Evaluación de ultrasonido del músculo de la pared abdominal y nivel de experiencia en Pilates – un estudio exploratorio
DOI:
https://doi.org/10.47197/retos.v62.107624Palabras clave:
Evaluación Abdominal, Pilates, Pared Abdominal, Nivel de experienciaResumen
El núcleo se refiere a un grupo de músculos que permiten una transferencia óptima de fuerza a lo largo de la cadena cinética del cuerpo y es fundamental para el movimiento. El objetivo de este estudio cuasiexperimental fue investigar la relación entre el nivel de experiencia de los participantes de Pilates y el grosor de la pared abdominal. Para esto, comparamos el grosor de cuatro músculos abdominales: transverso abdominal (TrA), oblicuo interno (IO), oblicuo externo (EO) y recto abdominal (RA), medido antes y después de 8 semanas de entrenamiento de Pilates en tres modos, a saber, relajación, vaciado abdominal y ejercicio de plancha. Dieciocho participantes se distribuyeron en tres grupos con diferentes niveles de práctica de Pilates: grupos experimentados (EG; n=6), inexpertos (IG; n=7) y control (CG; n=5). La RA mostró una tendencia a aumentar postintervención en el EG (todos los modos: p=0.002, p=0.006 y p=0.002, respectivamente para el modo relajación, hueco abdominal y plancha de pie). Además, se encontraron diferencias significativas en los modos de relajación (p=0.003, d=−0.744) y plancha (p=0.009, d=−0.630) en el IG. También se registraron diferencias significativas en el músculo EO en el IG (todos los modos: p=0.046, p=0.013 y p=0.008, respectivamente; d=0.464, d=−0.596 y d=−0.637, respectivamente). El grosor del músculo IO tendió a aumentar en el CG en todos los modos (p=0.044, p=0.006 y p<0.001, respectivamente) y en el EG en los modos relajación y plancha (p=0.009 y p=0.007, respectivamente). Dentro de los grupos, los efectos de la práctica de Pilates fueron más significativos post-intervención, con las excepciones bajo el modo de contracción en los músculos más profundos (IO: p=0.109, d=0.083; TrA: p=0.194, d=0.062). Nuestra hipótesis se confirmó parcialmente porque 8 semanas de práctica de Pilates mejoraron significativamente el grosor de los músculos RA y EO en el IG.
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Barbosa, A. C., Vieira, E. R., Silva, A. F., Coelho, A. C., Martins, F. M., Fonseca, D. S., Barbosa, M. A., & Bordachar, D. (2018). Pilates experience vs. muscle activation during abdominal drawing-in maneuver. Journal of Bodywork and Movement Therapies, 22, 467-470. https://doi.org/https://doi.org/10.1016/j.jbmt.2017.05.002
Batibay, S., Kulcu, D. G., Kaleoglu, O., & Mesci, N. (2021). Effect of Pilates mat exercise and home exercise programs on pain, functional level, and core muscle thickness in women with chronic low back pain. J Orthop Sci, 26(6), 979-985. https://doi.org/https://doi.org/10.1016/j.jos.2020.10.026
Bergamin, M., Gobbo, S., Bullo, V., Zanotto, T., Vendramin, B., Duregon, F., Cugusi, L., Camozzi, V., Zaccaria, M., Neunhaeuserer, D., & Ermolao, A. (2015). Effects of a Pilates exercise program on muscle strength, postural control and body composition: results from a pilot study in a group of post-menopausal women. Age (Dordr), 37(6), 118. https://doi.org/https://doi.org/10.1007/s11357-015-9852-3
Bergmark, A. (1989). Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl, 230, 1-54. https://doi.org/https://doi.org/10.3109/17453678909154177
Brown, S. H., & McGill, S. M. (2010). A comparison of ultrasound and electromyography measures of force and activa-tion to examine the mechanics of abdominal wall contraction. Clin Biomech (Bristol, Avon), 25(2), 115-123. https://doi.org/https://doi.org/10.1016/j.clinbiomech.2009.10.001
Carrasco-Poyatos, M., Ramos-Campo, D. J., & Rubio-Arias, J. A. (2019). Pilates versus resistance training on trunk strength and balance adaptations in older women: a randomized controlled trial. Peerj, 2019. https://doi.org/https://doi.org/10.7717/peerj.7948
Carrasco-Poyatos, M., Rubio-Arias, J. A. J. A., Ballesta-García, I., Ramos-Campo, D. J. D. J., Ballesta-Garcia, I., Ramos-Campo, D. J. D. J., Ballesta-García, I., & Ramos-Campo, D. J. D. J. (2019). Pilates vs. muscular training in older women. Effects in functional factors and the cognitive interaction: A randomized controlled trial. In Physi-ology and Behavior (Vol. 201, pp. 157-164): Elsevier. http://doi.org/10.1016/j.physbeh.2018.12.008
Cervera-Cano, M., Lopez-Gonzalez, L., Valcarcel-Linares, D., Fernandez-Carnero, S., Achalandabaso-Ochoa, A., An-dres-Sanz, V., & Pecos-Martin, D. (2022). Core Synergies Measured with Ultrasound in Subjects with Chronic Non-Specific Low Back Pain and Healthy Subjects: A Systematic Review. Sensors (Basel), 22(22). https://doi.org/https://doi.org/10.3390/s22228684
Choi, W., Joo, Y., & Lee, S. (2021). Pilates exercise focused on ankle movements for improving gait ability in older women. In Journal of Women and Aging (Vol. 33, pp. 30-40): Routledge.
