Effect of Real-Time Ultrasound Imaging for Biofeedback on Trunk Muscle Contraction in Healthy Subjects: A Preliminary Study
Abstract Background: Real-time ultrasound imaging (RUSI) has been increasingly used in clinical medicine as a form of biofeedback when instructing and re-training muscle contraction. However, the effectiveness of the RUSI on a single sustained contraction of the lumbar multifidus (LM) and transversus abdominis (TrA) has rarely been reported. This preliminary study aimed to determine if the use of RUSI as visual biofeedback enhances the ability of activation and continuous contraction of the trunk muscles including LM and TrA.Methods: Forty healthy individuals were included and assigned to 2 groups. All subjects received clinical instruction in how to perform a preferential activation of the LM and TrA, while subjects in the experimental group also received visual feedback (watched the LM and TrA contraction) provided by RUSI. All subjects maintained the LM and TrA contraction for 30 seconds, and the thickness of LM and TrA at rest and during contraction (Tc-max, T15s, and T30s) were extracted and recorded.Results: Non-significant differences were found in the thickness of LM at rest (P > 0.999), Tc-max (P > 0.999), and T15s (P = 0.414) between groups. However, the ability to recruit LM muscle contraction differed between groups at T30s (P = 0.006), with subjects in the experimental group that received visual ultrasound biofeedback maintaining a relative maximum contraction. Besides, there were also no significant differences in the TrA muscle thickness at rest (P > 0.999) and Tc-max (P > 0.999) between groups. While, significant differences of contraction thickness were found at T15s (P = 0.031) and T30s (P = 0.010) between groups during the ADIM, with greater TrA muscle contraction thickness in the experimental group.Conclusions: RUSI can be used to provide visual biofeedback, which can promote continuous contraction efficiency, improve performance, and retention in the ability to activate the LM and TrA muscles in healthy subjects.