• The Journal of Korean Physical Therapy
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• 제36권1호
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• pp.1-8
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• 2024

Purpose: The purpose of this study was to determine the effect of proprioceptive neuromuscular facilitation (PNF) abdominal muscle strengthening exercise on the activity, posture, and body function of clients with abdominal muscle weakness after cesarean section. Methods: PNF abdominal muscle strengthening exercise was applied to one patient with abdominal muscle weakness after cesarean section. PNF abdominal muscle strengthening exercise was applied five times a week for four weeks. The 5-time supine-to-long sitting test (5-TSLST) and supine-to-stand test (SST) were used to measure activity, and the pelvis tilt angle test (PTAT) and anterior head translation test (AHTT) were used to measure posture. Body function was assessed using the transverse abdominis muscle strength test (TAMST), the internal oblique and external oblique muscle strength test (IOEOMST), and the rectus abdominis muscle strength test (RAMST). Results: Activity, posture, and body function were improved post-intervention. Conclusion: The study verified that PNF abdominal muscle strengthening exercises are effective when applied to patients with abdominal muscle weakness after cesarean section. The findings of this study provide useful data for future interventions in patients with abdominal muscle weakness after cesarean section.

• 대한통합의학회지
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• 제10권4호
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• pp.93-102
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• 2022

Purpose : The purpose of this study was to analyze the change in thickness of transvers abdominis, internal oblique, and external oblique when virtual reality based ring fit adventure is applied to young adults in order to investigate the effect of ring fit adventure on core stabilization. Methods : 30 subjects participated in the experiment. Subjects were randomly assigned to two groups. 15 subjects performed ring fit adventure core exercise (experimental group) and 15 subjects bridge and dead bug exercise (control group). The ring fit adventure core exercise program consists of 6 types, 1) bow pull, 2) overhead lunge twist, 3) pendulum bend, 4) seated ring raise, 5) plank, 6) warrior III pose. Each exercise was performed for 5 minutes, for a total of 30 minutes. The bridege and dead bug exercise were performed for 15 minutes each for a total of 30 minutes. All interventions were performed 3 times a week for 4 weeks. Thickness of the abdominal muscles was measured with a ultrasound. The paired t-test was used to compare the thickness of the transverse abdominis, internal oblique, and external oblique before and after intervention, and the comparison between groups was analyzed using the independent t-test. Results : As a result, in the experimental group, thickness of transverse abdominis and internal oblique increased significantly (p<.05), but external oblique decreased significantly (p<.05), and in the control group, thickness of transverse abdominis, internal oblique, and external oblique increased significantly (p<.05). There was a significant difference in external oblique in the difference between groups (p<.05). Conclusion : These study results showed that core exercise using ring fit adventure can reduce external oblique and increased selective muscle activity of transverse abdominis and internal oblique of the deep abdominal muscles, so it is meaningful as an effective intervention for core stabilization.

• 한국전문물리치료학회지
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• 제13권3호
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• pp.102-110
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• 2006

To improve trunk stability, various exercise protocols were introduced into the clinical field. Trunk and lumbar stability exercises on unstable surfaces are especially recommended to improve lumbar stability. The purpose of this study was to compare abdominal oblique muscle activity during leg raising in hook-lying position among 3 different type of surface conditions (on floor (F), vestibular board (VB), and foam roll (FR)). Sixteen able-bodied volunteers, who had no medical history of lower extremity or lumbar spine disease, were recruited for this study. Surface electromyography (EMG) activity was recorded from the internal and external oblique muscles of both sides. The normalized EMG activity was compared using a one-way repeated ANOVA. The results showed that the EMG activities of the internal oblique and external oblique of the lifted leg side during straight leg raising significantly increased under the FR condition when compared to the F condition. There was no significant difference of the EMG activity in abdominal oblique muscles between the VB and the FR conditions. The EMG activity of the internal oblique of supported leg side during the straight leg raising was significantly greater under the FR condition than the VB and F conditions (p<.05). The composition ratio of EMG activity of internal oblique muscles during straight leg raising was significantly increased under the FR condition. Therefore, straight leg raising exercise on foam roll in hook lying position could be beneficial to improve trunk and lumbar stability.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.228-232
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• 2020

