Comparison of abdominal muscle thickness according to feedback method used during abdominal hollowing exercise

[Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic training, a pressure biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing exercise training. [Subjects and Methods]...

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Published inJournal of Physical Therapy Science Vol. 28; no. 9; pp. 2519 - 2521
Main Authors Lee, Daehee, Han, Seulki, Lee, Sangyong
Format Journal Article
LanguageEnglish
Published Japan The Society of Physical Therapy Science 2016
Subjects
Online AccessGet full text
ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.28.2519

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Abstract [Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic training, a pressure biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing exercise training. [Subjects and Methods] The subjects in this study were 30 healthy young students in their twenties. Thirty subjects were divided randomly and equally into the basic training, the pressure biofeedback unit, and real-time ultrasonographic imaging groups. All of the subjects received abdominal hollowing exercise training for 15 minutes. The subjects in the pressure biofeedback unit group were trained by using a pressure biofeedback unit. Those in the real-time ultrasonographic imaging group received training with monitoring of possible contraction of their musculus transversus abdominis muscles on ultrasonography. [Results] In all the three groups, the musculus transversus abdominis became significantly thicker, but more significantly in the real-time ultrasonographic imaging group than in the basic training group. [Conclusion] The feedback method using real-time ultrasonographic imaging may be more effective in thickening the musculus transversus abdominis muscle during exercise than the traditional feedback method with manual contact only. However, it is insufficient in terms of overall qualitative improvement of exercise outcome.
AbstractList [Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic training, a pressure biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing exercise training. [Subjects and Methods] The subjects in this study were 30 healthy young students in their twenties. Thirty subjects were divided randomly and equally into the basic training, the pressure biofeedback unit, and real-time ultrasonographic imaging groups. All of the subjects received abdominal hollowing exercise training for 15 minutes. The subjects in the pressure biofeedback unit group were trained by using a pressure biofeedback unit. Those in the real-time ultrasonographic imaging group received training with monitoring of possible contraction of their musculus transversus abdominis muscles on ultrasonography. [Results] In all the three groups, the musculus transversus abdominis became significantly thicker, but more significantly in the real-time ultrasonographic imaging group than in the basic training group. [Conclusion] The feedback method using real-time ultrasonographic imaging may be more effective in thickening the musculus transversus abdominis muscle during exercise than the traditional feedback method with manual contact only. However, it is insufficient in terms of overall qualitative improvement of exercise outcome.
[Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic training, a pressure biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing exercise training. [Subjects and Methods] The subjects in this study were 30 healthy young students in their twenties. Thirty subjects were divided randomly and equally into the basic training, the pressure biofeedback unit, and real-time ultrasonographic imaging groups. All of the subjects received abdominal hollowing exercise training for 15 minutes. The subjects in the pressure biofeedback unit group were trained by using a pressure biofeedback unit. Those in the real-time ultrasonographic imaging group received training with monitoring of possible contraction of their musculus transversus abdominis muscles on ultrasonography. [Results] In all the three groups, the musculus transversus abdominis became significantly thicker, but more significantly in the real-time ultrasonographic imaging group than in the basic training group. [Conclusion] The feedback method using real-time ultrasonographic imaging may be more effective in thickening the musculus transversus abdominis muscle during exercise than the traditional feedback method with manual contact only. However, it is insufficient in terms of overall qualitative improvement of exercise outcome.
[Abstract.] [Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic training, a pressure biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing exercise training. [Subjects and Methods] The subjects in this study were 30 healthy young students in their twenties. Thirty subjects were divided randomly and equally into the basic training, the pressure biofeedback unit, and real-time ultrasonographic imaging groups. All of the subjects received abdominal hollowing exercise training for 15 minutes. The subjects in the pressure biofeedback unit group were trained by using a pressure biofeedback unit. Those in the real-time ultrasonographic imaging group received training with monitoring of possible contraction of their musculus transversus abdominis muscles on ultrasonography. [Results] In all the three groups, the musculus transversus abdominis became significantly thicker, but more significantly in the real-time ultrasonographic imaging group than in the basic training group. [Conclusion] The feedback method using real-time ultrasonographic imaging may be more effective in thickening the musculus transversus abdominis muscle during exercise than the traditional feedback method with manual contact only. However, it is insufficient in terms of overall qualitative improvement of exercise outcome.
