How Do the Abdominal Muscles Change during Hypopressive Exercise?

Iria Da Cuña-Carrera, Alejandra Alonso-Calvete, Mercedes Soto-González, Eva M Lantarón-Caeiro, Iria Da Cuña-Carrera, Alejandra Alonso-Calvete, Mercedes Soto-González, Eva M Lantarón-Caeiro

Abstract

Background and objective: Prior studies have reported an activation of abdominal muscles during hypopressive exercises in women with pelvic floor disfunction. However, no previous research analyzed the effects of hypopressive exercise on abdominal muscles in healthy populations to understand the normal biomechanics of this area. The aim of this study was to examine the thickness of abdominal muscles at rest and during hypopressive exercise in supine and standing positions with ultrasound imaging in healthy adults. Methods: A cross-sectional study was carried out in 99 healthy university students. The thickness of the abdominal muscles at rest and during hypopressive exercise was assessed with ultrasound imaging in supine and standing positions. Results: During hypopressive exercise, there was a significant increase in the muscle thickness of transversus abdominis (p < 0.001) and internal oblique (p < 0.001) in supine and standing positions. External oblique only increased its thickness significantly in the standing position (p < 0.001) and rectus abdominis did not change during the hypopressive exercise in any position (p > 0.05). In conclusion, hypopressive exercises seem to increase the thickness of the deepest and most stabilized muscles such as transversus abdominis and internal oblique. Conclusions: These findings should be considered for future interventions with hypopressive exercises in healthy subjects.

