axial rotation. Twenty subjects were participated. The muscle activities of the five trunk muscles were bilaterally measured at eight axial rotation angles with 12 tilt angles along $15^{\circ}$ intervals. The results showed that tilt with $45^{\circ}$ axial rotation was more balanced in the same tilt angle and was maintained approximately level of 40% MVC at over $60^{\circ}$ tilt angle with respect to co-contraction of abdominal and back muscle. Lumbar stabilization exercise using whole body tilts would be more effective with axial rotation than without axial rotation in terms of muscle co-contraction.

• 한국전문물리치료학회지
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• 제17권4호
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• pp.16-25
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• 2010

The aim of this study was to determine the muscle activity of the abdominalis and erector spinae during bridging and unilateral bridging exercises on the firm surface, the sir-fit, and the foam roll. Eighteen healthy young subjects were recruited for this study. Surface electromyographic (EMG) activities were recorded from the both sides of the rectus abdominalis, external obliques, internal obliques, and erector spinae muscles during bridging and unilateral bridging-exercises. A one-way repeated analysis of variance was used to compare the EMG activity of each muscle according to the support surface condition. Differences in the EMG activities between the bridging and unilateral bridging exercises, and between the right and left side were assessed using a paired t-test. The study showed that the EMG activities of all of the muscles were significantly higher when the bridging exercise was performed using the foam roll or sit-fit than on the firm surface. The EMG activities of the right rectus abdominis, right external obliques, the right internal oblique, and both erector spinae were significantly higher during unilateral bridging ex exercise using the foam roll or the sit-fit than on the firm surface. The EMG activities of all of the muscles were significantly higher during the unilateral bridging exercise than during the bridging exercise. Based on these finding, performing the unilateral bridging exercise using the sit-fit or the foam roll is a useful method for facilitating trunk muscle strength and lumbar stability.

• 한국전문물리치료학회지
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• 제24권2호
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• pp.19-26
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• 2017

Background: To improve lumbo-pelvic stability, passive support devices (i.e., a pelvic belt) are recommended clinically. Nevertheless, to understand the influence of passive support on lumbo-pelvic stability, it is necessary to examine the influence of a pelvic belt on the abdominal and hip abductor muscles. Objects: To examine the effects of a pelvic belt on the forces of the hip adductor and abductor muscles and activity of the abdominal muscles during isometric hip adduction and abduction. Methods: This study recruited 14 healthy men. All subjects performed isometric hip adduction and abduction with and without a pelvic belt in a neutral hip position. Load cells, wrapped with a non-elastic belt, were placed above the medial and lateral malleoli of the dominant leg to measure the muscle forces of the hip adductors and abductors, respectively. The forces of the hip adductors and abductors were measured using a load cell during isometric hip adduction and abduction, while the electromyographic activities of the bilateral rectus abdominis, internal oblique, and external oblique muscles were measured. Results: The forces generated by the hip adductors and abductors were significantly greater with the pelvic belt than without (p<.05). No significant differences in abdominal muscle activities between the two conditions were found (p>.05). Conclusion: These findings suggest that use of a pelvic belt could lead to effective strengthening exercise of hip muscles in individuals with sacroiliac joint pain.

• Physical Therapy Rehabilitation Science
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• 제7권2호
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• pp.72-77
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• 2018

Objective: This study aimed to compare the effects of core exercise methods on muscle activation and muscle thickness in healthy young adults and to propose effective core exercise methods. Design: Three-group pretest-posttest design. Methods: A total of 30 healthy young adults (14 males, 16 females) voluntarily participated in the study. Subjects were randomized to the prone plank exercise (n=10), reverse plank exercise (n=10), or bridge exercise (n=10) groups. Muscle activity and thickness of the rectus abdominis (RA), multifidus (MF), external oblique (EO), and internal oblique (IO) muscles were measured using surface electromyography and ultrasound. Subjects from each group participated in the exercises five times a week, with five 20-second sets during week 1. The set time was increased by 10 seconds per week. Results: Muscle activity and thickness in the prone plank, reverse plank, and bridge exercise group were statistically significant different for RA, MF, EO, and IO changes over time, and interaction between time and groups were also significantly different (p<0.05). We analyzed statistically significant differences between groups using a one-way analysis of variance for each period. A significant difference was observed after 4 weeks of exercise (p<0.05). Conclusions: The results suggest that the prone plank exercise is a beneficial method for enhancing muscle activation and thickness of the RA, EO, and IO compared to the reverse plank and bridge exercises. On the other hand, the reverse plank and bridge exercises are effective methods for enhancing the MF compared to the prone plank exercise.

• 대한정형도수물리치료학회지
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• 제29권1호
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• pp.1-9
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• 2023

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.

