한국전문물리치료학회지 (Physical Therapy Korea)

  • 제21권3호
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  • Pages.1-10
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  • 2014
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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엎드린 자세에서 고관절 신전 시 고관절 외회전 각도가 골반과 하지 근활성도에 미치는 영향

Effect of Hip External Rotation Angle on Pelvis and Lower Limb Muscle Activity During Prone Hip Extension

  • 오윤찬 (정승기 정형외과의원 물리치료실) ;
  • 신헌석 (연세대학교 보건환경대학원 인간공학치료학과) ;
  • 이충휘 (연세대학교 보건환경대학원 인간공학치료학과) ;
  • 전혜선 (연세대학교 보건환경대학원 인간공학치료학과) ;
  • 윤태림 (우송대학교 보건복지대학 물리치료학과)
  • Oh, Yun-Chan (Division of Physical Therapy, Jung Seoung Ki Orthopedic Clinic) ;
  • Cynn, Heon-Seock (Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University) ;
  • Yi, Chung-Hwi (Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University) ;
  • Jeon, Hye-Seon (Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University) ;
  • Yoon, Tae-Lim (Dept. of Physical Therapy, College of Health and Welfare, Woosong University)
  • 투고 : 2014.06.26
  • 심사 : 2014.07.23
  • 발행 : 2014.09.17
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초록

The aim of this study was to investigate the effect of hip external rotation angle on pelvis and lower limb muscle activity during prone hip extension. Sixteen healthy men were recruited for this study. Each subject performed an abdominal drawing-in maneuver (ADIM) in a prone position, and extended the dominant hip at three different hip external rotation angles ($0^{\circ}$, $20^{\circ}$, $40^{\circ}$) with a $30^{\circ}$ hip joint abduction. Activity of the gluteus maximus (G Max), gluteus medius (G Med), and hamstring (HAM) and the G Max/HAM and G Med/HAM ratios were determined with surface electromyography (EMG). The EMG signal was normalized to 100% maximum voluntary isometric contractions (MVICs) and expressed as %MVIC. Data were analyzed by one-way repeated analysis of variance (alpha level=.05) and the Bonferroni post hoc test. Significant differences in G Max and G Med muscle activity were noted among the three different hip external rotation angles. G Max muscle activity increased significantly at both $40^{\circ}$ (p=.006) and $20^{\circ}$ (p=.010) compared to a $0^{\circ}$ hip external rotation angle. G Med muscle activity increased significantly at $20^{\circ}$ (p=.013) compared to a $40^{\circ}$ hip external rotation angle. The G Max/HAM activity ratio increased significantly at both $40^{\circ}$ (p=.004) and $20^{\circ}$ (p=.014) compared to a $0^{\circ}$ hip external rotation angle. The G Med/HAM activity ratio increased significantly at $20^{\circ}$ (p=.013) compared to a $40^{\circ}$ hip external rotation angle. In conclusion, $40^{\circ}$ and $20^{\circ}$ hip external rotation angles are recommended to increase G Max activity, and $20^{\circ}$ hip external rotation is advocated to enhance G Med muscle activity during prone hip extension with ADIM and $30^{\circ}$ hip abduction in healthy subjects.

