Impact of the Abdominal Drawing-In Maneuver on Spinal Extensor Muscle Activity: A Randomized Controlled Double-Blind Trial Involving Individuals with Non-Specific Low Back Pain
2024

Impact of the Abdominal Drawing-In Maneuver on Muscle Activity in Low Back Pain

Sample size: 40 publication Evidence: high

Author Information

Author(s): Caglar Soylu, Emre Serdar Atalay, Duygu Turker, Sahan Tezel Yildirim, Necmiye Un Yildirim, Ellen Glickman

Primary Institution: Gulhane Faculty of Physical Therapy and Rehabilitation, University of Health Sciences, Ankara, Turkey

Hypothesis

Integrating the abdominal drawing-in maneuver into selected low back exercises will significantly increase the activation of the thoracic and lumbar erector spinae muscles in individuals with non-specific low back pain.

Conclusion

The abdominal drawing-in maneuver enhances spinal stabilizer muscle activation and reduces muscle fatigue in individuals with non-specific low back pain.

Supporting Evidence

  • The abdominal drawing-in maneuver significantly modulated muscle activation patterns.
  • Unstable superman exercise produced the highest activation levels when combined with the abdominal drawing-in maneuver.
  • Participants showed reduced muscle fatigue during exercises incorporating the abdominal drawing-in maneuver.
  • Significant increases in muscle activation were observed across different exercises with the abdominal drawing-in maneuver.

Takeaway

This study shows that a special breathing technique can help strengthen back muscles and reduce pain for people with back issues.

Methodology

A randomized controlled double-blind trial measuring EMG activity of spinal extensor muscles during exercises with and without the abdominal drawing-in maneuver.

Potential Biases

Potential bias minimized through randomization and double-blinding, but demographic constraints may affect results.

Limitations

The study had a predominantly young and female participant pool, limiting generalizability across genders and age groups.

Participant Demographics

40 participants (29 female, 11 male; mean age 21.42 years) with non-specific low back pain.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/ijerph21121675

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication