The Effects of Combined Complex Exercise with Abdominal Drawing-in Maneuver on Expiratory Abdominal Muscles Activation and Forced Pulmonary Function for Post Stroke Patients

Yun, Jeung-Hyun; Kim, Taesoo; Lee, Byung-Ki

doi:10.13066/kspm.2013.8.4.513

Cited by 12 publications

(8 citation statements)

References 17 publications

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“…We performed the ADIM training in the prone position with adults with instability that was reported of the thickened core muscle, the transverse abdominis, and obliqus abdominus interni. Another previous study had also reported that the ADIM increases the activity of transverse abdominis and obliqus abdominus interni of the deep abdominal muscles [24].…”

Section: Discussionmentioning

confidence: 72%

Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke

Choi

Shima

Shin

2016

PTRS

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Objective: The effect of abdominal expansion maneuver (AEM) and abdominal draw-in maneuver (ADIM) on postural control in an unsupported position in stroke patients. Design: Randomized controlled trial. Methods: A total of 36 persons with hemiplegic stroke participated in this study. The subjects were randomly divided into an AEM experimental group (n=12), an experimental ADIM group (n=12), and a control group (n=12). We collected the general characteristics of all subjects and the pre-test results before the intervention and after 4 weeks of the intervention. The trunk stabilization training of the ADIM and AEM group were performed 15 minutes a day, 3 times a week for 4 weeks, and general physical therapy was performed 2 times a day, 30 minutes per session, 5 times a week for all three groups. The control group received joint mobilizations, muscle strengthening, endurance strengthening , and gait exercises along with treatment of the central nervous system, such as neuro-developmental treatment, mat, and gait training. The AEM is an inspiratory phase of tidal breathing expanding the lateral lower ribcage in a lateral direction with minimal superior movements of the chest. Then the lower abdomen expands and the navel moves in an anterior-caudal direction. The ADIM is a repeated contraction and relaxation of the anal sphincter during inspiration. The navel pulls the lower abdomen to the direction of the spine without the movement of the trunk and pelvis. Results: Before and after the interventions, medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area 95% was a statistically significant change in all three groups (p<0.05). The post-hoc test showed a significant improvement in medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area in the AEM group compared with the control group, and in the ADIM group compared with the control group (p<0.05). Conclusions: In conclusion, both AEM training and ADIM training are necessary interventions to maintain the independent sitting position according to the characteristics of the patient.

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Section: Discussionmentioning

confidence: 72%

Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke

Choi

Shima

Shin

2016

PTRS

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“…Another previous study also shows that the ADIM increases the abdominal deep muscle activity of TrA and ADIM, and that the increased muscle activity is observed in the group applied with ADIM. 18 After a stroke, the ability of a patient to maintain trunk control in sitting and standing positions is a fundamental skill for achieving autonomy in activities of daily living. The trunk control performance of patients soon after a stroke has been found to be closely associated with long-term functional improvement.…”

Section: Discussionmentioning

confidence: 99%

“…Subjects were then taught to preferentially activate their TrA by performing the ADIM with visual feedback from the pressure biofeedback unit. 18…”

Section: ) Adimmentioning

confidence: 99%

Effects of the Abdominal Drawing-in Maneuver and the Abdominal Expansion Maneuver on Grip Strength, Balance and Pulmonary Function in Stroke Patients

