RESEARCH ARTICLE Cortical or Subcortical Neural Networks

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RESEARCH ARTICLE
Journal of Medical Imaging and
Health Informatics
Vol. 6, 1-3, 2016
Cortical or Subcortical Neural Networks During
Dynamic Neuromuscular Core Stabilization: A fMRI
Blood Oxygen-Level Dependent (BOLD) Analysis
Do Hyun Kim
1
, Jae Jin Lee
2
, Bong Soo Han
3??
, and Joshua H. You
2??
1
HIP and MAL Lab., Department of Rehabilitation Science, Inje University, Gimhae, Republic of South Korea
2
Movement Healing Lab., Department of Physical Therapy, Yonsei University, Wonju, Republic of South Korea
3
Department of Radiological Science, Yonsei University, Wonju, Republic of South Korea
Background: While core stabilization techniques, abdominal drawing-in maneuver (ADIM) and dynamic neuro-
muscular stabilization (DNS) have recently been recognized as a powerful technique to mitigate or improve
various medical conditions, the issue of whether the cortical or subcortical neural network contributes to dynamic
neuromuscular core stabilization (yoga-like DNS breathing vs. ADIM) remains unknown.Objectives:Toinvesti-
gate the neural substrates mediating subconscious, implicit and conscious, explicit core stabilization exercises
including abdominal drawing-in maneuver (ADIM) and dynamic neuromuscular stabilization (DNS) in individuals
with core instability using fMRI. Design: Single case study. Settings: A major university hospital. Participant: A
non-symptomatic participant with core instability. Intervention: All participants underwent conscious ADIM, con-
scious ADIM with hip flexion and extension (ADIM-HFE), subconscious HFE, and subconscious DNS-based HFE
core stabilization exercise training.Outcome Measures: A 3T fMRI was used to determine cortical or subcortical
activation during a series of implicit or explicit core stabilization tasks at an uncorrectedp