Effects of Conscious Contraction of the Pelvic Floor Muscles during Abdominal Hollowing on the Trunk Muscle (배꼽 넣기 동안 의식적인 골반저근의 수축이 체간 근육에 미치는 영향)

이윤상; 탁사진; Jiyu Park (박지유); Wonjae Choi (최원재); Seungwon Lee (이승원)

Effects of Conscious Contraction of the Pelvic Floor Muscles during Abdominal Hollowing on the Trunk Muscle

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2017, 12(4), pp.123-132
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Published : November 30, 2017

이윤상 ¹, 탁사진 ¹, Jiyu Park ¹, Wonjae Choi ¹, Seungwon Lee ¹

¹삼육대학교

Accredited

ABSTRACT

PURPOSE: This study aimed to examine the effects of lumbar stabilization exercise during abdominal hollowing with conscious contraction of the pelvic floor muscles on trunk muscle in healthy twenties subjects. METHODS: The participants were randomly allocated to an experimental group (n=15) and a control group (n=15). The experimental group received lumbar stabilization exercise combined with conscious contraction of the pelvic floor muscles during abdominal hollowing. The control group received lumbar stabilization exercise with abdominal hollowing. Both groups trained with the respective exercise for 30 minutes a day, 3 times a week for 6 weeks. Muscle activation of the external oblique and erector spinae muscles, thickness of the transversus abdominis and multifidus, and contraction holding time of tranversus abdominis were measured before and after exercise. RESULTS: Activations of both the external oblique muscles were significantly decreased, and thickness of both the transversus abdominis and multifidus muscles, and contraction holding time of the transversus abdominis muscle were significantly increased in the experimental group (p＜.05). The thickness of the left transversus abdominis and right multifidus muscles, and the contraction holding time of the transversus abdominis muscle significantly increased in the control group (p＜.05). On comparing both groups, the activations of both external oblique muscles were significantly reduced and the contraction holding time of the transversus abdominis muscle was significantly increased in the experimental group (p＜.05). CONCLUSION: These results suggest that lumbar stabilization exercise by abdominal hollowing and conscious contraction of the pelvic floor muscles is suitable and efficient for healthy twenties subjects.

KEYWORDS

Abdominal muscles, Electromyography, Pelvic floor, Ultrasonography

Citation status

* References for papers published after 2023 are currently being built.

[journal] Blok B / 2003 / Brain plasticity and urge incontinence : PET studies during the first hours of sacral neuromodulation / Neurourol Urodyn 22(5) : 90~

[journal] Bo K / 2005 / Evaluation of female pelvic-floor muscle function and strength / Phys Ther 85(3) : 269~282

[journal] 조성학 / 2013 / The Effect of Short-term Lumbar Stabilization Exercise for Lumbar Muscle Strength and Postural Balance on Chronic LBP / 대한물리의학회지 / 대한물리의학회 8(3) : 295~302

[book] Cram JR / 1998 / Introduction to surface electromyography / Aspen Publishers

[journal] Ershad N / 2009 / Evaluation of trunk muscle activity in chronic low back pain patients and healthy individuals during holding loads / J Back Musculoskelet Rehabil 22(3) : 165~172

[journal] Franca FR / 2010 / Segmental stabilization and muscular strengthening in chronic low back pain : a comparative study / Clinics(Sao Paulo) 65(10) : 1013~1017

[journal] Han G / 2011 / The effects on muscle strength and visual analog scale pain of aquatic therapy for individuals with low back pain / J Phys Ther Sci 23(1) : 57~60

[journal] Henry SM / 2005 / The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects / J Orthop Sports Phys Ther 35(6) : 338~345

[journal] Hides J / 2011 / The relationship of transversus abdominis and lumbar multifidus clinical muscle tests in patients with chronic low back pain / Man Ther 16(6) : 573~577

[journal] Hodges PW / 2003 / Measurement of muscle contraction with ultrasound imaging / Muscle Nerve 27(6) : 682~692

[journal] Jang WS / 2009 / Change of lumbar multifidus muslce recorded simultaneously by ultrasound imaging during upper extremity lifting movement in chronic low back pain patients / J Korean Soc Phys Med 4(1) : 9~14

[journal] Kavcic N / 2004 / Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises / Spine 29(20) : 2319~2329

[journal] 김진희 / 2012 / The Effect of Pelvic Floor Muscle Contraction with Image Feedback on Abdominal Muscle Thickness / 대한물리의학회지 / 대한물리의학회 7(4) : 533~539

[journal] 권남희 / 2011 / The Use of Real-Time Ultrasound Imaging for Feedback during Abdominal Hollowing / 대한물리의학회지 / 대한물리의학회 6(3) : 303~310