Purpose: This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic training, a pressure biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing exercise training. Subjects and Methods: The subjects in this study were 30 healthy young students in their twenties. Thirty subjects were divided randomly and equally into the basic training, the pressure biofeedback unit, and real-time ultrasonographic imaging groups. All of the subjects received abdominal hollowing exercise training for 15 minutes. The subjects in the pressure biofeedback unit group were trained by using a pressure biofeedback unit. Those in the real-time ultrasonographic imaging group received training with monitoring of possible contraction of their musculus transversus abdominis muscles on ultrasonography. Results: In all the three groups, the musculus transversus abdominis became significantly thicker, but more significantly in the real-time ultrasonographic imaging group than in the basic training group. Conclusion: The feedback method using real-time ultrasonographic imaging may be more effective in thickening the musculus transversus abdominis muscle during exercise than the traditional feedback method with manual contact only. However, it is insufficient in terms of overall qualitative improvement of exercise outcome.
Author Han, Seulki
Lee, Daehee
Lee, Sangyong
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Keywords Transversus abdominis
Pressure biofeedback unit
Real-time ultrasonographic imaging
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References 12) von Garnier K, Köveker K, Rackwitz B, et al.: Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit. Physiotherapy, 2009, 95: 8–14.
1) Richardson CA, Snijders CJ, Hides JA, et al.: The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine, 2002, 27: 399–405.
4) Lee DY, Seo DK: Comparison of abdominal muscle thicknesses measured by ultrasonography between the abdominal drawing-in and straight leg raise maneuvers. J Phys Ther Sci, 2012, 24: 929–931.
8) Critchley D: Instructing pelvic floor contraction facilitates transversus abdominis thickness increase during low-abdominal hollowing. Physiother Res Int, 2002, 7: 65–75.
5) Chen YH, Chai HM, Yang JL, et al.: Reliability and validity of transversus abdominis measurement at the posterior muscle-fascia junction with ultrasonography in asymptomatic participants. J Manipulative Physiol Ther, 2015, 38: 581–586.
13) Lima PO, Oliveira RR, Moura Filho AG, et al.: Concurrent validity of the pressure biofeedback unit and surface electromyography in measuring transversus abdominis muscle activity in patients with chronic nonspecific low back pain. Rev Bras Fisioter, 2012, 16: 389–395.
14) Rackwitz B, de Bie R, Limm H, et al.: Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil, 2006, 20: 553–567.
3) Park DJ, Lee SK: What is a suitable pressure for the abdominal drawing-in maneuver in the supine position using a pressure biofeedback unit? J Phys Ther Sci, 2013, 25: 527–530.
10) Kwon NH, Lee HO, Park DJ: The use of real-time ultrasound imaging for feedback during abdominal hollowing. J Korean Soc Phys Med, 2011, 6: 303–310.
7) Chung SH, You YY: Reliability of ultrasound imaging of the transversus abdominis muscle in asymptomatic subjects. J Phys Ther Sci, 2015, 27: 1373–1375.
11) Henry SM, Westervelt KC: The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther, 2005, 35: 338–345.
15) Park DJ, Lee HO: Activation of abdominal muscles during abdominal hollowing in four different positions. J Phys Ther Sci, 2010, 22: 203–207.
6) Azevedo DC, Lauria AC, Pereira AR, et al.: Intraexaminer and interexaminer reliability of pressure biofeedback unit for assessing lumbopelvic stability during 6 lower limb movement tests. J Manipulative Physiol Ther, 2013, 36: 33–43.
2) Kim MH, Oh JS: Effects of performing an abdominal hollowing exercise on trunk muscle activity during curl-up exercise on an unstable surface. J Phys Ther Sci, 2015, 27: 501–503.
9) Raney NH, Teyhen DS, Childs JD: Observed changes in lateral abdominal muscle thickness after spinal manipulation: a case series using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther, 2007, 37: 472–479.
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12
13
14
15
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3
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17877283 - J Orthop Sports Phys Ther. 2007 Aug;37(8):472-9
16001905 - J Orthop Sports Phys Ther. 2005 Jun;35(6):338-45
23380212 - J Manipulative Physiol Ther. 2013 Jan;36(1):33-43
16894798 - Clin Rehabil. 2006 Jul;20(7):553-67
26157222 - J Phys Ther Sci. 2015 May;27(5):1373-5
12109236 - Physiother Res Int. 2002;7(2):65-75
25729202 - J Phys Ther Sci. 2015 Feb;27(2):501-3
24259794 - J Phys Ther Sci. 2013 May;25(5):527-30
11840107 - Spine (Phila Pa 1976). 2002 Feb 15;27(4):399-405
19627680 - Physiotherapy. 2009 Mar;95(1):8-14
22832703 - Rev Bras Fisioter. 2012 Sep-Oct;16(5):389-95
26391236 - J Manipulative Physiol Ther. 2015 Oct;38(8):581-6
References_xml – reference: 1) Richardson CA, Snijders CJ, Hides JA, et al.: The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine, 2002, 27: 399–405.
