scholarly journals Abdominal muscles activity during abdominal bracing and posterior pelvic tilt in women after natural birth and after caesarean delivery

2020 ◽  
Vol 22 (4) ◽  
Author(s):  
Natalia Kuciel ◽  
Justyna Mazurek ◽  
Karolina Biernat ◽  
Łukasz Pawik ◽  
Edyta Sutkowska

Purpose: Exercises after pregnancy can reduce the severity and risk of postnatal locomotor system disorders and muscular dysfunctions. The aim of the study was to evaluate electromyographic activity of abdominal muscles in women who gave birth naturally and via a caesarean section, and to compare it to a group of women who have never given birth. Methods: 27 women were included into the study after completing the personal questionnaire and functional examination. The surface electromyography during abdominal bracing and posterior pelvic tilt was used to test rectus abdominis muscles and internus oblique/ transversus abdominis muscles bilaterally. After normalization test, patients were asked to perform abdominal bracing and posterior pelvic tilt exercises. Results: Activity of rectus abdominis muscle is higher in posterior pelvic tilt compared to abdominal bracing. It should be noted that the internus oblique/transversus abdominis muscle activity in both exercises is similar. Conclusions: In women after natural birth and after a cesarean section who experienced no locomotor system symptoms, no statistically significant differences in abdominal muscle activity in both exercises were observed. In each group being studied, posterior pelvic tilt activated rectus abdominis muscles to a greater extent than just bracing.

1992 ◽  
Vol 72 (3) ◽  
pp. 881-887 ◽  
Author(s):  
Y. Wakai ◽  
M. M. Welsh ◽  
A. M. Leevers ◽  
J. D. Road

Expiratory muscle activity has been shown to occur in awake humans during lung inflation; however, whether this activity is dependent on consciousness is unclear. Therefore we measured abdominal muscle electromyograms (intramuscular electrodes) in 13 subjects studied in the supine position during wakefulness and non-rapid-eye-movement sleep. Lung inflation was produced by nasal continuous positive airway pressure (CPAP). CPAP at 10–15 cmH2O produced phasic expiratory activity in two subjects during wakefulness but produced no activity in any subject during sleep. During sleep, CPAP to 15 cmH2O increased lung volume by 1,260 +/- 215 (SE) ml, but there was no change in minute ventilation. The ventilatory threshold at which phasic abdominal muscle activity was first recorded during hypercapnia was 10.3 +/- 1.1 l/min while awake and 13.8 +/- 1 l/min while asleep (P less than 0.05). Higher lung volumes reduced the threshold for abdominal muscle recruitment during hypercapnia. We conclude that lung inflation alone over the range that we studied does not alter ventilation or produce recruitment of the abdominal muscles in sleeping humans. The internal oblique and transversus abdominis are activated at a lower ventilatory threshold during hypercapnia, and this activation is influenced by state and lung volume.


2001 ◽  
Vol 91 (1) ◽  
pp. 137-144 ◽  
Author(s):  
L. A. Cotter ◽  
H. E. Arendt ◽  
J. G. Jasko ◽  
C. Sprando ◽  
S. P. Cass ◽  
...  

Changes in posture can affect the resting length of the diaphragm, requiring alterations in the activity of both the abdominal muscles and the diaphragm to maintain stable ventilation. To determine the role of the vestibular system in regulating respiratory muscle discharges during postural changes, spontaneous diaphragm and rectus abdominis activity and modulation of the firing of these muscles during nose-up and ear-down tilt were compared before and after removal of labyrinthine inputs in awake cats. In vestibular-intact animals, nose-up and ear-down tilts from the prone position altered rectus abdominis firing, whereas the effects of body rotation on diaphragm activity were not statistically significant. After peripheral vestibular lesions, spontaneous diaphragm and rectus abdominis discharges increased significantly (by ∼170%), and augmentation of rectus abdominis activity during nose-up body rotation was diminished. However, spontaneous muscle activity and responses to tilt began to recover after a few days after the lesions, presumably because of plasticity in the central vestibular system. These data suggest that the vestibular system provides tonic inhibitory influences on rectus abdominis and the diaphragm and in addition contributes to eliciting increases in abdominal muscle activity during some changes in body orientation.