• PNF and Movement
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• 제18권2호
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• pp.223-231
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• 2020

Purpose: The purpose of the study was to compare the effects of different methods of pelvic control on abdominal muscle activity and lumbopelvic rotation angle during active straight leg raising (ASLR) in patients with chronic back pain. Methods: The study participants were patients with low back pain (n = 30). They were instructed to perform ASLR with pelvic control, ASLR with pelvic belt, and ASLR only. Surface electromyography data were collected from the ipsilateral rectus femoris (IRF), ipsilateral internal oblique (IIO), contralateral external oblique (CEO), and ipsilateral rectus abdominal (IRA) muscles, and lumbopelvic rotation angle was measured using a motion analysis device. Results: Activation of all abdominal muscles was greater in the ASLR with pelvic control group than in the ASLR with pelvic belt and ASLR groups. The lumbopelvic rotation angle was lower in the ASLR with pelvic control group than in the other two groups (p < 0.05). Conclusion: These results suggest that ALSR with pelvic control is an effective means of increasing abdominal muscle activity and reducing unwanted lumbopelvic rotation in patients with chronic low back pain. Controlling the pelvis using the opposite leg is an effective form of ASLR exercise for patients with chronic low back pain.

• 한국전문물리치료학회지
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• 제14권4호
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• pp.14-20
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• 2007

To improve abdominal muscles strengthening, double straight leg lowering (DSLL) has been widely used in physical therapy, fitness program, and athletic program. The purpose of this study was to investigate the effects of the lumbar stabilization maneuver with a pressure biofeedback unit on the muscle activity of rectus abdominis (RA), external oblique (EO), and internal oblique (IO) during DSLL. Fourteen healthy young men were recruited from university population. The electromyography (EMG) activity was recorded from the RA, EO, and IO of both sides. The normalized EMG activity was compared using a paired t-test. The study showed that EMG activity in the RA, EO, and IO was significantly higher during DSLL with lumbar stabilization (DSLL-LS) compared to performed DSLL (p<.05). These results suggest that DSLL-LS is recommended as an effective method for strengthening exercise for the abdominal muscles.

• 대한통합의학회지
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• 제8권3호
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• pp.181-188
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• 2020

Purpose : The purpose of this study is to compare the effects on abdominal muscle thickness and breathing by applying trunk strength exercise and deep stabilization exercise along with breathing exercise, which is the main respiratory muscle during breathing, to present an efficient exercise method with diaphragm breathing. Methods : This study was performed on normal 6 females and 14 males subjects. They were divided into 2 groups which trunk strength exercise and deep stabilization exercise group. The trunk strength exercise group (TSE) attended prone press-up, crunch and pelvic tiling. The deep stabilization exercise group (DSE) attended abdominal drawing, horizontal side-support and bridging exercise. Breathing exercise was performed for each set break time for 1 minute. Results : First, in the comparison of the change in the thickness of the abdominal muscle between the trunk strength training group and the deep stabilization group before and after exercise, there was a statistically significant difference in the comparison of transverse abdominis (TrA), rectus femoris (RF), external oblique (EO), internal oblique (IO) (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Second, in the comparison of changes in respiratory function between the trunk strength exercise group and the deep stabilization exercise group before and after exercise, there were statistically significant differences in the exerted forced vital capacity (FVC), forced expiratory volume at one second (FEV₁), peak expiratory flow (PEF) in the comparison before and after the experiment (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Conclusion : As a result of this study, it can be said that both trunk strength exercises and deep stabilization exercises along with diaphragm breathing are exercises that strengthen deep and superficial muscles, and have a positive effect on breathing function as well as muscle strength. However, it is not known which exercise was more effective, and because it was combined with breathing exercise, the interference effect appeared.

• 대한통합의학회지
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• 제1권4호
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• pp.57-66
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• 2013

PURPOSE: The purpose of this study was to investigate the effects using pressure biofeedback and teaching abdominal hollowing exercise on pelvic stabilization during the active straight leg raising test. METHOD: The subjects were divided into 3 groups who were fourty eight healthy participants, aged 20~25 years recruited for this study. First group wad control group. This group didn't any education. Second group was teaching them for a week. And last group was teaching abdominal hollowing exercise. The rotation angles of pelvic were measured by the motion anayalyser on flat surface and on form roll for the active leg raising. RESULT: Using pressure biofeedback and teaching abdominal hollowing exercise groups were significantly effective than control group in rotation angles of pelvis. And using pressure biofeedback group was more effective than teaching core stability muscles contraction group. CONCLUSION: This study suggested that patients with low back pain and pelvic instability can improve pelvic stabilization through pressure biofeedback and teaching abdominal hollowing exercise.