Changes in thickness of the transversus abdominis during the abdominal drawing-in manoeuvre and expiratory muscle training in elderly people
[Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals....
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| Published in | Journal of Physical Therapy Science Vol. 30; no. 1; pp. 119 - 123 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
2018
Japan Science and Technology Agency |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.30.119 |
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| Abstract | [Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals. [Subjects and Methods] Twenty-one elderly subjects (9 males, 12 females; mean age, 84.9 ± 6.6 years) without LBP symptoms were included. Using ultrasound imaging we measured changes in thickness of the lateral abdominal muscles, TrA, internal oblique muscle (IO), and external oblique muscle (EO) during ADIM and EMT. The load in EMT was set to 15% of maximal expiratory pressure. [Results] TrA showed a significant increase in muscle thickness during ADIM and EMT compared with at rest. A significant increase in muscle thickness was noted for EMT in comparison with ADIM. No significant differences were found for IO and EO. [Conclusion] In elderly people, EMT may be an effective alternative to ADIM for promoting activity of the TrA and can be used as an exercise to maintain TrA function. |
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| AbstractList | [Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals. [Subjects and Methods] Twenty-one elderly subjects (9 males, 12 females; mean age, 84.9 ± 6.6 years) without LBP symptoms were included. Using ultrasound imaging we measured changes in thickness of the lateral abdominal muscles, TrA, internal oblique muscle (IO), and external oblique muscle (EO) during ADIM and EMT. The load in EMT was set to 15% of maximal expiratory pressure. [Results] TrA showed a significant increase in muscle thickness during ADIM and EMT compared with at rest. A significant increase in muscle thickness was noted for EMT in comparison with ADIM. No significant differences were found for IO and EO. [Conclusion] In elderly people, EMT may be an effective alternative to ADIM for promoting activity of the TrA and can be used as an exercise to maintain TrA function.[Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals. [Subjects and Methods] Twenty-one elderly subjects (9 males, 12 females; mean age, 84.9 ± 6.6 years) without LBP symptoms were included. Using ultrasound imaging we measured changes in thickness of the lateral abdominal muscles, TrA, internal oblique muscle (IO), and external oblique muscle (EO) during ADIM and EMT. The load in EMT was set to 15% of maximal expiratory pressure. [Results] TrA showed a significant increase in muscle thickness during ADIM and EMT compared with at rest. A significant increase in muscle thickness was noted for EMT in comparison with ADIM. No significant differences were found for IO and EO. [Conclusion] In elderly people, EMT may be an effective alternative to ADIM for promoting activity of the TrA and can be used as an exercise to maintain TrA function. [Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals. [Subjects and Methods] Twenty-one elderly subjects (9 males, 12 females; mean age, 84.9 ± 6.6 years) without LBP symptoms were included. Using ultrasound imaging we measured changes in thickness of the lateral abdominal muscles, TrA, internal oblique muscle (IO), and external oblique muscle (EO) during ADIM and EMT. The load in EMT was set to 15% of maximal expiratory pressure. [Results] TrA showed a significant increase in muscle thickness during ADIM and EMT compared with at rest. A significant increase in muscle thickness was noted for EMT in comparison with ADIM. No significant differences were found for IO and EO. [Conclusion] In elderly people, EMT may be an effective alternative to ADIM for promoting activity of the TrA and can be used as an exercise to maintain TrA function. [Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals. [Subjects and Methods] Twenty-one elderly subjects (9 males, 12 females; mean age, 84.9 ± 6.6 years) without LBP symptoms were included. Using ultrasound imaging we measured changes in thickness of the lateral abdominal muscles, TrA, internal oblique muscle (IO), and external oblique muscle (EO) during ADIM and EMT. The load in EMT was set to 15% of maximal expiratory pressure. [Results] TrA showed a significant increase in muscle thickness during ADIM and EMT compared with at rest. A significant increase in muscle thickness was noted for EMT in comparison with ADIM. No significant differences were found for IO and EO. [Conclusion] In elderly people, EMT may be an effective alternative to ADIM for promoting activity of the TrA and can be used as an exercise to maintain TrA function. |
