Clinimetric Analysis of Pressure Biofeedback and Transversus Abdominis Function in Individuals With Stabilization Classification Low Back Pain

Grooms, Dustin R.; Grindstaff, Terry L.; Croy, Theodore; Hart, Joseph M.; Saliba, Susan A.

doi:10.2519/jospt.2013.4397

Cited by 34 publications

(34 citation statements)

References 62 publications

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“…The ultrasound transducer was originally placed transversely superior to the iliac crest approximately 10 cm lateral from the umbilicus 42 along the midaxillary line. 13,19,43,44 Standardization for final ultrasound-transducer placement occurred when the fascial border of the TrA and thoracolumbar fascia was visible on the lateral side of the ultrasound screen and the best images of the TrA, external oblique, and internal oblique were obtained ( Figure 2). 13,15,43,44 Resting images were obtained through a static image immediately after exhalation.…”

Section: Methodsmentioning

confidence: 99%

“…13,15,43,44 Resting images were obtained through a static image immediately after exhalation. 43,44 Thickness measures for the TrA were reported in centimeters and calculated at the thickest position on the ultrasound screen between the superior and deep fascial borders, 13,19,43 while the total lateral abdominal-wall thickness was measured from the deep border of the TrA to the superficial border of the external oblique. 13,19,43 Two markings were placed opposite the transducer head against the skin to reference the starting transducer position ( Figure 2).…”

Section: Methodsmentioning

confidence: 99%

“…12 Biofeedback can be a verbal description and encouragement during activation exercises such as the abdominal drawing-in maneuver (ADIM), [13][14][15][16] visual feedback via real-time ultrasound imaging, 17,18 or tactile feedback through pressure-cuff systems. 19,20 The preferential activation ratio (PAR) is a calculation comparing the TrA-muscle thickness with the entire lateral abdominal-muscle-wall thickness in both the contracted and rested states 13 through the use of either the ADIM 13 or abdominal-hollowing exercises. 21,22 The TrA PAR indicates the ability to contract the TrA independently of the lateral abdominal wall, which may be used as a clinical measure to assess lumbar stability of the TrA by observing an increase in TrA without increase in thickness of the internal or external oblique muscles.…”

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confidence: 99%

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Changes in Muscle Thickness After Exercise and Biofeedback in People With Low Back Pain

Partner¹,

Sutherlin²,

Acocello³

et al. 2014

Journal of Sport Rehabilitation

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Changes in Muscle Thickness After Exercise and Biofeedback in People With Low Back Pain

Partner¹,

Sutherlin²,

Acocello³

et al. 2014

Journal of Sport Rehabilitation

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“…Transversus abdominis activation capacity, which we will assess using the Stabilizer Pressure Biofeedback Unit (PBU, Chattanooga Group, Australia) [34]. The subject will be asked to lie in prone position over a rigid surface, then a PBU device will be placed under the transversus abdominis.…”

Section: Methodsmentioning

confidence: 99%

Whole body vibration exercise for chronic low back pain: study protocol for a single-blind randomized controlled trial

Wang

Chen

et al. 2014

Trials

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BackgroundLow back pain affects approximately 80% of people at some stage in their lives. Exercise therapy is the most widely used nonsurgical intervention for low back pain in practice guidelines. Whole body vibration exercise is becoming increasingly popular for relieving musculoskeletal pain and improving health-related quality of life. However, the efficacy of whole body vibration exercise for low back pain is not without dispute. This study aims to estimate the effect of whole body vibration exercise for chronic low back pain.Methods/DesignWe will conduct a prospective, single-blind, randomized controlled trial of 120 patients with chronic low back pain. Patients will be randomly assigned into an intervention group and a control group. The intervention group will participate in whole body vibration exercise twice a week for 3 months. The control group will receive general exercise twice a week for 3 months. Primary outcome measures will be the visual analog scale for pain, the Oswestry Disability Index and adverse events. The secondary outcome measures will include muscle strength and endurance of spine, trunk proprioception, transversus abdominis activation capacity, and quality of life. We will conduct intention-to-treat analysis if any participants withdraw from the trial.DiscussionImportant features of this study include the randomization procedures, single-blind, large sample size, and a standardized protocol for whole body vibration in chronic low back pain. This study aims to determine whether whole body vibration exercise produces more beneficial effects than general exercise for chronic low back pain. Therefore, our results will be useful for patients with chronic low back pain as well as for medical staff and health-care decision makers.Trial registrationChinese Clinical Trial Registry: ChiCTR-TRC-13003708.

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“…Although cough is an important defense mechanism against respiratory tract infections and atelectasis, the capacity to generate cough and clear respiratory secretions is severely compromised in most individuals with SCI due to the impaired innervations of the abdominal muscles at most SCI levels [1]. The contraction of the transverses abdominis is thought to contribute to dynamic stabilization of the lumbar spine [3]. dyspnoea during activities of daily living is most common, among motorized wheel-chair users.…”

Section: Introductionmentioning

confidence: 99%

Effect of Static Abdominals Training and Incentive Spirometer in Improvement of Pulmonary Function and Abdominal Strength in Spinal Cord Injury Patients- A Comparative Study

Mantri¹,

Pattnaik²,

Mohanty³

2017

Spine Research

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Introduction: Following spinal cord injury, muscles below the level of injury develop variable degrees of disuse atrophy. Individuals with spinal cord injury (SCI) exhibit reduced lung volumes and flow rates as a result of respiratory muscle weakness. Many studies were done to strengthen diaphragm and abdominals using abdominal weights and dynamic curl up. Isolated training of abdominals using pressure biofeedback has been done by very few authors in patients with traumatic paraplegia. Methodology:Traumatic paraplegics between T9-T12 were randomly selected. The selected subjects were randomly assigned in to static abdominals and incentive spirometry group. 15 subjects in each group. Subjects in first group receives static abdominal exercise using pressure biofeedback in crook lying while other group practiced expiratory muscle training using incenti ve spirometer. Both groups receive conventional physiotherapy exercises. Training was given for 5 days a week for 6 weeks. Results:Result of the study suggested that both the static abdominals and incentive spirometry group had a significant improvement in pulmonary functions (FEV1, VC, MVV) and static abdominal strength in patients with traumatic paraplegia after treatment for 6 weeks. However, the incentive spirometry group showed greater change as compared to static abdominals. Conclusion:Incentive spirometery training brings about more improvement in pulmonary function than static abdominals while static abdominals using pressure biofeedback leads to increase in strength of abdominal muscles compares to incentive spirometry.

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Clinimetric Analysis of Pressure Biofeedback and Transversus Abdominis Function in Individuals With Stabilization Classification Low Back Pain

Cited by 34 publications

References 62 publications

Changes in Muscle Thickness After Exercise and Biofeedback in People With Low Back Pain

Changes in Muscle Thickness After Exercise and Biofeedback in People With Low Back Pain

Whole body vibration exercise for chronic low back pain: study protocol for a single-blind randomized controlled trial

Effect of Static Abdominals Training and Incentive Spirometer in Improvement of Pulmonary Function and Abdominal Strength in Spinal Cord Injury Patients- A Comparative Study

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