키워드

참고문헌

  1. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85:S86-S92.
  2. Calais-Germain B. Anatomy of Movement. Seattle, WA, Eastland Press, 1993:227-252.
  3. Cappozzo A, Felici F, Figura F, et al. Lumbar spine loading during half squat. Med Sci Sports Exerc. 1985;17(5):613-620.
  4. Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010;15(1):61-65. http://dx.doi.org/10.1016/j.math.2009.07.001
  5. Cichanowski HR, Schmitt JS, Johnson RJ, et al. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc. 2007;39(8):1227-1232. https://doi.org/10.1249/mss.0b013e3180601109
  6. Cram JR, Kasman GS, Holtz J. Introduction to Surface Electromyography. Gaithersburg, Aspen, 1998:353-371.
  7. 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
  8. Devlin L. Recurrent posterior thigh symptoms detrimental to performance in rugby union: Predisposing factors. Sports Med. 2000;29(4): 273-287. https://doi.org/10.2165/00007256-200029040-00005
  9. Distefano LJ, Blackburn JT, Marshall SW, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532-540. http://dx.doi.org/10.2519/jospt.2009.2796
  10. Friel K, McLean N, Myers C, et al. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train. 2006;41(1):74-78.
  11. Grimaldi A, Richardson C, Durbridge G, et al. The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Man Ther. 2009;14(6): 611-617. http://dx.doi.org/10.1016/j.math.2008.11.002
  12. Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med. 2006;34(2):299-311. https://doi.org/10.1177/0363546505284183
  13. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003;28(14):1593-1600.
  14. Kankaanpaa M, Taimela S, Laaksonen D, et al. Back and hip extensor fatigability in chronic low back pain patients and controls. Arch Phys Med Rehabil. 1998;79(4):412-417. https://doi.org/10.1016/S0003-9993(98)90142-3
  15. Kang SY, Jeon HS, Kwon OY, et al. Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abducttion positions. Man Ther. 2013;18(4):303-307. http://dx.doi.org/10.1016/j.math.2012.11.006
  16. Kendall FP, McCreary EK, Provance PG. Muscles Testing and Function With Posture and Pain. 5th ed. Baltimore, Williams & Wilkins, 2005: 417-439.
  17. Kwon OY, Koh EK. The comparison of the onset times of hamstring, gluteus maximus, and lumbar erector spinae muscle activity during hip extension between subjects with low back pain and healthy subjects. Phys Ther Korea. 2002;9 (2):33-42.
  18. Landers KA, Hunter GR, Wetzstein CJ, et al. The interrelationship among muscle mass, strength, and the ability to perform physical tasks of daily living in younger and older women. J Gerontol A Biol Sci Med Sci. 2001;56(10): B443-B448. https://doi.org/10.1093/gerona/56.10.B443
  19. Lee D. The Pelvic Girdle: An Approach to the Examination and Treatment of the Lumbopelvic-Hip region. 3rd ed. Edinburgh, Churchill Livingstone, 2004:81-132.
  20. Lee JH, Cynn HS, Kwon OY, et al. Different hip rotations influence hip abductor muscles activity during isometric side-lying hip abduction in subjects with gluteus medius weakness. J Electromyogr Kinesiol. 2014;24(2):318-324. http://dx.doi.org/10.1016/j.jelekin.2014.01.008
  21. Leinonen V, Kankaanpaa M, Airaksinen O, et al. Back and hip extensor activities during trunk flexion/extension: Effects of low back pain and rehabilitation. Arch Phys Med Rehabil. 2000;81(1):32-37. https://doi.org/10.1016/S0003-9993(00)90218-1
  22. Lyons K, Perry J, Gronley JK, et al. Timing and relative intensity of hip extensor and abductor muscle action during level and stair ambulation. an EMG study. Phys Ther. 1983;63(10): 1597-1605. https://doi.org/10.1093/ptj/63.10.1597
  23. McCurdy K, O'Kelley E, Kutz M, et al. Comparison of lower extremity EMG between the 2-leg squat and modified single-leg squat in female athletes. J Sport Rehabil. 2010;19(1):57-70. https://doi.org/10.1123/jsr.19.1.57
