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European Journal of Applied Physiology

Erschienen in:

30.09.2020 | Original Article

Effects of trunk lean and foot lift exercises in sitting position on abdominal muscle activity and the contribution rate of transversus abdominis

verfasst von: Yoshiki Motomura, Hiroshige Tateuchi, Tomohito Komamura, Yuta Yagi, Sayaka Nakao, Noriaki Ichihashi

Erschienen in: European Journal of Applied Physiology | Ausgabe 1/2021

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Abstract

Purpose

Abdominal hollowing exercise has been recommended to improve trunk stability. Trunk lean and foot lift exercises while sitting may easily promote abdominal muscle activity even in people who cannot perform abdominal hollowing consciously. The purpose of the present study was to examine the changes in abdominal muscle activity and contribution rate of the transversus abdominis muscle (TrA) when leaning the trunk and lifting the foot during sitting.

Methods

The muscle stiffnesses (indicators of muscle activity) of the right rectus abdominis, external oblique, internal oblique, and TrA of 14 healthy men were measured during abdominal hollowing and the following nine sitting tasks: reference posture, 15° and maximal posterior trunk lean, 20° and maximal ipsilateral and contralateral trunk lean, and ipsilateral and contralateral foot lift. The TrA contribution rate was calculated by dividing the TrA stiffness by the sum of the abdominal muscles’ stiffnesses.

Results

The TrA stiffness was significantly higher in abdominal hollowing than in reference posture, posterior and ipsilateral trunk lean, and ipsilateral foot lift, but not higher than in contralateral trunk lean and contralateral foot lift. There was no significant difference in the TrA contribution rates between abdominal hollowing and ipsilateral or contralateral foot lift.

Conclusion

The contralateral trunk lean or contralateral foot lift could enhance TrA activity for people who cannot perform abdominal hollowing consciously. The contralateral foot lift could particularly be beneficial to obtain selective activity of TrA.

Allison GT, Morris SL, Lay B (2008) Feedforward responses of transversus abdominis are directionally specific and act asymmetrically: implications for core stability theories. J Orthop Sport Phys Ther 38:228–237. https://doi.org/10.2519/jospt.2008.2703CrossRef

Aspden RM (1988) A new mathematical model of the spine and its relationship to spinal loading in the workplace. Appl Ergonom 19:319–323CrossRef

Astfalck RG, O’Sullivan PB, Straker LM et al (2010) Sitting postures and trunk muscle activity in adolescents with and without nonspecific chronic low back pain: an analysis based on subclassification. Spine (Phila Pa 1976) 35:1387–1395. https://doi.org/10.1097/BRS.0b013e3181bd3ea6CrossRef

Beith ID, Synnott RE, Newman SA (2001) Abdominal muscle activity during the abdominal hollowing manoeuvre in the four point kneeling and prone positions. Man Ther 6:82–87. https://doi.org/10.1054/math.2000.0376CrossRefPubMed

Bergmark A (1989) Stability of the lumbar spine: a study in mechanical engineering. Acta Orthop 60:1–54. https://doi.org/10.3109/17453678909154177CrossRef

Bhadauria EA, Gurudut P (2017) Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. J Exerc Rehabil 13:477–485. https://doi.org/10.12965/jer.1734972.486CrossRefPubMedPubMedCentral

Bouillard K, Nordez A, Hug F (2011) Estimation of individual muscle force using elastography. PLoS ONE. https://doi.org/10.1371/journal.pone.0029261CrossRefPubMed

Busscher I, Van Dieën JH, Kingma I et al (2009) Biomechanical characteristics of different regions of the human spine: an in vitro study on multilevel spinal segments. Spine (Phila Pa 1976) 34:2858–2864. https://doi.org/10.1097/BRS.0b013e3181b4c75dCrossRef

Chou R, Snow V, Casey D et al (2007) Clinical guidelines diagnosis and treatment of low back pain : a joint clinical practice guideline from the American College of Physicians and the American. Ann Intern Med 147:478–491CrossRef