[journal] 이병기 / 2012 / Effect of 10 Wks Walking and Stabilization Exercise on Electromyogram Activity of Transverse Abdominis and Multifidus Muscle and Contraction Time of Transverse Abdominis Muscle, Visual Analog Scale Time for Male Patients with Chronic Low Back Pain / 한국사회체육학회지 / 한국사회체육학회 (49) : 887~898

[journal] Lee HJ / 2013 / The changes of rectus abdominis muscle thickness according to the angle during active straight leg raise / Phys Ther Rehabil Sci 2(1) : 44~48

[journal] Lee NG / 2011 / Novel augmented ADIM training using ultrasound imaging and electromyography in adults with core instability / J Back Musculoskelet rehabil 24(4) : 233~240

[journal] Mannion A / 2012 / Spine stabilisation exercises in the treatment of chronic low back pain : a good clinical outcome is not associated with improved abdominal muscle function / Eur Spine J 21(7) : 1301~1310

[journal] McGalliard MK / 2010 / Changes in transversus abdominis thickness with use of the abdominal drawing-in maneuver during a functional task / PM&R 2(3) : 187~194

[journal] Navalta JW / 2007 / Core stabilization exercises enhance lactate clearance following high-intensity exercise / J Strength Cond Res 21(4) : 1305~1309

[journal] Neumann P / 2002 / Pelvic floor and abdominal muscle interaction : EMG activity and intra-abdominal pressure / Int Urogynecol J Pelvic Floor Dysfunct 13(2) : 125~132

[journal] O'Sullivan PB / 2002 / Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test / Spine (Phila Pa 1976) 27(1) : E1~E8

[journal] Painter EE / 2007 / Lumbopelvic dysfunction and stress urinary incontinence: a case report applying rehabilitative ultrasound imaging / J Orthop Sports Phys Ther 37(8) : 499~504

[journal] Panjabi MM / 2003 / Clinical spinal instability and low back pain / J Electromyogr Kinesiol 13(4) : 371~379

[journal] Pulkovski N / 2012 / Ultrasound assessment of transversus abdominis muscle contraction ratio during abdominal hallowing: a useful tool to distinguish between patients with chronic low back pain and healthy controls? / Eur Spine J 21(Suppl 6) : S750~S759

[book] Richardson, C / 2004 / Therapeutic exercise for lumbopelvic stabilization / Churchill Livingstone

[journal] Richardson CA / 2002 / The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain / Spine 27(4) : 399~405

[journal] Roussel N / 2009 / Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain : A case-control study / Eur Spine J 18(7) : 1066~1073

[journal] Saliba SA / 2010 / Differences in transverse abdominis activation with stable and unstable bridging exercises in individuals with low back pain / N Am J Sports Phys Ther 5(2) : 63~73

[journal] Sapsford R / 2004 / Rehabilitation of pelvic floor muscles utilizing trunk stabilization / Man Ther 9(1) : 3~12

[journal] Sapsford RR / 2013 / The effect of abdominal and pelvic floor muscle activation patterns on urethral pressure / World J Urol 31(3) : 639~644

[journal] Sapsford RR / 2001 / Contraction of the pelvic floor muscles during abdominal maneuvers / Arch Phys Med Rehabil 82(8) : 1081~1088

[journal] Sapsford RR / 2001 / Co-activation of the abdominal and pelvic floor muscles during voluntary exercises / Neurourol Urodyn 20(1) : 31~42

[journal] Sherman KJ / 2010 / Comparison of yoga versus stretching for chronic low back pain : protocol for the Yoga Exercise Self-care(YES)trial / Trials 11 : 36~

[journal] Smith MD / 2006 / Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity / Aust J Physiother 52(1) : 11~16

[journal] Speed C / 2004 / Low back pain / BMJ 328(7448) : 1119~1121

[journal] Stafford RE / 2012 / Activation of the striated urethral sphincter to maintain continence during dynamic tasks in healthy men / Neurourol Urodyn 31(1) : 36~43

[journal] Vasseljen O / 2010 / Abdominal muscle contraction thickness and function after specific and general exercises: a randomized controlled trial in chronic low back pain patients / Man Ther 15(5) : 482~489

[journal] Watson T / 2011 / Ultrasound measurement of transversus abdominis during loaded, functional tasks in asymptomatic individuals: rater reliability / PM R 3(8) : 697~705

[journal] Whittaker J / 2004 / Abdominal ultrasound imaging of pelvic floor muscle function in individuals with low back pain / J Man Manip Ther 12(1) : 44~49

[journal] Zielinski KA / 2013 / Lumbar multifidus muscle thickness does not predict patinets with low back pain who improve with trunk stabilization exercises / Arch Phys Med Rehabil 94(6) : 1132~1138

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45