Effects of Abdominal Hollowing During Stair Climbing on the Activations of Local Trunk Stabilizing Muscles: A Cross-Sectional Study
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Objective To examine using surface electromyography whether stair climbing with abdominal hollowing (AH) is better at facilitating local trunk muscle activity than stair climbing without AH. Methods Twenty healthy men with no history of low back pain participated in the study. Surface electrodes were attached to the multifidus (MF), lumbar erector spinae, thoracic erector spinae, transverse abdominus - internal oblique abdominals (TrA-IO), external oblique abdominals (EO), and the rectus abdominis. Amplitudes of electromyographic signals were measured during stair climbing. Study participants performed maximal voluntary contractions (MVC) for each muscle in various positions to normalize the surface electromyography data.Results AH during stair climbing resulted in significant increases in normalized MVCs in both MFs and TrA-IOs (p<0.05). Local trunk muscle/global trunk muscle ratios were higher during stair climbing with AH as compared with stair climbing without AH. Especially, right TrA-IO/EO and left TrA-IO/EO were significantly increased (p<0.05).Conclusion Stair climbing with AH activates local trunk stabilizing muscles better than stair climbing without AH. The findings suggest that AH during stair climbing contributes to trunk muscle activation and trunk stabilization.
Abstract
Objective To examine using surface electromyography whether stair climbing with abdominal hollowing (AH) is better at facilitating local trunk muscle activity than stair climbing without AH. Methods Twenty healthy men with no history of low back pain participated in the study. Surface electrodes were attached to the multifidus (MF), lumbar erector spinae, thoracic erector spinae, transverse abdominus - internal oblique abdominals (TrA-IO), external oblique abdominals (EO), and the rectus abdominis. Amplitudes of electromyographic signals were measured during stair climbing. Study participants performed maximal voluntary contractions (MVC) for each muscle in various positions to normalize the surface electromyography data.Results AH during stair climbing resulted in significant increases in normalized MVCs in both MFs and TrA-IOs (p<0.05). Local trunk muscle/global trunk muscle ratios were higher during stair climbing with AH as compared with stair climbing without AH. Especially, right TrA-IO/EO and left TrA-IO/EO were significantly increased (p<0.05).Conclusion Stair climbing with AH activates local trunk stabilizing muscles better than stair climbing without AH. The findings suggest that AH during stair climbing contributes to trunk muscle activation and trunk stabilization.
참고문헌 (40)
- Scheer SJ, "Randomized controlled trials in industrial low back pain relating to return to work. Part 2. Discogenic low back pain", Arch Phys Med Rehabil, 77, pp.1189~1197 (1996)
- Ferreira ML, "Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial", Pain, 131, pp.31~37 (2007)
- Koltyn KF, "Perception of pain following aerobic exercise", Med Sci Sports Exerc, 28, pp.1418~1421 (1996)
- Sculco AD, "Effects of aerobic exercise on low back pain patients in treatment", Spine J, 2001(1), pp.95~101 (2001)
- Meyer P, "Stair use for cardiovascular disease prevention", Eur J Cardiovasc Prev Rehabil, 16(Suppl 2), pp.17~18 (2009)
- Borschmann K, "Stepping towards prevention of bone loss after stroke: a systematic review of the skeletal effects of physical activity after stroke", Int J Stroke, 7, pp.330~335 (2012)
- Granacher U, "A qualitative review of balance and strength performance in healthy older adults: impact for testing and training", J Aging Res, 2012, pp.708905~ (2012)
- Marin R, "Rehabilitation implications of stepper exercise technique on exertion and hip extensor muscle activation: a small exploratory study", J Rehabil Res Dev, 45, pp.125~134 (2008)
- Souza DR, "Comparison of vastus medialis obliquus: vastus lateralis muscle integrated electromyographic ratios between healthy subjects and patients with patellofemoral pain", Phys Ther, 71, pp.310~316 (1991)
