Evidence map›Paper›PMID 41835175›Full record

ArticleJournal of physical therapy science2026

Balloon-based exercise enhances abdominal activation: a comparison between one expert and one novice with chronic low back pain.

Hiraku Nagahori, James Kenyon, Kai-Yu Ho

Abstract read
In one paragraph

Article in Journal of physical therapy science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Genome-Wide Characterization of the TGF-β Gene Family in Donkey (Animals : an open access journal from MDPI · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hiraku NagahoriDepartment of Physical Therapy, University of Nevada, Las Vegas: 4505 S. Maryland Pkwy, Las Vegas, Nevada 89154, USA.
James KenyonDepartment of Teaching and Learning, University of Nevada, Las Vegas, USA.
Kai-Yu HoDepartment of Physical Therapy, University of Nevada, Las Vegas: 4505 S. Maryland Pkwy, Las Vegas, Nevada 89154, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

[Purpose] While forced exhalation with balloon-blowing has been reported to facilitate abdominal muscle activity, few studies have examined its effects using imaging. We aimed to compare abdominal muscle morphology across three conditions, end-inspiration, end-forced expiration, and end-forced expiration with balloon-blowing, between a balloon-blowing exercise expert and a novice with chronic low back pain, assessed using ultrasound imaging. [Participants and Methods] A 61-year-old male expert and a 51-year-old male novice participated. The thicknesses of the transversus abdominis, internal oblique, and external oblique were measured using ultrasound imaging during end-inspiration, end-forced expiration, and end-forced expiration with balloon-blowing. The thickness and contraction ratios, calculated by dividing the thickness at end-forced expiration by that at end-inspiration, were compared within and between participants. [Results] The expert demonstrated a 1.33 mm thicker transversus abdominis and a 4.95 mm thicker internal oblique than those of the novice at end-inspiration. Balloon-blowing increased all muscle thicknesses in both participants compared with end-inspiration. The contraction ratios of the muscles during forced expiration with balloon blowing were 1.14- to 1.80-fold higher than the ratios at end-forced expiration in both participants. [Conclusion] These findings suggest the potential usefulness of balloon-blowing for activating abdominal muscles, especially in individuals with chronic low back pain.

Indexed as

Internal obliqueTransversus abdominisUltrasound

Identifiers

PMID41835175
PMCPMC12981943

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.