The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of Stabilization Exercise on the Structural Characteristics of Trunk Muscles between Stable and Unstable Surfaces

  • Park, Jae-Cheol (Department of Physical Therapy, Chunnam Techno University) ;
  • Yu, Jae-Young (Department of Physical Therapy, Graduate School of Dongshin University) ;
  • Hwang, Tae-Yeon (Department of Physical Therapy, Chunnam Techno University) ;
  • Kim, Chan-Kyu (Department of Physical Therapy, Gwangju Health University) ;
  • Jeong, Jin-Gyu (Department of Physical Therapy, Chunnam Techno University)
  • Received : 2016.09.13
  • Accepted : 2016.10.18
  • Published : 2016.10.30
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Abstract

Purpose: This study was conducted to evaluate the effects of bridge exercise on the structural characteristics of trunk muscles in patients with lumbar pain by applying the exercise on either a stable or an unstable surface. Methods: Thirty subjects participated in the experiment and were randomly divided into an unstable bridge exercise group (UBEG) and a stable bridge exercise group (SBEG). The exercise program for each group was conducted three times a week over a six-week period. The structural characteristics of trunk muscles were measured by obtaining images using an ultrasound imaging device. Results: The thicknesses of the external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) and the fiber angle of the erector spinae (ES) in the UBEG and the SBEG showed statistically significant increases in all items measured after the experiment. A comparison of groups conducted after the experiment to determine the effects of the exercise on each group showed no significant differences between groups for any of the measured items. Conclusion: A comprehensive review of the study results showed statistically significant increases in the thicknesses of the EO, IO, and TrA and the fiber angle of ES in both the UBEG and the SBEG. While the comparison of the groups with respect to the effects of the exercise revealed no significant differences, there were relatively larger effects in the UBEG than in the SBEG.

