Elsevier

Human Movement Science

Volume 31, Issue 4, August 2012, Pages 880-896
Human Movement Science

Control of the lateral abdominal muscles during walking

https://doi.org/10.1016/j.humov.2011.09.002Get rights and content

Abstract

Transversus abdominis (TA), obliquus internus (OI), and obliquus externus (OE) are involved in multiple functions: breathing, control of trunk orientation, and stabilization of the pelvis and spine. How these functions are coordinated has received limited attention. We studied electromyographic (EMG) activity of right-sided muscles and 3-dimensional moments during treadmill walking at six different speeds (1.4–5.4 km/h) in sixteen healthy young women. PCA revealed time series of trunk moments to be consistent across speeds and subjects though somewhat less in the sagittal plane. All three muscles were active during ⩾75% of the stride cycle, indicative of a stabilizing function. Clear phasic modulations were observed, with TA more active during ipsilateral, and OE during contralateral swing, while OI activity was largely symmetrical. Fourier analysis revealed four main frequencies in muscle activity: respiration, stride frequency, step frequency, and a triphasic pattern. With increasing speed, the absolute power of all frequencies remained constant or increased; the relative power of respiration and stride-related activities decreased, while that of step-related activity and the triphasic pattern increased. Effects of speed were gradual, and EMG linear envelopes had considerable common variance (>70%) across speeds within subjects, suggesting that the same functions were performed at all speeds. Maximum cross-correlations between moments and muscle activity were 0.2–0.6, and further analyses in the time domain revealed both simultaneous and consecutive task execution. To deal with conflicting constraints, the activity of the three muscles was clearly coordinated, with co-contraction of antagonists to offset unwanted mechanical side-effects of each individual muscle.

Highlights

► During gait, the lateral abdominal muscles are engaged in multiple tasks. ► These tasks include respiration, trunk motion, and stability. ► No single muscle is specifically assigned a particular task. ► Conflicting constraints are coordinated by co-contraction. ► This co-contraction produces desired effects, and offsets unwanted effects.

Introduction

The human body has three lateral abdominal muscles: transversus abdominis (TA), obliquus internus (OI), and obliquus externus (OE). Their anatomy suggests a range of functions. In the frontal plane, unilateral OI and OE activity may be involved in ipsilateral bending of the trunk (Standring, 2008). In the transverse plane, OE contributes to contralateral rotation, whereas OI and TA contribute to ipsilateral rotation (Benninghoff and Goerttler, 1964, Hodges, 2008, Urquhart and Hodges, 2005). In the sagittal plane, bilateral activity of the lateral abdominal muscles can contribute substantially to trunk flexion (McGill, 1996).

Bilateral activity of the lateral abdominal muscles may also be involved in stability. Bilateral TA activity was suggested to stabilize the lumbar spine (Hodges, 1999, Hodges and Richardson, 1997a), and concerted action of the lateral abdominal muscles can press the iliac bones against the sacrum, thus providing pelvic stability (“force closure”, cf. Hu et al., 2010, Snijders et al., 1993, Vleeming et al., 1990).

Together with the rectus abdominis, the lateral abdominal muscles form the abdominal wall. Continuous activity of the abdominal wall can be seen as holding the viscera; it regulates intra-abdominal pressure, which implies a role in breathing (Standring, 2008). Finally, activity of the abdominal wall plus the diaphragm and the pelvic floor, contributes to spinal stability (Cholewicki et al., 1999, Hodges et al., 1997, Hodges et al., 2005, Pel et al., 2008).

Several studies have attempted to verify the roles of the lateral abdominal muscles through electromyographic recordings during the performance of specific tasks. In subjects holding loads, OE was involved in lateral bending (Seroussi & Pope, 1987). OI and OE played a role in trunk rotation during twisting efforts against resistance (McGill, 1991), and TA was active during ipsilateral rotation (Urquhart & Hodges, 2005). Considerable activity of all three muscles was reported in flexion exercises (Juker, McGill, Kropf, & Steffen, 1998). OE was involved in expiration (Campbell, 1952), and the activity of all three muscles was modulated at the frequency of breathing (Saunders, Schache, Rath, & Hodges, 2004). Bilateral TA activity preceded rapid movements of upper and lower extremities, which supports the idea that TA stabilizes the spine (Hodges and Richardson, 1996, Hodges and Richardson, 1997a, Hodges and Richardson, 1997b). Furthermore, the use of a pelvic belt led to decreased EMG amplitudes of these muscles during the Active Straight Leg Raise, in accordance with their assumed function in sacroiliac stabilization (Hu et al., 2010).

