Intra-and inter-rater Reliability of Ultrasound Imaging Measurement of Lateral Abdominal Muscle Thickness in Sitting and Standing Positions during Abdominal Drawing-in Maneuver and Abdominal Bracing (Pilot Study)
Keywords:
abdominal drawing-in maneuver, abdominal bracing, ultrasound imaging, muscle thickness, lateral abdominal musclesAbstract
This study aimed to examine intra- and inter-rater reliability of ultrasound imaging measurement of lateral abdominal muscle thickness in sitting and standing positions during abdominal drawing-in maneuver (ADIM) and abdominal bracing (AB) among healthy adults. This pilot study examined 10 participants without low back pain (5 males, 5 females). Muscle thickness measurements of transversus abdominis (TrA), internal obliques (IO), and external obliques (EO) were measured by ultrasound imaging during rest, ADIM and AB for sitting or standing positions (total 6 positions). Each position was evaluated 3 times by 2 raters, and then muscle thickness was measured by ImageJ program. The results demonstrated that the intraclass correlation coefficient of intra-rater reliability (ICC3,3) and inter-rater reliability (ICC2,3) was higher than 0.75, which is considered as acceptable value. In conclusion, the results of this study suggest that muscle thickness measurement of lateral abdominal muscle during ADIM and AB exercises in both sitting and standing positions by ultrasound imaging can use to assess the thickness of muscle during core stability exercise for clinical and research settings.
References
Janwantanakul P, Pensri P, Jiamjarasrangsri V, Sinsongsook T. Prevalence of self-reported musculoskeletal symptoms among office workers. Occup Med (Lond) 2008;58(6):436-8.
Panjabi MM. The stabilizing system of the spine. Part II: Neutral zone and instability hypothesis. J Spinal Disord 1992;5(4):390-6.
Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low back pain. J Orthop Sports Phys Ther 2012;42(4):A1-57.
Nesser TW, Huxel KC, Tincher JL, Okada T. The relationship between core stability and performance in division I football players. J Strength Cond Res 2008;22(6):1750-4.
Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol 2003;13(4):371-9.
Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004;85:86-92.
Richardson CA, Jull GA. Muscle control-pain control: What exercises would you prescribe?. Man Ther 1995;1(1):2-10.
Critchley D. Instructing pelvic floor contraction facilitates transversus abdominis thickness increase during low-abdominal hollowing. Physiother Res Int 2002;7(2):65-75.
Henry SM, Westervelt KC. The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther 2005;35(6):338-45.
Larivière C, Boucher JA, Mecheri H, Ludvig D. Maintaining lumbar spine stability: a study of the specific and combined effects of abdominal activation and lumbosacral orthosis on lumbar intrinsic stiffness. J Orthop Sports Phys Ther 2019;49(4):262-71.
Madokoro S, Yokogawa M, Miaki H. Effect of the abdominal draw-in maneuver and bracing on abdominal muscle thickness and the associated subjective difficulty in healthy individuals. Healthcare (Basel) 2020;8(4).
McDonald S, Fredericson M, Roh EY, Smuck M. Basic appearance of ultrasound structures and pitfalls. Phys Med Rehabil Clin N Am 2010;21(3):461-79.
Teyhen DS, Miltenberger CE, Deiters HM, Del Toro YM, Pulliam JN, Childs JD, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther 2005;35(6):346-55.
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15(2):155-63.
Lee SH, Kim TH, Lee BH. The effect of abdominal bracing in combination with low extremity movements on changes in thickness of abdominal muscles and lumbar strength for low back pain. J Phys Ther Sci 2014;26(1):157-60.
Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine (Phila Pa 1976) 1996;21(22):2640-50.
Paungmali A, Sitilertpisan P, Taneyhill K, Pirunsan U, Uthaikhup S. Intrarater reliability of pain intensity, tissue blood flow, thermal pain threshold, pressure pain threshold and lumbo-pelvic stability tests in subjects with low back pain. Asian J Sports Med 2012;3(1): 8-14.
Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther 1997;77(2):132-42.
Rankin G, Stokes M, Newham DJ. Abdominal muscle size and symmetry in normal subjects. Muscle Nerve. 2006;34(3):320–26.
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):173-82.
Ishida H, Suehiro T, Watanabe S. Associations of trunk muscle thickness and muscle strength in healthy male adults. Middle East J Rehabil Health Stud 2019;6(2):e91039.
Maeo S, Takahashi T, Takai Y, Kanehisa H. Trunk muscle activities during abdominal bracing: comparison among muscles and exercises. J Sports Sci Med 2013;12(3):467-74.
Lee C-h, Hwang S. Diagnostic values of abdominal muscles thickness and sterno-costal angle for young adults with rounded shoulders. Phys Ther Rehabil Sci 2020;9:49-54.
Kuo YL, Kao CY, Tsai YJ. Abdominal expansion versus abdominal drawing-in strategy on thickness and electromyography of lumbar stabilizers in people with nonspecific low back pain: a cross-sectional study. Int J Environ Res Public Health 2021;18(9): 4487.
Djordjevic O, Djordjevic A, Konstantinovic L. Interrater and intrarater reliability of transverse abdominal and lumbar multifidus muscle thickness in subjects with and without low back pain. J Orthop Sports Phys Ther 2014;44(12):979-88.
Park SD. reliability of ultrasound imaging of the transversus deep abdominial, internal oblique and external oblique muscles of patients with low back pain performing the drawing-in maneuver. J Phys Ther Sci 2013;25(7):845-7.
Aboufazeli M, Afshar-Mohajer N. Within-day and between-day reliability of thickness measurements of abdominal muscles using ultrasound during abdominal hollowing and bracing maneuvers. J Bodyw Mov Ther 2018;221:122-8.
Hoppes CW, Sperier AD, Hopkins CF, Griffiths BD, Principe MF, Schnall BL, et al. Ultrasound imaging measurement of the transversus abdominis in supine, standing, and under loading: a reliability study of novice examiners. Int J Sports Phys Ther 2015;10(6):910-7.
Koppenhaver SL, Hebert JJ, Fritz JM, Parent EC, Teyhen DS, Magel JS. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Arch Phys Med Rehabil 2009;90(1):87-94.
Kawsoi K, Uthaikhup S. Intra-and inter-rater reliability of ultrasound imaging of the lower trapezius muscle thickness. J Med Tech Phy Ther 2014;26:180-8.
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