Keywords: abdominal muscles; back care; hypopressive exercises; ultrasound imaging.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Caufriez M. Gymnastique Abdominale Hypopressive. Bruxelles, French: 1997. [(accessed on 7 May 2021)]. Available online: .
    1. Caufriez M. Rééducation Myostatique Hypopressive. I:N:K; Bruxelles, French: 1999.
    1. Pinsach P., Rial T., Caufriez M., Fernández J., Devroux I., Ruiz K. Hypopressive, a Paradigm Change. [(accessed on 7 May 2021)]; Available online: .
    1. Ithamar L., Filho A.G.D.M., Rodrigues M.A.B., Cortez K.C.D., Machado V.G., Lima C.R.O.D.P., Moretti E., Lemos A. Abdominal and pelvic floor electromyographic analysis during abdominal hypopressive gymnastics. J. Bodyw. Mov. Ther. 2018;22:159–165. doi: 10.1016/j.jbmt.2017.06.011.
    1. Pt B.N.B., Gómez V.P., Polo P.D.L.V., McLean L., Pt M.T.L. Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction. Neurourol. Urodyn. 2020;39:793–803. doi: 10.1002/nau.24284.
    1. Aboufazeli M., Afshar-Mohajer N. Within-day and between-day reliability of thickness measurements of abdominal muscles using ultrasound during abdominal hollowing and bracing maneuvers. J. Bodyw. Mov. Ther. 2018;22:122–128. doi: 10.1016/j.jbmt.2017.03.006.
    1. Rahmani N., Mohseni-Bandpei M.A., Vameghi R., Salavati M., Abdollahi I., Abdollahi I. Application of Ultrasonography in the Assessment of Skeletal Muscles in Children with and without Neuromuscular Disorders: A Systematic Review. Ultrasound Med. Biol. 2015;41:2275–2283. doi: 10.1016/j.ultrasmedbio.2015.04.027.
    1. Pillen S., Boon A., Van Alfen N. Muscle ultrasound. Handb. Clin. Neurol. 2016;136:843–853. doi: 10.1016/B978-0-444-53486-6.00042-9.
    1. Navarro-Brazález B., Torres-Lacomba M., Arranz-Martín B., Sánchez-Mémdez O. Muscle response during a hypopressive exercise after pelvic floor physiotherapy: Assessment with transabdominal ultrasound. Fisioterapia. 2017;39:187–194.
    1. Amerijckx C., Goossens N., Pijnenburg M., Musarra F., Van Leeuwen D.M., Schmitz M., Janssens L. Influence of phase of respiratory cycle on ultrasound imaging of deep abdominal muscle thickness. Musculoskelet. Sci. Pract. 2020;46:102105. doi: 10.1016/j.msksp.2019.102105.
    1. Bellido-Fernández L., Jimenez-Rejano J.-J., Chillón-Martínez R., Gómez-Benítez M.A., Almeida M.D.-L.-C., Rebollo-Salas M. Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study. Evid. Based Complement. Altern. Med. 2018;2018:3684194. doi: 10.1155/2018/3684194.
    1. Resende A.P.M., Bernardes B.T., Stüpp L., Oliveira E., Castro R.A., Girão M.J., Sartori M. Pelvic floor muscle training is better than hypopressive exercises in pelvic organ prolapse treatment: An assessor-blinded randomized controlled trial. Neurourol. Urodyn. 2019;38:171–179. doi: 10.1002/nau.23819.
    1. Rial T., Pinsach P. Tecnicas Hipopresivas. Cardeñoso; Vigo, Spain: 2015.
    1. Szkudlarek M., Court-Payen M., Jacobsen S., Klarlund M., Thomsen H.S., Østergaard M. Interobserver agreement in ultrasonography of the finger and toe joints in rheumatoid arthritis. Arthritis Rheum. 2003;48:955–962. doi: 10.1002/art.10877.
    1. Teyhen D.S., Gill N.W., Whittaker J.L., Henry S.M., Hides J., Hodges P. Rehabilitative Ultrasound Imaging of the Abdominal Muscles. J. Orthop. Sports Phys. Ther. 2007;37:450–466. doi: 10.2519/jospt.2007.2558.
    1. Teyhen D.S., Rieger J.L., Westrick R.B., Miller A.C., Molloy J.M., Childs J.D. Changes in Deep Abdominal Muscle Thickness During Common Trunk-Strengthening Exercises Using Ultrasound Imaging. J. Orthop. Sports Phys. Ther. 2008;38:596–605. doi: 10.2519/jospt.2008.2897.
    1. Endleman I., Critchley D.J. Transversus Abdominis and Obliquus Internus Activity During Pilates Exercises: Measurement With Ultrasound Scanning. Arch. Phys. Med. Rehabil. 2008;89:2205–2212. doi: 10.1016/j.apmr.2008.04.025.
    1. R Core Team . R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; Vienna, Austria: 2018.
    1. Bates D., Mächler M., Bolker B., Walker S. lme4: Linear mixed-effects models using Eigen and S4. R package version 1.1-8. J. Stat. Softw. 2015;67:1–48. doi: 10.18637/jss.v067.i01.
    1. Lenth R., Singmann H., Love J., Buerkner P., Herve M. emmeans: Estimated Marginal Means, aka Least-Squares Means, Published 2018. [(accessed on 7 May 2021)]; Available online: .
    1. Cohen J. Statistical Power Analysis for the Behavioral Sciences. L. Erlbaum Associates; Mahwah, NJ, USA: 1988.