Purpose: This study examined the electromyography (EMG) activity of the abdominal muscles and the ratio of the oblique abdominal muscle activity to the rectus abdominis muscle during a single-leg holding position with isometric shoulder abduction (SLHISA) in the supine position on a foam roller. Methods: Nineteen healthy males were recruited to the study. Each subject was asked to lay on a round foam roller and perform singleleg (nondominant) holding with contralateral shoulder abduction to one of three angles (45°, 90°, or 135°) in random order. The surface EMG signals of the bilateral rectus abdominis (RA), external oblique abdominis (EO), and combined internal oblique abdominis (IO) and transverse abdominis (TrA) muscle were collected during the tasks. The EO/RA and (IO & TrA)/RA ratios were determined using surface EMG. One way repeated measure ANOVA with three SLHISAs was used to assess the significant abdominal muscle EMG activity and the ratio of the oblique abdominal muscles activity to the RA muscle. The statistical significance level was p<0.05. Results: The results were as follows. The SLHISA 135° showed significantly higher EMG activity of both RAs, left EO, and right IO & TrA muscles (p<0.05). The right EO and left IO and TrA muscles/RA were significantly different among the SLHISA angles. The SLHISA 45° showed a significantly greater ratio of right EO/RA and left IO & TrA/RA (p<0.05). Conclusion: SLHISA on a foam roller is useful for lumbopelvic stabilization exercise by increasing the activity and recruiting a specific pattern of the oblique abdominal muscle.

• 대한물리치료과학회지
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• 제25권3호
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• pp.25-31
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• 2018

Background: The purpose of this study was to find out how changes in knee angles in stable and unstable support surfaces affect the muscle thickness of core muscles. Methods: The subjects of this study were 25 male adult. Each knee angle of 120, 90 and 60 degrees, they were performed bridge exercise on the stabilized surface and on the unstable support surface using TOGU, and measured the muscle thickness of the external and internal oblique muscle and the abdominal muscles through ultrasound images. Results: There was no significant difference between the thickness of the rectus abdominis and the internal oblique muscle depending on the support surface and the knee joint bending angles. However, there was a significant difference between the external oblique muscle and the transverse abdominis muscle by knee joint flexion angle. Conclusion: While the muscle thickness of the core muscle was not significantly affected by each support surface during the bridge exercise, there were significant changes in the core muscle as a result of changes in knee angle.

• 대한물리의학회지
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• 제9권3호
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• pp.333-338
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• 2014

PURPOSE: The purpose of this study was to investigate any changes in abdominal muscle activity after curl-up and jack-knife exercisse using a sling and swiss-ball. METHODS: Sixteen asymptomatic subjects were randomly assigned into either a sling exercise group (SG) or swiss-ball exercise group (SBG). Subjects performed curl-up and jack-knife exercise using sling and swiss ball. Activity of abdominal muscles (rectus abdominis and external oblique) was assessed using surface electromyography (EMG) and normalized maximal voluntary isometric contraction (MVIC) before and after exercises. The significance of differences between the SG and the SBG was evaluated by analysis of covariance (ANCOVA). RESULTS: There was an increase in activity of all abdominal muscles after the curl-up and jack-knife exercises for 6 weeks. However, there was not a significant difference between the SG and the SBG after curl-up exercise (p>.05). There was also not a significant difference between the SG and the SBG after Jack-knife exercise (p>.05) except for the right external oblique muscle (p<.05). CONCLUSION: Exercises on an unstable surface using a sling and swiss ball are effective ways of abdominal muscle exercise.

• 대한물리의학회지
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• 제7권4호
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• pp.533-539
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• 2012

PURPOSE: The purpose of this study was to investigate the effect of pelvic floor muscle contraction with image feedback on Abdominal muscle thickness. METHODS: Twenty three adults participated in this study. Abdominal muscle thickness was measured by ultrasound in three condition(rest, pelvic floor muscle contraction, pelvic floor muscle contraction with image feedback). Subjects was contraction pelvic floor muscle by general method. And ultrasound(convex probe, 3.5MHz) was used to image feedback for selective pelvic floor muscle contraction. One-way ANOVA was used to compare abdominal muscle thickness in three condition. RESULTS: There was no significant difference in external oblique(p=.514) and internal oblique muscle(p=.250) thickness by three condition. There was significant difference in transverse abdominis thickness by three condition (Transverse abdominis thickness was highest while Pelvic floor muscle contraction than pelvic floor muscle contraction with image feedback and rest.)(p=.000). CONCLUSION: This study shows that pelvic floor muscle contraction with image feedback increase the thickness of transverse abdominis lesser than general pelvic floor muscle contraction.

• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.444-449
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• 2021

Objective: The purpose of this study is to observe the change in the thickness of abdominal muscles when electrical muscle stimulation (EMS) is applied to the abdomen during rest and abdominal muscle exercise to investigate the effect of EMS applied to the abdomen on the superficial and deep muscles thickness. Design: Cross sectional design. Methods: Twenty healthy subjects participated in this study. Subjects were performed resting position, resting position with EMS, curl-up and curl-up with EMS. The electrode of the EMS belt is attached to the abdominal wall between the 12th rib and iliac crest. The thickness of abdominal muscles including rectus abdominis (RA), external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) were captured in each position by ultrasound image during expiration. All subjects were performed four positions randomly. Data were analyzed using repeated ANOVA with the level of significance set at 𝛼=0.05. Results: The muscle thickness of RA, EO, IO and TrA were significantly different at each position (p<0.05). The thickness of all abdominal muscles increased significantly when curl-up than curl-up with EMS. Both RA and EO thickness were significantly increased at resting position than resting position and EMS were combined(p<0.05). But IO and TrA thickness were decreased at resting position when EMS were combined. Conclusions: The results suggest that EMS activates superficial abdominal muscles RA and EO. Therefore, abdominal strengthening exercise combined EMS can activate abdominal muscles and can be applied to various patients and rehabilitation in clinical practice.

• PNF and Movement
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• 제19권3호
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• pp.321-329
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• 2021

Purpose: The abdominal drawing-in maneuver (ADIM) is an exercise that selectively strengthens deep abdominal muscles. It is reported to be effective in strengthening those muscles when using a pressure biofeedback unit. However, multiple factors of bridge exercise seem to bring exercise result of ADIM without stabilizer as they influence execution of ADIM. Therefore, the purpose of this study was to compare changes in the thickness of deep abdominal muscles through the ADIM exercise incorporating either a stabilizer or the bridge exercise. Methods: Thirty healthy adults who had voluntarily given their consent were selected as the subjects. A diagnostic sonograph was used to measure the thickness of the subjects' transverse abdominis, internal oblique, and external oblique muscles. First, the thickness of the subjects' deep abdominal muscle was measured while maintaining the ADIM using the stabilizer. After three minutes of rest, the thickness was measured again while the subjects maintained the ADIM with the bridge exercise. Results: In both exercises, the thickness of the transverse abdominis showed a statistically significant increase, with a more significant increase while executing the ADIM using the bridge exercise. In both exercises, the thickness of the internal oblique showed a statistically significant increase, with a more significant increase while executing the ADIM using the bridge exercise. The thickness of the external oblique showed a statistically significant increase only in the ADIM using the bridge exercise. Conclusion: Though strengthening is not as selective as the ADIM using a stabilizer, the ADIM using the bridge exercise has a more increased thickness of the transverse abdominis and the internal oblique than that of the internal oblique. Based on the outcome of this study, the ADIM using the bridge exercise without a stabilizer can selectively strengthen deep abdominal muscles even more.

• 대한물리의학회지
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• 제17권4호
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• pp.15-25
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• 2022

PURPOSE: This study examined the effect of bridge exercise-abdominal draw-in maneuver (ADIM) with hip adductor co-contraction on the TrA thickness and whether it is effective as a core stability exercise. METHODS: The subjects of this study, 33 men with no history in the past and who provided prior consent, were selected through interviews with male students of S University. The subjects performed five movements, including bridge exercise and ADIM, and performed two demonstrations and two exercises in advance. The abdominal muscles were measured using ultrasonography once in each movement, and the abdominal muscle tone was measured using a soft tissue tone measurement. RESULTS: There was a significant difference in the thickness between the TrA and Internal Oblique Muscles at various bridge positions (p < .05), and no significant difference with the External Oblique Muscle (p < .05). There was no significant difference in muscle tone in the Rectus abdominis part (p > .05), but a significant difference in the Oblique Muscle part (p < .05). The muscle tone of the Oblique Muscles by position showed a significant difference in Bridge, BHa, and BA compared to the rest position (p < .05), but no significant difference with BHaA (p > .05). CONCLUSION: The thickness of TrA could be increased through bridge exercise, and TrA could be activated properly using ADIM and may be an effective exercise for core stabilization.