Cholewicki, J. M., SM. (1996). Mechanical Stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clinical Biomechanics, 11, 1-15. https://doi.org/https://doi.org/10.1016/0268-0033(95)00035-6
Critchley, D. J., Pierson, Z., & Battersby, G. (2011). Effect of pilates mat exercises and conventional exercise pro-grammes on transversus abdominis and obliquus internus abdominis activity: pilot randomised trial. In Manual Therapy (Vol. 16, pp. 183-189). http://doi.org/10.1016/j.math.2010.10.007
Cruz-Díaz, D., Bergamin, M., Gobbo, S., Martínez-Amat, A., & Hita-Contreras, F. (2017). Comparative effects of 12 weeks of equipment based and mat Pilates in patients with Chronic Low Back Pain on pain, function and transver-sus abdominis activation. A randomized controlled trial. In Complementary Therapies in Medicine (Vol. 33 CC -, pp. 72-77). https://doi.org/10.1016/j.ctim.2017.06.004
Cruz-Ferreira, A., Fernandes, J., Laranjo, L., Bernardo, L. M., & Silva, A. (2011). A systematic review of the effects of pilates method of exercise in healthy people. Arch Phys Med Rehabil, 92(12), 2071-2081. https://doi.org/https://doi.org/10.1016/j.apmr.2011.06.018
Devorski, L., Skibski, A., & Mangum, L. C. (2024). Rectus abdominis muscle thickness change and activation increase during planks performed on different surfaces. J Ultrasound, 27(1), 21-29. https://doi.org/https://doi.org/10.1007/s40477-022-00750-8
Do, W. a. Y., WG. (2015). Comparison of the thicknesses of the transversus abdominis and internal abdominal obliques during plank exercises on different support surfaces. J. Phys. Ther. Sci., 27, 169–170. https://doi.org/https://doi.org/10.1589/jpts.27.169
Dorado, C., Calbet, J. A. L., Lopez-Gordillo, A., Alayon, S., & Sanchis-Moysi, J. (2012). Marked effects of pilates on the abdominal muscles: A longitudinal magnetic resonance imaging study. In Medicine and science in sports and exercise (Vol. 44, pp. 1589-1594). https://doi.org/10.1249/MSS.0b013e31824fb6ae
Ebenbichler, G. O., L.; Kollmitzer, J. And Erim, Z. (2001). Sensory-motor control of the lower back: implications for rehabilitation. MEDICINE & SCIENCE IN SPORTS & EXERCISE. https://doi.org/https://doi.org/10.1097/00005768-200111000-00014
Franks, J., Thwaites, C., & Morris, M. E. (2023). Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review. Healthcare (Basel), 11(10). https://doi.org/https:/doi.org/10.3390/healthcare11101404
Gala-Alarcón, P., Calvo-Lobo, C., Serrano-Imedio, A., Garrido-Marín, A., Martín-Casas, P., & Plaza-Manzano, G. (2018). Ultrasound Evaluation of the Abdominal Wall and Lumbar Multifidus Muscles in Participants Who Prac-tice Pilates: A 1-year Follow-up Case Series. In Journal of Manipulative and Physiological Therapeutics (Vol. 41, pp. 434-444). https://doi.org/10.1016/j.jmpt.2017.10.007
García-Jaén, M., Konarski, J. M., Hernández-Sánchez, S., & Cortell-Tormo, J. M. (2023). The Effect of Cra-nio-Cervical Position on Core Muscle Activation during the Prone Plank Exercise. Applied Sciences, 13(19). https://doi.org/https://doi.org/10.3390/app131910970
Giacomini, M., da Silva, A., Weber, L., & Monteiro, M. (2016). The Pilates Method increases respiratory muscle strength and performance as well as abdominal muscle thickness. J Bodyw Mov Ther, 20(2), 258-264. https://doi.org/10.1016/j.jbmt.2015.11.003
Giacomini, M. B., da Silva, A. M. V., Weber, L. M., & Monteiro, M. B. (2016). The Pilates Method increases respirato-ry muscle strength and performance as well as abdominal muscle thickness. Journal of Bodywork and Movement Ther-apies, 20(2), 258-264. https://doi.org/https://doi.org/10.1016/j.jbmt.2015.11.003
Gibbons, T. J., & Bird, M.-L. (2019). Exercising on Different Unstable Surfaces Increases Core Abdominal Muscle Thickness: An Observational Study Using Real-Time Ultrasound. In Journal of Sport Rehabilitation (Vol. 28, pp. 803-808). https://doi.org/10.1123/jsr.2017-0385