As a rule, the mechanical effects of any single muscle will not coincide with the exact 3-dimensional demands of a task, and when constraints are conflicting, there will be no perfect solution. More important, the lateral abdominal muscles may subserve multiple functions simultaneously (Benninghoff and Goerttler, 1964, Hodges, 2008). Some evidence for such multitasking has been provided for trunk postural control plus breathing (Hodges et al., 2002, Saunders et al., 2004). Still, how multiple functions are coordinated has received limited attention only. In multitasking, or dealing with conflicting constraints, the control system may prioritize one function and ignore the other (cf. Hodges, Heijnen, & Gandevia, 2001). Also, the control system may exploit muscle redundancy by assigning specific functions to specific muscles or parts thereof (Puckree, Cerny, & Bishop, 1998). Finally, problems of multitasking may be alleviated when the system can deal with different task demands consecutively (task switching) rather than simultaneously (multitasking).

The present study focused on control of the lateral abdominal muscles during gait, which is an activity that involves all functions mentioned above (cf., e.g., Callaghan et al., 1999, Saunders et al., 1953, Saunders et al., 2004). We used electromyography (EMG), calculated trunk moments using a dynamic 3-dimensional linked segment model, and cross-correlated EMG linear envelopes with moment data. The stride cycle was split into different phases (cf. Ivanenko et al., 2004, Perry, 1992), with peak detection in the time series of moments and of EMG. Fourier analysis of the EMG linear envelopes was performed to determine absolute and relative power at the main frequencies (Saunders et al., 2004). Since the relative importance of different functions changes with speed (Anders et al., 2007, Saunders et al., 2004), walking speed was manipulated.

The goal of this study was to understand the coordination of the lateral abdominal muscles during gait. We expected that these muscles would be engaged in multitasking most of the time. Because normal walking is relatively undemanding, we expected that no function would be ignored, and, given the literature (Hodges, 2008), that no (part of a) specific muscle would be specifically dedicated to a single task. On the contrary, we hypothesized that the control system co-activates muscles to produce the desired effect, dealing with conflicting constraints by co-contraction to offset unwanted mechanical side-effects of any individual muscle.

Section snippets

Subjects

Sixteen healthy, nulliparous females were enrolled (mean ± SD age 27.5 ± 2.7 years, weight 61.2 ± 9.8 kg, height 167.9 ± 7.6 cm, BMI 21.6 ± 2.4 kg/m2). Exclusion criteria were: previous orthopaedic surgery, walking-related disorders, or a history of low blood pressure. Participants gave written informed consent. The protocol was approved by the local Medical Ethical Committee.

Data collection

Kinematic and electromyographic data were collected during treadmill walking at six different speeds (1.4–5.4 km/h, with increments of

Stride frequency and step length

All subjects walked at all speeds. Stride frequency increased with speed from 0.52 Hz to 0.99 Hz, and step length from 0.38 m to 0.76 m (Table 1). Step length was largely symmetric, with an average difference between right and left of 0.005 ± 0.03 m.

Moments

To assess the consistency of trunk moment data, PCA was used over all subjects and all speeds. The first principal component contained 80.4% (lateral bending), 56.2% (flexion/extension), or 90.1% (rotation) of the variance. These numbers are rather high,

The effects of speed

We expected that the same functions would be performed by the lateral abdominal muscles at all speeds, and that no function would be ignored at the higher speeds. The necessity to control trunk motion in three planes defines mechanical constraints for the control of the lateral abdominal muscles. In the frontal plane, trunk muscles need to maintain equilibrium against the moment caused by gravity during single stance. These lateral bending moments thus varied with stride frequency, and were

Limitations

It can be argued that speed was experimentally manipulated in the present study. Nevertheless, the study was largely descriptive, using biomechanics to understand muscle coordination in multitasking. Each specific explanation still awaits experimental tests. The study was limited to young healthy women, whereas gender (Anders, Wagner, Puta, Grassme, & Scholle, 2009) as well as pathology (e.g., Huang et al., 2011) are known to affect gait.