| Author | Nakagawa, Takao Madokoro, Sachiko Yokogawa, Masami Sugimoto, Takamune Miaki, Hiroichi |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29410580$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1589/jpts.18.187 10.1016/j.archger.2012.03.007 10.1097/00002060-198710000-00002 10.1136/bjsm.2009.061515 10.1589/rika.30.385 10.1007/s00221-003-1457-x 10.1589/rika.19.137 10.1097/BRS.0b013e31828435fb 10.3143/geriatrics.35.23 10.1016/j.clinbiomech.2004.11.007 10.1097/01.brs.0000144410.89182.f9 10.1097/00002060-199308000-00009 10.1249/MSS.0b013e3182667c2e 10.2147/CIA.S47263 |
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| Keywords | Transversus abdominis Expiratory muscle training Abdominal drawing-in manoeuvre |
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| References | 9) Watanabe Y, Yamada Y, Fukumoto Y, et al.: Echo intensity obtained from ultrasonography images reflecting muscle strength in elderly men. Clin Interv Aging, 2013, 8: 993–998. 4) Byström MG, Rasmussen-Barr E, Grooten WJ: Motor control exercises reduces pain and disability in chronic and recurrent low back pain: a meta-analysis. Spine, 2013, 38: E350–E358. 15) Sugimoto T, Yokogawa M, Miaki H, et al.: Changes in the thickness of transversus abdominis muscle during “drawing-in” of the abdominal wall and expiratory threshold loading according to posture. Rigakuryoho Kagaku, 2015, 30: 385–388 (in Japanese). 12) Suzuki M, Teramoto S, Sudo E, et al.: [Age-related changes in static maximal inspiratory and expiratory pressures]. Nihon Kyobu Shikkan Gakkai Zasshi, 1997, 35: 1305–1311 (in Japanese). 1) Richardson C, Hodges P, Hides J, et al.: Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. Edinburgh: Churchill Livingstone, 2004, pp 31–34, 54. 16) Chow RK, Harrison JE: Relationship of kyphosis to physical fitness and bone mass on post-menopausal women. Am J Phys Med, 1987, 66: 219–227. 18) Ito J: Myofibrous organization in human abdominal muscles. J Showa Med Assoc, 1988, 48: 471–483 (in Japanese). 8) Kitamura T, Sato N: Age-related changes in muscle thickness of the trunk muscles. Niigata Phys Ther Association, 2015, 18: 7–12 (in Japanese). 14) Dema J, Oba A, Oe A, et al.: The influence of differences in verbal instruction on transversus abdominis exercise. Rigakuryoho Kenkyu Nagano, 2007, (36): 58–60 (in Japanese). 2) Ferreira PH, Ferreira ML, Hodges PW: Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine, 2004, 29: 2560–2566. 17) Cutler WB, Friedmann E, Genovese-Stone E: Prevalence of kyphosis in a healthy sample of pre- and postmenopausal women. Am J Phys Med Rehabil, 1993, 72: 219–225. 20) Kaneko H, Sato H, Maruyama H: Evaluation of lateral abdominal muscle activity during expiratory threshold loading by ultrasonography. J Phys Ther Sci, 2006, 18: 187–191. 5) Ferreira PH, Ferreira ML, Maher CG, et al.: Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. Br J Sports Med, 2010, 44: 1166–1172. 13) Saliba SA, Croy T, Guthrie R, et al.: Differences in transverse abdominis activation with stable and unstable bridging exercises in individuals with low back pain. N Am J Sports Phys Ther, 2010, 5: 63–73. 10) Teragaki Y, Araya K, Sueki K, et al.: Reliability and validity of the index of kyphosis on sitting. Rigakuryoho Kagaku, 2004, 19: 137–140 (in Japanese). 11) Teramoto S, Suzuki M, Matsuse T, et al.: [Influence of kyphosis on the age-related decline in pulmonary function]. Nihon Ronen Igakkai Zasshi, 1998, 35: 23–27 (in Japanese). 19) Urquhart DM, Barker PJ, Hodges PW, et al.: Regional morphology of the transversus abdominis and obliquus internus and externus abdominis muscles. Clin Biomech (Bristol, Avon), 2005, 20: 233–241. 3) Hodges PW, Moseley GL, Gabrielsson A, et al.: Experimental muscle pain changes feedforward postural responses of the trunk muscles. Exp Brain Res, 2003, 151: 262–271. 6) Verdijk LB, Dirks ML, Snijders T, et al.: Reduced satellite cell numbers with spinal cord injury and aging in humans. Med Sci Sports Exerc, 2012, 44: 2322–2330. 7) Ota M, Ikezoe T, Kaneoka K, et al.: Age-related changes in the thickness of the deep and superficial abdominal muscles in women. Arch Gerontol Geriatr, 2012, 55: e26–e30. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 |
