ArticleJournal of athletic training2015
Unipedal postural stability in nonathletes with core instability after intensive abdominal drawing-in maneuver.
Article in Journal of athletic training, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- Lumbosacral orthosis can improve postural control in older adults with chronic low back pain.BMC musculoskeletal disorders · 2026Trial
- The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instability: A Randomized Controlled Trial with 12-Month Follow-Up.International journal of environmental research and public health · 2021Trial
- Differential Effects of Abdominal Bracing and Hollowing on Scapular Muscle Activation Patterns During the Y-Raise Exercise.Journal of clinical medicine · 2026Article
- Comparison of Abdominal Muscle and Subcutaneous Fat Thickness and Core Stability between Normal Weight Non-Obesity, Normal Weight Obesity, and Obesity Groups in Young Korean Women.Iranian journal of public health · 2025Article
- The Effects of Abdominal Draw-In Maneuvers Combined with Blood Flow Restriction on the Transverse Abdominis in University Students with Sedentary Lifestyles.Life (Basel, Switzerland) · 2025Article
- Article
- The effectiveness of transverse abdominis training on balance, postural sway and core muscle recruitment patterns: a pilot study comparison across age groups.Journal of physical therapy science · 2019Article
- Lower Endurance and Strength of Core Muscles in Patients with Multiple Sclerosis.International journal of MS careArticle
Corrections and comments
- Erratum issuedCorrection.2015
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextThe exact neuromechanical nature and relative contribution of the abdominal drawing-in maneuver (ADIM) to postural instability warrants further investigation in uninjured and injured populations.
objectiveTo determine the effects of the ADIM on static core and unipedal postural stability in nonathletes with core instability.
designControlled laboratory study.
settingUniversity research laboratory. PATIENTS OR OTHER
participantsA total of 19 nonathletes (4 women: age = 22.3 ± 1.3 years, height = 164.0 ± 1.7 cm, mass = 56.0 ± 4.6 kg; 15 men: age = 24.6 ± 2.8 years, height = 172.6 ± 4.7 cm, mass = 66.8 ± 7.6 kg) with core instability. INTERVENTION(S): Participants received ADIM training with visual feedback 20 minutes each day for 7 days each week over a 2-week period. MAIN OUTCOME MEASURES(S): Core instability was determined using a prone formal test and measured by a pressure biofeedback unit. Unipedal postural stability was determined by measuring the center-of-pressure sway and associated changes in the abdominal muscle-thickness ratios. Electromyographic activity was measured concurrently in the external oblique, erector spinae, gluteus medius, vastus medialis oblique, tibialis anterior, and medial gastrocnemius muscles.
resultsAll participants initially were unable to complete the formal test. However, after the 2-week ADIM training period, all participants were able to reduce the pressure biofeedback unit by a range of 4 to 10 mm Hg from an initial 70 mm Hg and maintain it at 60 to 66 mm Hg with minimal activation of the external oblique (t(18) = 3.691, P = .002) and erector spinae (t(18) = 2.823, P = .01) muscles. Monitoring of the pressure biofeedback unit and other muscle activations confirmed that the correct muscle contraction defining the ADIM was accomplished. This core stabilization was well maintained in the unipedal-stance position, as evidenced by a decrease in the center-of-pressure sway measures (t(18) range, 3.953-5.775, P < .001), an increased muscle-thickness ratio for the transverse abdominis (t(18) = -2.327, P = .03), and a reduction in external oblique muscle activity (t(18) = 3.172, P = .005).
conclusionsWe provide the first evidence to highlight the positive effects of ADIM training on core and postural stability in nonathletes with core instability.
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