Effects of abdominal bracing maneuver during walking on trunk muscle endurance in healthy staff of Northwest Institute: A randomized controlled pilot study

Hifsa Mumtaz, Alishba Durani, Waqas Shoaib, Uzair Ahmad, Syed Zain Ul Abidin
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Abstract

This study aimed to find the effect of abdominal bracing (AB) maneuver during walking on trunk muscle endurance in healthy individuals. A randomized control pilot study was conducted at Northwest Institute of Health Sciences Peshawar from July to December 2023. A total of 32 participants aged 25–40 were randomized to Groups A and B. Group A received AB maneuver with walking, while Group B received walking only. Both groups received a total of 12 sessions. Pre- and post-endurance testing was performed using McGill’s Torso Muscular Endurance Test. The mean age of participants in Group A was 29.06 ± 5.14 years, while the mean age of participants in Group B was 27.62 ± 2.84 years. The mean and standard deviation of the flexor endurance test between Groups A and B after treatment were 27.37 ± 3.26 and 16.21 ± 2.24, respectively. A significant difference was observed in flexor endurance and right and left lateral flexor endurance between the two groups (P < 0.05). In contrast, no significant difference was observed in extensor endurance between the two groups, having P > 0.05. Within-group analysis in Group A revealed a significant difference in pre-post-intervention flexion, right and left lateral flexors, and extensors (P < 0.05). However, within-group analysis in Group B revealed a statistical difference in flexors endurance, which is not clinically significant. The AB maneuver with walking compared with walking alone may improve the endurance of the trunk flexors, specifically the right and left lateral flexors.
行走时腹部支撑动作对西北研究院健康员工躯干肌肉耐力的影响:随机对照试验研究
本研究旨在了解在步行过程中进行腹部支撑(AB)操作对健康人躯干肌肉耐力的影响。2023 年 7 月至 12 月,一项随机对照试验研究在白沙瓦西北健康科学研究所进行。共有 32 名 25-40 岁的参与者被随机分为 A 组和 B 组。A 组在步行过程中接受 AB 操作,而 B 组仅接受步行。两组共进行了 12 次训练。A组参与者的平均年龄为(29.06±5.14)岁,B组参与者的平均年龄为(27.62±2.84)岁。治疗后,A 组和 B 组的屈肌耐力测试平均值和标准偏差分别为(27.37±3.26)和(16.21±2.24)。两组的屈肌耐力和左右外侧屈肌耐力有明显差异(P < 0.05)。相比之下,两组在伸肌耐力方面无明显差异,P>0.05。A 组的组内分析显示,干预前和干预后的屈肌、左右外侧屈肌和伸肌都有显著差异(P < 0.05)。然而,B 组的组内分析显示,屈肌耐力存在统计学差异,但无临床意义。与单独行走相比,AB 动作配合行走可改善躯干屈肌,尤其是左右侧屈肌的耐力。
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