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

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

The Effects of Transverse Abdominis Ratio and Balance Ability during Bridge Exercises on Different Support Surface

지지면 변화에 따른 교각운동이 복횡근 두께와 균형능력에 미치는 영향에 관한 연구

  • Ann, Jun-il (Dept. of Physical Therapy, Gwangju Korean Medicine Hospital) ;
  • Kim, Yoon-hwan (Dept. of Physical Therapy, Gwangyang Health College) ;
  • Park, Jong-hang (Dept. of Physical Therapy, Gwangyang Health College) ;
  • Ann, Mi-rae (Dept. of Physical Therapy, Gwangyang Health College) ;
  • Jung, Yeon-woo (Dept. of Physical Therapy, Gwangju Women's University) ;
  • Kim, Tae-won (Dept. of Physical Therapy, Art Core Training Center)
  • 안준일 (광주한방병원 물리치료실) ;
  • 김윤환 (광양보건대학교 물리치료과) ;
  • 박종항 (광양보건대학교 물리치료과) ;
  • 안미래 (광양보건대학교 물리치료과) ;
  • 정연우 (광주여자대학교 물리치료학과) ;
  • 김태원 (아트코어 운동센터)
  • Received : 2017.04.06
  • Accepted : 2017.05.12
  • Published : 2017.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effect of transverse abdominis ratio and balance ability during bridge exercises on different support surface. Methods: The subjects were 20 students at G University. Ultrasound equipment was used to measure the transverse abdominisratio and the computerized balance measurement equipment was used to measure the balance ability before and after bridge exercises on different support surface. Results: Transverse abdominis ratio change between the groups was a significant difference only in the unstable support surface training group (p<.05). Normal standing eye close balance ability change between the groups was significantly different only in the unstable support surface training group (p<.05). The changes in the transverse abdominis ratio after 7 days of exercise and 14 days after exercise were significantly different between the groups (p<.05). Normal standing eye close balance ability showed a significant difference at 7 days after exercise and 14 days after exercise (p<.05). Conclusions: It is more effective to balance ability and ratio of the transverse abdominis when bridge exercises on an unstable support surface than to perform bridge exercises on a stable support surface. Therefore, we propose an effective program for patients with instability of the lumbar in clinical practice. bridge exercises on different support surface.

Keywords

References

  1. 공관우. 정상성인에서 진동을 이용한 교각운동과 ADIM 방법이 배가로근의 활성에 미치는 영향. 대구대학교대학원, 석사학위논문. 2014.
  2. 공용수. 교각운동 방법 차이에 의한 만성요통환자의 체간근 활성도, 근 두께 및 고유수용성감각에 미치는 영향. 대구가톨릭대학교대학원, 박사학위논문. 2014.
  3. 권애정, 김선엽. 진동을 동반한 옆교각 운동이 요통 성인의 통증, 기능장애, 근력, 균형에 미치는 영향. 대한물리의학회지. 2016;11(4):127-137. https://doi.org/10.13066/kspm.2016.11.4.127
  4. 김수민, 송주민. 체간 안정화 운동이 뇌졸중 환자의 균형과 보행에 미치는 영향. 대한물리의학회지. 2010;5(3):413-420.
  5. 김은옥, 김택훈, 노정석, 등. 교각운동 시 복부 드로잉-인 방법이 요부 전만과 체간 및 하지의 근 활성도에 미치는 영향. 한국전문물리치료학회지. 2009;16(1):1-9.
  6. 조성학, 김진희, 최문희. 단기간의 요부 안정화 운동이 만성요통환자의 근력과 자세균형에 미치는 영향. 대한물리의학회지. 2013;8(3):295-302. https://doi.org/10.13066/kspm.2013.8.3.295
  7. 최경은. 코어 안정화 운동이 무용전공생의 균형과 수행력에 미치는 영향. 한양대학교육대학원, 석사학위논문. 2011.
  8. 최병찬. 요부안정화 운동 프로그램이 씨름선수의 요부 근력 및 균형 능력에 미치는 영향. 대구대학교대학원, 박사학위논문. 2008.
  9. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;3(1):86-92.
  10. Behm DG, Anderson K, Curnew RS. Muscle force and activation under stable and unstable conditions. J Strength Cond Res. 2002;16(3):416-422. https://doi.org/10.1519/00124278-200208000-00012
  11. Brauer SG, Woollacott M, Shumway-Cook A. The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56(8):M489-M496. https://doi.org/10.1093/gerona/56.8.M489
  12. Granata KP, Lee PE, Franklin TC. Co-contraction recruitment and spinal load during isometric trunk flexion and extension. Clin Biomech. 2005;20(10):1029-1037. https://doi.org/10.1016/j.clinbiomech.2005.07.006
  13. Haynes W. Core stability and the unstable platform device. J Bodyw Mov Ther. 2004;8(2):88-103. https://doi.org/10.1016/S1360-8592(03)00061-5
  14. Hodges PW, Gandervia SC. Activation of the human diaphragm during a repetitive postural task. J Physio. 2000;555:165-175.
  15. Ha Y, Lee GC, Bae WS, et al. The effects of abdominal muscle drawing in exercise during bridge exercise on abdominal muscle thickness using for real time ultrasound imaging. J Kor Phys Med. 2013;8(2):231-238.
  16. Haynes W. Core stability and the unstable platform device. Journal of Bodywork and Movement Therapies. 2004;8(2):88-103. https://doi.org/10.1016/S1360-8592(03)00061-5
  17. Hides J, Wilson S, Stanton W, et al. An MRI Investigation Into the Function of the Transversus Abdominis Muscle During Drawing-In of the Abdominal Wall. Spine. 2006;31(6):175-178. https://doi.org/10.1097/01.brs.0000202740.86338.df
  18. Kendall FP, McCreary EK, Provance PG. Muscles: Testing And Function With Posture And Pain. 5th ed. Baltimore: Williams & Wilkin. 2005.
  19. Kisner C, Colby LA. Therapeutic Exercise: Foundations And Techniques. FA Davis. 2012.
  20. Kuo YL, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older adults. J Manipulative Physiol Ther. 2009;32(3):210-215. https://doi.org/10.1016/j.jmpt.2009.02.002
  21. Kwon SS. Effects of spinal stabilization exercise and posture education program on vertebra figures and inflammation markers and fitness factor in gymnasts. Korea National Sports University. Graduate School. 2011.
  22. Lee SC, Kim TH, Cynn HS, et al. The influence of instability of supporting surface on trunk and lower extremity muscle activities during bridging exercise combined with core-stabilization exercise. Phi There Korea. 2010;17(1):17-25.
  23. Lehman GJ, Hpda W, Oliver S. Trunk muscle activity during bridging exercise on off a swiss ball. Chioropr Osteopath. 2005;13:14-21. https://doi.org/10.1186/1746-1340-13-14
  24. Manek, NJ, Macgeregor AJ. Epidemiology of back disorders: prevalence, risk factors, and prognosis. Cur Opin Rheumatol. 2005;17:134-140.
  25. Marshall PWM, Murphy BA. Evaluation of functional of neuromuscular changes after exercise rehabilization for low back pain using a swiss ball: A pilot study. J Manipulative Physoil Ther. 2006;29:550-560. https://doi.org/10.1016/j.jmpt.2006.06.025
  26. Maurits NM, Beenakker EAC, Schaik DEC, et al. Muscle ultra sound in children: Normal values and application to neuromuscular disorders. Ultrasound in Med & Biol. 2004;30(8):1017-1027. https://doi.org/10.1016/j.ultrasmedbio.2004.05.013
  27. 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
  28. McMeeken JM, Beith ID, Newham DJ, et al. The relationship between EMG and change thickness of trasversus abdominis. Clin Biomech. 2004;19(4): 337-342. https://doi.org/10.1016/j.clinbiomech.2004.01.007
  29. O'sullivan PB, Phyty GD, Twomey LT, et al. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22(24):2959-2967. https://doi.org/10.1097/00007632-199712150-00020
  30. Richardson C, Jull G, Hodges P, et al. Therapeutic Exercises for Spinal Segmental Stabilization in Low Back Pain: Scientific basis and clinical approach. London. Churchill Livingstone. 1999.
  31. Schellenberg KL, Lang JM, Chan KM, et al. A clinical tool for office assessment of lumbar spine stabilization endurance: Prone and supine bridge maneuvers. Am j of phys med & reh. 2007;86(5):380-386. https://doi.org/10.1097/PHM.0b013e318032156a
  32. Schulte TL, Hierholzer E, Boerke A, et al. Raster stereography versus radiography in the long term follow up of idiopathic scoliosis. J Spine Discord Tech. 2008;21(1):23-28. https://doi.org/10.1097/BSD.0b013e318057529b
  33. Stevens VK, Bouche KG, Mahiru NN, et al. Trunk muscle activity in healthy subjects during bridging stabilization exercise. BMC Musculoskelet Discord. 2006;7(75):1-8. https://doi.org/10.1186/1471-2474-7-1
  34. Tung FL, Yang YR, Lee CC, et al. Balance outcomes after additional sit-to-stand training in subjects with stroke: A randomized controlled trial. Clin Rehabil. 2010;24(6):533-542. https://doi.org/10.1177/0269215509360751
  35. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clic Reh. 2006;20(5):451-458. https://doi.org/10.1191/0269215505cr955oa
  36. Whittaker JL. Ultrasound imaging of the lateral abdominal wall muscle in individuals with lumbopelvic pain and sign of concurrent hypocapnia. Man there. 2008;13:404-410. https://doi.org/10.1016/j.math.2007.03.008