Physical Therapy Rehabilitation Science

  • 제7권2호
  • /
  • Pages.72-77
  • /
  • 2018
  • /
  • 2287-7576(pISSN)
  • /
  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
권호 표지
DOI QR코드

DOI QR Code

Comparison of the effects of different core exercise on muscle activity and thickness in healthy young adults

  • Ko, Mingyun (Department of Physical Therapy, Chunnam Techno University) ;
  • Song, Changho (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
  • 투고 : 2018.04.20
  • 심사 : 2018.05.24
  • 발행 : 2018.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Bendix T, Bendix AF, Busch E, Jordan A. Functional restoration in chronic low back pain. Scand J Med Sci Sports 1996;6:88-97.
  2. Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am 2003;34:245-54. https://doi.org/10.1016/S0030-5898(03)00003-8
  3. Brill PW. The core program: fifteen minutes a day that can change your life. New York, NY: Bantam Books; 2001.
  4. Hibbs AE, Thompson KG, French D, Wrigley A, Spears I. Optimizing performance by improving core stability and core strength. Sports Med 2008;38:995-1008. https://doi.org/10.2165/00007256-200838120-00004
  5. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004;85(3 Suppl 1):S86-92.
  6. O'Sullivan PB, Phyty GD, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine (Phila Pa 1976) 1997;22:2959-67. https://doi.org/10.1097/00007632-199712150-00020
  7. Imai A, Kaneoka K, Okubo Y, Shiina I, Tatsumura M, Izumi S, et al. Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface. J Orthop Sports Phys Ther 2010;40:369-75. https://doi.org/10.2519/jospt.2010.3211
  8. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol 2003;13:371-9. https://doi.org/10.1016/S1050-6411(03)00044-0
  9. Nadler SF, Malanga GA, Bartoli LA, Feinberg JH, Prybicien M, Deprince M. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med Sci Sports Exerc 2002;34:9-16.
  10. Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol 2004;4:26. https://doi.org/10.1186/1471-2288-4-26
  11. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. New York, NY: Aspen Publishers; 1998. p. 360-71.
  12. Hodges PW. The role of the motor system in spinal pain: implications for rehabilitation of the athlete following lower back pain. J Sci Med Sport 2000;3:243-53. https://doi.org/10.1016/S1440-2440(00)80033-X
  13. Stokes M, Rankin G, Newham DJ. Ultrasound imaging of lumbar multifidus muscle: normal reference ranges for measurements and practical guidance on the technique. Man Ther 2005;10:116-26. https://doi.org/10.1016/j.math.2004.08.013
  14. Stevens VK, Bouche KG, Mahieu NN, Coorevits PL, Vanderstraeten GG, Danneels LA. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord 2006;7:75. https://doi.org/10.1186/1471-2474-7-75
  15. O'Sullivan PB, Twomey L, Allison GT. Dynamic stabilization of the lumbar spine. Boca Raton, FL: CRC Press; 1997. p. 315-30.
  16. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil 2005;86:242-9. https://doi.org/10.1016/j.apmr.2004.05.004
  17. Stevens VK, Coorevits PL, Bouche KG, Mahieu NN, Vanderstraeten GG, Danneels LA. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther 2007;12:271-9. https://doi.org/10.1016/j.math.2006.07.009
  18. Barker KL, Shamley DR, Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine (Phila Pa 1976) 2004;29:E515-9. https://doi.org/10.1097/01.brs.0000144405.11661.eb
  19. Czaprowski D, Afeltowicz A, Gebicka A, Pawlowska P, Kedra A, Barrios C, et al. Abdominal muscle EMG-activity during bridge exercises on stable and unstable surfaces. Phys Ther Sport 2014;15:162-8. https://doi.org/10.1016/j.ptsp.2013.09.003
  20. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a Swiss ball. Chiropr Osteopat 2005;13:14. https://doi.org/10.1186/1746-1340-13-14
  21. Saal JA, Saal JS. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy: an outcome study. Spine 1989;14:431-7. https://doi.org/10.1097/00007632-198904000-00018