[Purpose] This study was intended to examine the most effective feedback method for
contracting the musculus transversus abdominis muscle by using basic training, a pressure
biofeedback unit, and real-time ultrasonographic imaging during abdominal hollowing
exercise training. [Subjects and Methods] The subjects in this study were 30 healthy young
students in their twenties. Thirty subjects were divided randomly and equally into the
basic training, the pressure biofeedback unit, and real-time ultrasonographic imaging
groups. All of the subjects received abdominal hollowing exercise training for 15 minutes.
The subjects in the pressure biofeedback unit group were trained by using a pressure
biofeedback unit. Those in the real-time ultrasonographic imaging group received training
with monitoring of possible contraction of their musculus transversus abdominis muscles on
ultrasonography. [Results] In all the three groups, the musculus transversus abdominis
became significantly thicker, but more significantly in the real-time ultrasonographic
imaging group than in the basic training group. [Conclusion] The feedback method using
real-time ultrasonographic imaging may be more effective in thickening the musculus
transversus abdominis muscle during exercise than the traditional feedback method with
manual contact only. However, it is insufficient in terms of overall qualitative
improvement of exercise outcome.