Claus AP, Hides JA, Moseley GL, Hodges PW (2018) Different ways to balance the spine in sitting: muscle activity in specific postures differs between individuals with and without a history of back pain in sitting. Clin Biomech 52:25–32. https://doi.org/10.1016/j.clinbiomech.2018.01.003CrossRef

Ekstrom RA, Osborn RW, Hauer PL (2008) Surface electromyographic analysis of the low back muscles during rehabilitation exercises. J Orthop Sport Phys Ther 38:736–745. https://doi.org/10.2519/jospt.2008.2865CrossRef

Eriksson Crommert M, Tucker K, Holford C et al (2017) Directional preference of activation of abdominal and paraspinal muscles during position-control tasks in sitting. J Electromyogr Kinesiol 35:9–16. https://doi.org/10.1016/j.jelekin.2017.05.002CrossRefPubMed

Hasegawa K, Kitahara K, Hara T et al (2008) Evaluation of lumbar segmental instability in degenerative diseases by using a new intraoperative measurement system. J Neurosurg Spine 8:255–262. https://doi.org/10.3171/spi/2008/8/3/255CrossRefPubMed

Hides J, Wilson S, Stanton W et al (2006) An MRI investigation into the function of the transversus abdominis muscle during “drawing-in” of the abdominal wall. Spine (Phila Pa 1976) 31:175–178. https://doi.org/10.1097/01.brs.0000202740.86338.dfCrossRef

Hides J, Stanton W, Freke M et al (2008) MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. Br J Sports Med 42:509–513. https://doi.org/10.1136/bjsm.2007.044024CrossRef

Hill JC, Dunn KM, Lewis M et al (2008) A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Care Res 59:632–641. https://doi.org/10.1002/art.23563CrossRef

Hodges PW, Richardson CA (1996) Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine (Phila Pa 1976) 21:2640–2650CrossRef

Hodges PW, Richardson CA (1997) Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther 77:132–142 (discussion 142–144)CrossRef

Hodges PW, Richardson CA (1998) Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. J Spinal Disord 11:46–56CrossRef

Hodges PW, Gandevia SC, Richardson CA (1997) Contractions of specific abdominal muscles in postural tasks are affected by respiratory maneuvers. J Appl Physiol 83:753–760CrossRef

Hodges PW, Pengel LHM, Herbert RD, Gandevia SC (2003) Measurement of muscle contraction with ultrasound imaging. Muscle Nerve 27:682–692. https://doi.org/10.1002/mus.10375CrossRefPubMed

Hodges PW, Eriksson AEM, Shirley D, Gandevia SC (2005) Intra-abdominal pressure increases stiffness of the lumbar spine. J Biomech 38:1873–1880. https://doi.org/10.1016/j.jbiomech.2004.08.016CrossRefPubMed

Joukar A, Shah A, Kiapour A et al (2018) Sex specific sacroiliac joint biomechanics during standing upright: a finite element study. Spine (Phila Pa 1976) 43:E1053–E1060. https://doi.org/10.1097/BRS.0000000000002623CrossRef

Kiesel KB, Underwood FB, Mattacola CG et al (2007) A Comparison of select trunk muscle thickness change between subjects with low back pain classified in the treatment-based classification system and asymptomatic controls. J Orthop Sport Phys Ther 37:596–607. https://doi.org/10.2519/jospt.2007.2574CrossRef

Koh HW, Cho SH, Kim CY (2014) Comparison of the effects of hollowing and bracing exercises on cross-sectional areas of abdominal muscles in middle-aged women. J Phys Ther Sci 26:295–299. https://doi.org/10.1589/jpts.26.295CrossRefPubMedPubMedCentral

MacDonald D, Wan A, McPhee M et al (2016) Reliability of abdominal muscle stiffness measured using elastography during trunk rehabilitation exercises. Ultrasound Med Biol 42:1018–1025. https://doi.org/10.1016/j.ultrasmedbio.2015.12.002CrossRefPubMed

Macedo LG, Maher CG, Hancock MJ et al (2014) Predicting response to motor control exercises and graded activity for patients with low back pain: preplanned secondary analysis of a randomized controlled trial. Phys Ther 94:1543–1554. https://doi.org/10.2522/ptj.20140014CrossRefPubMed

