manuelletherapie 2008; 12(2): 72-75
DOI: 10.1055/s-2008-1027346
Originalarbeit

© Georg Thieme Verlag KG Stuttgart · New York

Lässt sich die Aktivität des M. transversus abdominis selektiv messen?

Can the Transverse Abdominal Muscle Activity Be Measured?N. Boettcher1, 2 , M. Huber1 , T. Messner1, 2
  • 1Physiotherapieschule Konstanz
  • 2Seminarfirma emota
Weitere Informationen

Publikationsverlauf

Manuskript eingetroffen: 14.8.2007

Manuskript akzeptiert: 18.10.2007

Publikationsdatum:
25. April 2008 (online)

Zusammenfassung

Das Training der gezielten Ansteuerung des M. transversus abdominis soll eine wichtige Rolle in der Rehabilitation lumbaler Rückenschmerzen spielen. Die vorliegende Arbeit untersuchte die Validität der Druckmessung der Aktivität des M. transversus abdominis. Zur Messung der Muskelaktivität diente eine Pressure Biofeedback Unit (PBU), als Goldstandard eine Ultraschallaufnahme. Da die Korrelation zwischen der Dickenzunahme des Muskels und der Druckabnahme auf dem 5 %-Niveau der Druckmessmanschette nicht signifikant war, scheint die PBU die isolierte Muskelaktivität nicht valide zu messen.

Abstract

Training of the transverse abdominal muscle’s specific activation is thought to play a vital role in the rehabilitation of low back pain. This article investigated the validity of pressure measurement of transverse abdominal muscle activity. A Pressure Biofeedback Unit (PBU) served as a measurement instrument for muscle activity and an ultrasound scan was used as the goldstandard. As the correlation between muscle volume increase and pressure decrease on the pressure unit’s 5 per cent level was not significant the PBU seems not to validly measure isolated muscle activities.

Literatur

  • 1 Bergmark A. Stability of the lumbar spine.  Acta Orthopedia Scandinavica. 1989;  60 1-54
  • 2 Bø K, Sherburn M, Allen T. Transabdominal Ultrasound Measurement of Pelvic Floor Muscle Activity When Acivated Directly or Via a Transversus Abdominis Muscle Contraction.  Neurourology and Urodynamics. 2003;  22 582-588
  • 3 Chattanooga Group .Stabilizer Pressure Bio-Feedback. Operating Instructions Hixson; Chattanooga Group 2002
  • 4 Cholewicki J, Panjabi M M, Khachatryan A. Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture.  Spine. 1997;  22 2207-2212
  • 5 Creswell A G, Grunderstrom H, Thorstensson A. Observation on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man.  Acta Physiologica Scandinavia. 1992;  144 409-418
  • 6 Creswell A G, Oddsson L, Thorstensson A. The influence of sudden perturbation on trunk muscle activity and intra-abdominal pressure while standing.  Experimental Brain Research. 1994;  98 336-341
  • 7 Critchley D J, Coutts F J. Abdominal muscle function in chronic low-back patients: measurement with real-time ultrasound scanning.  Physiotherapy. 2002;  86 322-332
  • 8 Ferreira P, Ferreira M, Hodges P. Changes in Recruitment of the Abdominal Muscles in People with Low Back Pain.  Spine. 2004;  29 2560-2566
  • 9 Hamilton C, Richardson C A. Neue Perspektiven zu Wirbelsäulenstabilitäten und lumbalem Kreuzschmerz: Funktion und Dysfunktion der tiefen Rückenmuskeln.  Manuelle Therapie. 1997;  1 17-24
  • 10 Hides J A, Jull G A, Richardson C A. et al . Lokale Gelenkstabilisation: Spezifische Befunderhebung und Übung bei lumbalen Rückenschmerzen.  Manuelle Therapie. 1997;  1 8-15
  • 11 Hodges P, Richardson C A. Inefficient Muscular Stabilization of the Lumbar Spine Associated with Low Back Pain: A Motor Control Evaluation of Transversus Abdominis.  Spine. 1996;  21 2640-2650
  • 12 Hodges P, Richardson C A, Jull G A. Evaluation of the relationship between laboratory and clinical tests of transverses abdominis function.  Phys Res Int. 1996;  1 30-40
  • 13 Hodges P, Richardson C A. Contraction of the Abdominal Muscles Associated with Movement of the Lower Limb.  Physical Therapy. 1997;  77 132-142
  • 14 Hodges P, Richardson C A. Feedforward contraction of transverses abominis is not influenced by the direction of arm movement.  Exp Brain Res. 1997;  114 362-370
  • 15 Lacôte M. Clinical Evaluation of Muscle Function. Edinburgh; Chuchill Livingstone 1987
  • 16 Lewit K. Stabilisierung der Wirbelsäule.  Manuelle Therapie. 1999;  3 117-121
  • 17 McMeeken J M, Beith I D, Newham D J. et al . The relationship between EMG and change in thickness of transversus abdominis.  Clinical Biomechanics. 2004;  19 337-342
  • 18 O’Sullivan P B, Twomey L, Allison G. Evaluation of specific stabilizing exercise in treatment of chronic back pain with radiological diagnosis of spondylosis or spondylolisthesis.  Spine. 1997;  22 2959-2967
  • 19 Panjabi M M. The stabilizing system of the spine. Part II: Neutral zone and instability hypothesis.  Journal of Spinal Disorders. 1992;  4 390-397
  • 20 Petty N J, Moore A P. Neuromusculoskeletal Examination and Assessment. Edinburgh; Churchill Livingstone 2001 2nd ed
  • 21 Richardson C A, Jull G A, Hodges P W. Therapeutic Exercise for Spinal Segmental Stabilisation in Low Back Pain: Scientific Basis and Clinical Approach. Edinburgh; Churchill Livingstone 1999
  • 22 Storheim K, Bø K, Pederstad O. et al . Intra-tester reproducibility of pressure biofeedback in measurement of transversus abdominis function.  Physiotherapy Research International. 2002;  7 239-249
  • 23 Tesh K M, Dunn J S, Evans J H. The abdominal muscle and vertebral stability.  Spine. 1987;  12 501-508

Nils Boettcher, PT, MT, BSc. Physiotherapy

eMail: boettcher@emota.de

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