2001 ◽  
Vol 81 (5) ◽  
pp. 1096-1101 ◽  
Author(s):  
Gregory J Lehman ◽  
Stuart M McGill

Abstract Background and Purpose. Controversy exists around exercises and clinical tests that attempt to differentially activate the upper or lower portions of the rectus abdominis muscle. The purpose of this study was to assess the activation of the upper and lower portions of the rectus abdominis muscle during a variety of abdominal muscle contractions. Subjects. Subjects (N=11) were selected from a university population for athletic ability and low subcutaneous fat to optimize electromyographic (EMG) signal collection. Methods. Controlling for spine curvature, range of motion, and posture (and, therefore, muscle length), EMG activity of the external oblique muscle and upper and lower portions of rectus abdominis muscle was measured during the isometric portion of curl-ups, abdominal muscle lifts, leg raises, and restricted or attempted leg raises and curl-ups. A one-way repeated-measures analysis of variance was used to test for differences in activity between exercises in the external oblique and rectus abdominis muscles as well as between the portions of the rectus abdominis muscle. Results. No differences in muscle activity were found between the upper and lower portions of the rectus abdominis muscle within and between exercises. External oblique muscle activity, however, showed differences between exercises. Discussion and Conclusion. Normalizing the EMG signal led the authors to believe that the differences between the portions of the rectus abdominis muscle are small and may lack clinical or therapeutic relevance.


1999 ◽  
Vol 86 (6) ◽  
pp. 1994-2000 ◽  
Author(s):  
Tadashi Abe ◽  
Takumi Yamada ◽  
Tomoyuki Tomita ◽  
Paul A. Easton

In humans during stimulated ventilation, substantial abdominal muscle activity extends into the following inspiration as postexpiratory expiratory activity (PEEA) and commences again during late inspiration as preexpiratory expiratory activity (PREA). We hypothesized that the timing of PEEA and PREA would be changed systematically by posture. Fine-wire electrodes were inserted into the rectus abdominis, external oblique, internal oblique, and transversus abdominis in nine awake subjects. Airflow, end-tidal CO2, and moving average electromyogram (EMG) signals were recorded during resting and CO2-stimulated ventilation in both supine and standing postures. Phasic expiratory EMG activity (tidal EMG) of the four abdominal muscles at any level of CO2 stimulation was greater while standing. Abdominal muscle activities during inspiration, PEEA, and PREA, were observed with CO2stimulation, both supine and standing. Change in posture had a significant effect on intrabreath timing of expiratory muscle activation at any level of CO2stimulation. The transversus abdominis showed a significant increase in PEEA and a significant decrease in PREA while subjects were standing; similar changes were seen in the internal oblique. We conclude that changes in posture are associated with significant changes in phasic expiratory activity of the four abdominal muscles, with systematic changes in the timing of abdominal muscle activity during early and late inspiration.


2006 ◽  
Vol 100 (5) ◽  
pp. 1554-1562 ◽  
Author(s):  
Bryan J. Taylor ◽  
Stephen C. How ◽  
Lee M. Romer