– reference: 14) Rackwitz B, de Bie R, Limm H, et al.: Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil, 2006, 20: 553–567.
– reference: 8) Critchley D: Instructing pelvic floor contraction facilitates transversus abdominis thickness increase during low-abdominal hollowing. Physiother Res Int, 2002, 7: 65–75.
– reference: 13) Lima PO, Oliveira RR, Moura Filho AG, et al.: Concurrent validity of the pressure biofeedback unit and surface electromyography in measuring transversus abdominis muscle activity in patients with chronic nonspecific low back pain. Rev Bras Fisioter, 2012, 16: 389–395.
– reference: 4) Lee DY, Seo DK: Comparison of abdominal muscle thicknesses measured by ultrasonography between the abdominal drawing-in and straight leg raise maneuvers. J Phys Ther Sci, 2012, 24: 929–931.
– reference: 2) Kim MH, Oh JS: Effects of performing an abdominal hollowing exercise on trunk muscle activity during curl-up exercise on an unstable surface. J Phys Ther Sci, 2015, 27: 501–503.
– reference: 15) Park DJ, Lee HO: Activation of abdominal muscles during abdominal hollowing in four different positions. J Phys Ther Sci, 2010, 22: 203–207.
– reference: 6) Azevedo DC, Lauria AC, Pereira AR, et al.: Intraexaminer and interexaminer reliability of pressure biofeedback unit for assessing lumbopelvic stability during 6 lower limb movement tests. J Manipulative Physiol Ther, 2013, 36: 33–43.
– reference: 3) Park DJ, Lee SK: What is a suitable pressure for the abdominal drawing-in maneuver in the supine position using a pressure biofeedback unit? J Phys Ther Sci, 2013, 25: 527–530.
– reference: 10) Kwon NH, Lee HO, Park DJ: The use of real-time ultrasound imaging for feedback during abdominal hollowing. J Korean Soc Phys Med, 2011, 6: 303–310.
– reference: 7) Chung SH, You YY: Reliability of ultrasound imaging of the transversus abdominis muscle in asymptomatic subjects. J Phys Ther Sci, 2015, 27: 1373–1375.
– reference: 5) Chen YH, Chai HM, Yang JL, et al.: Reliability and validity of transversus abdominis measurement at the posterior muscle-fascia junction with ultrasonography in asymptomatic participants. J Manipulative Physiol Ther, 2015, 38: 581–586.
– reference: 9) Raney NH, Teyhen DS, Childs JD: Observed changes in lateral abdominal muscle thickness after spinal manipulation: a case series using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther, 2007, 37: 472–479.
– reference: 12) von Garnier K, Köveker K, Rackwitz B, et al.: Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit. Physiotherapy, 2009, 95: 8–14.
– reference: 11) Henry SM, Westervelt KC: The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther, 2005, 35: 338–345.
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  doi: 10.1590/S1413-35552012005000038
– reference: 26391236 - J Manipulative Physiol Ther. 2015 Oct;38(8):581-6
– reference: 17877283 - J Orthop Sports Phys Ther. 2007 Aug;37(8):472-9
– reference: 11840107 - Spine (Phila Pa 1976). 2002 Feb 15;27(4):399-405
– reference: 26157222 - J Phys Ther Sci. 2015 May;27(5):1373-5
– reference: 24259794 - J Phys Ther Sci. 2013 May;25(5):527-30
– reference: 22832703 - Rev Bras Fisioter. 2012 Sep-Oct;16(5):389-95
– reference: 23380212 - J Manipulative Physiol Ther. 2013 Jan;36(1):33-43
– reference: 19627680 - Physiotherapy. 2009 Mar;95(1):8-14
– reference: 16001905 - J Orthop Sports Phys Ther. 2005 Jun;35(6):338-45
– reference: 25729202 - J Phys Ther Sci. 2015 Feb;27(2):501-3
– reference: 12109236 - Physiother Res Int. 2002;7(2):65-75
– reference: 16894798 - Clin Rehabil. 2006 Jul;20(7):553-67
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[Abstract.] [Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using...
Purpose: This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic...
[Purpose] This study was intended to examine the most effective feedback method for contracting the musculus transversus abdominis muscle by using basic...
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Title Comparison of abdominal muscle thickness according to feedback method used during abdominal hollowing exercise
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