The Use of Real-Time Ultrasound Imaging for Feedback during Abdominal Hollowing

복부 할로잉 운동에서 실시간 초음파 영상 피드백의 사용 효과

  • Kwon, Nam-Hee (Department of Physical Therapy, Catholic University of Pusan) ;
  • Lee, Hyun-Ok (Department of Physical Therapy, Catholic University of Pusan) ;
  • Park, Du-Jin (Department of Physical Therapy, Catholic University of Pusan)
  • 권남희 (부산가톨릭대학교 물리치료학과) ;
  • 이현옥 (부산가톨릭대학교 물리치료학과) ;
  • 박두진 (부산가톨릭대학교 물리치료학과)
  • Received : 2011.07.12
  • Accepted : 2011.08.18
  • Published : 2011.08.31

Abstract

Purpose : This study examined the feedback effect of real-time ultrasound imaging on the thickness of transversus abdominis(TrA), internal abdominal oblique(IO) and external abdominal oblique(EO) during abdominal hollowing exercise(AHE) in crook lying. Methods : We performed this study on 30 healthy men who voluntarily consented to participate in this study after listening to its purpose and method. All subject were divided into an experimental group(n=15) with using the real-time ultrasound imaging feedback(RUIF) and a control group(n=15) without the RUIF The thickness changes between rest and AHE were compared between the two groups in crook lying. Results : The difference in TrA and EO thickness changes between the groups were significant in crook lying (p<0.05). Conclusion : The group with using real-time ultrasound imaging feedback showed a higher increase in the thickness of TrA than the other group without real-time ultrasound imaging feedback. And the thickness of EO in the group with using real-time ultrasound imaging feedback decreased than the other group without real-time ultrasound imaging feedback. If the muscle thickness can be regarded as an indicator of muscle activity, RUIF will be helpful for inducing the independent activity of TrA by reducing the activities of abdominal muscles such as EO.

Keywords

References

  1. Beith ID, Synnott RE, Newman SA. Abdominal muscle activity during the abdominal hollowing manoeuvre in the four point kneeling and prone positions. Man Ther. 2001;6(2):82-7. https://doi.org/10.1054/math.2000.0376
  2. Chanthapetch P, Kanlayanaphotporn R, Gaogasigam C et al. Abdominal muscle activity during abdominal hollowing in four starting positions. Man Ther. 2009;14(6):642-6. https://doi.org/10.1016/j.math.2008.12.009
  3. Critchley D. Instructing pelvic floor contraction facilitates transversus abdominis thickness increase during low-abdominal hollowing. Physiother Res Int. 2002;7(2):65-75. https://doi.org/10.1002/pri.243
  4. 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(22):2560-6. https://doi.org/10.1097/01.brs.0000144410.89182.f9
  5. 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(6):338-45.
  6. Herbert WJ, Heiss DG, Basso DM. Influence of feedback schedule in motor performance and learning of a lumbar multifidus muscle task using rehabilitative ultrasound imaging: a randomized clinical trial. Phys Ther. 2008;88(2):261-9. https://doi.org/10.2522/ptj.20060308
  7. Hides JA, Stokes MJ, Saide M et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine. 1994;19(2):165-72.
  8. Hides JA, Richardson CA, Jull GA. Use of real-time ultrasound imaging for feedback in rehabilitation. Man Ther. 1998;3(3):125-31. https://doi.org/10.1016/S1356-689X(98)80002-7
  9. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001;26(11):E243-8. https://doi.org/10.1097/00007632-200106010-00004
  10. Hides J, Wilson S, Stanton W et al. An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine. 2006;31(6):E175-8. https://doi.org/10.1097/01.brs.0000202740.86338.df
  11. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine. 1996;21(22):2640-50. https://doi.org/10.1097/00007632-199611150-00014
  12. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77(2):132-42.
  13. Hodges PW, Richardson CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett. 1999;265(2):91-4. https://doi.org/10.1016/S0304-3940(99)00216-5
  14. Hodges PW. Ultrasound imaging in rehabilitation: just a fad? J Orthop Sports Phys Ther. 2005;35(6):333-7.
  15. Mannion AF, Pulkovski N, Toma V et al. Abdominal muscle size and symmetry at rest and during abdominal hollowing exercises in healthy control subjects. J Anat. 2008;213(2):173-82. https://doi.org/10.1111/j.1469-7580.2008.00946.x
  16. McGill SM, Cholewicki J. Biomechanical basis for stability: and explanation to enhance clinical utility. J Orthop Sports Phys Ther. 2001;31(2):96-100.
  17. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Man Ther. 2009;14(6):690-5. https://doi.org/10.1016/j.math.2009.05.003
  18. Misuri G, Colagrande S, Gorini M et al. In vivo ultrasound assessment of respiratory function of abdominal muscles in normal subjects. Eur Respir J. 1997;10(12):2861-7. https://doi.org/10.1183/09031936.97.10122861
  19. Norris CM. Functional load abdominal training: part 2. Physical Therapy in Sport. 2001;2(3):149-156. https://doi.org/10.1054/ptsp.2001.0033
  20. O'Sullivan P, Twomey L, Allison G et al. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Aust J Physiother. 1997;43(2):91-8.
  21. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-9. https://doi.org/10.1097/00002517-199212000-00001
  22. Park DJ, Lee HO. Activation of abdominal muscles during abdominal hollowing in four different positions. J Phys Ther Sci. 2010;22(2):203-7. https://doi.org/10.1589/jpts.22.203
  23. Park DJ. The Effect of real-time ultrasound imaging feedback during abdominal hollowing in four point kneeling to healthy men. J Kor Soc Phys Ther. 2010a;22(6):1-6.
  24. Park DJ. Changes of thickness in abdominal muscles between crook lying and wall support standing during abdominal hollowing in healthy men. J Kor Soc Phys Ther. 2010b;22(6):7-12.
  25. 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(7):553-67. https://doi.org/10.1191/0269215506cr977oa
  26. 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(8):472-9.
  27. Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995;1(1):2-10. https://doi.org/10.1054/math.1995.0243
  28. 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(4):399-405. https://doi.org/10.1097/00007632-200202150-00015
  29. Springer BA, Mielcarek BJ, Nesfield TK et al. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther. 2006;36(5):289-297.
  30. Stokes M, Hides J, Elliott J et al. Rehabilitative ultrasound imaging of the posterior paraspinal muscles. J Orthop Sports Phys Ther. 2007;37(10):581-95.
  31. Teyhen DS, Miltenberger CE, Deiters HM et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35(6):346-55.
  32. Teyhen DS, Gill NW, Whittaker JL et al. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 2007;37(8):450-66.
  33. Urquhart DM, Hodges PW, Allen TJ et al. Abdominal muscle recruitment during a range of voluntary exercises. Man Ther. 2005;10(2):144-53. https://doi.org/10.1016/j.math.2004.08.011
  34. Van K, Hides JA, Richardson CA. The use of realtime ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. J Orthop Sports Phys Ther. 2006;36(12):920-5. https://doi.org/10.2519/jospt.2006.2304