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Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis

The activity of the transverse abdominal (TrA) muscle affects the stabilization of the trunk. It is known that after a stroke, people experience problems in performing daily activities. The purpose of this study was to examine whether there are differences in the transversus abdominal thickness betw...

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Autores principales: Kelli, Anna, Kellis, Eleftherios, Galanis, Nikiforos, Dafkou, Konstantinos, Sahinis, Chrysostomos, Ellinoudis, Athanasios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353629/
https://www.ncbi.nlm.nih.gov/pubmed/32545550
http://dx.doi.org/10.3390/sports8060086
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author Kelli, Anna
Kellis, Eleftherios
Galanis, Nikiforos
Dafkou, Konstantinos
Sahinis, Chrysostomos
Ellinoudis, Athanasios
author_facet Kelli, Anna
Kellis, Eleftherios
Galanis, Nikiforos
Dafkou, Konstantinos
Sahinis, Chrysostomos
Ellinoudis, Athanasios
author_sort Kelli, Anna
collection PubMed
description The activity of the transverse abdominal (TrA) muscle affects the stabilization of the trunk. It is known that after a stroke, people experience problems in performing daily activities. The purpose of this study was to examine whether there are differences in the transversus abdominal thickness between the two sides of the body in individuals with hemiparesis and controls. Eight patients with hemiparesis and nine controls matched for age and body mass index were examined by musculoskeletal ultrasound in four conditions: a) At rest, b) abdominal hollowing maneuver from the supine position, c) bridge, and d) abdominal hollowing maneuver from the bridge position. In each of the above conditions, the symmetry index was calculated as the absolute value of the difference in thickness between the two sides. Analysis of variance showed a lower TrA thickness at rest and exercise in patients compared to the control group (p < 0.05). Further, patients showed a lower contraction thickness ratio during exercise compared to controls (p < 0.05). The absolute symmetry of the TrA thickness was 12.59 ± 6.43% to 19.31 ± 10.43% in patients and it was significantly greater than the control group (3.01 ± 2.47% to 4.47 ± 2.87%). According to the above results, it seems that transverse abdominal activation exercises are particularly useful for improving the stability of patients with hemiparesis, as long as they are located and adapted to the deficit of each patient.
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spelling pubmed-73536292020-07-21 Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis Kelli, Anna Kellis, Eleftherios Galanis, Nikiforos Dafkou, Konstantinos Sahinis, Chrysostomos Ellinoudis, Athanasios Sports (Basel) Article The activity of the transverse abdominal (TrA) muscle affects the stabilization of the trunk. It is known that after a stroke, people experience problems in performing daily activities. The purpose of this study was to examine whether there are differences in the transversus abdominal thickness between the two sides of the body in individuals with hemiparesis and controls. Eight patients with hemiparesis and nine controls matched for age and body mass index were examined by musculoskeletal ultrasound in four conditions: a) At rest, b) abdominal hollowing maneuver from the supine position, c) bridge, and d) abdominal hollowing maneuver from the bridge position. In each of the above conditions, the symmetry index was calculated as the absolute value of the difference in thickness between the two sides. Analysis of variance showed a lower TrA thickness at rest and exercise in patients compared to the control group (p < 0.05). Further, patients showed a lower contraction thickness ratio during exercise compared to controls (p < 0.05). The absolute symmetry of the TrA thickness was 12.59 ± 6.43% to 19.31 ± 10.43% in patients and it was significantly greater than the control group (3.01 ± 2.47% to 4.47 ± 2.87%). According to the above results, it seems that transverse abdominal activation exercises are particularly useful for improving the stability of patients with hemiparesis, as long as they are located and adapted to the deficit of each patient. MDPI 2020-06-12 /pmc/articles/PMC7353629/ /pubmed/32545550 http://dx.doi.org/10.3390/sports8060086 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kelli, Anna
Kellis, Eleftherios
Galanis, Nikiforos
Dafkou, Konstantinos
Sahinis, Chrysostomos
Ellinoudis, Athanasios
Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis
title Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis
title_full Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis
title_fullStr Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis
title_full_unstemmed Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis
title_short Transversus Abdominis Thickness at Rest and Exercise in Individuals with Poststroke Hemiparesis
title_sort transversus abdominis thickness at rest and exercise in individuals with poststroke hemiparesis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353629/
https://www.ncbi.nlm.nih.gov/pubmed/32545550
http://dx.doi.org/10.3390/sports8060086
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