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The Effect Thoracolumbar Fascia on the Abdominal Muscle

The Effect of Activation of Thoracolumbar Fascia on the Thickness of Abdominal Muscles; an Ultrasonographic Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04113642
Enrollment
30
Registered
2019-10-03
Start date
2019-03-01
Completion date
2019-03-29
Last updated
2025-03-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Abdominal Muscle, Muscle Strength, Posture

Keywords

abdominal muscles, ultrasonography, exercise, lumbar fascia

Brief summary

The aim of this study was to evaluate the changes in the thickness of abdominal muscles during activation of thoracolumbar fascia through contracting the gluteus maximus and latissimus dorsi muscles. The hypothesis was that the thickness of transversus abdominis and internal oblique would show greater increase when abdominal contraction was performed with simultaneous contraction of gluteus maximus and latissimus dorsi (bridge with arm extension) than that of abdominal contraction alone (abdominal hollowing) or abdominal contraction with simultaneous activation of only gluteus maximus (bridge). Thirty healthy subjects (15 women, 15 men) were enrolled in this cross-sectional study. Thickness of transversus abdominis, internal oblique and external oblique muscles were evaluated using ultrasound at rest and during three exercise positions: abdominal hollowing in neutral spine, bridge, and bridge with isometric arm extension using ultrasound device equipped with 55 mm convex array transducer

Detailed description

Spinal stabilization is crucial in maintaining healthy posture. Core muscle activation could be enhanced using thoracolumbar fascia for this stability. Core, also called 'power house', is a muscular box built from abdominal muscles in the front, paraspinal, and gluteal muscles at the back, diaphragm at the top, and pelvic floor muscles at the bottom. Deep core muscles control intersegmental motion and respond to postural and extrinsic load changes and consist of transversus abdominis, internal oblique, multifidi and pelvic floor muscles. Myofascial system links latissimus dorsi and gluteus maximus through thoracolumbar fascia causing tensegrity-like network in the whole body. The aim of this study was to evaluate the changes in the thickness of abdominal muscles during activation of thoracolumbar fascia through contracting the gluteus maximus and latissimus dorsi muscles. The hypothesis was that the thickness of transversus abdominis and internal oblique would show greater increase when abdominal contraction was performed with simultaneous contraction of gluteus maximus and latissimus dorsi (bridge with arm extension) than that of abdominal contraction alone (abdominal hollowing) or abdominal contraction with simultaneous activation of only gluteus maximus (bridge). Thirty healthy subjects (15 women, 15 men) were enrolled in this cross-sectional study. Thickness of transversus abdominis, internal oblique and external oblique muscles were evaluated using ultrasound at rest and during three exercise positions: abdominal hollowing in neutral spine, bridge, and bridge with isometric arm extension using ultrasound device equipped with 55 mm convex array transducer.

Interventions

OTHERultrasonographic measurement of abdominal muscle thickness at four positions

Thickness of transversus abdominis, internal oblique and external oblique muscles were evaluated using ultrasound at rest and during abdominal hollowing, bridge, and bridge with isometric arm extension.

Sponsors

Koç University
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

age of \>18 years absence of back or abdominal problems.

Design outcomes

Primary

MeasureTime frameDescription
Change in ultrasonographic thickness of abdominal muscles1 day (Change of muscle thickness from rest to exercise positions)The ultrasound transducer was placed over an intersection point of two imaginary lines: one line passing horizontally from the level of navel and the second line running vertically through the anterior superior iliac spine. Subsequent images were obtained at rest, during abdominal hollowing, bridge and bridge with arm extension. Thicknesses of the muscles were measured using onscreen caliper. Results were recorded in millimeters.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026