The importance of a normal breathing pattern for an effective abdominal-hollowing maneuver in healthy people: an experimental study.
BACKGROUND
A normal breathing pattern while performing the abdominal-hollowing (AH) maneuver or spinal-stabilization exercise is essential for the success of rehabilitation programs and exercises. In previous studies, subjects were given standardized instructions to control the influence of respiration during the AH maneuver. However, the effect of breathing pattern on abdominal-muscle thickness during the AH maneuver has not been investigated.


OBJECTIVE
To compare abdominal-muscle thickness in subjects performing the AH maneuver under normal and abnormal breathing-pattern conditions and to investigate the effect of breathing pattern on the preferential contraction ratio (PCR) of the transverse abdominis.


METHODS
Comparative, repeated-measures experimental study.


METHODS
University research laboratory.


METHODS
16 healthy subjects (8 male, 8 female) from a university population.


METHODS
A real-time ultrasound scanner was used to measure abdominal-muscle thickness during normal and abnormal breathing patterns. A paired t test was used to assess the effect of breathing pattern on abdominal-muscle thickness and PCR.


RESULTS
Muscle thickness in the transverse abdominis and internal oblique muscles was significantly greater under the normal breathing pattern than under the abnormal pattern (P < .05). The PCR of the transverse abdominis was significantly higher under the normal breathing pattern compared with the abnormal pattern (P < .05).


CONCLUSIONS
The results indicate that a normal breathing pattern is essential for performance of an effective AH maneuver. Thus, clinicians should ensure that patients adopt a normal breathing pattern before performing the AH maneuver and monitor transverse abdominis activation during the maneuver.
Dept of Physical Therapy, Baekseok University, Republic of Korea.
Sung-min
SM
Ha
Oh-yun
OY
Kwon
Su-jung
SJ
Kim
Sung-dae
SD
Choung
D000009:Abdominal Muscles / Q000000981:diagnostic imaging* / Q000502:physiology*; D001676:Biofeedback, Psychology; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D009119:Muscle Contraction / Q000502:physiology*; D055070:Resistance Training; D012119:Respiration; D016683:Supine Position; D014463:Ultrasonography; D055815:Young Adult