Demonstrating the benefits of
transversus abdominis plane blocks on patient outcomes in laparoscopic colorectal surgery: Review of 200 consecutive cases.
The mean score for the IMT group decreased, which indicates improved performance because contraction of the
transversus abdominis lifts the abdomen up and away from the Stabilizer pad causing a decrease in pressure.
The study was terminated early after 42 patients had been randomised (epidural n=19;
transversus abdominis plane block n=22; one excluded).
The
transversus abdominis is the deepest of the abdominal muscles; you can feel it if you put your fingers just inside your hip bones.
The analgesic efficacy of
transversus abdominus plane block after abdominal surgery: A prospective randomised controlled trial.
In my experience performing CST, I discovered an extra space that lies out lateral to the rectus sheath where I was able to access the plane between the
transversus abdominis muscle and the internal oblique muscle and create a space to lay a large mesh.
(36) Second, because evidence suggests that the
transversus abdominus and internal oblique are critical muscles in the maintenance of lumbar stability (37-41) and are contracted preferentially during abdominal hollowing, the patient was asked to perform abdominal hollowing (a drawing in of the abdomen without spinal or pelvis motion).
First, they maintained long contractions (10 sec x 10 reps with 5-10 sec rest between holds) and then short contractions (1-2 sec x 10 reps with 1-2 sec rest between holds) of the pelvic floor and
transversus abdominis musculature in order to utilize their coupling action to maximize the pelvic floor contraction.
In anterior abdominal wall interstitial hernias, the sac insinuates between either the external oblique and internal oblique muscles or the internal oblique and
transversus abdominus muscles.
Pilates exercises activate
transversus abdominis (TrA) and obliquus internus abdominis (OI) muscles (Endleman and Critchley 2008), as well as muscles involved in dynamic stability of the spine (Hodges 2003; Henry et al 2006).
Contract your abdominal muscles or TVA (
transversus abdominis muscles) and lower yourself towards the wall, while breathing in.