Conclusion

During gait, all three lateral abdominal muscles are involved in simultaneous task execution (multitasking) as well as consecutive task execution (task switching). Activity of the lateral abdominal muscles contributes to breathing, trunk motion in three dimensions, and lumbar spine as well as pelvic stability. Task execution is distributed over all three muscles, and no muscle is exclusively assigned a particular task. The effects of speed are gradual, without sudden transitions, and no

Grants

Financial support was obtained from Stryker Howmedica Nederland, Biomet Nederland, and the Dutch Society of Exercise Therapists Cesar and Mensendieck (VvOCM). PH is supported by a Research Fellowship from the National Health and Medical Research Council (NHMRC) of Australia.

Acknowledgements

The authors gratefully acknowledge Erwin van Wegen, Mark Scheper, Ilse van Dorst, Kitty Bos, Annemarie ten Cate, Margot Prins, and Hans van den Berg (Biomet Nederland) for their help and suggestions. This project could not have been performed without the stimulating initiative of the late Paul I.J.M. Wuisman, Professor of Orthopaedic Surgery at the VU University Medical Centre.

References (52)

  • C.J. Lamoth et al.

    Effect of experimentally induced pain and fear of pain on trunk coordination and back muscle activity during walking

    Clinical Biomechanics

    (2004)
  • D.T. McCook et al.

    Activity of deep abdominal muscles increases during submaximal flexion and extension efforts but antagonist co-contraction remains unchanged

    Journal of Electromyography and Kinesiology

    (2009)
  • S.M. McGill

    A revised anatomical model of the abdominal musculature for torso flexion efforts

    Journal of Biomechanics

    (1996)
  • J.R. Potvin et al.

    Less is more: High pass filtering, to remove up to 99% of the surface EMG signal power, improves EMG-based biceps brachii muscle force estimates

    Journal of Electromyography and Kinesiology

    (2004)
  • S.W. Saunders et al.

    Postural and respiratory activation of the trunk muscles changes with mode and speed of locomotion

    Gait & Posture

    (2004)
  • R.E. Seroussi et al.

    The relationship between trunk muscle electromyography and lifting moments in the sagittal and frontal planes

    Journal of Biomechanics

    (1987)
  • C. Snijders et al.

    Transfer of lumbosacral load to iliac bones and legs. Part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise

    Clinical Biomechanics

    (1993)
  • D. Staudenmann et al.

    Effects of EMG processing on biomechanical models of muscle joint systems: Sensitivity of trunk muscle moments, spinal forces, and stability

    Journal of Biomechanics

    (2007)
  • D. Staudenmann et al.

    Methodological aspects of SEMG recordings for force estimation. A tutorial and review

    Journal of Electromyography and Kinesiology

    (2010)
  • S.G. White et al.

    Abdominal and erector spinae muscle activity during gait: The use of cluster analysis to identify patterns of activity

    Clinical Biomechanics

    (2002)
  • C. Anders et al.

    Healthy humans use sex-specific co-ordination patterns of trunk muscles during gait

    European Journal of Applied Physiology

    (2009)
  • D.J. Beales et al.

    Motor control patterns during an active straight leg raise in pain-free subjects

    Spine

    (2009)
  • A. Benninghoff et al.

    Lehrbuch der Anatomie des Menschen, Erster Band [Textbook of human anatomy, Volume One]

    (1964)
  • E.J. Campbell

    An electromyographic study of the role of the abdominal muscles in breathing

    Journal of Physiology

    (1952)
  • J.-C. Ceccato et al.

    Comparison of trunk activity during gait initiation and walking in humans

    PLoS One

    (2009)
  • J. Cholewicki et al.

    Stabilizing function of trunk flexor–extensor muscles around a neutral spine posture

    Spine

    (1997)
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