Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Abdominal Drawing-in Maneuver on Muscle Activity of the Trunk and Legs during Flat Walking

복부 드로잉-인 기법이 평지 보행 시 몸통과 다리의 근 활성도에 미치는 효과

  • Ahn, Su-Hong (Department of Biomedical Health Science, Graduate School, Dong-Eui University) ;
  • Lee, Su-Kyoung (Department of Physical Therapy, College of Nursing, Healthcare Sciences, Dong-Eui University\) ;
  • Jo, Hyun-Dai (Major of Physical Education, Gonjiam Middle School)
  • 안수홍 (동의대학교 보건의과학과 물리치료전공) ;
  • 이수경 (동의대학교 물리치료학과) ;
  • 조현대 (곤지암중학교)
  • Received : 2019.11.16
  • Accepted : 2020.01.03
  • Published : 2020.05.31
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Abstract

PURPOSE: This study examined the difference in muscle activity of the trunk and legs during flat walking with or without an abdominal drawing-in maneuver. METHODS: This study was conducted on 15 healthy males and eight females who were attending D University in Busan. This experiment was conducted after 15 minutes of abdominal drawing-in training using a pressure biofeedback unit before the experiment, and the difference in the muscle activity of the trunk and legs during flat walking with or without an abdominal drawing-in technique was investigated. Surface electromyography was used, and the electrode attachment site was the right sternocleidomastoid muscle, splenius capitis muscle, rectus abdominis muscle, external abdominal oblique muscle, transverse abdominis muscle, erector spinae muscle, vastus medialis muscle, and vastus lateralis muscle (TM DTS, Noraxon, USA). The data were analyzed statistically using a paired t-test on SPSS version 18.0 (IBM). RESULTS: The muscle activity of the rectus abdominis muscle, external abdominal oblique muscle, transverse abdominis muscle, vastus medialis muscle were increased significantly and maintained more than walking without maintaining an abdominal drawing-in maneuver (p < .05). Moreover, muscle activity of the erector spinae muscle was decreased significantly and maintained more than walking without maintaining an abdominal drawing-in maneuver (p < .05). CONCLUSION: Maintaining an abdominal drawing-in maneuver during flat walking is more effective during walking training.

