Efficacy of Abdominal Hollowing Versus Abdominal Bracing on Balance and Functional Disability among Non-Specific Chronic Low Back Pain Patients: An Article Review
DOI:
https://doi.org/10.37134/jsspj.vol13.2.7.2024Keywords:
Abdominal hollowing, abdominal bracing, low back pain, functional disability, balanceAbstract
Non-specific chronic low back pain (NSCLBP), which affects 80% to 90% of adults, presents symptoms without a clearly identifiable source. This review aimed to evaluate the effects of abdominal hollowing versus abdominal bracing exercises on balance and functional disability in NSCLBP patients. A systematic search was conducted using the Google Scholar and PubMed databases, covering literature from 2006 to 2023. Out of 30 identified articles, only 4 met the inclusion criteria for this review. The results suggest that both abdominal bracing and abdominal hollowing exercises can improve balance and functional disability in NSCLBP patients. Functional disability improvements were associated with pain reduction, while dynamic balance was enhanced through core stability exercises, likely due to the preferential activation of core muscles following training adaptations, which reduces abnormal lumbar motion. However, the impact on static balance was not significant, indicating it may not be a useful outcome measure for NSCLBP in relation to these exercises.
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Baharuddin, M. Y., Kudri, M. H., & Aminudin. (2021). Effect of Core Stabilization Exercise for Non-Specific Low Back Pain among athletes. International Journal of Clinical Inventions and Medical Science, 3(1), 18-25. https://doi.org/10.36079/lamintang.ijcims-0301.171
Flynn, W., & Vickerton, P. . (2024). Anatomy, Abdomen and Pelvis: Abdominal Wall. Statpearls Publishing.
Ghorbanpour, A., Azghani, M. R., Taghipour, M., Salahzadeh, Z., Ghaderi, F., & Oskouei, A. E. (2018). Effects of McGill stabilization exercises and conventional physiotherapy on pain, functional disability and active back range of motion in patients with chronic non-specific low back pain. Journal of Physical Therapy Science, 4(30), 481-485. https://doi.org/https://doi.org/10.1589/jpts.30.481
Kim, M., Kim, M., Oh, S., & Yoon, B. (2017). The Effectiveness of Hollowing and Bracing Strategies With Lumbar Stabilization Exercise in Older Adult Women With Nonspecific Low Back Pain: A Quasi-Experimental Study on a Community-based Rehabilitation. Journal of Manipulative and Physiological Therapeutics, 41(1), 1-9. https://doi.org/https://doi.org/10.1016/j.jmpt.2017.06.012
Koh, H., Cho, S., & Kim, C. (2014). Comparison of the effects of hollowing and bracing exercises on cross-sectional areas of abdominal muscles in middle-aged women. Journal of Physical Therapy Science, 26(2), 295-299. https://doi.org/https://doi.org/10.1589/jpts.26.295
Lee, W. (2020). Effects of the abdominal hollowing and abdominal bracing maneuvers on the pelvic rotation angle during leg movement. Journal of Musculoskeletal Science and Technology, 4(2), 70-75. https://doi.org/https://doi.org/10.29273/jmst.2020.4.2.70
Madokoro, S., Yokogawa, M., & Miaki, H. (2020a). Effect of the abdominal draw-in maneuver and bracing on abdominal muscle thickness and the associated subjective difficulty in healthy individuals. Healthcare, 8(4). https://doi.org/496
Madokoro, S., Yokogawa, M., & Miaki, H. (2020b). Effect of the abdominal draw-in maneuver and bracing on abdominal muscle thickness and the associated subjective difficulty in healthy individuals. Healthcare, 8(4), 496. https://doi.org/https://doi.org/10.3390/healthcare8040496
Mazraei, H., S. M., Dadgar, H., Karimi, T. (2019). The Effect of 6 Week Core Stabilization Training with Thera-band on Static balance, Pain, Functional disability, and Energy Expenditure in Females with Mechanical Chronic Low Back Pain. Journal of Clinical Physiotherapy Research, 4(1), e2. https://doi.org/https://doi.org/10.22037/jcpr.v4i1.22429
McGill, S. M., Grenier, S., Kavcic, N., & Cholewicki, J. (2003). Coordination of muscle activity to assure stability of the lumbar spine. Journal of Electromyography and Kinesiology, 13(4), 353-359. https://doi.org/https://doi.org/10.1016/s1050-6411(03)00043-9
Mohamad Chan, E. W., Md Nadzalan, A., Othman, Z., Hafiz, E., & A. Hamid, M. S. (2020). The short-term effects of progressive vs. conventional core stability exercise in rehabilitation of Nonspecific chronic low back pain. Sains Malaysiana. Sains Malaysiana, 49(10), 2527-2537. https://doi.org/https://doi.org/10.17576/jsm-2020-4910-18
Park, H. S., Park, S. W., & Oh, J. (2023). Effect of adding abdominal bracing to spinal stabilization exercise on lumbar lordosis angle, extensor strength, pain, and function in patients with non-specific chronic low back pain: A prospective randomized pilot study. Medicine, 102(41), e35476. https://doi.org/https://doi.org/10.1097/md.0000000000035476
Park, S., & Yu, S. (2013). The effects of abdominal draw-in maneuver and core exercise on abdominal muscle thickness and Oswestry disability index in subjects with chronic low back pain. Journal of Exercise Rehabilitation, 9(2), 286-291. https://doi.org/https://doi.org/10.12965/jer.130012
Ponde, K., Agrawal, R., & Chikte, N. (2021). Effect of Core Stabilization Exercises on Balance Performance in Older Adults. International Journal of Contemporary Medicine, 9, 12-17. https://www.researchgate.net/publication/350680149_Effect_of_Core_Stabilization_Exercises_on_Balance_Performance_in_Older_Adults
Razali, A., Bsc, Lee, A. C., & Choo. (2021). The Effectiveness of Dry Cupping and Hot Pack in Pain Relief and Reduce Functional Disability on Non-specific Low Back Pain. European Journal of Translational and Clinical Medicine, 08, 2796-2810. https://doi.org/https://www.researchgate.net/publication/352209906_The_Effectiveness_of_Dry_Cupping_and_Hot_Pack_in_Pain_Relief_and_Reduce_Functional_Disability_on_Non-specific_Low_Back_Pain
Shaffer, S. W., Teyhen, D. S., Lorenson, C. L., Warren, R. L., Koreerat, C. M., Straseske, C. A., & Childs, J. D. (2013). Y-balance test: a reliability study involving multiple raters. Mil Med, 178(11), 1264-1270. https://doi.org/10.7205/milmed-d-13-00222
Yalfani, A., Mahsa, Reza Ahmadi, Asgarpoor, A. (2023). The effect of core stability exercises combined with abdominal hollowing on postural balance in patients with non-specific chronic low back pain: A randomized controlled trial. Physical Treatments - Specific Physical Therapy Journal, 13(3), 165-174. https://doi.org/ https://doi.org/10.32598/ptj.13.3.442.5
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