Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The effect of abdominal drawing-in maneuver and pelvic floor muscle contraction in individuals with and without low back pain

요통유무에 따른 복부 드로우인과 골반바닥근 수축훈련이 배가로근과 골반바닥근에 미치는 영향

  • Youn, Hye-Jin (Department of Physical Therapy, Bonifacio Hospital) ;
  • Kim, Ji-Seon (Department of Physical Therapy, College of Health, Kyungwoon University)
  • 윤혜진 (보니파시오요양병원 물리치료실) ;
  • 김지선 (경운대학교 보건대학 물리치료학과)
  • Received : 2015.10.15
  • Accepted : 2015.11.10
  • Published : 2016.02.29
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Abstract

PURPOSE: This study aimed to identify differences in the thickness of the transverse abdominis (TrA) and pelvic floor muscles (PFM) between those with (LBP) and without low back pain (non-LBP). The standardized methods of contraction for the TrA and PFM were used to perform the abdominal draw-in maneuver (ADIM) and pelvic floor muscle contraction (PFC), respectively. METHODS: This study included 27 young men and women, who were verbally instructed regarding the maneuvers (LBP, n=14; non-LBP, n=13). For all subjects, TrA and PFM thickness were evaluated by ultrasonography during ADIM and PFC. RESULTS: The results of this study showed that TrA thickness increased during ADIM and PFC to a greater degree in the non-LBP group than in the LBP group (p < 0.01). PFM thickness increased more during PFC in the non-LBP group than in the LBP group (p < 0.05). Both groups showed greater increases in TrA thickness during ADIM than during PFC (p < 0.01), and greater increases in PFM thickness during PFC than during ADIM (p < 0.05). CONCLUSION: These results suggest that receiving verbal instructions on how to use each muscle for a specific maneuver was more beneficial than other verbal instruction. Further studies are needed determine how our results may be applied beneficially in research on this topic.

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