Publication: The effects of core stabilization exercise with the abdominal drawing-in maneuver technique versus general strengthening exercise on lumbar segmental motion in patients with clinical lumbar instability: A randomized controlled trial with 12-month follow-up
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Issued Date
2021
Resource Type
Language
eng
File Type
application/pdf
ISSN
16617827
Other identifier(s)
2-s2.0-85110591131
Rights Holder(s)
Scopus
Bibliographic Citation
International Journal of Environmental Research and Public Health. Vol 18, No.15 (2021)
Suggested Citation
Puntumetakul R., Saiklang P., Tapanya W., Chatprem T., Kanpittaya J., Arayawichanon P., Boucaut R. The effects of core stabilization exercise with the abdominal drawing-in maneuver technique versus general strengthening exercise on lumbar segmental motion in patients with clinical lumbar instability: A randomized controlled trial with 12-month follow-up. International Journal of Environmental Research and Public Health. Vol 18, No.15 (2021). doi:10.3390/ijerph18157811 Retrieved from: https://hdl.handle.net/20.500.14740/5847
Abstract
Trunk stability exercises that focus on either deep or superficial muscles might produce different effects on lumbar segmental motion. This study compared outcomes in 34 lumbar instability patients in two exercises at 10 weeks and 12 months follow up. Participants were divided into either Core stabilization (deep) exercise, incorporating abdominal drawing-in maneuver technique (CSE with ADIM), or General strengthening (superficial) exercise (STE). Outcome measures were pain, muscle activation, and lumbar segmental motion. Participants in CSE with ADIM had significantly less pain than those in STE at 10 weeks. They showed significantly more improvement of abdominal muscle activity ratio than participants in STE at 10 weeks and 12 months follow-up. Participants in CSE with ADIM had significantly reduced sagittal translation at L4-L5 and L5-S1 compared with STE at 10 weeks. Participants in CSE with ADIM had significantly reduced sagittal translations at L4-L5 and L5-S1 compared with participants in STE at 10 weeks, whereas STE demonstrated significantly increased sagittal rotation at L4-L5. However, at 12 months follow-up, levels of lumbar sagittal translation were increased in both groups. CSE with ADIM which focuses on increasing deep trunk muscle activity can reduce lumbar segmental translation and should be recommended for lumbar instability. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Subject(s)
Body condition
Movement
Muscle
Physical activity
Radiography
Abdominal drawing in maneuver technique
Abdominal wall musculature
Adult
Article
Clinical article
Controlled study
Core stabilization exercise
Electromyography
Exercise
Female
Follow up
Human
Low back pain
Lumbar instability
Lumbar spine
Male
Motion
Muscle contraction
Randomized controlled trial
Resistance training
Rotation
Spine instability
Spine radiography
Joint instability
Lumbar vertebra
Lumbosacral region
Trunk
Abdominal Muscles
Follow-Up Studies
Humans
Joint Instability
Lumbar Vertebrae
Lumbosacral Region
Torso
Movement
Muscle
Physical activity
Radiography
Abdominal drawing in maneuver technique
Abdominal wall musculature
Adult
Article
Clinical article
Controlled study
Core stabilization exercise
Electromyography
Exercise
Female
Follow up
Human
Low back pain
Lumbar instability
Lumbar spine
Male
Motion
Muscle contraction
Randomized controlled trial
Resistance training
Rotation
Spine instability
Spine radiography
Joint instability
Lumbar vertebra
Lumbosacral region
Trunk
Abdominal Muscles
Follow-Up Studies
Humans
Joint Instability
Lumbar Vertebrae
Lumbosacral Region
Torso