Gouridou, E. K., E; Katartzi, E; Kofotolis, N. (2021). Transversus Abdominis and Lumbar Multifidus Thickness Among Three Dance Positions in Argentine Tango Dancers. Int J Exerc Sci, 14(1), 473-485. https://digitalcommons.wku.edu/ijes/vol14/iss1/9
Goz, E., Ozyurek, S., Aktar, B., Colakoglu, B. D., & Balci, B. (2023). The effects of Pilates training on abdominal mus-cle thickness and core endurance in patients with Parkinson's disease: a single-blind controlled clinical study. Turk J Med Sci, 53(4), 990-1000. https://doi.org/https://doi.org/10.55730/1300-0144.5663
Hoffman, J., & Gabel, P. (2013). Expanding Panjabi’s stability model to express movement: A theoretical model. In Medical Hypotheses (Vol. 80, pp. 692-697). https://doi.org/10.1016/j.mehy.2013.02.006
Irez, G. B., Ozdemir, R. A., Evin, R., Irez, S. G., & Korkusuz, F. (2011). Integrating Pilates exercise into an exercise program for 65+year-old women to reduce falls. Journal of Sports Science and Medicine, 10(1), 105-111. https://pubmed.ncbi.nlm.nih.gov/24149302/
Kibler, W. P., J.; and Sciascia, A. (2006). The Role of Core Stability in Athletic Function. Sports Med 36 189-198. https://doi.org/https://doi.org/10.2165/00007256-200636030-00001
Kim, K. C., SH; Goo, BO; BaeK, IH. (2013). Differences in Transversus Abdominis Muscle Function between Chronic Low Back Pain Patients and Healthy Subjects at Maximum Expiration. Measurement with Real-time Ultrasonog-raphy. J. Phys. Ther. Sci. , 25, 861–863. https://doi.org/https://doi.org/10.1589/jpts.25.861
Lee, K. (2021). The Relationship of Trunk Muscle Activation and Core Stability: A Biomechanical Analysis of Pila-tes-Based Stabilization Exercise. Int J Environ Res Public Health, 18(23). https://doi.org/https://doi.org/10.3390/ijerph182312804
Lee, N., Bae, Y. H., Fong, S. S. M., & Lee, W. H. (2023). Effects of Pilates on inter-recti distance, thickness of rectus abdominis, waist circumference and abdominal muscle endurance in primiparous women. BMC Womens Health, 23(1), 626. https://doi.org/https://doi.org/10.1186/s12905-023-02775-5
Madokoro, S., Yokogawa, M., & Miaki, H. (2020). Effect of the Abdominal Draw-In Maneuver and Bracing on Ab-dominal Muscle Thickness and the Associated Subjective Difficulty in Healthy Individuals. Healthcare (Basel), 8(4). https://doi.org/https://doi.org/10.3390/healthcare8040496
Majewski-Schrage, T., Evans, T. A., & Ragan, B. (2014). Development of a core-stability model: a delphi approach. J Sport Rehabil, 23(2), 95-106. https://doi.org/https://doi.org/10.1123/jsr.2013-0001
McGill, S. (2010). Core Training: Evidence Translating to Better Performance and Injury Prevention. Strength and Condi-tioning Journal, 32, 33-46. https://doi.org/https://doi.org/10.1519/SSC.0b013e3181df4521
Mesa, M. G. l., ER. (2023). Pilates.Effects on physical function and its limitations. Systematic review and metaanalysis. Retos, 47, 188-200. https://doi.org/https://doi.org/10.47197/retos.v47.92937
Metcalfe, A. B., & Lawes, N. (2013). A modern interpretation of the Rood Approach. Physical Therapy Reviews, 3(4), 195-212. https://doi.org/https:/doi.org/10.1179/ptr.1998.3.4.195
Moon, J.-H., Hong, S.-M., Kim, C.-W., & Shin, Y.-A. (2015). Comparison of deep and superficial abdominal muscle activity between experienced Pilates and resistance exercise instructors and controls during stabilization exercise. In Journal of Exercise Rehabilitation (Vol. 11, pp. 161-168). https://doi.org/10.12965/jer.150203
Morilla, J. B.-P., C.; García-Sillero, M. (2022). The Pilates Method as an alternative approach to recovery in women with breast cancer -A systematic review. Retos, 45, 1009-1018. https://doi.org/https://doi.org/10.47197/retos.v45i0.91276