The abdominal muscles have been shown to fatigue in response to voluntary isocapnic hyperpnea using direct nerve stimulation techniques. We investigated whether the abdominal muscles fatigue in response to dynamic lower limb exercise using such techniques. Eleven male subjects [peak oxygen uptake (V̇o2 peak) = 50.0 ± 1.9 (SE) ml·kg−1·min−1] cycled at >90% V̇o2 peak to exhaustion (14.2 ± 4.2 min). Abdominal muscle function was assessed before and up to 30 min after exercise by measuring the changes in gastric pressure (Pga) after the nerve roots supplying the abdominal muscles were magnetically stimulated at 1–25 Hz. Immediately after exercise there was a decrease in Pga at all stimulation frequencies (mean −25 ± 4%; P < 0.001) that persisted up to 30 min postexercise (−12 ± 4%; P = 0.001). These reductions were unlikely due to changes in membrane excitability because amplitude, duration, and area of the rectus abdominis M wave were unaffected. Declines in the Pga response to maximal voluntary expiratory efforts occurred after exercise (158 ± 13 before vs. 145 ± 10 cmH2O after exercise; P = 0.005). Voluntary activation, assessed using twitch interpolation, did not change (67 ± 6 before vs. 64 ± 2% after exercise; P = 0.20), and electromyographic activity of the rectus abdominis and external oblique increased during these volitional maneuvers. These data provide new evidence that the abdominal muscles fatigue after sustained, high-intensity exercise and that the fatigue is primarily due to peripheral mechanisms.


1994 ◽  
Vol 77 (3) ◽  
pp. 1393-1398 ◽  
Author(s):  
A. M. Leevers ◽  
J. D. Road

We previously found the internal abdominal muscle layer to be preferentially recruited during expiratory threshold loading in anesthetized and awake dogs. Expiratory threshold loading increases end-expiratory lung volume and hence can activate reflex pathways such as tonic vagal reflexes, which could influence abdominal muscle recruitment. Our objectives in the present study were to determine the effects of hypercapnia on abdominal muscle activation and the pattern of recruitment in awake dogs. Five tracheotomized dogs were chronically implanted with sonomicrometer transducers and fine-wire electromyogram (EMG) electrodes in each of the four abdominal muscles: transversus abdominis, internal oblique, external oblique, and rectus abdominis. Muscle length changes and EMG activity were studied in the awake dog at rest and during CO2 rebreathing. CO2 rebreathing produced a tripling of tidal volume and activation of the abdominal muscles. Despite the increase in tidal volume, there was no significant change in abdominal muscle end-inspiratory length. Both tonic and phasic expiratory shortening were greater in the internal muscle layer (transversus abdominis and internal oblique) than in the external muscle layer (external oblique and rectus abdominis). We conclude that the internal abdominal muscles are preferentially recruited by hypercapnia and vagal reflexes probably do not contribute to this differential recruitment but that segmental reflexes may be involved. The mechanical consequences of this recruitment are discussed.


2018 ◽  
Vol 21 (02) ◽  
pp. 1850008
Author(s):  
Saviour Adjenti ◽  
Graham Louw ◽  
Jennifer Jelsma ◽  
Marianne Unger

Purpose: To investigate whether the pennation angle (PA) in the abdominal muscles of individuals with spastic type cerebral palsy (STCP) has undergone any change when compared with those of typically developing (TD) individuals. To determine whether PA of abdominal muscles in individuals with STCP impacts differently on the force generating capacity, from those of TD peers. Materials & methods: Ultrasound images of the four abdominal muscles namely; rectus abdominis (RA), internal oblique (IO), external oblique (EO) and transversus abdominis (TrA), were obtained during the resting and active stages. ImageJ software package (version 2012) was used to measure the PA of the sonographic images. Sixty-three individuals with STCP and eighty-two typically developing (TD) individuals took part in the study. The participants were between the ages of 7 and 16 years. Results: The PA for three out of the four abdominal muscles was less than 3[Formula: see text] while the RA muscle in both groups showed a pennation angle of zero degrees during the resting and active stages. Conclusion: Excluding the rectus abdominis muscle, PA appeared to be altered in individuals with STCP when compared to their TD counterparts. The characterization of PA in abdominal muscles in both groups is, however, unclear. The PA as a muscle parameter may not be an important variable for differentiating the force generating capacity between individuals with STCP and their TD peers. Further investigation is required on MAP and the overall implication of each component on abdominal muscle function, especially in the maintenance of balance and posture.