2015

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Purpose:The purpose was to determine whether the application of the abdominal drawing-in maneuver (ADIM) and abdominal expansion maneuver (AEM) to stroke patients would affects their trunk stability, balance, pulmonary function, and grip strength. Methods: The subjects were 36 stroke patients who were randomly and equally assigned to an ADIM group (n = 12), an AEM group (n= 12), and a control group (n= 12). The intervention was applied to each group three times per week, 30 minutes each time, for four weeks. Outcome measures were grip strength, modified functional reach test (mFRT) and pulmonary function. Pulmonary function were measured force expiratory volume at one second (FEV1), forced vital capacity (FVC), FEV1/FVC and peak expiratory flow (PEF) values. Results: The results of the three groups showed statistically significant improvements in grip strength. The AEM group showed significantly greater differences in grip strength than either the ADIM group or the control group. In the anterior mFRT, the ADIM group showed significantly improvements than the control group. The ADIM and AEM groups were showed statistically significant greater improvements in PEF between the baseline and post-intervention and the post-analysis revealed that the AEM group showed significantly greater improvements than the control group. Conclusion: The results of this study indicate that the ADIM and AEM were effective in improving the PEF of pulmonary function. The ADIM was more effective than AEM in trunk stabilization. This is an Open Access article distribute under the terms of the Creative Commons Attribution Non-commercial License (Http:// creativecommons.org/license/by-nc/3.0.) which permits unrestricted non-commercial use, distribution,and reproduction in any medium, provided the original work is properly cited. Korean Physical Therapy significantly affects the maintenance of life, and it is an essential element to be maintained for improving the physical function and the quality of life in stroke patients. 2 In addition, the cardio-pulmonary function affects the trunk control which does an important role in the maintenance of standing position, body movements, balance and stability required for activities of daily living (ADL). A symptom of the stroke is the reduction of the motor control for which the co-contraction of the muscles involved in the respiratory circulation is essential. The damage in respiratory function induces the dysfunction of the trunk posture and the weakness of the respiration muscle. 7 In addition, the damage causes the decrease in updown movement of the diaphragm over voluntary breathing and hyperpnea, which results in a continuous increase in the affected side diaphragm. 8 Normally, the deep abdominal muscles, in coordination with the deep multifidus muscle, play a central role in lumbar spinal stiffness, contributing to core stability. The TrA muscle is preferentially activated to maintain postural stability in the motor control of the trunk muscles during limb movement. 9 To improve the breathing ...

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“…몸통 안정화를 향상시키는 여러 운 동 방법 중 복부 드로우-인 기법은 몸통 안정화에 관련 된 주위 근육들을 활성화시키는 운동방법으로 특히 몸 통 안정화에 중요한 배가로근을 선택적으로 자극시킬 수 있으며, 이미 요통환자들에게 검증되어 최근 뇌졸중 환자들에게 몸통 안정성을 향상시키기 위해 적용하고 있다 [9]. 그러나 뇌졸중 환자들 같은 경우 선택적으로 단일 근육만을 활성화시키면, 주위 근육들의 근 약화를 초래할 수 있어 가장 효율적인 운동 방법이라고 할 수 없어 [10], 이를 보안하기 위해 호흡이나 팔-다리의 움직 임을 병행하여 효율적인 복부 드로우-인 기법을 제시하 고 있는 추세이다 [11] 특히, 호흡은 누구나 쉽고 자연스 럽게 접할 수 있는 운동 방법이며 [12], 호흡 운동은 호흡 근의 근력, 지구력 향상뿐만 아닌 [13], 척추의 안정성을 제공하며, 복부와 요추 주위 근육들에 긍정적인 변화 주는 운동이다 [14].…”

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The Effect of the Abdominal Draw-In Maneuver Using Breathing on Trunk Control and Hand Grip in Stroke Patients

Kang

Moon²

2022

KSPM

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This study was carried out to examine the changes in the trunk control ability and hand grip when the abdominal draw-in maneuver using breathing was applied to stroke patients, and provide basic data regarding the trunk stabilization exercise. METHOD: After randomly placing patients in group Ⅰ-applying the existing abdominal draw-in exercise and group Ⅱ -applying the abdominal draw-in exercise using breathing, the intervention program was performed ten times per set (five sets per session), once a day, four times a week, for a total of four weeks. For the pre-tests before the intervention, trunk †Corresponding Author : Young-Jun Moon

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The Effects of Combined Complex Exercise with Abdominal Drawing-in Maneuver on Expiratory Abdominal Muscles Activation and Forced Pulmonary Function for Post Stroke Patients

Cited by 12 publications

References 17 publications

Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke

Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke

Effects of the Abdominal Drawing-in Maneuver and the Abdominal Expansion Maneuver on Grip Strength, Balance and Pulmonary Function in Stroke Patients

The Effect of the Abdominal Draw-In Maneuver Using Breathing on Trunk Control and Hand Grip in Stroke Patients

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