| References_xml | – reference: 12) Suzuki M, Teramoto S, Sudo E, et al.: [Age-related changes in static maximal inspiratory and expiratory pressures]. Nihon Kyobu Shikkan Gakkai Zasshi, 1997, 35: 1305–1311 (in Japanese). – reference: 20) Kaneko H, Sato H, Maruyama H: Evaluation of lateral abdominal muscle activity during expiratory threshold loading by ultrasonography. J Phys Ther Sci, 2006, 18: 187–191. – reference: 13) Saliba SA, Croy T, Guthrie R, et al.: Differences in transverse abdominis activation with stable and unstable bridging exercises in individuals with low back pain. N Am J Sports Phys Ther, 2010, 5: 63–73. – reference: 6) Verdijk LB, Dirks ML, Snijders T, et al.: Reduced satellite cell numbers with spinal cord injury and aging in humans. Med Sci Sports Exerc, 2012, 44: 2322–2330. – reference: 8) Kitamura T, Sato N: Age-related changes in muscle thickness of the trunk muscles. Niigata Phys Ther Association, 2015, 18: 7–12 (in Japanese). – reference: 5) Ferreira PH, Ferreira ML, Maher CG, et al.: Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. Br J Sports Med, 2010, 44: 1166–1172. – reference: 17) Cutler WB, Friedmann E, Genovese-Stone E: Prevalence of kyphosis in a healthy sample of pre- and postmenopausal women. Am J Phys Med Rehabil, 1993, 72: 219–225. – reference: 2) Ferreira PH, Ferreira ML, Hodges PW: Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine, 2004, 29: 2560–2566. – reference: 7) Ota M, Ikezoe T, Kaneoka K, et al.: Age-related changes in the thickness of the deep and superficial abdominal muscles in women. Arch Gerontol Geriatr, 2012, 55: e26–e30. – reference: 18) Ito J: Myofibrous organization in human abdominal muscles. J Showa Med Assoc, 1988, 48: 471–483 (in Japanese). – reference: 9) Watanabe Y, Yamada Y, Fukumoto Y, et al.: Echo intensity obtained from ultrasonography images reflecting muscle strength in elderly men. Clin Interv Aging, 2013, 8: 993–998. – reference: 14) Dema J, Oba A, Oe A, et al.: The influence of differences in verbal instruction on transversus abdominis exercise. Rigakuryoho Kenkyu Nagano, 2007, (36): 58–60 (in Japanese). – reference: 3) Hodges PW, Moseley GL, Gabrielsson A, et al.: Experimental muscle pain changes feedforward postural responses of the trunk muscles. Exp Brain Res, 2003, 151: 262–271. – reference: 11) Teramoto S, Suzuki M, Matsuse T, et al.: [Influence of kyphosis on the age-related decline in pulmonary function]. Nihon Ronen Igakkai Zasshi, 1998, 35: 23–27 (in Japanese). – reference: 4) Byström MG, Rasmussen-Barr E, Grooten WJ: Motor control exercises reduces pain and disability in chronic and recurrent low back pain: a meta-analysis. Spine, 2013, 38: E350–E358. – reference: 1) Richardson C, Hodges P, Hides J, et al.: Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. Edinburgh: Churchill Livingstone, 2004, pp 31–34, 54. – reference: 15) Sugimoto T, Yokogawa M, Miaki H, et al.: Changes in the thickness of transversus abdominis muscle during “drawing-in” of the abdominal wall and expiratory threshold loading according to posture. Rigakuryoho Kagaku, 2015, 30: 385–388 (in Japanese). – reference: 16) Chow RK, Harrison JE: Relationship of kyphosis to physical fitness and bone mass on post-menopausal women. Am J Phys Med, 1987, 66: 219–227. – reference: 10) Teragaki Y, Araya K, Sueki K, et al.: Reliability and validity of the index of kyphosis on sitting. Rigakuryoho Kagaku, 2004, 19: 137–140 (in Japanese). – reference: 19) Urquhart DM, Barker PJ, Hodges PW, et al.: Regional morphology of the transversus abdominis and obliquus internus and externus abdominis muscles. Clin Biomech (Bristol, Avon), 2005, 20: 233–241. – ident: 18 – ident: 20 doi: 10.1589/jpts.18.187 – ident: 7 doi: 10.1016/j.archger.2012.03.007 – ident: 16 doi: 10.1097/00002060-198710000-00002 – ident: 1 – ident: 5 doi: 10.1136/bjsm.2009.061515 – ident: 12 – ident: 15 doi: 10.1589/rika.30.385 – ident: 3 doi: 10.1007/s00221-003-1457-x – ident: 10 doi: 10.1589/rika.19.137 – ident: 4 doi: 10.1097/BRS.0b013e31828435fb – ident: 11 doi: 10.3143/geriatrics.35.23 – ident: 13 – ident: 14 – ident: 19 doi: 10.1016/j.clinbiomech.2004.11.007 – ident: 2 doi: 10.1097/01.brs.0000144410.89182.f9 – ident: 17 doi: 10.1097/00002060-199308000-00009 – ident: 6 doi: 10.1249/MSS.0b013e3182667c2e – ident: 8 – ident: 9 doi: 10.2147/CIA.S47263 |
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| SubjectTerms | Abdomen Abdominal drawing-in manoeuvre Expiratory muscle training Older people Original Transversus abdominis |
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| Title | Changes in thickness of the transversus abdominis during the abdominal drawing-in manoeuvre and expiratory muscle training in elderly people |
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