Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Effect of Contralateral Hip Adduction on Activity of Lumbar Stabilizers and Pelvic Lateral Tilting During Hip Abduction in Side-Lying

  • Kim, Hyo-Uen (Dept. of Health Care Center, Samsung Electronics, Kangbuk Samsung Hospital) ;
  • Kwon, Oh-Yun (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Yi, Chung-Hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Cynn, Heon-Seock (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Choi, Houng-Sik (Dept. of Physical Therapy, Hanseo University)
  • Received : 2013.09.29
  • Accepted : 2013.10.31
  • Published : 2013.11.19
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Abstract

The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on the muscle activity of lumbar stabilizers and the angle of pelvic lateral tilting during hip abduction in side lying. Twenty healthy male subjects with no medical history of lower extremity or lumbar spine disorders were recruited for the study. Subjects randomly performed preferred hip abduction (PHA) and hip abduction with contralateral hip adduction in side lying. The muscle activities of the dominant side rectus abdominis, external oblique, internal oblique, quadratus lumborum, gluteus medius, and non-dominant side hip adductor longus were measured during PHA and CHA by using a surface electromyography (EMG) system. Pelvic lateral tilting motion was measured by using a three-dimensional motion analysis system. Data on EMG and pelvic motion were collected at the same time during PHA and CHA. A paired t-test was used to compare EMG activity and the angle of pelvic lateral tilting in the two exercises. The study found that the EMG activities of all muscles were more increased significantly in CHA than PHA condition. The angle of pelvic lateral tilting was more decreased significantly in CHA than PHA condition. These findings suggest that CHA could be recommended as a hip abduction exercise for activating lumbar stabilizers and decreasing compensatory pelvic lateral tilting motion.

Keywords

References

  1. Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain. Clin Biomech (Bristol, Avon). 1996;11(1):1-15. https://doi.org/10.1016/0268-0033(95)00035-6
  2. Cholewicki J, Simons AP, Radebold A. Effects of external trunk loads on lumbar spine stability. J biomech. 2000;33(11):1377-1385. https://doi.org/10.1016/S0021-9290(00)00118-4
  3. Cholewicki J, Vanvliet JJ 4th. Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions. Clin Biomech (Bristol, Avon). 2002;17:99-105. https://doi.org/10.1016/S0268-0033(01)00118-8
  4. Cynn HS, Oh JS, Kwon OY, et al. Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Arch Phys Med Rehabil. 2006;87(11):1454-1458. https://doi.org/10.1016/j.apmr.2006.08.327
  5. Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997;114(2):362-370. https://doi.org/10.1007/PL00005644
  6. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil. 1999;80(9):1005-1012. https://doi.org/10.1016/S0003-9993(99)90052-7
  7. Hoffman M, Payne VG. The effect of proprioceptive ankle disk training on healthy subjects. J Orthop Sports Phys Ther. 1995;21(2):90-93. https://doi.org/10.2519/jospt.1995.21.2.90
  8. Janda V. Evaluation of Muscle Imbalance. In: Liebenson C ed. Rehabilitation of the spine: a practitioner's manual. Baltimore, MD, Williams & Wilkins, 1996:822.
  9. Judge JO, Lindsey C, Underwood M, et al. Balance improvements in older women: Effects of exercise training. Phys Ther. 1993;73(4):254-262. https://doi.org/10.1093/ptj/73.4.254
  10. Jull G, Richardson C, Toppenberg R, et al. Towards a measurement of active muscle control for lumbar stabilisation. Aust J Physiother. 1993;39 (3):187-193. https://doi.org/10.1016/S0004-9514(14)60481-5
  11. Kim SJ, Kwon OY, Yi CH, et al. Comparison of abdominal muscle activity during a single-legged hold in the hook-lying position on the floor and on a round foam roll. J Athl Train. 2011;46(4): 403-408. https://doi.org/10.4085/1062-6050-46.4.403
  12. Kim HU, Choi BR, Kim SJ, et al. Effect of contralateral hip adduction on muscle thicknesses of lumbar stabilizers and pelvic lateral tilting during hip abduction in side-lying. Phys Ther Kor. 2012;19(1):19-27. https://doi.org/10.12674/ptk.2012.19.1.019
  13. Kisner C, Colby LA. Therapeutic Exercise: Foundation and techniques, 4th ed. Philadelphia, F.A. Davis Co., 2002:657-667.
  14. Krebs DE, Elbaum L, Riley PO, et al. Exercise and gait effect on in vivo hip contact pressure. Phys Ther. 1991;71:301-309. https://doi.org/10.1093/ptj/71.4.301
  15. Lee D. The Pelvic Girdle. 2nd ed, London, Churchill Livingstone, 1999:57-60.
  16. Marshall P, Murphy B. The validity and reliability of surface EMG to assess the neuromuscular response of the abdominal muscles to rapid limb movement. J Electromyogr Kinesiol. 2003;13(5): 477-489. https://doi.org/10.1016/S1050-6411(03)00027-0
  17. McGill S, Juker D, Kropt P. Quantitative intramuscular myoelectric activity of quadratus lumborum during a wide variety of tasks. Clin Biomech (Bristol, Avon). 1996:11(3):170-172. https://doi.org/10.1016/0268-0033(95)00056-9
  18. Norris CM. Spinal stabilisation: 4.muscle imbalance and the low back. Physiotherapy. 1995;81(3):127-138. https://doi.org/10.1016/S0031-9406(05)67068-X
  19. Root L, Spero CR. Hip adductor transfer compared with adductor tenotomy in cerebral palsy. J Bone Joint Surg Am. 1981;63(5):767-772. https://doi.org/10.2106/00004623-198163050-00011
  20. Santos MJ, Aruin AS. Effects of lateral perturbations and changing stance conditions on anticipatory postural adjustment. J Electromyogr Kinesiol. 2009;19(3):532-541. https://doi.org/10.1016/j.jelekin.2007.12.002
  21. Sashika H, Matsuba Y, Watanabe Y. Home program of physical therapy: Effect on disabilities of patients with total hip arthroplasty. Arch Phys Med Rehabil. 1996;77(3):273-277. https://doi.org/10.1016/S0003-9993(96)90111-2

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