본문 바로가기
KERD
논문KCI 등재

견관절 등척성 수축을 동반한 복부 드로우­인 기법이 젊은 성인의 복근 두께에 미치는 효과

The Effects of Abdominal Draw­in Maneuver With Shoulder Isometric Contractions on Abdominal Muscles Thickness in Healthy Person

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류물리치료학

초록

This study was conducted in order to examine whether abdominal draw-in maneuver (ADIM) with isometric shoulder flexion, extension, adduction, and abduction selectively contracted deep abdominal muscles. This study’s subjects were 13 males 17 females. In order to evaluate the comparison of effects of ADIM and ADIM with isometric shoulder flexion, extension, adduction and abduction, measurements were made on transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) using a real-time ultrasonic diagnostic imaging system. Each position was repetitively measured three times with a real-time ultrasonic diagnostic imaging system and their mean values were used for analysis. The ADIM with isometric shoulder flexion, extension, adduction and abduction significantly increased the thickness of TrA relative to the ADIM only (p<.05). The ADIM with isometric shoulder abduction significantly increased the thickness of IO compared to the ADIM only (p<.05). The ADIM with isometric shoulder extension and abduction significantly decreased the thickness of EO compared to the ADIM only and the ADIM with isometric shoulder extension significantly decreased the thickness of EO relative to the ADIM with isometric shoulder adduction (p<.05). ADIM with isometric shoulder abduction is an effective method to selectively strengthen deep abdominal muscles and therefore may be employed as an intervention for trunk stabilization.

Abstract

This study was conducted in order to examine whether abdominal draw-in maneuver (ADIM) with isometric shoulder flexion, extension, adduction, and abduction selectively contracted deep abdominal muscles. This study’s subjects were 13 males 17 females. In order to evaluate the comparison of effects of ADIM and ADIM with isometric shoulder flexion, extension, adduction and abduction, measurements were made on transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) using a real-time ultrasonic diagnostic imaging system. Each position was repetitively measured three times with a real-time ultrasonic diagnostic imaging system and their mean values were used for analysis. The ADIM with isometric shoulder flexion, extension, adduction and abduction significantly increased the thickness of TrA relative to the ADIM only (p<.05). The ADIM with isometric shoulder abduction significantly increased the thickness of IO compared to the ADIM only (p<.05). The ADIM with isometric shoulder extension and abduction significantly decreased the thickness of EO compared to the ADIM only and the ADIM with isometric shoulder extension significantly decreased the thickness of EO relative to the ADIM with isometric shoulder adduction (p<.05). ADIM with isometric shoulder abduction is an effective method to selectively strengthen deep abdominal muscles and therefore may be employed as an intervention for trunk stabilization.

참고문헌 (26)

  1. Akuthota V, "Core strengthening", Arch Phys Med Rehabil, 85(3 Suppl 1), pp.s86~s92 (2004)
  2. Chon SC, "Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults: A preliminary, randomised, controlled study", Physiotherapy, 96(2), pp.130~136 (2010)
  3. Cresswell AG, "observation on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man", Acta Physiol Scand, 144(4), pp.409~418 (1992)
  4. Critchley DJ, "Abdominal muscle function in chronic low back pain patients: Measurement with real-time ultrasound scanning", Physiotherapy, 88(6), pp.322~332 (2002)
  5. Ekstrom RA, "Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises", J Orthop Sports Phys Ther, 37(12), pp.754~762 (2007)
  6. Ferreira PH, "Changes in recruitment of the abdominal muscles in people with low back pain: Ultrasound measurement of muscle activity", Spine (Phila Pa 1976), 29(22), pp.2560~2566 (2004)
  7. Hides JA, "Long-term effects of specific stabilizing exercises for first-episode low back pain", Spine (Phila Pa 1976), 26(11), pp.t243~t248 (2001)
  8. Hodges PW, "Preparatory trunk motion accompanies rapid upper limb movement", Exp Brain Res, 124(1), pp.69~79 (1999)
  9. Hodges P, "Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds", Arch Phys Med Rehabil, 80(9), pp.1005~1012 (1999)
  10. Hodges PW, "Evaluation of the relationship between laboratory and clinical tests of transversus abdominis function", Physiother Res Int, 1(1), pp.30~40 (1996)
  11. Hodges PW, "Measurement of muscle contraction with ultrasound imaging", Muscle Nerve, 27(6), pp.682~692 (2003)
  12. Hodges PW, "Ultrasound imaging in rehabilitation: Just a fad?", J Orthop Sports Phys Ther, 35(6), pp.333~337 (2005)
  13. 김창용, "외복사근과 다열근에 대한 초음파 영상과 표면 근전도 측정방법의 신뢰도와 타당도", 한국전문물리치료학회지, 18(1), pp.37~46 (2011), 한국전문물리치료학회
  14. Kim JW, "The relationship between distance and force during isometric strength examination", J Korean Acad Rehabil Med, 20(1), pp.133~139 (1996)
  15. Kisner C, "Therapeutic Exercise: Foundations and techniques", pp.383~480 (2007), F.A. Davis Co
  16. Macedo LG, "Motor control exercise for persistent, nonspecific low back pain: A systematic review", Phys Ther, 89(1), pp.9~25 (2009)
  17. Myers TW, "Anatomy Trains: Myofascial meridians for manual and movement therapists", pp.159~175 (2001), Churchill Livingstone
  18. Panjabi MM, "The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement", J Spinal Disord, 5(4), pp.383~389 (1992)
  19. Panjabi MM, "Clinical spinal instability and low back pain", J Electromyogr Kinesiol, 13(4), pp.371~379 (2003)
  20. 박현주, "바로 누운 자세에서 하지 등척성 수축이 정상 성인의 반대측 체간 근활성도에 미치는 영향", 한국전문물리치료학회지, 19(3), pp.11~19 (2012), 한국전문물리치료학회
  21. Rankin G, "Abdominal muscle size and symmetry in normal subjects", Muscle Nerve, 34(3), pp.320~326 (2006)
  22. Richardson C, "Techniques for active lumbar stabilization for spinal protection: A pilot study", Aust J Physiother, 38(2), pp.105~112 (1992)
  23. Richardson C, "Therapeutic Exercise for Spinal Segmental Stabilitation in Low Back Pain: Scientific basis and clinical appraoch", pp.111~123 (1999), Churchill Livingstone
  24. Stetts DM, "A rehabilitative ultrasound imaging investigation of lateral abdominal muscle thickness in healthy aging adults", J Geriatri Phys Ther, 32(2), pp.60~66 (2009)
  25. Stevens VK, "Trunk muscle activity in healthy subjects during bridging stabilization exercises", BMC MusculoskeletDisord, 7, pp.75~ (2006)
  26. Stuge B, "The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: A randomized controlled trial", Spine (Phila Pa 1976), 29(4), pp.351~359 (2004)

관련 논문AI추천

이 간행물의 다른 논문 (7건)