Masani K, Sin VW, Vette AH et al (2009) Postural reactions of the trunk muscles to multi-directional perturbations in sitting. Clin Biomech 24:176–182. https://doi.org/10.1016/j.clinbiomech.2008.12.001CrossRef

O’Sullivan PB, Grahamslaw KM, Kendell M et al (2002) The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine (Phila Pa 1976) 27:1238–1244. https://doi.org/10.1097/00007632-200206010-00019CrossRef

Okubo Y, Kaneoka K, Imai A et al (2010) Electromyographic analysis of transversus abdominis and lumbar multifidus using wire electrodes during lumbar stabilization exercises. J Orthop Sport Phys Ther 40:743–750. https://doi.org/10.2519/jospt.2010.3192CrossRef

Okubo Y, Kaneoka K, Shiina I et al (2013) Abdominal muscle activity during a standing long jump. J Orthop Sport Phys Ther 43:577–582. https://doi.org/10.2519/jospt.2013.4420CrossRef

Panjabi MM (1992) The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord 5:390–396 (discussion 397)CrossRef

Panjabi M, Abumi K, Duranceau J, Oxland T (1989) Spinal stability and intersegmental muscle forces. A biomechanical model. Spine (Phila Pa 1976) 14:194–200CrossRef

Richardson CA, Hides JA, Wilson S et al (2004) Lumbo-pelvic joint protection against antigravity forces: motor control and segmental stiffness assessed with magnetic resonance imaging. J Gravit Physiol 11:119–122

Saragiotto BT, Maher ÃCG, Tie Ã (2016) Motor control exercise for nonspecific low back pain. Spine (Phila Pa 1976) 41:1284–1295. https://doi.org/10.1002/14651858.CD012004CrossRef

Shiju Majeed A, Anish TS, Sugunan A, Arun MS (2019) The effectiveness of a simplified core stabilization program (TRICCS—Trivandrum Community-based Core Stabilisation) for community-based intervention in chronic non-specific low back pain. J Orthop Surg Res 14:86. https://doi.org/10.1186/s13018-019-1131-zCrossRef

Shimizu I, Tateuchi H, Motomura Y et al (2019) Abdominal girth as an index of muscle tension during abdominal hollowing: selecting the optimal training intensity for the transversus abdominis muscle. J Biomech. https://doi.org/10.1016/j.jbiomech.2019.04.018CrossRefPubMed

Tateuchi H, Akiyama H, Goto K et al (2018) Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis. Osteoarthr Cartil 26:397–404. https://doi.org/10.1016/j.joca.2017.12.005CrossRef

Tesh KM, Dunn JS, Evans JH (1987) The abdominal muscles and vertebral stability. Spine (Phila Pa 1976) 12:501–508CrossRef

Tsao H, Hodges PW (2007) Immediate changes in feedforward postural adjustments following voluntary motor training. Exp Brain Res 181:537–546. https://doi.org/10.1007/s00221-007-0950-zCrossRefPubMed

Whittaker JL, McLean L, Hodder J et al (2013) Association between changes in electromyographic signal amplitude and abdominal muscle thickness in individuals with and without lumbopelvic pain. J Orthop Sport Phys Ther 43:466–477. https://doi.org/10.2519/jospt.2013.4440CrossRef

Yamamoto I, Panjabi MM, Crisco T, Oxland T (1989) Three-dimensional movements of the whole lumbar spine and lumbosacral joint. Spine (Phila Pa 1976) 14:1256–1260. https://doi.org/10.1097/00007632-198911000-00020CrossRef

Titel: Effects of trunk lean and foot lift exercises in sitting position on abdominal muscle activity and the contribution rate of transversus abdominis
verfasst von: Yoshiki Motomura
Hiroshige Tateuchi
Tomohito Komamura
Yuta Yagi
Sayaka Nakao
Noriaki Ichihashi
Publikationsdatum: 30.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Applied Physiology / Ausgabe 1/2021
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-020-04508-0

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Abstract

Purpose

Methods

Results

Conclusion

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