Abdominal Bracing Increases Ground Reaction Forces and Reduces Knee and Hip Flexion During Landing

J Orthop Sports Phys Ther. 2016 Apr;46(4):286-92. doi: 10.2519/jospt.2016.5774. Epub 2016 Mar 8.

Abstract

Study design: Controlled laboratory study.

Background: Abdominal bracing (AB) is a widely advocated method of increasing spine stability, yet the influence of AB on the execution of sporting movements has not been quantified. Landing is a common task during sporting endeavors; therefore, investigating the effect of performing AB during a drop-landing task is relevant.

Objective: To quantify the effect of AB on kinematics (ankle, knee, hip, and regional lumbar spine peak flexion angles) and peak vertical ground reaction force (vGRF) during a drop-landing task.

Methods: Sixteen healthy adults (7 female, 9 male; mean ± SD age, 27 ± 7 years; height, 170.6 ± 8.1 cm; mass, 68.0 ± 11.3 kg) were assessed using 3-D motion analysis, electromyography (EMG), and a force platform while performing a drop-landing task with and without AB. Abdominal bracing was achieved with the assistance of real-time internal oblique EMG feedback. Lower-limb and regional lumbar spine kinematics, peak vGRF, and normalized EMG of the left and right internal obliques and lumbar multifidus were quantified. Paired-samples t tests were used to compare variables between the AB and no-AB conditions.

Results: Abdominal bracing resulted in significantly reduced knee and hip flexion and increased peak vGRF during landing. No differences in lumbar multifidus EMG or lumbar spine kinematics were observed.

Conclusion: Abdominal bracing reduces impact attenuation during landing. These altered biomechanics may have implications for lower-limb and spinal injury risk during dynamic tasks.

Keywords: back pain; core stability; exercise; rehabilitation.

MeSH terms

  • Abdomen / physiology*
  • Adult
  • Ankle / physiology
  • Biomechanical Phenomena
  • Braces*
  • Electromyography
  • Female
  • Hip / physiology*
  • Humans
  • Knee / physiology*
  • Lumbar Vertebrae / physiology
  • Male
  • Movement
  • Plyometric Exercise*
  • Task Performance and Analysis