Effects of an abdominal drawing-in manoeuvre on stabilometric and gait parameters in adults: a pilot study
DOI:
https://doi.org/10.15584/ejcem.2017.3.9Keywords:
gait, stabilometric parametersAbstract
Introduction. To our knowledge, no studies have checked the effect of the abdominal drawing-in maneuver (ADIM) on gait and stabilometric parameters in lower back pain (LBP) and pain-free subjects.
Aim. To assess the effect of sustained ADIM on a) gait pattern and b) stabilometric parameters with opened eyes and closed eyes in an adult population.
Material and methods. A group of 20 adults were invited to participate in the study. The Oswestry Disability Index was used for assessing LBP. Gait analysis was performed on a treadmill ZEBRIS FDM-T. The static balance assessment was performed on a stabilometric platform ZEBRIS FDM-S.
Results. There were no significant differences in all tests conducted on the stabilometric platform. Results of gait analysis showed between-group differences in the main effect of group (Non-LBP vs. LBP) for the difference in maximal vertical ground reaction force during the terminal stance (GRFts). The mean GRFts value in the Non-LBP group was greater by 14.8 N (95% CI 9.55–20.1) compared with the LBP group (Table 3).
Conclusion. ADIM has no immediate effects on selected stabilometric and gait parameters in the study group. No effect was seen in subjects with and without pain during the examination.
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Noormohammadpour P, Khezri AH, Linek P, et al. Comparison of lateral abdominal muscle thickness and cross sectional area of multifidus in adolescent soccer players with and without low back pain: A case control study. Asian J Sports Med. 2016;7(4). doi:10.5812/asjsm.38318.
Borna S, Noormohammadpour P, Linek P, Mansournia MA, Kordi R. Ultrasound measurements of the lateral abdominal muscle thicknesses in girls with adolescent idiopathic scoliosis. Asian J Sports Med. 2017;8(1). doi:10.5812/asjsm.32274.
Linek P, Saulicz E, Kuszewski M, Wolny T. Ultrasound Assessment of the Abdominal Muscles at Rest and During the ASLR Test Among Adolescents with Scoliosis. Clin Spine Surg. 2017;30(4):181-186.
Linek P, Saulicz E, Wolny T, Myśliwiec A, Gogola A. Ultrasound evaluation of the symmetry of abdominal muscles in mild adolescent idiopathic scoliosis. J Phys Ther Sci. 2015;27(2):465-468. doi:10.1589/jpts.27.465.
Rostami M, Ansari M, Noormohammadpour P, Ali Mansournia M, Kordi R. Ultrasound assessment of trunk muscles and back flexibility, strength and endurance in off-road cyclists with and without low back pain. J Back Musculoskelet Rehabil. 2015;28(4):635-644. doi:10.3233/BMR-140559.
Gray J, Aginsky KD, Derman W, Vaughan CL, Hodges PW. Symmetry, not asymmetry, of abdominal muscle morphology is associated with low back pain in cricket fast bowlers. J Sci Med Sport. 2016;19(3):222-226. doi:10.1016/j.jsams.2015.04.009.
Hides JA, Stanton WR, Wilson SJ, Freke M, McMahon S, Sims K. Retraining motor control of abdominal muscles among elite cricketers with low back pain. Scand J Med Sci Sports. 2010;20(6):834-842. doi:10.1111/j.1600-0838.2009.01019.x.
Hides JA, Boughen CL, Stanton WR, Strudwick MW, Wilson SJ. A magnetic resonance imaging investigation of the transversus abdominis muscle during drawing-in of the abdominal wall in elite Australian Football League players with and without low back pain. J Orthop Sports Phys Ther. 2010;40(1):4-10. doi:10.2519/jospt.2010.3177.
Teyhen DS, Gill NW, Whittaker JL, Henry SM, Hides JA, Hodges P. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 2007;37(8):450-466. doi:10.2519/jospt.2007.2558.
Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS, Storm J. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine (Phila Pa 1976). 2002;27(4):399-405. http://www.ncbi.nlm.nih.gov/pubmed/11840107. Accessed July 22, 2016.
Urquhart DM, Hodges PW, Allen TJ, Story IH. Abdominal muscle recruitment during a range of voluntary exercises. Man Ther. 2005;10(2):144-153. doi:10.1016/j.math.2004.08.011.
Rackwitz B, de Bie R, Limm H, von Garnier K, Ewert T, Stucki G. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil. 2006;20(7):553-567. doi:10.1191/0269215506cr977oa.
Nagar VR, Hooper TL, Dedrick GS, Brism?e J-M, McGalliard MK, Sizer PS. The Effect of Current Low Back Pain on Volitional Preemptive Abdominal Activation During a Loaded Forward Reach Activity. PM&R. 2017;9(2):127-135. doi:10.1016/j.pmrj.2016.05.019.
Hides J, Richardson C, Hodges P. Local segmental control. In: Richardson C, Hodges P, Hides J, eds. Therapeutic Exercise for Lumbopelvic Stabilization. Edinburg: Churchill Livingstone; 2004:185-220.
Linek P, Saulicz E, Wolny T, Myśliwiec A. Reliability of B-mode sonography of the abdominal muscles in healthy adolescents in different body positions. J Ultrasound Med. 2014;33(6):1049-1056. doi:10.7863/ultra.33.6.1049.
Linek P, Saulicz E, Wolny T, Myśliwiec A. Assessment of the abdominal muscles at rest and during abdominal drawing-in manoeuvre in adolescent physically active girls: A case–control study. J Sport Heal Sci. 2017;6(1):118-124. doi:10.1016/j.jshs.2015.10.002.
Linek P. Assessment of the deep abdominal muscles at rest and during the abdominal drawing-in maneuver in adolescents practicing volleyball: A case control study. Isokinet Exerc Sci. 2015;23(4):215-220. doi:10.3233/IES-150596.
Linek P. Body mass normalization for lateral abdominal muscle thickness measurements in adolescent athletes. J Ultrasound Med. 2017;36:1851-1857.
Reeve A, Dilley A. Effects of posture on the thickness of transversus abdominis in pain-free subjects. Man Ther. 2009;14(6):679-84. doi:10.1016/j.math.2009.02.008.
Szczygieł E, Piotrowski K, Golec J, et al. Head position influence on stabilographic variables. Acta Bioeng Biomech. 2016;18(4):49-54.
Park J-M, Hyun G-S, Jee Y-S. Effects of Pilates core stability exercises on the balance abilities of archers. J Exerc Rehabil. 2016;12(6):553-558. doi:10.12965/jer.1632836.418.
Hyun J, Hwangbo K, Lee C-W. The Effects of Pilates Mat Exercise on the Balance Ability of Elderly Females. J Phys Ther Sci. 2014;26(2):291-293. doi:10.1589/jpts.26.291.
Mannion AF, Pulkovski N, Toma V, Sprott H. Abdominal muscle size and symmetry at rest and during abdominal hollowing exercises in healthy control subjects. J Anat. 2008;213(2):173-182.
Manshadi FD, Parnianpour M, Sarrafzadeh J, et al. Abdominal hollowing and lateral abdominal wall muscles’ activity in both healthy men & women: An ultrasonic assessment in supine and standing positions. J Bodyw Mov Ther. 2011;15(1):108-113. doi:10.1016/j.jbmt.2009.10.004.
Linek P, Saulicz E, Wolny T, Myśliwiec A, Kokosz M. Lateral abdominal muscle size at rest and during abdominal drawing-in manoeuvre in healthy adolescents. Man Ther. 2015;20(1):117-123. doi:10.1016/j.math.2014.07.009.
Ehsani F, Arab AM, Jaberzadeh S, Salavati M. Ultrasound measurement of deep and superficial abdominal muscles thickness during standing postural tasks in participants with and without chronic low back pain. Man Ther. 2016;23:98-105. doi:10.1016/j.math.2016.01.003.
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