The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial
Purpose Lumbar stabilisation exercise (LSE) is recommended for patients with lumbar instability (LI). Two popular techniques include the abdominal drawing-in manoeuvre (ADIM) and abdominal bracing (AB). These techniques have proven their efficacy in the clinical setting; however, there is no compara...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2025-03-01
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| Series: | Human Movement |
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| Online Access: | https://hummov.awf.wroc.pl/The-effect-of-abdominal-drawing-in-manoeuvres-and-abdominal-bracing-techniques-via,197231,0,2.html |
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| author | Pongsatorn Saiklang Thiwaphon Chatprem Parvinee Saiklang Rungthip Puntumetakul Gillian Yeowell |
| author_facet | Pongsatorn Saiklang Thiwaphon Chatprem Parvinee Saiklang Rungthip Puntumetakul Gillian Yeowell |
| author_sort | Pongsatorn Saiklang |
| collection | DOAJ |
| description | Purpose
Lumbar stabilisation exercise (LSE) is recommended for patients with lumbar instability (LI). Two popular techniques include the abdominal drawing-in manoeuvre (ADIM) and abdominal bracing (AB). These techniques have proven their efficacy in the clinical setting; however, there is no comparable effect when they are conducted via telerehabilitation. To investigate the effects of two LSE techniques, ADIM and AB, delivered via telerehabilitation on lumbar repositioning error (LRPE), numeric rating scale, and transversus abdominis muscle performance in seated sedentary participants with chronic low back pain (CLBP) and LI.
Methods
The study used a parallel-group, randomised controlled trial design. Fifty-four seated sedentary participants with CLBP and LI were randomly assigned to the AB, ADIM, or control groups. Outcome measures included LRPE, numeric rating scale, and transversus abdominis muscle performance, assessed at baseline and after 4 weeks.
Results
The ADIM and AB groups showed significant improvements in LRPE and numeric rating scales after 4 weeks, while the control group improved only on the numeric rating scale. Between-group analysis revealed the ADIM group had a significantly lower LRPE compared to the other groups. Additionally, the ADIM group exhibited a significant improvement in transversus abdominis muscle performance compared to the control ( p < 0.001) and AB ( p < 0.001) groups after 4 weeks of treatment.
Conclusions
Both techniques reduced LRPE and numeric rating scales, but the ADIM more effectively enhanced transversus abdominis muscle performance and decreased LRPE, making it a more beneficial intervention for managing LI. |
| format | Article |
| id | doaj-art-e839c19ad3354e1d9f32900b25d3604b |
| institution | DOAJ |
| issn | 1899-1955 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Human Movement |
| spelling | doaj-art-e839c19ad3354e1d9f32900b25d3604b2025-08-20T02:59:04ZengTermedia Publishing HouseHuman Movement1899-19552025-03-0126110111410.5114/hm/197231197231The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trialPongsatorn Saiklang0https://orcid.org/0000-0003-2029-7895Thiwaphon Chatprem1https://orcid.org/0000-0002-3334-768XParvinee Saiklang2https://orcid.org/0009-0007-4897-7426Rungthip Puntumetakul3https://orcid.org/0000-0002-3343-5313Gillian Yeowell4https://orcid.org/0000-0003-3872-9799Department of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University, Nakhon Nayok, ThailandSchool of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandFaculty of Nursing, Chulalongkorn University, Bangkok, ThailandSchool of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandDepartment of Health Professions, Manchester Metropolitan University, Manchester United KingdomPurpose Lumbar stabilisation exercise (LSE) is recommended for patients with lumbar instability (LI). Two popular techniques include the abdominal drawing-in manoeuvre (ADIM) and abdominal bracing (AB). These techniques have proven their efficacy in the clinical setting; however, there is no comparable effect when they are conducted via telerehabilitation. To investigate the effects of two LSE techniques, ADIM and AB, delivered via telerehabilitation on lumbar repositioning error (LRPE), numeric rating scale, and transversus abdominis muscle performance in seated sedentary participants with chronic low back pain (CLBP) and LI. Methods The study used a parallel-group, randomised controlled trial design. Fifty-four seated sedentary participants with CLBP and LI were randomly assigned to the AB, ADIM, or control groups. Outcome measures included LRPE, numeric rating scale, and transversus abdominis muscle performance, assessed at baseline and after 4 weeks. Results The ADIM and AB groups showed significant improvements in LRPE and numeric rating scales after 4 weeks, while the control group improved only on the numeric rating scale. Between-group analysis revealed the ADIM group had a significantly lower LRPE compared to the other groups. Additionally, the ADIM group exhibited a significant improvement in transversus abdominis muscle performance compared to the control ( p < 0.001) and AB ( p < 0.001) groups after 4 weeks of treatment. Conclusions Both techniques reduced LRPE and numeric rating scales, but the ADIM more effectively enhanced transversus abdominis muscle performance and decreased LRPE, making it a more beneficial intervention for managing LI.https://hummov.awf.wroc.pl/The-effect-of-abdominal-drawing-in-manoeuvres-and-abdominal-bracing-techniques-via,197231,0,2.htmlprecision of movementstability of the spinedigital careproprioceptive |
| spellingShingle | Pongsatorn Saiklang Thiwaphon Chatprem Parvinee Saiklang Rungthip Puntumetakul Gillian Yeowell The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial Human Movement precision of movement stability of the spine digital care proprioceptive |
| title | The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial |
| title_full | The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial |
| title_fullStr | The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial |
| title_full_unstemmed | The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial |
| title_short | The effect of abdominal drawing-in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability: a randomised controlled trial |
| title_sort | effect of abdominal drawing in manoeuvres and abdominal bracing techniques via telerehabilitation on lumbar repositioning error in seated sedentary participants with chronic low back pain and lumbar instability a randomised controlled trial |
| topic | precision of movement stability of the spine digital care proprioceptive |
| url | https://hummov.awf.wroc.pl/The-effect-of-abdominal-drawing-in-manoeuvres-and-abdominal-bracing-techniques-via,197231,0,2.html |
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