  24. Nelson-Wong E, Gregory DE, Winter DA, et al. Gluteus medius muscle activation patterns as a predictor of low back pain during standing. Clin Biomech (Bristol, Avon). 2008;23(5):545-553. http://dx.doi.org/10.1016/j.clinbiomech.2008.01.002
  25. Neumann DA. Kinesiology of the hip: A focus on muscular actions. J Orthop Sports Phys Ther. 2010;40(2):82-94. http://dx.doi.org/10.2519/jospt.2010.3025
  26. Noh KH, Moon SN, Lee DK, et al. Influence of internal and external stabilization methods during prone hip extension on the selective activation of the gluteus maximus. Phys Ther Korea. 2011;18(3):1-7.
  27. Oh JS, Cynn HS, Won JH, et al. Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther. 2007; 37(6):320-324. https://doi.org/10.2519/jospt.2007.2435
  28. Page P, Frank C, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda approach. Champlain, VA, Human Kinetics, 2010:77-89.
  29. Park KN, Cynn HS, Kwon OY, et al. Effects of the abdominal drawing-in maneuver on muscle activity, pelvic motions, and knee flexion during active prone knee flexion in patients with lumbar extension rotation syndrome. Arch Phys Med Rehabil. 2011;92(9):1477-1483. http://dx.doi.org/10.1016/j.apmr.2011.03.020
  30. Philippon MJ, Decker MJ, Giphart JE, et al. Rehabilitation exercise progression for the gluteus medius muscle with consideration for iliopsoas tendinitis: An in vivo electromyography study. Am J Sports Med. 2011;39(8):1777-1785. http://dx.doi.org/10.1177/0363546511406848
  31. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: A theoretical perspective. J Orthop Sports Phys Ther. 2003;33(11):639-646. https://doi.org/10.2519/jospt.2003.33.11.639
  32. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndromes. 1st ed. St Louis, Mosby, 2002:121-192.
  33. Sakamoto AC, Teixeira-Salmela LF, de Paula- Goulart FR, et al. Muscular activation patterns during active prone hip extension exercises. J Electromyogr Kinesiol. 2009;19(1):105-112. https://doi.org/10.1016/j.jelekin.2007.07.004
  34. Selkowitz DM, Beneck GJ, Powers CM. Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes. J Orthop Sports Phys Ther. 2013;43 (2):54-64. http://dx.doi.org/10.2519/jospt.2013.4116
  35. Smidt GL, Rogers MW. Factors contributing to the regulation and clinical assessment of muscular strength. Phys Ther. 1982;62(9):1283-1290. https://doi.org/10.1093/ptj/62.9.1283
  36. Soderberg GL. Muscle mechanics and pathomechanics. their clinical relevance. Phys Ther. 1983;63(2): 216-220. https://doi.org/10.1093/ptj/63.2.216
  37. Takasaki H, Iizawa T, Hall T, et al. The influence of increasing sacroiliac joint force closure on the hip and lumbar spine extensor muscle firing pattern. Man Ther. 2009;14(5):484-489. http://dx.doi.org/10.1016/j.math.2008.11.003
  38. Vogelbach SK, Whitehouse G. Functional Kinetics: Observing, analyzing, and teaching human movement. Berlin Heidelberg, Springer Verlag, 1990:183-187.
  39. Vogt L, Banzer W. Dynamic testing of the motor stereotype in prone hip extension from neutral position. Clin Biomech (Bristol, Avon). 1997;12 (2):122-127. https://doi.org/10.1016/S0268-0033(96)00055-1
  40. Willcox EL and Burden AM. The influence of varying hip angle and pelvis position on muscle recruitment patterns of the hip abductor muscles during the clam exercise. J Orthop Sports Phys Ther. 2013;43(5):325-331. http://dx.doi.org/10.2519/jospt.2013.4004
  41. Wilson J, Ferris E, Heckler A, et al. A structured review of the role of gluteus maximus in rehabilitation. NZ J Physiother. 2005;33(3):95-100.
  42. Zeller BL, McCrory JL, Kibler WB, et al. Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med. 2003;31(3):449-456. https://doi.org/10.1177/03635465030310032101

피인용 문헌

  1. Comparison of Muscle Activities of the Posterior Oblique Sling Muscles among Three Prone Hip Extension Exercises with and without Contraction of the Latissimus dorsi vol.14, pp.3, 2019, https://doi.org/10.13066/kspm.2019.14.3.39