Golob Iva, Opara Zupančič Manca, Kozinc Žiga
Faculty of Health Sciences, University of Primorska, Polje 42, SI-6310 Izola, Slovenia.
J Funct Morphol Kinesiol. 2024 Oct 10;9(4):193. doi: 10.3390/jfmk9040193.
This scoping review explores the effectiveness of abdominal hollowing (AH) and abdominal bracing (AB) techniques in enhancing trunk stability and facilitating rehabilitation, particularly for individuals with lower back pain (LBP). The review synthesizes findings from 22 randomized controlled trials (RCTs) that assessed these techniques' impacts on muscle activation, pain reduction, and functional outcomes. The results demonstrate that both techniques can significantly improve trunk stability, muscle thickness, balance, and gait. However, a notable gap exists in studies directly comparing AH and AB, raising questions about whether they are equally effective. While AH is often associated with selective activation of the transversus abdominis, AB promotes a broader co-contraction of trunk muscles, contributing to robust spinal stability. This review underscores the need for further research to directly compare these techniques and refine their application in clinical practice. The findings suggest that personalized rehabilitation programs incorporating both AH and AB, tailored to individual patient needs and rehabilitation goals, can be effective in managing and preventing LBP.
本综述探讨了收腹（AH）和腹横肌激活（AB）技术在增强躯干稳定性和促进康复方面的有效性，特别是对于下背痛（LBP）患者。该综述综合了22项随机对照试验（RCT）的结果，这些试验评估了这些技术对肌肉激活、疼痛减轻和功能结局的影响。结果表明，这两种技术都能显著改善躯干稳定性、肌肉厚度、平衡和步态。然而，在直接比较AH和AB的研究中存在明显差距，这引发了它们是否同样有效的问题。虽然AH通常与腹横肌的选择性激活有关，但AB促进了躯干肌肉更广泛的共同收缩，有助于增强脊柱稳定性。本综述强调需要进一步研究以直接比较这些技术，并在临床实践中优化其应用。研究结果表明，结合AH和AB的个性化康复计划，根据个体患者的需求和康复目标量身定制，可有效管理和预防LBP。
