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      Comparison of abdominal muscle activity during abdominal drawing-in maneuver combined with irradiation variations

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          Abstract

          Many experts have used an indirect method for enhancing strength and performance of muscles in clinical practice. The indirect method, which called an irradiation is a basic procedure of proprioceptive neuromuscular facilitation, there is little research related the effects of irradiation. This study investigated abdominal muscle activity during abdominal drawing-in maneuver (ADIM) combined with irradiation variations. The study recruited 42 healthy, young adults who were divided randomly into three groups according to which intervention they received. The first group performed the ADIM combined with coactivation of the pelvic floor muscle. The second group performed the ADIM combined with the irradiation resulting from dorsiflexion of the ankle. The third group performed the ADIM combined with the irradiation resulting from bilateral arm extension. Electromyography data were collected from the rectus abdominis, external oblique abdominis, and transversus abdominis/internal oblique abdominis (TrA/IO) muscles during ADIM combined with irradiation variations. There were significant differences in the abdominal muscle activity and the preferential contraction ratio of the TrA/IO among the three groups ( P<0.05). ADIM combined with irradiation resulting from bilateral arm extension may be effective for enhancing the deep and superficial abdominal muscles of healthy people and athletes. The ADIM without the irradiation is advantageous for recovering motor control of the TrA/IO.

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          Most cited references23

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          Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function

          Proprioceptive neuromuscular facilitation (PNF) is common practice for increasing range of motion, though little research has been done to evaluate theories behind it. The purpose of this study was to review possible mechanisms, proposed theories, and physiological changes that occur due to proprioceptive neuromuscular facilitation techniques. Four theoretical mechanisms were identified: autogenic inhibition, reciprocal inhibition, stress relaxation, and the gate control theory. The studies suggest that a combination of these four mechanisms enhance range of motion. When completed prior to exercise, proprioceptive neuromuscular facilitation decreases performance in maximal effort exercises. When this stretching technique is performed consistently and post exercise, it increases athletic performance, along with range of motion. Little investigation has been done regarding the theoretical mechanisms of proprioceptive neuromuscular facilitation, though four mechanisms were identified from the literature. As stated, the main goal of proprioceptive neuromuscular facilitation is to increase range of motion and performance. Studies found both of these to be true when completed under the correct conditions. These mechanisms were found to be plausible; however, further investigation needs to be conducted. All four mechanisms behind the stretching technique explain the reasoning behind the increase in range of motion, as well as in strength and athletic performance. Proprioceptive neuromuscular facilitation shows potential benefits if performed correctly and consistently.
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            Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure.

            Pelvic floor muscle exercises prescribed for the treatment of incontinence commonly emphasize concurrent relaxation of the abdominal muscles. The purpose of this study was to investigate the interaction between individual muscles of the abdominal wall and the pelvic floor using surface and intramuscular electromyography, and the effect of their action on intra-abdominal pressure. Four subjects were tested in the supine and standing positions. The results indicated that the transversus abdominis (TA) and the obliquus internus (OI) were recruited during all pelvic floor muscle contractions. It was not possible for these subjects to contract the pelvic floor effectively while maintaining relaxation of the deep abdominal muscles. A mean intra-abdominal pressure rise of 10 mmHg (supine) was recorded during a maximum pelvic floor muscle contraction. These results suggest that advice to keep the abdominal wall relaxed when performing pelvic floor exercises is inappropriate and may adversely affect the performance of such exercises.
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              Abdominal muscle recruitment during a range of voluntary exercises.

              Various exercises are used to retrain the abdominal muscles in the management of low back pain and other musculoskeletal disorders. However, few studies have directly investigated the activity of all the abdominal muscles or the recruitment of regions of the abdominal muscles during these manoeuvres. This study examined the activity of different regions of transversus abdominis (TrA), obliquus internus (OI) and externus abdominis (OE), and rectus abdominis (RA), and movement of the lumbar spine, pelvis and abdomen during inward movement of the lower abdominal wall, abdominal bracing, pelvic tilting, and inward movement of the lower and upper abdominal wall. Inward movement of the lower abdominal wall in supine produced greater activity of TrA compared to OI, OE and RA. During posterior pelvic tilting, middle OI was most active and with abdominal bracing, OE was predominantly recruited. Regions of TrA were recruited differentially and an inverse relationship between lumbopelvic motion and TrA electromyography (EMG) was found. This study indicates that inward movement of the lower abdominal wall in supine produces the most independent activity of TrA relative to the other abdominal muscles, recruitment varies between regions of TrA, and observation of abdominal and lumbopelvic motion may assist in evaluation of exercise performance.
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                Author and article information

                Journal
                J Exerc Rehabil
                J Exerc Rehabil
                Journal of Exercise Rehabilitation
                Korean Society of Exercise Rehabilitation
                2288-176X
                2288-1778
                June 2017
                30 June 2017
                : 13
                : 3
                : 335-339
                Affiliations
                [1 ]Department of Physical Therapy, College of Biohealth Science, Hoseo University, Asan, Korea
                [2 ]Department of Physical Therapy, Kaya University, Gimhae, Korea
                Author notes
                [* ]Corresponding author: Du-Jin Park, http://orcid.org/0000-0002-5658-3343, Department of Physical Therapy, Kaya University, 208 Samgye-ro, Gimhae 50830, Korea, Tel: +82-55-330-1047, Fax: +82-55-344-5285, E-mail: djpark35@ 123456kaya.ac.kr
                Article
                jer-13-3-335
                10.12965/jer.1734996.498
                5498091
                3fc38df4-aa4b-4cfd-b085-92f143f68f36
                Copyright © 2017 Korean Society of Exercise Rehabilitation

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 29 May 2017
                : 10 June 2017
                Categories
                Original Article

                proprioceptive neuromuscular facilitation,irradiation,ab-dominal drawing-in maneuver

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