Abdominal wall muscle ultrasound assessment and level of experience in Pilates - an exploratory study
DOI:
https://doi.org/10.47197/retos.v62.107624Keywords:
Abdominal Assessment, Pilates, Abdominal Wall , Level of ExperienceAbstract
The core refers to a group of muscles that allow optimal force transfer along the body’s kinetic chain and is critical for movement. The goal of this quasi-experimental study was to investigate the relationship between the experience level of Pilates participants and abdominal wall thickness. For this, we compared the thickness of four abdominal muscles—transversus abdominis (TrA), internal oblique (IO), external oblique (EO), and rectus abdominis (RA)—as measured before and after 8 weeks of Pilates training in three conditions, namely, relaxation, abdominal hollowing, and plank exercise. Eighteen participants were distributed into three groups with different levels of Pilates practice—experienced (EG; n=6), inexperienced (IG; n=7), and control (CG; n=5) groups. The RA showed a tendency to increase post-intervention in the EG (all conditions: p=0,002, p=0,006, and p=0,002, respectively for relaxation condition, abdominal hollowing and standing plank). Additionally, significant differences were found in relaxation (p=0.003, d=−0.744) and plank (p=0.009, d=−0.630) conditions in the IG. Significant differences were also registered in the EO muscle in the IG (all conditions: p=0.046, p=0.013, and p=0.008, respectively; d=0.464, d=−0.596, and d=−0.637, respectively). IO muscle thickness tended to increase in the CG in all conditions (p=0.044, p=0.006, and p<0.001, respectively) and the EG in relaxation and plank conditions (p=0.009 and p=0.007, respectively). Within groups, the effects of Pilates practice were more significant post-intervention, with the exceptions being under the contraction condition in the deepest muscles (IO: p=0.109, d=0.083; TrA: p=0.194, d=0.062). Our hypothesis was partially confirmed because 8 weeks of Pilates practice have improved significantly the thickness of the RA and EO muscles in the IG.
References
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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