Subscribe to RSS
DOI: 10.1055/s-2008-1027346
© 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?Publication History
Manuskript eingetroffen: 14.8.2007
Manuskript akzeptiert: 18.10.2007
Publication Date:
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.
Schlüsselwörter
M. transversus abdominis - Pressure Biofeedback Unit - Stabilizer - Ultraschall - Validität - Low back pain
Key words
transverse abdominal muscle - Pressure Biofeedback Unit - stabilizer - ultrasound - validity - low back pain
Literatur
- 1
Bergmark A.
Stability of the lumbar spine.
Acta Orthopedia Scandinavica.
1989;
60
1-54
MissingFormLabel
- 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
MissingFormLabel
- 3 Chattanooga Group .Stabilizer Pressure Bio-Feedback. Operating Instructions Hixson; Chattanooga Group 2002
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 13
Hodges P, Richardson C A.
Contraction of the Abdominal Muscles Associated with Movement of the Lower Limb.
Physical Therapy.
1997;
77
132-142
MissingFormLabel
- 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
MissingFormLabel
- 15 Lacôte M. Clinical Evaluation of Muscle Function. Edinburgh; Chuchill Livingstone 1987
MissingFormLabel
- 16
Lewit K.
Stabilisierung der Wirbelsäule.
Manuelle Therapie.
1999;
3
117-121
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 20 Petty N J, Moore A P. Neuromusculoskeletal Examination and Assessment. Edinburgh; Churchill Livingstone 2001 2nd ed
MissingFormLabel
- 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
MissingFormLabel
- 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
MissingFormLabel
- 23
Tesh K M, Dunn J S, Evans J H.
The abdominal muscle and vertebral stability.
Spine.
1987;
12
501-508
MissingFormLabel
Nils Boettcher, PT, MT, BSc. Physiotherapy
Email: boettcher@emota.de