Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Which exercise is the most effective to contract the core muscles: abdominal drawing-in maneuver, maximal expiration, or Kegel exercise?

코어 안정화를 위한 운동의 효과 비교: 복부 드로우 인 기법, 최대 호기, 케겔 운동

  • Kim, Ji-Seon (Department of Physical Therapy, College of Health, Kyungwoon University) ;
  • Kim, Yang-Hyun (Department of Physical Therapy, College of Medical Science, Kyunyang University) ;
  • Kim, Eun-Na (Department of Physical Therapy, College of Medical Science, Kyunyang University) ;
  • Kim, Chae-Rin (Department of Physical Therapy, College of Medical Science, Kyunyang University) ;
  • Seo, Dong-Kwon (Department of Physical Therapy, College of Medical Science, Kyunyang University)
  • 김지선 (경운대학교 보건대학 물리치료학과) ;
  • 김양현 (건양대학교 의과학대학 물리치료학과) ;
  • 김은나 (건양대학교 의과학대학 물리치료학과) ;
  • 김채린 (건양대학교 의과학대학 물리치료학과) ;
  • 서동권 (건양대학교 의과학대학 물리치료학과)
  • Received : 2015.11.25
  • Accepted : 2015.12.29
  • Published : 2016.02.29
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Abstract

PURPOSE: There are several methods, such as the abdominal drawing-in maneuver (ADIM), maximal expiration (ME), and Kegel exercise, to strengthen the core muscles. However, to date no study has been conducted to compare the effects of the ADIM, ME, and Kegel exercise on the transverses abdominis (TrA), internal oblique (IO), external oblique (EO), and pelvic floor muscles (PFMs). The purpose of this study was to find out which of the three aforementioned exercises is most effective for contracting the core muscles. METHODS: The thickness of the TrA, IO, EO and PFMs was measured by ultrasonographic imaging during the ADIM, ME and Kegel exercise in 34 healthy participants. RESULTS: There was the significant difference between ADIM and Kegel exercise in the thickness of the TrA (p<0.05). There were the significant differences between ADIM and ME and between ME and Kegel exercise in the thickness of the IO and PFM (p<0.01). There was no significant activation in the thickness of the EO (p>0.05). Measurement reliability was assessed using intraclass correlation coefficients (ICC) and the standard error of measurement (SEM). An ICC value of >0.77 indicated that reliability measurements was good. CONCLUSION: Kegel exercise was the most effective exercise for the TrA and the PFM, and ME was the most effective exercise for the IO muscles.

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References

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