Comparison of the Abdominal Muscle Thickness during Abdominal Hollowing Exercise According to the Visual Feedback Method (할로잉 운동 시 시각적 피드백 방법에 따른 복근 두께에 미치는 영향 비교)

Ha-Rim Kim (김하림); Ho-Hee Son (손호희)

Comparison of the Abdominal Muscle Thickness during Abdominal Hollowing Exercise According to the Visual Feedback Method

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2021, 16(3), pp.107-113
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : May 27, 2021
Accepted : August 9, 2021
Published : August 31, 2021

Ha-Rim Kim ¹, Ho-Hee Son ²

¹좋은삼선병원
²부산가톨릭대학교

Accredited

ABSTRACT

PURPOSE: Selective strengthening of the transverse abdominis muscle (TrA) during abdominal hollowing makes an important contribution to the stability and control of the spine. This study examined the effects of abdominal hollowing exercise (AHE) according to the visual feedback method on the external oblique, internal oblique, and transverse abdominis muscles. METHODS: Twenty healthy subjects were assigned randomly to an AHE with visual feedback from real-time ultrasound image (group A, n = 10), AHE with visual feedback with pressure biofeedback unit (group B, n = 10). Both groups underwent 20 min of AHE with visual feedback once daily, five days/week for two weeks. The changes in the muscle thickness of the TrA, internal oblique abdominal muscle (IO), and external oblique abdominal muscle (EO) were measured by ultrasonography. RESULTS: The thickness of TrA was changed significantly in both groups (p < .05). However, the lowest minimal detectable changes were achieved in Group A. The thickness of the IO and EO muscles in group A was changed significantly, but there were no significant changes in group B. CONCLUSION: Both visual feedback methods were effective for strengthening the TrA muscles selectively. Nevertheless, AHE with visual feedback using real-time ultrasound images may be more useful in trA muscle contraction.

KEYWORDS

Abdominal hollowing exercise, Real-time ultrasound image, Transversus abdominis

Citation status

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

[journal] Hodges PW / 2003 / Core stability exercise in chronic low back pain / Orthop Clin North Am 34(2) : 245~254

[journal] Akuthota V / 2008 / Core stability exercise principles / Curr Sports Med Rep 7(1) : 39~44

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

[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] Hides J / 2008 / Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects / Man Ther 13(1) : 43~49

[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] Jull G / 1993 / Towards a measurement of active muscle control for lumbar stabilisation / Aust J Physiother 39(3) : 187~193

[journal] Souza GM / 2001 / Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises / Arch Phys Med Rehabil 82(11) : 1551~1557

[journal] Maffey-Ward L / 1996 / Toward a clinical test of lumbar spine kinesthesia / J Orthop Sports Phys Ther 24(6) : 354~358

[book] C. A. Richardson / 2004 / Therapeutic Exercises for Lumbopelvic Stabilization / Churchill Livingstone

[journal] de Paula Lima PO / 2011 / Measurement properties of the pressure biofeedback unit in the evaluation of transversus abdominis muscle activity:a systematic review / Physiotherapy 97(2) : 100~106

[journal] Cairns MC / 2000 / Pressure Biofeedback:A useful tool in the quantification of abdominal muscular dysfunction? / Physiotherapy 86(3) : 127~138

[journal] Whittaker JL / 2007 / Rehabilitative ultrasound imaging of pelvic floor muscle function / J Orthop Sports Phys Ther 37(8) : 487~498

[journal] Bunce SM / 2004 / Measurement of abdominal muscle thickness using M-mode ultrasound imaging during functional activities / Man Ther 9(1) : 41~44

[journal] Norasteh A / 2007 / Reliability of B-mode ultrasonography for abdominal muscles in asymptomatic and patients with acute low back pain / Journal of Bodywork and Movement Therapies 11(1) : 17~20

[journal] Teyhen DS / 2005 / The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain / J Orthop Sports Phys Ther 35(6) : 346~355

[journal] Springer BA / 2006 / Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance / J Orthop Sports Phys Ther 36(5) : 289~297

[journal] Macedo LG / 2009 / Motor control exercise for persistent, nonspecific low back pain : a systematic review / Phys Ther 89(1) : 9~25

[journal] Akuthota V / 2004 / Core strengthening / Arch Phys Med Rehabil 85(3 Suppl 1) : S86~S92

[journal] Prentice CLS / 2021 / The reliability of rehabilitative ultrasound to measure lateral abdominal muscle thickness : A systematic review and meta-analysis / Musculoskeletal Science and Practice 53 : 1023~1057

[journal] Takasaki H / 2020 / Reliability of ultrasound measurement for isolated control of the transversus abdominis muscle during abdominal hollowing : A secondary analysis / Journal of Electromyography and Kinesiology 55 : 1024~1076

[journal] Mew R / 2009 / Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging / Man Ther 14(6) : 690~695

[book] Richardson C / 2004 / Therapeutic exercises for lumbopelvic stabilisation. A motor control approach for the treatment and prevention of low back pain / Churchill Livingstone

[journal] Mannion AF / 2008 / Abdominal muscle size and symmetry at rest and during abdominal hollowing exercises in healthy control subjects / J Anat 213(2) : 173~182

[journal] Manshadi FD / 2011 / Abdominal hollowing and lateral abdominal wall muscles'activity in both healthy men & women : An ultrasonic assessment in supine and standing positions / Journal of Bodywork and Movement Therapies 15(1) : 108~113

[journal] Herbert WJ / 2008 / Influence of feedback schedule in motor performance and learning of a lumbar multifidus muscle task using rehabilitative ultrasound imaging : a randomized clinical trial / Phys Ther 88(2) : 261~269

KJCKorea
Journal Central

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