    1. Stüpp L., Resende A.P.M., Petricelli C.D., Nakamura M.U., Alexandre S.M., Zanetti M.R.D. Pelvic floor muscle and transversus abdominis activation in abdominal hypopressive technique through surface electromyography. Neurourol. Urodyn. 2011;30:1518–1521. doi: 10.1002/nau.21151.
    1. Kahle W., Leonahardt H., Platzer W. Anatomie. Appareil Locomoteur. Flammarion Medecine—Science; Paris, France: 1991.
    1. Henry S.M., Westervelt K.C. The Use of Real-Time Ultrasound Feedback in Teaching Abdominal Hollowing Exercises to Healthy Subjects. J. Orthop. Sports Phys. Ther. 2005;35:338–345. doi: 10.2519/jospt.2005.35.6.338.
    1. Teyhen D.S., Miltenberger C.E., Deiters H.M., Del Toro Y.M., Pulliam J.N., Childs J.D., Boyles R.E., Flynn T.W. The Use of Ultrasound Imaging of the Abdominal Drawing-in Maneuver in Subjects with Low Back Pain. J. Orthop. Sports Phys. Ther. 2005;35:346–355. doi: 10.2519/jospt.2005.35.6.346.
    1. Sapsford R., Hodges P. Contraction of the pelvic floor muscles during abdominal maneavers. Arch. Phys. Med. Rehabil. 2001;82:1081–1088. doi: 10.1053/apmr.2001.24297.
    1. Smith M.D., Coppieters M., Hodges P.W. Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurourol. Urodyn. 2007;26:377–385. doi: 10.1002/nau.20336.
    1. Hodges P. Neuromechanical Control of the Spine. Kongl Carolinska Medico Chirurgiska Institute; Stockhom, Sweden: 2003.
    1. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Man. Ther. 2009;14:690–695. doi: 10.1016/j.math.2009.05.003.
    1. Linek P., Saulicz E., Wolny T., Myśliwiec A., Kokosz M. Lateral abdominal muscle size at rest and during abdominal drawing-in manoeuvre in healthy adolescents. Man. Ther. 2015;20:117–123. doi: 10.1016/j.math.2014.07.009.
    1. Brown S.H., McGill S.M. A comparison of ultrasound and electromyography measures of force and activation to examine the mechanics of abdominal wall contraction. Clin. Biomech. 2010;25:115–123. doi: 10.1016/j.clinbiomech.2009.10.001.
    1. Brown S., McGill S.M. Transmission of Muscularly Generated Force and Stiffness between Layers of the Rat Abdominal Wall. Spine. 2009;34:E70–E75. doi: 10.1097/BRS.0b013e31818bd6b1.
    1. Huijing P.A., Baan G.C. Myofascial force transmission: Muscle relative position and length determine agonist and synergist muscle force. J. Appl. Physiol. 2003;94:1092–1107. doi: 10.1152/japplphysiol.00173.2002.
    1. Rissanen A., Heliövaara M., Alaranta H., Taimela S., Mälkiä E., Knekt P., Reunanen A., Aromaa A. Does good trunk extensor performance protect against back-related work disability? J. Rehabil. Med. 2002;34:62–66. doi: 10.1080/165019702753557845.
    1. Ferreira P., Ferreira M.L., Maher C., Refshauge K., Herbert R., Hodges P. Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. Br. J. Sports Med. 2009;44:1166–1172. doi: 10.1136/bjsm.2009.061515.
    1. Hides J., Jull G., Richardson C.A. Long-Term Effects of Specific Stabilizing Exercises for First-Episode Low Back Pain. Spine. 2001;26:e243–e248. doi: 10.1097/00007632-200106010-00004.
    1. Sapsford R.R., Hodges P.W. The effect of abdominal and pelvic floor muscle activation on urine flow in women. Int. Urogynecol. J. 2012;23:1225–1230. doi: 10.1007/s00192-011-1654-2.
    1. Richardson C.A., Hodges P., Hides J. Therapeutic Exercises for Lumbopelvic Stabilization. 2nd ed. Chirchill Livingstone; London, UK: 2004.
    1. Urquhart D.M., Hodges P., Allen T.J., Story I.H. Abdominal muscle recruitment during a range of voluntary exercises. Man. Ther. 2005;10:144–153. doi: 10.1016/j.math.2004.08.011.
    1. Hodges P., Pengel L., Herbert R., Gandevia S. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27:682–692. doi: 10.1002/mus.10375.
    1. Tahan N., Arab A.M., Vaseghi B., Khademi K. Electromyographic evaluation of abdominal-muscle function with and without concomitant pelvic-floor-muscle contraction. J. Sport Rehabil. 2013;22:108–114. doi: 10.1123/jsr.22.2.108.
    1. Bø K., Brækken I.H., Majida M., Engh M.E. Constriction of the levator hiatus during instruction of pelvic floor or transversus abdominis contraction: A 4D ultrasound study. Int. Urogynecol. J. 2009;20:27–32. doi: 10.1007/s00192-008-0719-3.
    1. Ferreira P.H., Ferreira M.L., Hodges P. Changes in Recruitment of the Abdominal Muscles in People with Low Back Pain. Spine. 2004;29:2560–2566. doi: 10.1097/01.brs.0000144410.89182.f9.
    1. Vasseljen O., Fladmark A.M., Westad C., Torp H.G. Onset in abdominal muscles recorded simultaneously by ultrasound imaging and intramuscular electromyography. J. Electromyogr. Kinesiol. 2009;19:e23–e31. doi: 10.1016/j.jelekin.2007.07.013.

Source: PubMed

3
Prenumerera