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

Abstract

[Purpose] The purpose of this study was to investigate the effects of abdominal bracing with low extremity movement on changes in thickness of abdominal muscles and lumbar strength. [Subjects] Sixteen patients with chronic low back pain were randomly assigned to two groups: an abdominal bracing with active straight leg raise (ABSLR) group and abdominal bracing with ankle dorsiflexion (ABDF) group. [Methods] All subjects were evaluated for their abdominal muscle strength using a MedX Lumbar Extension Machine and thickness of external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) muscles using rehabilitative ultrasound imaging. Subjects in both groups were instructed to perform Abdominal bracing (AB). Simultaneously, those in the ABSLR group performed active SLR, and those in the ABDF group performed ankle dorsiflexion. [Results] In comparison between the ABSLR and ABDF groups, significant differences in the thickness of the IO and TrA muscles were observed after the intervention in the ABSLR group. Also, lumbar strength was showed a significant increase in both groups after interventions. [Conclusion] The results of this study demonstrated that ABSLR is a more effective method than ABDF for improvement of abdominal stabilization by increasing the thicknesses of the TrA and IO. © 2014 The Society of Physical Therapy Science.