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References

  1. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol. 2003;13(4):361-70. https://doi.org/10.1016/S1050-6411(03)00042-7
  2. Stevens VK, Bouche KG, Mahieu NN et al. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7(1):75. https://doi.org/10.1186/1471-2474-7-75
  3. Kankaanpaa M, Colier WN, Taimela S et al. Back extensor muscle oxygenation and fatigability in healthy subjects and low back pain patients during dynamic back extension exertion. Pathophysiology. 2005;12(4): 267-73. https://doi.org/10.1016/j.pathophys.2005.09.013
  4. Norris C. Functional load abdominal training: part 1. J Bodyw Mov Ther. 1999;3(3):29-39.
  5. Hubley-Kozey CL, Vezina MJ. Muscle activation during exercises to improve trunk stability in men with low back pain. Arch Phys Med Rehabil. 2002;83(8):1100-8. https://doi.org/10.1053/apmr.2002.33063
  6. Song GB, Heo JY. The effects of bridge exercise with abdominal drawing-in on balance in patients with stroke. J Kor Phys Ther. 2016;28(1):1-7.
  7. Koh EK, Jang JH, Jung DY. Effect of abdominal hollowing on muscle activity of gluteus maximus and erector spinae during bridging exercise. J Kor Phys Ther. 2012;24(5):319-24. https://doi.org/10.1589/jpts.24.319
  8. Kim JH, Kim Y, Chung YJ. The influence of an unstable surface on trunk and lower extremity muscle activities during variable bridging exercises. J Phys Ther Sci. 2014;26(4):521. https://doi.org/10.1589/jpts.26.521
  9. O'Sullivan PB, Phyty GDM, Twomey LT et al. Evaluation of specific stabilizing exercise in thetreatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolist hesis. Spine. 1997;22(24): 2959-67. https://doi.org/10.1097/00007632-199712150-00020
  10. Haynes W. Core stability and the unstable platform device. J Bodyw Mov Ther. 2004;8(2):88-103. https://doi.org/10.1016/S1360-8592(03)00061-5
  11. Melnick M. Therapeutic exercise: moving toward function. Journal of Physical Therapy Education. 1999;13(2):56.
  12. Alway SE, Stray-Gundersen J, Grumbt WH et al. Muscle cross-sectional area and torque in resistance-trained subjects. European journal of applied physiology and occupational physiology. 1990;60(2):86-90. https://doi.org/10.1007/BF00846026
  13. Narici M, Landoni L, Minetti A. Assessment of human knee extensor muscles stress from in vivo physiological cross-sectional area and strength measurements. European journal of applied physiology and occupational physiology. 1992;65(5):438-44. https://doi.org/10.1007/BF00243511
  14. Nuttera J, Thorland WG. Body composition and anthropometric correlates of isokinetic leg extension strength of young adult males. Research Quarterly for Exercise and Sport. 1987;58(1):47-51. https://doi.org/10.1080/02701367.1987.10605419
  15. Vandervoort AA. Ankle mobility and postural stability. Physiotherapy theory and practice. 1999;15(2):91-103. https://doi.org/10.1080/095939899307793
  16. Gollnick PD, Parsons D, Riedy M et al. Fiber number and size in overloaded chicken anterior latissimus dorsi muscle. Journal of Applied Physiology. 1983;54(5):1292-7. https://doi.org/10.1152/jappl.1983.54.5.1292
  17. Kawakami Y, Ichinose Y, Kubo K et al. Architecture of contracting human muscles and its functional significance. Journal of Applied Biomechanics. 2000;16(1):88-97. https://doi.org/10.1123/jab.16.1.88
  18. Bilodeau M, Schindler-Ivens S, Williams DM et al. EMG frequency content changes with increasing force and during fatigue in the quadriceps femoris muscle of men and women. Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology. 2003;13(1):83-92. https://doi.org/10.1016/S1050-6411(02)00050-0
  19. Rankin G, Stokes M, Newham D. Size and shape of the posterior neck muscles measured by ultrasound imaging: normal values in males and females of different ages. Man Ther. 2005;10(2):108-15. https://doi.org/10.1016/j.math.2004.08.004
  20. Chi-Fishman G, Hicks JE, Cintas HM et al. Ultrasound imaging distinguishes between normal and weak muscle. Arch Phys Med Rehabil. 2004;85(6):980-6. https://doi.org/10.1016/j.apmr.2003.07.008
  21. McMeeken J, Beith I, Newham D et al. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech. 2004;19(4):337-42. https://doi.org/10.1016/j.clinbiomech.2004.01.007
  22. Christensen L, Djurhuus J, Constantinou C. Imaging of pelvic floor contractions using MRI. Neurourol Urodyn. 1995;14(3):209-16. https://doi.org/10.1002/nau.1930140302
  23. McGill SM, Hughson RL, Parks K. Changes in lumbar lordosis modify the role of the extensor muscles. Clin Biomech. 2000;15(10):777-80. https://doi.org/10.1016/S0268-0033(00)00037-1
  24. Singh DK, Bailey M, Lee RY. Ageing modifies the fibre angle and biomechanical function of the lumbar extensor muscles. Clin Biomech. 2011;26(6):543-7. https://doi.org/10.1016/j.clinbiomech.2011.02.002
  25. Jeong CJ, Yang HS, Yoo YD et al. The effect of stabilization exercise and strength exercise onpain, rom, strength, muscle thickness of non-specific low back patients. Journal of The Kor ean Society of Integrative Medicine. 2014;2(1):35-49. https://doi.org/10.15268/ksim.2014.2.1.035
  26. Lim J, Kim D. The Changes of lumbar stabilization exercise on balance with a variety of supporting surface in chronic hemiplegia. Journal of The Korean Society of Integrative Medicine. 2015;3(3):9-16.
  27. Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 2000; 80(6):564-9.
  28. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a swissball. Chiropractic & osteopathy. 2005;13(1):1. https://doi.org/10.1186/1746-1340-13-1
  29. 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. North American Journal of Sports Physical Therapy : NAJSPT. 2010;5(2):63-73.
  30. Imai A, Kaneoka K, Okubo Y et al. Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface. J Orthop Sports Phys Ther. 2010;40(6):369-75. https://doi.org/10.2519/jospt.2010.3211
  31. Bae W, Lee K. Effect of the breathing methods in accordance with surfaces during bridging exercises. Korean Society of Physical Medicine. 2016;11(2):33-40.
  32. Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol. 2000;89(3):967-76. https://doi.org/10.1152/jappl.2000.89.3.967
  33. Gong WT. Correlations between transversus abdominis thickness, lumbar stability, and balance of female university students. J Phys Ther Sci. 2013;25(6):681-3. https://doi.org/10.1589/jpts.25.681
  34. Behm DG, Anderson K, CURNEW RS. Muscle force and activation under stable and unstable conditions. J Strength Cond Res. 2002;16(3):416-22.
  35. Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve trunk stability. Arch Phys Med Rehabil. 2000;81(10):1370-9. https://doi.org/10.1053/apmr.2000.16349
  36. Newcomer KL, Laskowski ER, Yu B et al. Differences in repositioning error among patients with low back pain compared with control subjects. Spine. 2000;25(19):2488-93. https://doi.org/10.1097/00007632-200010010-00011
  37. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-9. https://doi.org/10.1016/S1050-6411(03)00044-0
  38. Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clin Biomech. 1996;11(1):1-15. https://doi.org/10.1016/0268-0033(95)00035-6
  39. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil. 2005;86(2):242-9. https://doi.org/10.1016/j.apmr.2004.05.004
  40. Lee S, Kim T, Cynn H et al. The influence of unstability of supporting surface on trunk and lower extremity muscle activities during bridging exercise combined with core-stabilization exercise. Physical Therapy Korea. 2010;17(1):17-25.
  41. Aagaard P, Suetta C, Caserotti P et al. Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure. Scand J Med Sci Sports. 2010;20(1):49-64. https://doi.org/10.1111/j.1600-0838.2009.01084.x
  42. Ostrowska B. The shape of anterior-posterior spinal curvature in post-menopausal women with osteoporosis. Ortopedia, traumatologia, rehabilitacja. 2006;8(5):537-42.

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