PTOtherJournal of physical therapy science2016

The effects of performing a one-legged bridge with hip abduction and use of a sling on trunk and lower extremity muscle activation in healthy adults.

Kyuju Choi, Jongwoo Bak, Minkwon Cho and 1 others

PMID 27799708

WHAT IT FOUND

Some trunk and hip muscles activated more when one-legged bridge exercises added hip abduction or a sling in healthy adults.

The study did not test patients or functional outcomes.

Key findings

01Same-side erector spinae activation was 50.3 ± 15.0 %MVIC during the one-legged bridge with sling and hip abduction, compared with 41.5 ± 16.4 %MVIC during a general bridge.

02Adding hip abduction to a one-legged bridge increased opposite-side gluteus maximus and biceps femoris activation compared with a general bridge.

03Adding a sling to a one-legged bridge increased same-side gluteus maximus and biceps femoris activation compared with a one-legged bridge without a sling.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The participants were healthy adults, so the results may not apply to people with back pain, limb deformity, severe surgical or neurological disease, trauma, or recent pain. The sample was small, and the authors stated the results cannot be generalized. Only the erector spinae, external oblique, gluteus maximus, and biceps femoris were measured, so other muscles were not compared. The authors noted a learning effect could not be excluded because participants performed all conditions. The study measured muscle activation, not strength, pain, function, or patient outcomes.

The easy way to misread this

Do not use these findings to choose a bridge exercise for a patient as if improved muscle activation means improved strength, pain, or function. The study measured electrical muscle activity in healthy adults only, not patient outcomes.

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