- Bergmark A, "Stability of the lumbar spine: a study in mechanical engineering", Acta Orthop Scand Suppl, 230, pp.1~54 (1989)
- Norris CM, "Abdominal muscle training in sport", Br J Sports Med, 27, pp.19~27 (1993)
- Hodges PW, "Is there a role for transversus abdominis in lumbo-pelvic stability?", Man Ther, 4, pp.74~86 (1999)
- Souza GM, "Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises", Arch Phys Med Rehabil, 82, pp.1551~1557 (2001)
- Richardson C, "Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain" (2004), Churchill Livingstone
- Henry SM, "The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects", J Orthop Sports Phys Ther, 35, pp.338~345 (2005)
- Henry SM, "Ultrasound imaging as a feedback tool in the rehabilitation of trunk muscle dysfunction for people with low back pain", J Orthop Sports Phys Ther, 37, pp.627~634 (2007)
- Hodges PW, "Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds", Arch Phys Med Rehabil, 80, pp.1005~1012 (1999)
- Urquhart DM, "Abdominal muscle recruitment during a range of voluntary exercises", Man Ther, 10, pp.144~153 (2005)
- Costa LO, "Short report: intra-tester reliability of two clinical tests of transversus abdominis muscle recruitment", Physiother Res Int, 11, pp.48~50 (2006)
- Hodges PW, "Measurement of muscle contraction with ultrasound imaging", Muscle Nerve, 27, pp.682~692 (2003)
- Claus AP, "Different ways to balance the spine: subtle changes in sagittal spinal curves affect regional muscle activity", Spine (Phila Pa 1976), 34, pp.208~214 (2009)
- Tsao H, "Motor training of the lumbar paraspinal muscles induces immediate changes in motor coordination in patients with recurrent low back pain", J Pain, 11, pp.1120~1128 (2010)
- de Seze MP, "Anatomical optimization of skin electrode placement to record electromyographic activity of erector spinae muscles", Surg Radiol Anat, 30, pp.137~143 (2008)
- Ng JK, "Muscle fibre orientation of abdominal muscles and suggested surface EMG electrode positions", Electromyogr Clin Neurophysiol, 38, pp.51~58 (1998)
- Bressel E, "Trunk muscle activity during exercises performed on land and in water", Med Sci Sports Exerc, 43, pp.1927~1932 (2011)
- Roys MS, "Serious stair injuries can be prevented by improved stair design", Appl Ergon, 32, pp.135~139 (2001)
- Stevens VK, "Trunk muscle activity in healthy subjects during bridging stabilization exercises", BMC Musculoskelet Disord, 7, pp.75~ (2006)
- Pfingsten M, "Effectiveness of a multimodal treatment program for chronic low-back pain", Pain, 73, pp.77~85 (1997)
- Hagins M, "Effects of practice on the ability to perform lumbar stabilization exercises", J Orthop Sports Phys Ther, 29, pp.546~555 (1999)
- Nachemson AL, "Instability of the lumbar spine: pathology, treatment, and clinical evaluation", Neurosurg Clin N Am, 2, pp.785~790 (1991)
- Martin PR, "Physiotherapy exercises for low back pain: process and clinical outcome", Int Rehabil Med, 8, pp.34~38 (1986)
- Hides JA, "Long-term effects of specific stabilizing exercises for first-episode low back pain", Spine (Phila Pa 1976), 26, pp.243~248 (2001)
- Hides JA, "Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain", Spine (Phila Pa 1976), 21, pp.2763~2769 (1996)
- Hodges PW, "Contraction of the abdominal muscles associated with movement of the lower limb", Phys Ther, 77, pp.132~142 (1997)
- Hodges PW, "Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task", Neurosci Lett, 265, pp.91~94 (1999)
- Hodges PW, "Inefficient muscular stabilization of the lumbar spine associated with low back pain: a motor control evaluation of transversus abdominis", Spine (Phila Pa 1976), 21, pp.2640~2650 (1996)
- Lee AH, "Abdominal hollowing during gait can selectively activate local trunk stabilizing muscles", Proceedings of the 40th Annual Meeting of the Korean Academy of Rehabilitation Medicine (2012)
- Richardson C, "Techniques for active lumbar stabilization for spinal protection: a pilot study", Aust J Physiother, 38, pp.105~112 (1992)
- Vezina MJ, "Muscle activation in therapeutic exercises to improve trunk stability", Arch Phys Med Rehabil, 81, pp.1370~1379 (2000)
- Duval K, "The mechanical relationship between the rearfoot, pelvis and low-back", Gait Posture, 32, pp.637~640 (2010)
