The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study
Background and Aim: The core muscles are essential for spinal stability during functional activities. Trunk muscle function is affected by specific neurodegenerative processes of Parkinson's disease (PD). This study aimed to investigate whether changes in transversus abdominis (TrA) and interna...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Neurological Sciences and Neurophysiology |
| Subjects: | |
| Online Access: | http://www.nsnjournal.org/article.asp?issn=2636-865X;year=2023;volume=40;issue=1;spage=9;epage=14;aulast=Aktar |
| _version_ | 1797775409555701760 |
|---|---|
| author | Burcin Aktar Seher Ozyurek Evrim Goz Berril Donmez Colakoglu Birgul Balci |
| author_facet | Burcin Aktar Seher Ozyurek Evrim Goz Berril Donmez Colakoglu Birgul Balci |
| author_sort | Burcin Aktar |
| collection | DOAJ |
| description | Background and Aim: The core muscles are essential for spinal stability during functional activities. Trunk muscle function is affected by specific neurodegenerative processes of Parkinson's disease (PD). This study aimed to investigate whether changes in transversus abdominis (TrA) and internal oblique (IO) thickness during the abdominal drawing-in maneuver (ADIM) were associated with clinical manifestations, core endurance, and functional mobility in patients with PD. Materials and Methods: We included patients with a modified Hoehn and Yahr staging of 3 or lower. TrA and IO muscle thickness were measured using ultrasound both at rest and during ADIM, and the percent change (%) was calculated to assess TrA and IO activation. Patients performed core endurance (prone bridge and sit-ups) and functional mobility tests (timed “up and go” [TUG] and five times sit-to-stand [FTSTS]). All assessments were conducted during the “on” phase. Results: Five female and 17 male patients were included in this study. We found a statistically significant correlation between ultrasound parameters of IO and the clinical manifestations of PD (P < 0.05). Correlations were observed between TrA percent change and prone bridge, sit-ups, TUG, and FTSTS (P < 0.05). Conclusion: To the best of our knowledge, this is the first ultrasound imaging-based study to demonstrate the relationship between TrA and IO muscle thickness and clinical outcomes, and functional performance in patients with PD. Percentage changes in IO were associated with the clinical manifestations of PD. Increased activation of TrA during ADIM was associated with improved core endurance and mobility. The results suggest that a trunk-specific exercise program may be the cornerstone in the treatment of PD-related changes. |
| first_indexed | 2024-03-12T22:35:19Z |
| format | Article |
| id | doaj.art-42e757f99bb84745868c11fbf4aa521a |
| institution | Directory Open Access Journal |
| issn | 2636-865X |
| language | English |
| last_indexed | 2024-03-12T22:35:19Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Neurological Sciences and Neurophysiology |
| spelling | doaj.art-42e757f99bb84745868c11fbf4aa521a2023-07-21T12:56:00ZengWolters Kluwer Medknow PublicationsNeurological Sciences and Neurophysiology2636-865X2023-01-0140191410.4103/nsn.nsn_97_22The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based studyBurcin AktarSeher OzyurekEvrim GozBerril Donmez ColakogluBirgul BalciBackground and Aim: The core muscles are essential for spinal stability during functional activities. Trunk muscle function is affected by specific neurodegenerative processes of Parkinson's disease (PD). This study aimed to investigate whether changes in transversus abdominis (TrA) and internal oblique (IO) thickness during the abdominal drawing-in maneuver (ADIM) were associated with clinical manifestations, core endurance, and functional mobility in patients with PD. Materials and Methods: We included patients with a modified Hoehn and Yahr staging of 3 or lower. TrA and IO muscle thickness were measured using ultrasound both at rest and during ADIM, and the percent change (%) was calculated to assess TrA and IO activation. Patients performed core endurance (prone bridge and sit-ups) and functional mobility tests (timed “up and go” [TUG] and five times sit-to-stand [FTSTS]). All assessments were conducted during the “on” phase. Results: Five female and 17 male patients were included in this study. We found a statistically significant correlation between ultrasound parameters of IO and the clinical manifestations of PD (P < 0.05). Correlations were observed between TrA percent change and prone bridge, sit-ups, TUG, and FTSTS (P < 0.05). Conclusion: To the best of our knowledge, this is the first ultrasound imaging-based study to demonstrate the relationship between TrA and IO muscle thickness and clinical outcomes, and functional performance in patients with PD. Percentage changes in IO were associated with the clinical manifestations of PD. Increased activation of TrA during ADIM was associated with improved core endurance and mobility. The results suggest that a trunk-specific exercise program may be the cornerstone in the treatment of PD-related changes.http://www.nsnjournal.org/article.asp?issn=2636-865X;year=2023;volume=40;issue=1;spage=9;epage=14;aulast=Aktarinternal obliqueparkinson's diseasetransversus abdominisultrasound imaging |
| spellingShingle | Burcin Aktar Seher Ozyurek Evrim Goz Berril Donmez Colakoglu Birgul Balci The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study Neurological Sciences and Neurophysiology internal oblique parkinson's disease transversus abdominis ultrasound imaging |
| title | The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study |
| title_full | The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study |
| title_fullStr | The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study |
| title_full_unstemmed | The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study |
| title_short | The relationship between transversus abdominis and internal oblique thickness and disease-related characteristics in Parkinson's disease: An ultrasound-based study |
| title_sort | relationship between transversus abdominis and internal oblique thickness and disease related characteristics in parkinson s disease an ultrasound based study |
| topic | internal oblique parkinson's disease transversus abdominis ultrasound imaging |
| url | http://www.nsnjournal.org/article.asp?issn=2636-865X;year=2023;volume=40;issue=1;spage=9;epage=14;aulast=Aktar |
| work_keys_str_mv | AT burcinaktar therelationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT seherozyurek therelationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT evrimgoz therelationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT berrildonmezcolakoglu therelationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT birgulbalci therelationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT burcinaktar relationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT seherozyurek relationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT evrimgoz relationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT berrildonmezcolakoglu relationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy AT birgulbalci relationshipbetweentransversusabdominisandinternalobliquethicknessanddiseaserelatedcharacteristicsinparkinsonsdiseaseanultrasoundbasedstudy |