Comparison of lumbar multifidus thickness and perceived exertion during graded superman exercises with or without an abdominal drawing-in maneuver in young adults

The present study aimed to investigate lumbar multifidus (LM) thickness and perceived exertion during graded superman exercises (GSE) or GSE with an abdominal drawing-in maneuver (GSE-AD) in young adults. Twelve young adult males and females, who were informed of the purpose and procedures of this study and then gave their voluntary consent to participate, were included in this study. All subjects randomly performed three GSE and GSE-AD over 3 days. Ultrasonography was used to measure the LM thickness to the left and right of the L5 region. Additionally, the issue of whole-body fatigue felt by the subject while performing the GSE or GSE-AD was measured using the Borg scale. The intrarater reliability of the LM measurement was found to be intraclass correlation coefficient (ICC[3,1])=0.97 (0.87–0.99) at resting and ICC(3,1)=0.94 (0.78–0.99) at contraction. Both the left and right LM showed significantly higher contraction during the grade 3 GSE (P< 0.05). The whole-body fatigue was significantly greater following GSE 2 and 3 than following GSE-AD 2 and 3 (P<0.05). In particular, GSE-AD had a significantly lower Borg score compared to GSE (P<0.05) and did not show any significant difference in muscle thickness (P>0.05). It is recommended that the abdominal drawing-in maneuver be applied with grade 3 GSE to enhance stability and reduce spinal fatigue.