Myers, N. L., & Kibler, W. B. (2018). Core Stability in Tennis Players. In G. Di Giacomo, T. S. Ellenbecker, & W. B. Kibler (Eds.), Tennis Medicine: A Complete Guide to Evaluation, Treatment, and Rehabilitation (pp. 531-546). Springer International Publishing. https://doi.org/10.1007/978-3-319-71498-1_32
Naruse, M., Trappe, S., & Trappe, T. A. (2022). Human skeletal muscle size with ultrasound imaging: a comprehensive review. J Appl Physiol (1985), 132(5), 1267-1279. https://doi.org/https:/doi.org/10.1152/japplphysiol.00041.2022
Novak, J., Jacisko, J., Busch, A., Cerny, P., Stribrny, M., Kovari, M., Podskalska, P., Kolar, P., & Kobesova, A. (2021). Intra-abdominal pressure correlates with abdominal wall tension during clinical evaluation tests. Clin Biomech (Bris-tol, Avon), 88, 105426. https://doi.org/https://doi.org/10.1016/j.clinbiomech.2021.105426
Pallant, J. (2020). SPSS Survival Manual: A Step by Step Guide to Data Analysis Using IBM SPSS (7th edition ed.).
Panhan, A. C., Goncalves, M., Eltz, G. D., Villalba, M. M., Cardozo, A. C., & Berzin, F. (2019). Effect of Pilates Mat Exercises on Neuromuscular Efficiency of the Multifidus and Internal Oblique Muscles in a Healthy Ballerina. J Dance Med Sci, 23(2), 80-83. https://doi.org/10.12678/1089-313X.23.2.80https://doi.org/https://doi.org/10.12678/1089-313X.23.2.80
Panjabi, M. M. (1992). The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord, 5(4), 383-389; discussion 397. https://doi.org/https://doi.org/10.1097/00002517-199212000-00001
Pereira, M. A., A.; Monteiro; M.; Castro, MA; Mendes, R.; Martins, F.; Gomes, R.; Vaz, V.; and Dias, G. (2024). Methodology and Experimental Protocol for Studying Learning and Motor Control in Neuromuscular Structures in Pilates. Healthcare (Basel), 12. https://doi.org/https://doi.org/10.3390/healthcare12020229
Pereira, M. J., Mendes, R., Mendes, R. S., Martins, F., Gomes, R., Gama, J., Dias, G., & Castro, M. A. (2022). Benefits of Pilates in the Elderly Population: A Systematic Review and Meta-Analysis. European Journal of Investigation in Health, Psychology and Education, 12(3), 236-268. https://doi.org/https://doi.org/10.3390/ejihpe12030018
Prentice, C. L. S., Milanese, S., Massy-Westropp, N., & Maranna, S. (2021). The reliability of rehabilitative ultrasound to measure lateral abdominal muscle thickness: A systematic review and meta-analysis. Musculoskelet Sci Pract, 53, 102357. https://doi.org/https://doi.org/10.1016/j.msksp.2021.102357
Radziminska, A., & Weber-Rajek, M.; Strączyńska, A.; Żukow, W. (2017). The stabilizing system of the spine. https://doi.org/https://doi.org/10.5281/zenodo.1041602
Reed, C. F., KR; Myer, GD and Hewett, TE. (2012). The Effects of Isolated and Integrated ‘Core Stability’ Training on Athletic Performance Measures A Systematic Review. Sports Med, 42 (8), 697-706. https://doi.org/https://doi.org/10.1007/BF03262289
Rostami, M. H., A; Yekta, A; Noormohammadpour, P; Farahbakhsh, F; Kordi, M; Kordi, R. (2013). Relations Between Lateral Abdominal Muscles Thickness, Body Mass Index, Waist Circumference and Skin Fold Thickness. Acta Medica Iranica, Vol. 51. https://acta.tums.ac.ir/index.php/acta/article/view/4482
Shaker, N. E., SM;, & Ashmawy, H. a. B., AM. (2021). Effect of Pilates Exercises on Abdominal Muscle Strength in Post Menopausal Women. Med. J. Cairo Univ., Vol. 89(September), 1877-1882. https://doi.org/https://doi.org/10.1007/s11357-015-9852-3
Siqueira, G. A., GG; Oliveira, EM; Teixeira, VM. (2015). Efeito do pilates sobre a flexibilidade do tronco e as medidas ultrassonográficas dos músculos abdominais. In Revista Brasileira de Medicina do Esporte (Vol. 21, pp. 139-143). https://doi.org/10.1590/1517-86922015210202180
Tabachnick, B. G. F., L.S.; Ullman, J.B. . (2021). Using Multivariate Statistics. Pearson.