Keywords

References

  1. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a Swissball. Chiropr Osteopat. 2005;13(14):1-8. https://doi.org/10.1186/1746-1340-13-1
  2. Macedo LG, Maher CG, Latimer J, et al. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Phys Ther. 2009;89(1):9-25. https://doi.org/10.2522/ptj.20080103
  3. O'sullivan PB, Twomey L, Allison GT. Dynamic stabilization of the lumbar spine. Critical Reviews of Phys and Rehab Med. 1997;9(3-4):315-30. https://doi.org/10.1615/critrevphysrehabilmed.v9.i3-4.70
  4. Richardson CA, Hodeg PW, Hides JA. Therapeutic exercise for spinal segmental stabilization in low back pain: scientific basis and clinical approach. Edinburgh, Churchill Livingstone. 1999.
  5. Richardson CA, Snijders CJ, Hides JA, et al. The relation between the transversus abdominis muscle, sacroiliac joint mechanics, and low back pain. Spine. 2002;27(4):399-405. https://doi.org/10.1097/00007632-200202150-00015
  6. Moseley L. Combined physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother. 2002;48(4):297-302. https://doi.org/10.1016/S0004-9514(14)60169-0
  7. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-9. https://doi.org/10.1097/00002517-199212000-00001
  8. Richardson CA., Hodges P, Hides JA. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. (2nd ed). Edinburgh, Churchill Livingstone. 2004.
  9. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques (4th ed). Philadelphia, FA Davis. 2002.
  10. Shin MG. The effect of abdominal muscle contraction on center of gravity moving and lumbar lordosis : In low back pain patients with pelvic anterior shift. Master's Degree. Kyonggi University. 2010.
  11. Bjerkefors A, Ekblom MM, Josefsson K, et al. Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow. Man Ther. 2010;15(5):502-7. https://doi.org/10.1016/j.math.2010.05.006
  12. Choi JW. The influence of different types of trunk rotation exercise on posture and gait in the individuals with malalignment syndrome. Doctor's Degree. Daegu University. 2009.
  13. Norkin CC, Levangie PK. Joint structure & function :Comprehensive analysis. (2nd ed). Philadelpia, FA Davis. 1992.
  14. Kang SY. Correlation between change in curve and flexibility in girls with mild scoliosis. The Journal of Korean Aerobic Exercise. 2003;7(1):109-15.
  15. Cho SH. The comparative analysis of EMG and Gait patterns depending on variations of speed and ways to walk. Doctor's Degree. Kangnung National University. 2007.
  16. Han JT, Bae SS. Gait analysis methods and walking pattern of hemiplegic patients after stroke. PNF and Movement. 2007;5(1):37-47.
  17. Whittle M. Gait analysis: an introduction. Boston, Butterworth-Heinemann. 2002.
  18. Kim JT, Park SH. The displacement of Center of Pressure during Adult Female Gait based on the Body Mass. Changwon National University Sport Science Institute. 2005;10(1):59-65.
  19. Galley PM, Foster AL. Human movement. New York, Churchill Livingstone. 1987.
  20. Kim YH. The effects of trunk stability exercise on the balance and Gait in the patients with stroke. Master's Degree. Daegu University. 2010.
  21. Hodges PW, Cresswell AG, Daggfeldt K, et al. Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement. Gait Posture. 2000;11(2):92-101. https://doi.org/10.1016/S0966-6362(99)00055-7
  22. Hermens HJ, Freriks B, Disselhorst-Klug C, et al. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361-74. https://doi.org/10.1016/S1050-6411(00)00027-4
  23. Shin JH. Effects of foot strength exercise and functional insole on range of motion, muscle activity and foot plantar pressure in the elderly women. Doctor's Degree. Silla University. 2018.
  24. Heo BS, Kim YJ, Mun CH, et al. Analysis of surface muscle activity of lower and upper musculus erector spinae according to walkers form. JFMSE. 2014;26(2):308-15. https://doi.org/10.13000/JFMSE.2014.26.2.308
  25. Sim YH. The effects of abdominal muscle drawing-In exercise and MFR application on back pain, flexibility and balance in elderly women. Master's Degree. Hanyang University. 2015.
  26. Lee HO, Park DJ. Understanding and clinical application of abdominal hollowing exercise: a literature review. PNF and Movement. 2011;9(2):9-19.
  27. Lee JM, Lee CH, Kwon OY, et al. The effect of lumbar stabilization exercise for caregivers with chronic low back pain. Phys Ther Korea. 2011;18(2):9-17.
  28. Choi SH, Lim JH, Cho HY, et al. The effects of trunk stabilization exercise using swiss ball and core stabilization exercise on balance and gait in elderly women. J Korean Soc Phys Med. 2012;7(1):49-58. https://doi.org/10.13066/kspm.2012.7.1.049
  29. Park SD, Yu SH. The effects of abdominal draw-in maneuver and core exercise on abdominal muscle thickness and oswestry disability index in subjects with chronic low back pain. J Exerc Rehabl. 2013;9(2):286-91. https://doi.org/10.12965/jer.130012
  30. Lee SK. The Effects of Abdominal Drawing-in on Muscle Activity in the Trunk and Legs during Ramp Walking. PNF and Movement. 2019;17(1):137-44.
  31. Lee AY, Kim EH, Cho YW, et al. Effects of abdominal hollowing during stair climbing on the activations of local trunk stabilizing muscles: a cross-sectional study. Ann Rehabil Med. 2013;37(6):804-13. https://doi.org/10.5535/arm.2013.37.6.804
  32. McNeil W. Core stability is a subset of motor control. J. bodyw Mov Ther. 2010;14(1);80-3. https://doi.org/10.1016/j.jbmt.2009.10.001
  33. Zazulak B, Cholewicki J, Reeves NP. Neuromuscular control of trunk stability: clinical implications for sports injury prevention. J Am Acad Orthop Surg. 2008;16(9):497-505. https://doi.org/10.5435/00124635-200809000-00002
  34. Sung SW. The spinal flexibility and response time of erector spinae muscle following stabilization exercise. Korean J Orthop Manu Ther. 2000;6(1):35-49.
  35. Choi HS, Kwon OY, Yi CH, et al. The comparison of trunk muscle activities during sling and mat exercise. Phys Ther Korea. 2005;12(1):1-10.
  36. Stevens VK, Bouche KG, Mahieu NN, et al. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7(75):1-8. https://doi.org/10.1186/1471-2474-7-1
  37. Macedo LG, Maher CG, Latimer J, et al. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Phys ther. 2009;89(1):9-25. https://doi.org/10.2522/ptj.20080103
  38. von Garnier K, Koveker K, Rackwitz B, et al. Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit. Physio. 2009;95(1):8-14. https://doi.org/10.1016/j.physio.2008.10.003
  39. Oh JS, Cynn HS, Won JH, et al. Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther. 2007;37(6):320-4. https://doi.org/10.2519/jospt.2007.2435
  40. Park KN, Cynn HS, Kwon OY, et al. Effects of the abdominal drawing-in maneuver on muscle activity, pelvic motions, and knee flexion during active prone knee flexion in patients with lumbar extension rotation syndrome. Arch Phys Med Rehabil. 2011;92(9):1477-83. https://doi.org/10.1016/j.apmr.2011.03.020
  41. Hanten WP, Schulthies SS. Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Phys Ther. 1990;70(9):561-5. https://doi.org/10.1093/ptj/70.9.561
  42. Yun NS, Lee KO, Kim JY. Kinematic comparison of walking on various inclined walkways. JKPEAGW. 1999;3(1):89-101.
  43. Neumann DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. (2nd ed). Singapore. Mosby Elsevier. 2010.
  44. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 2001;29(1):26-31. https://doi.org/10.1097/00003677-200101000-00006
  45. 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):353-9. https://doi.org/10.1016/S1050-6411(03)00043-9
  46. Hwang BJ, Kim JW. Effects of lumbar stabilzation exercise on lumbar and lower extremity strength of the elderly women. J of the korean society of physical medicine. 2011;6(3):267-75.
  47. Choi SA, Cynn HS, Yi CH, et al. Isometric hip abduction using a thera-band alters gluteus maximus muscle activity and the anterior pelvic tilt angle during bridging exercise. J Electromyogr Kinesiol. 2015;25(2):310-5. https://doi.org/10.1016/j.jelekin.2014.09.005