Effects of Both Abdominal Drawing-In Maneuver and Co-Contraction of Hip Adductor Muscle while Bridge Exercise on Abdominal Muscle

Gyeong-Hui Park (박경희); Jin-Hwa Lee (이진화); Youmi Jung (정유미); Dongyeop Lee (이동엽); Hong Ji Heon (홍지헌); JaeHo Yu (유재호); Kim Jin Seop (김진섭); Kim Seong Gil (김성길)

Effects of Both Abdominal Drawing-In Maneuver and Co-Contraction of Hip Adductor Muscle while Bridge Exercise on Abdominal Muscle

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2022, 17(4), pp.15-25
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : October 18, 2022
Accepted : November 16, 2022
Published : November 30, 2022

Gyeong-Hui Park ¹, Jin-Hwa Lee ¹, Youmi Jung ¹, Dongyeop Lee ¹, Hong Ji Heon ¹, JaeHo Yu ¹, Kim Jin Seop ¹, Kim Seong Gil ¹

¹선문대학교

Accredited

ABSTRACT

PURPOSE: This study examined the effect of bridge exercise-abdominal draw-in maneuver (ADIM) with hip adductor co-contraction on the TrA thickness and whether it is effective as a core stability exercise. METHODS: The subjects of this study, 33 men with no history in the past and who provided prior consent, were selected through interviews with male students of S University. The subjects performed five movements, including bridge exercise and ADIM, and performed two demonstrations and two exercises in advance. The abdominal muscles were measured using ultrasonography once in each movement, and the abdominal muscle tone was measured using a soft tissue tone measurement. RESULTS: There was a significant difference in the thickness between the TrA and Internal Oblique Muscles at various bridge positions (p < .05), and no significant difference with the External Oblique Muscle (p < .05). There was no significant difference in muscle tone in the Rectus abdominis part (p > .05), but a significant difference in the Oblique Muscle part (p < .05). The muscle tone of the Oblique Muscles by position showed a significant difference in Bridge, BHa, and BA compared to the rest position ( p < .05), but no significant difference with BHaA (p > .05). CONCLUSION: The thickness of TrA could be increased through bridge exercise, and TrA could be activated properly using ADIM and may be an effective exercise for core stabilization.

KEYWORDS

Abdominal draw-in maneuver, Bridge exercise, Hip adduction co-contraction, Transverse abdominis, Ultrasound

Citation status

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

[journal] Andersson GB / 1999 / Epidemiological features of chronic low-back pain / Lancet 354(9178) : 581~585

[journal] Brumitt J / 2013 / Core stabilization exercise prescription, part I: Current concepts in assessment and intervention / Sports Health 5(6) : 504~509

[journal] Lee D / 2015 / Effects of bridge exercise on trunk core muscle activity with respect to sling height and hip joint abduction and adduction / J Phys Ther Sci 27(6) : 1997~1999

[journal] Himes ME / 2012 / Transversus abdominis activation during a side-bridge exercise progression is similar in people with recurrent low back pain and healthy controls / J Strength Cond Res 26(11) : 3106~3112

[journal] Wu Z / 2021 / Effects of age and sex on properties of lumbar erector spinae in healthy people:Preliminary results from a pilot study / Front Physiol 1479

[journal] Hides JA / 1996 / Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain / Spine (Phila Pa 1976) 21(23) : 2763~2769

[journal] Hodges PW / 1997 / Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement / Exp Brain Res 114(2) : 362~370

[journal] Dafkou K / 2020 / The effect of additional external resistance on inter-set changes in abdominal muscle thickness during bridging exercise / J Sports Sci Med 19(1) : 102~111

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

[journal] Misuri G / 1997 / In vivo ultrasound assessment of respiratory function of abdominal muscles in normal subjects / Eur Respir J 10(12) : 2861~2867

[journal] Whittaker JL / 2013 / Comparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain / J Orthop Sports Phys Ther 43(1) : 11~19

[journal] Jang EM / 2013 / Effects of a bridging exercise with hip adduction on the EMG activities of the abdominal and hip extensor muscles in females / J Phys Ther Sci 25(9) : 1147~1149

[journal] Richardson CA / 1995 / Muscle control-pain control. What exercises would you prescribe? / Man Ther 1(1) : 2~10

[journal] Bjerkefors A / 2010 / Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow / Man Ther 15(5) : 502~507

[journal] Coqueiro KR / 2005 / Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome / J Electromyogr Kinesiol 15(6) : 596~603

[journal] Hides J / 2008 / MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain / Br J Sports Med 42(10) : 809~813

[journal] Hides JA / 2007 / Assessment of abdominal muscle function during a simulated unilateral weight-bearing task using ultrasound imaging / J Orthop Sports Phys Ther 37(8) : 467~471

[journal] Miao P / 2015 / Vastus medialis oblique and vastus lateralis activity during a double-leg semisquat with or without hip adduction in patients with patellofemoral pain syndrome / BMC Musculoskelet Disord 16 : 289~

