Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 5 , Pages 761-767 , May 2009

Ultrasound Characteristics of the Deep Abdominal Muscles During the Active Straight Leg Raise Test

Presented to the American Physical Therapy Association, February 6–9, 2008, Nashville, TN; and to the Texas Physical Therapy Association, October 18–21, 2007, Galveston, TX.

  • Deydre S. Teyhen, PT, PhD

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX
    • Corresponding Author InformationReprint requests to Deydre S. Teyhen, PT, PhD, Dept of Physical Therapy, US Army Medical Department Center and School, 3150 Stanley Rd, Room 1303, ATTN: MCCS-HMT, Fort Sam Houston, TX 78234
    • ,
  • Jared N. Williamson, PT, DPT

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX
    • ,
  • Nathan H. Carlson, PT, DPT

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX
    • ,
  • Sean T. Suttles, PT, DPT

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX
    • ,
  • Shaun J. O'Laughlin, PT, DPT

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX
    • ,
  • Jackie L. Whittaker, BScPT

      Affiliations

    • School of Health Professions and Rehabilitation Sciences, University of Southampton, Highfield Campus, Southampton, UK
    • ,
  • Stephen L. Goffar, PT, PhD

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX
    • ,
  • John D. Childs, PT, PhD

      Affiliations

    • US Army-Baylor University Doctoral Program in Physical Therapy, Ft. Sam Houston, TX

References 

  1. Crisco JJ, Panjabi MM. The intersegmental and multisegmental muscles of the lumbar spine: a biomechanical model comparing lateral stabilizing potential. Spine. 1991;16:793–799
  2. Ferreira PH, Ferreira ML, Hodges PW. Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine. 2004;29:2560–2566
  3. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine. 2003;28:1593–1600
  4. O'Sullivan PB, Beales DJ, Beetham JA, et al. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine. 2002;27:E1–E8
  5. Mens JM, Vleeming A, Snijders CJ, Koes BW, Stam HJ. Reliability and validity of the active straight leg raise test in posterior pelvic pain since pregnancy. Spine. 2001;26:1167–1171
  6. Mens JM, Vleeming A, Snijders CJ, Koes BW, Stam HJ. Validity of the active straight leg raise test for measuring disease severity in patients with posterior pelvic pain after pregnancy. Spine. 2002;27:196–200
  7. Mens JM, Vleeming A, Snijders CJ, Stam HJ, Ginai AZ. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J. 1999;8:468–473
  8. O'Sullivan PB, Twomey L, Allison GT. Altered abdominal muscle recruitment in patients with chronic back pain following a specific exercise intervention. J Orthop Sports Phys Ther. 1998;27:114–124
  9. Teyhen D. Rehabilitative ultrasound imaging symposium San Antonio, TX, May 8-10, 2006. J Orthop Sports Phys Ther. 2006;36:A1–A3
  10. Teyhen D, Miltenberger C, Deiters H, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35:346–355
  11. Hides JA, Wong I, Wilson SJ, Belavy DL, Richardson CA. Assessment of abdominal muscle function during a simulated unilateral weight-bearing task using ultrasound imaging. J Orthop Sports Phys Ther. 2007;37:467–471
  12. Hides J, Wilson S, Stanton W, et al. An MRI investigation into the function of the transversus abdominis muscle during “drawing-in” of the abdominal wall. Spine. 2006;31:E175–E178
  13. Dietz HP, Jarvis SK, Vancaillie TG. The assessment of levator muscle strength: a validation of three ultrasound techniques. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13:156–159; discussion 9
  14. Dietz HP, Steensma AB, Hastings R. Three-dimensional ultrasound imaging of the pelvic floor: the effect of parturition on paravaginal support structures. Ultrasound Obstet Gynecol. 2003;21:589–595
  15. Dietz HP, Clarke B. The influence of posture on perineal ultrasound imaging parameters. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12:104–106
  16. Heit M. Intraurethral sonography and the test-retest reliability of urethral sphincter measurements in women. J Clin Ultrasound. 2002;30:349–355
  17. Juul-Kristensen B, Bojsen-Moller F, Holst E, Ekdahl C. Comparison of muscle sizes and moment arms of two rotator cuff muscles measured by ultrasonography and magnetic resonance imaging. Eur J Ultrasound. 2000;11:161–173
  18. Peschers UM, Gingelmaier A, Jundt K, Leib B, Dimpfl T. Evaluation of pelvic floor muscle strength using four different techniques. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12:27–30
  19. McMeeken JM, Beith ID, Newham DJ, Milligan P, Critchley DJ. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech (Bristol, Avon). 2004;19:337–342
  20. Hodges PW, Pengel LH, Herbert RD, Gandevia SC. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27:682–692
  21. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10:207–218
  22. Laslett M, Williams M. The reliability of selected pain provocation tests for sacroiliac joint pathology. Spine. 1994;19:1243–1249
  23. Ronchetti I, Vleeming A, van Wingerden JP. Physical characteristics of women with severe pelvic girdle pain after pregnancy: a descriptive cohort study. Spine. 2008;33:E145–E151
  24. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794–819
  25. Painter EE, Ogle MD, Teyhen DS. Lumbopelvic dysfunction and stress urinary incontinence: a case report applying rehabilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007;37:499–504
  26. Springer B, Mielcarek B, Nesfield T, Teyhen D. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther. 2006;36:289–297
  27. Mens JM, Vleeming A, Snijders CJ, Ronchetti I, Ginai AZ, Stam HJ. Responsiveness of outcome measurements in rehabilitation of patients with posterior pelvic pain since pregnancy. Spine. 2002;27:1110–1115
  28. Roussel NA, Nijs J, Truijen S, Smeuninx L, Stassijns G. Low back pain: clinimetric properties of the Trendelenburg test, active straight leg raise test, and breathing pattern during active straight leg raising. J Manipulative Physiol Ther. 2007;30:270–278
  29. Hungerford B, Gilleard W, Lee D. Altered patterns of pelvic bone motion determined in subjects with posterior pelvic pain using skin markers. Clin Biomech. 2004;19:456–464
  30. Maigne JY, Aivaliklis A, Pfefer F. Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain. Spine. 1996;21:1889–1892
  31. Hayes MA, Howard TC, Gruel CR, Kopta JA. Roentgenographic evaluation of lumbar spine flexion-extension in asymptomatic individuals. Spine. 1989;14:327–331

 We certify that no party having a direct interest in the results of the research supporting this article has or will confer a benefit on us or on any organization with which we are associated.

 The opinions or assertions contained herein are the private views of the Authors and are not to be construed as official or as reflecting the views of the Departments of the Army, Air Force, or Defense.

PII: S0003-9993(09)00120-8

doi: 10.1016/j.apmr.2008.11.011

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 5 , Pages 761-767 , May 2009

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