PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Influence of an Abdominal Draw-In Maneuver and Pelvic Floor Muscle Contraction on Lateral Abdominal Muscle Contraction Thickness in Subject with and without Low Back Pain

요통 환자와 정상인에 적용한 골반저근 수축과 복부 드로우-인이 외측 복부 근육 수축 두께에 미치는 영향

  • Youn, Hye-Jin (Department of Physical Therapy, Bonifacio Hospital) ;
  • Kim, Ji-Seon (Department of Physical Therapy, Yuseng Hangajok Hospital) ;
  • Yang, Jin-Mo (IAME Training Center) ;
  • Ki, Kyong-Il (Department of Physical Therapy, Graduate School, Daejeon University)
  • 윤혜진 (보니파시오요양병원 물리치료실) ;
  • 김지선 (유성한가족병원 물리치료실) ;
  • 양진모 (아이엠 트레이닝 센터) ;
  • 기경일 (대전대학교 물리치료학과)
  • Received : 2014.11.30
  • Accepted : 2015.03.02
  • Published : 2015.03.31
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Abstract

Purpose: The aim of this study was to examine the effects of abdominal muscle contraction thickness using real-time ultrasound imaging while applying an abdominal draw-in maneuver (ADIM) and pelvic floor muscle contraction (PFC) to low back pain patients and healthy subjects. Methods: The subjects were 21 young adults; a group of 10 low back pain patients and a control group of 11 healthy subjects. Measurements were made with the subjects on a pillow in a supine position, with the knee joints flexed at 60 degrees. While the two groups conducted ADIM and PFC, their transverse abdominal muscle (TrA), internal abdominal oblique muscle (IO), and external abdominal oblique muscle (EO) thicknesses were measured using an ultrasound imaging system. Result: The TrA muscle contraction thickness ratio during PFC and ADIM was significantly lower in the low back pain group than in the healthy group (p<0.05). The EO muscle contraction thickness ratio during ADIM was also significantly lower in the low back pain group than in the healthy group. The healthy group's muscle contraction thickness ratio was significantly lower during PFC than during ADIM in the TrA, IO, and EO (p<0.05). The low back pain group's muscle contraction thickness ratio was lower during PFC than during ADIM in the TrA, IO, and EO, but the difference was not statistically significant. Conclusion: The results of this study indicate that oral direction during ADIM induced an appropriate contraction of the TrA. Therefore, the procedure reported here may be applied during rehabilitation for appropriate contraction of the TrA.

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References

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