1989 ◽  
Vol 66 (1) ◽  
pp. 20-27 ◽  
Author(s):  
A. De Troyer ◽  
J. J. Gilmartin ◽  
V. Ninane

The pattern of abdominal muscle use during breathing in unanesthetized dogs is unknown. Therefore, we have recorded the electromyograms of the rectus abdominis, external oblique, and transversus abdominis in eight conscious animals breathing quietly in the sitting, standing, and prone postures. During quiet breathing in the sitting posture, all animals invariably had a large amount of phasic expiratory activity in the transversus abdominis. In contrast, only four animals showed some expiratory activity in the external oblique, and only one animal had expiratory activity in the rectus abdominis. A similar pattern was observed when the animals were standing or lying prone, although the amount of expiratory activity was less in this posture. Bilateral cervical vagotomy in four animals did not affect the degree of transversus abdominis expiratory activation or the influence of posture. We conclude that in conscious dogs 1) the abdominal muscles play an important role during breathing and make spontaneous quiet expiration a very active process, 2) the transversus abdominis is the primary respiratory muscle of the abdomen, and 3) unlike in anesthetized animals, extrapulmonary receptors play a major role in promoting abdominal expiratory contraction.


2000 ◽  
Vol 88 (4) ◽  
pp. 1207-1214 ◽  
Author(s):  
Donald C. Bolser ◽  
Paul J. Reier ◽  
Paul W. Davenport

The present study was conducted to determine the pattern of activation of the anterolateral abdominal muscles during the cough reflex. Electromyograms (EMGs) of the rectus abdominis, external oblique, internal oblique, transversus abdominis, and parasternal muscles were recorded along with gastric pressure in anesthetized cats. Cough was produced by mechanical stimulation of the lumen of the intrathoracic trachea or larynx. The pattern of EMG activation of these muscles during cough was compared with that during graded expiratory threshold loading (ETL; 1–30 cmH2O). ETL elicited differential recruitment of abdominal muscle EMG activity (transversus abdominis > internal oblique > rectus abdominis ≅ external oblique). In contrast, both laryngeal and tracheobronchial cough resulted in simultaneous activation of all four anterolateral abdominal muscles with peak EMG amplitudes 3- to 10-fold greater than those observed during the largest ETL. Gastric pressures during laryngeal and tracheobronchial cough were at least eightfold greater than those produced by the largest ETL. These results suggest that, unlike their behavior during expiratory loading, the anterolateral abdominal muscles act as a unit during cough.


1993 ◽  
Vol 75 (4) ◽  
pp. 1452-1459 ◽  
Author(s):  
A. M. Leevers ◽  
J. D. Road

The objective of this study was to examine the effects of posture on tonic and phasic expiratory activity of the abdominal muscles in awake dogs. Six tracheostomized dogs were chronically instrumented with sonomicrometer transducers and bipolar electromyographic electrodes placed in each of the four abdominal muscles. To determine the effects of posture on tonic and phasic activity of individual abdominal muscles, muscle resting length (Lr) and tidal length changes (%Lr), respectively, were measured in awake dogs in the left lateral decubitus (LLD), sitting, and standing (STAND) positions. The transversus abdominis Lr consistently shortened when the dog was moved from LLD to STAND and lengthened when the dog was moved from LLD to the sitting position, and the external oblique Lr consistently lengthened when the dog went from LLD to STAND. The internal oblique and rectus abdominis had no consistent changes in Lr with a change in position. All four abdominal muscles actively shortened (%Lr) more in the upright positions. In addition, the internal layer (transversus abdominis and internal oblique) actively shortened more than the external layer (rectus abdominis and external oblique). In conclusion, both tonic and phasic respiratory activity of the abdominal muscles, reflected by changes in Lr and %Lr, respectively, were affected by changes in posture.


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