[journal] Hodges PW / 1993 / The influence of isometric hip adduction on quadriceps femoris activity / Scand J Rehabil Med 25(2) : 57~62

[journal] Kim MH / 2014 / Optimal and maximal loads during hip adduction exercise by asymptomatic people / J Phys Ther Sci 26(5) : 777~778

[journal] Cholewicki J / 1999 / Intra-abdominal pressure mechanism for stabilizing the lumbar spine / J Biomech 32(1) : 13~17

[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

[book] Bakkum BW / 2014 / Clinical Anatomy of the Spine, Spinal Cord, and Ans / Mosby Inc

[book] Thomas WM / 2014 / Anatomical trains; myofascial meridians for manual and movement therapists / Churchill Livingstone

[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] Bø K / 1994 / Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough, Valsalva, abdominal, h ip adductor, and g luteal muscle contractions in nulliparous healthy females / Neurourol Urodyn 13(1) : 35~41

[journal] Amorim AC / 2017 / Effect of combined actions of hip adduction/abduction on the force generation and maintenance of pelvic floor muscles in healthy women / PLoS One 12(5) : e0177575~

[journal] Cho M / 2015 / The effects of bridge exercise with the abdominal drawing-in maneuver on an unstable surface on the abdominal muscle thickness of healthy adults / J Phys Ther Sci 27(1) : 255~257

[journal] Hemborg B / 1983 / Intraabdominal pressure and trunk muscle activity during lifting–effect of abdominal muscle training in healthy subjects / Scand J Rehabil Med 15(4) : 183~196

[journal] Ljunggren AE / 1997 / Effect of exercise on sick leave due to low back pain. A randomized, comparative, long-term study / Spine (Phila Pa 1976) 22(14) : 1610~1617

[journal] Hides JA / 2007 / Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: An intrarater reliability study / J Orthop Sports Phys Ther 37(8) : 480~546

[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] McMeeken JM / 2004 / The relationship between EMG and change in thickness of transversus abdominis / Clin Biomech (Bristol, Avon) 19(4) : 337~342

[journal] Ito K / 2016 / Surface electromyography activity of the rectus abdominis, internal oblique, and external oblique muscles during forced expiration in healthy adults / J Electromyogr Kinesiol 28 : 76~81

[journal] Muckelt PE / 2022 / Protocol and reference values for minimal detectable change of MyotonPRO and ultrasound imaging measurements of muscle and subcutaneous tissue / Sci Rep 12(1) : 1~11

[journal] Moffett JK / 1999 / Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences / BMJ 319(7205) : 279~283

[journal] Teyhen DS / 2009 / Changes in lateral abdominal muscle thickness during the abdominal drawing-in maneuver in those with lumbopelvic pain / J Orthop Sports Phys Ther 39(11) : 791~798

[journal] 하유 / 2013 / The Effect of Abdominal Muscle Drawing-In Exercise During Bridge Exercise on Abdominal Muscle Thickness, using for Real-time Ultrasound Imaging / 대한물리의학회지 / 대한물리의학회 8(2) : 231~238

[journal] 피태진 / 2019 / Comparison of trunk muscle activity according to hip abduction angle during plank exercise / Physical Therapy Rehabilitation Science / 물리치료재활과학회 8(3) : 162~169

[journal] 박재철 / 2020 / The Effects of Bridge Exercise with One Hip Joint Adduction on Trunk Muscle Thickness / 대한물리치료학회지 / 대한물리치료학회 32(6) : 354~358

[journal] Puntumetakul R / 2021 / The effects of core stabilization exercise with the abdominal drawing-in maneuver technique versus general strengthening exercise on lumbar segmental motion in patients with clinical lumbar instability: A randomized controlled trial with 12-month follow-up / Int J Environ Res Public Health 18(15) : 7811~

[journal] Plotkin DL / 2021 / Muscle fiber type transitions with exercise training: Shifting perspectives / Sports (Basel) 9(9) : 127~

[journal] Lo WLA / 2019 / Lumbar muscles biomechanical characteristics in young people with chronic spinal pain / BMC Musculoskelet Disord 20(1) : 559~

[book] Mense, S. / 2010 / Muscle Pain: Understanding the Mechanisms / Springer

[journal] Rainville J / 2004 / Exercise as a treatment for chronic low back pain / Spine J 4(1) : 106~115

[journal] van Tulder M / 2000 / Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group / Spine (Phila Pa 1976) 25(21) : 2784~2796

[journal] Lee JY / 2018 / The effect of therapeutic abdominal drawing-in maneuver using ultrasonography on lateral abdominal muscle thickness and balance / J Back Musculoskelet Rehabil 31(6) : 1139~1143

[journal] Urquhart DM / 2005 / Differential activity of regions of transversus abdominis during trunk rotation / Eur Spine J 14(4) : 393~400

KJCKorea
Journal Central

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