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      The Effects of Bridge Exercise on an Unstable Base of Support on Lumbar Stability and the Thickness of the Transversus Abdominis

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          Abstract

          [Purpose] We examined the effects of an abdominal drawing-in bridge exercise using a pressure biofeedback unit on different bases on the thickness of trunk and abdominal muscles, and lumbar stability. [Subjects] Thirty healthy young adults (2 males, 28 females) took part in this study. The subjects were randomly and equally assigned to a stable bridge exercise group and an unstable bridge exercise group. [Methods] The subjects performed bridge exercises using an abdominal drawing-in method on a stable base and on an unstable base, and changes in their abdominal muscle thickness and on the stable and on unstable bases lumbar stability were evaluated. [Results] After the intervention, the stable bridge exercise group showed a statistically significantly increased muscle thickness in the transversus abdominis, and the unstable bridge exercise group showed significantly increased muscle thicknesses of the transversus abdominis and internal obliques in static and dynamic lumbar stability. The unstable bridge exercise group showed significant increase after performing the exercise. [Conclusion] Lumbar stability exercise, with the compensation of the lumbar spine minimized, using an abdominal drawing-in method on an unstable support of base is effective and efforts to prevent the compensation may induce a greater exercise effect.

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          Core stability and its relationship to lower extremity function and injury.

          Core stability may provide several benefits to the musculoskeletal system, from maintaining low back health to preventing knee ligament injury. As a result, the acquisition and maintenance of core stability is of great interest to physical therapists, athletic trainers, and musculoskeletal researchers. Core stability is the ability of the lumbopelvic hip complex to prevent buckling and to return to equilibrium after perturbation. Although static elements (bone and soft tissue) contribute to some degree, core stability is predominantly maintained by the dynamic function of muscular elements. There is a clear relationship between trunk muscle activity and lower extremity movement. Current evidence suggests that decreased core stability may predispose to injury and that appropriate training may reduce injury. Core stability can be tested using isometric, isokinetic, and isoinertial methods. Appropriate intervention may result in decreased rates of back and lower extremity injury.
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            Muscle control-pain control. What exercises would you prescribe?

            A very specific type of exercise has been devised which is proving to provide effective pain relief for chronic and recurrent back pain sufferers. The exercise approach focuses on retraining a precise co-contraction pattern of the deep trunk muscles, the transversus abdominis and lumbar multifidus. The approach is based on the knowledge of how muscles provide stability for the spine in normal situations. It has been further developed according to research evidence which has demonstrated dysfunction in the deep trunk muscles in patients with back pain. The mechanism for pain relief with this specific exercise approach is believed to be through enhanced stability of the lumbar spine segments. Copyright 2000 Harcourt Publishers Ltd.
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              Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging.

              Rehabilitative Ultrasound Imaging (RUSI) has been validated as a noninvasive method to measure activation of selected muscles. The purpose of this study was to determine the relationship between muscle thickness change, as measured by ultrasonography, and electromyography (EMG) activity of the lumbar multifidus (LM) muscle in normal subjects. Bipolar fine wire electrodes were inserted into the LM at the L4 level of five subjects. Simultaneous EMG and RUSI data (muscle thickness) were collected while subjects performed increasingly demanding postural response tasks thought to activate the LM muscle. To determine the relationship between muscle thickness change and EMG activity, the normalized EMG data were correlated to normalized RUSI data. To determine if the tasks increased the demand on the LM, the mean EMG data were compared over each of the four tasks. Muscle thickness change as measured by RUSI was highly correlated with EMG activity of LM in asymptomatic subjects (r=.79,P<.001). Mean EMG data showed increasing levels of activation across tasks (19-34% of maximum voluntary isometric contraction (MVIC)). The results of the repeated measures ANOVA demonstrated theses differences were significant (F(3,12)=25.39,P<.001). Measurement of muscle thickness change utilizing RUSI is a valid and potentially useful method to measure activation of the LM muscle in a narrow range (19-34% of MVIC) in an asymptomatic population.
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                Author and article information

                Journal
                J Phys Ther Sci
                J Phys Ther Sci
                JPTS
                Journal of Physical Therapy Science
                The Society of Physical Therapy Science
                0915-5287
                2187-5626
                23 July 2013
                June 2013
                : 25
                : 6
                : 733-736
                Affiliations
                [1) ] Department of Physical Therapy, Korea Nazarene University
                Author notes
                To whom correspondence should be addressed. Hyewon Jeon, Department of Physical Therapy, Korea Nazarene University: 48 Wolbong Ro, Seobuk-gu, Cheonan-Si, Chungcheongnam-do 330-718, Republic of Korea. TEL: +82 64-725-9154 E-mail: junhw0720@ 123456naver.com
                Article
                JPTS-2013-006
                10.1589/jpts.25.733
                3805003
                24259841
                1d0e1111-7e6d-44dc-8332-eba58c401f7e
                by the Society of Physical Therapy Science

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.

                History
                : 09 January 2013
                : 15 February 2013
                Categories
                Original

                bridge exercise,abdominal drawing-in method,transversus abdominis

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