Tahan, N., Khademi-Kalantari, K., Mohseni-Bandpei, M. A., Mikaili, S., Baghban, A. A., & Jaberzadeh, S. (2016). Measurement of superficial and deep abdominal muscle thickness: an ultrasonography study. J Physiol Anthropol, 35(1), 17. https://doi.org/https://doi.org/10.1186/s40101-016-0106-6
Tarnas, M., Marszalek, A., Kufel-Grabowska, J., Marszalek, S., Wielinski, D., & Zielinski, J. (2023). Effects of Pilates Training on Cardiorespiratory Functions in Medical Conditions - Comprehensive Approach: A Narrative Review. Aging Dis. https://doi.org/https://doi.org/10.14336/AD.2023.0929
Tejada-Medina, V., & Díaz Caro, C. G. G., Cristian; Ruiz-Montero, Pedro Jesús. (2021). Programas de intervención física en mujeres mayores a través del método Pilates: Una revisión sistemática. In Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación (pp. 1006-1016). https://doi.org/10.47197/retos.v0i39.78005
Teyhen, D. M., CE; Deiters, HM; Del Toro, YM; Pulliam, JN; Childs, JD; Boyles, RE; Flynn, TW. (2005). The-use-of-ultrasound-imaging-of-the-abdominal-drawing-in-maneuver-in-subjects-with-low-back-pain. journal of orthopaedic & sports physical therapy, 35, 346 - 355. https://doi.org/https://doi.org/10.2519/jospt.2005.35.6.346open_in_new
Tsartsapakis, I., Gerou, M., Zafeiroudi, A., & Kellis, E. (2023). Transversus Abdominis Ultrasound Thickness during Popular Trunk-Pilates Exercises in Young and Middle-Aged Women. Journal of Functional Morphology and Kinesiolo-gy, 8(3), Article 110. https://doi.org/https://doi.org/10.3390/jfmk8030110
Tsartsapakis, I., Pantazi, G. A., Konstantinidou, A., Zafeiroudi, A., & Kellis, E. (2023). Spinal Muscle Thickness and Activation during Abdominal Hollowing and Bracing in CrossFit((R)) Athletes. Sports (Basel), 11(8). https://doi.org/https://doi.org/10.3390/sports11080159
Vasseljen, O., & Fladmark, A. M. (2010). Abdominal muscle contraction thickness and function after specific and gen-eral exercises: a randomized controlled trial in chronic low back pain patients. Man Ther, 15(5), 482-489. https://doi.org/https://doi.org/10.1016/j.math.2010.04.004
Vera-Garcia, F. J., Elvira, J. L., Brown, S. H., & McGill, S. M. (2007). Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol, 17(5), 556-567. https://doi.org/https://10.1016/j.jelekin.2006.07.004
Wells, C., Kolt, G. S., & Bialocerkowski, A. (2012). Defining Pilates exercise: a systematic review. Complement Ther Med, 20(4), 253-262. https://doi.org/https://doi.org/10.1016/j.ctim.2012.02.005
Yentur, S. B., Atas, N., Ozturk, M. A., & Oskay, D. (2021). Comparison of the effectiveness of pilates exercises, aero-bic exercises, and pilates with aerobic exercises in patients with rheumatoid arthritis. Ir J Med Sci, 190(3), 1027-1034. https://doi.org/https://doi.org/10.1007/s11845-020-02412-2
Yook, J. S., Kim, D. Y., Choi, D. H., Ha, M. S., & Hwang, Y. Y. (2022). Effectiveness of Pilates Training on Body Composition and Isokinetic Muscular Strength in Adolescent Baseball Players. Int J Environ Res Public Health, 19(19). https://doi.org/https://doi.org/10.3390/ijerph191912085
Zemkova, E. (2022). Strength and Power-Related Measures in Assessing Core Muscle Performance in Sport and Reha-bilitation. Front Physiol, 13, 861582. https://doi.org/https://doi.org/10.3389/fphys.2022.861582
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