The Journal of Korean Physical Therapy

  • 제27권3호
  • /
  • Pages.164-168
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  • 2015
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

Effects of Electric Stimulation with Static Stretching on Hamstrings Flexibility

  • Song, Won-Min (Department of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Seo, Hye-Jeong (Department of Physical Therapy, Graduate School of Daejeon University) ;
  • Shin, Won-Seob (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2015.05.29
  • 심사 : 2015.06.18
  • 발행 : 2015.06.25
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초록

Purpose: Flexibility has been considered one of the most important goals in rehabilitation. This study aimed to investigate the effect of transcutaneous electrical nerve stimulation (TENS) with the static stretching technique on the flexibility of hamstrings. Methods: Twenty-four subjects (15 men, 9 women) with limited hamstrings flexibility received three different intervention sessions in random order. The treatment sessions included static stretching (SS), static stretching with motor-level TENS (SS with motor TENS) and sensory-level TENS (SS with sensory TENS). All sessions of SS were performed in the straight-leg raise position for 30 seconds followed by rest for 15 seconds, in repetitions for 10 minutes using a belt. The TENS groups underwent TENS stimulation ($40{\mu}s$, 100 Hz) during the stretching for 10 minutes. Outcome measures were evaluated according to active knee extension (AKE) and recorded before the session and at 0, 3, 6, 9, and 15 minutes after the session. Results: There was significant improvement in hamstrings flexibility within all groups (p<0.05). SS with TENS (both sensory and motor) maintained significant increases in knee extension range of motion until 15 minutes post-treatment. In contrast, the SS-only group maintained significantly increased hamstrings flexibility only until 6 minutes post-treatment (p<0.05). Conclusion: Improvement in hamstrings flexibility with SS with TENS was maintained longer than with SS-only intervention. Electrical stimulation with stretching may be more effective than SS alone for increased duration of maintained hamstrings flexibility.

키워드

참고문헌

  1. Nelson RT, Bandy WD. Eccentric training and static stretching improve hamstring flexibility of high school males. J Athl Train. 2004;39(3):254-8.
  2. Lee DK, Kim YN. The effects of proprioceptive neuromuscular facilitation lower extremity pattern on muscular strength and flexibility in an aquatic environment. J Kor Soc Phys Ther. 2013;25(2):49-55.
  3. Spernoga SG, Uhl TL, Arnold BL, et al. Duration of maintained hamstring flexibility after a one-time, modified hold-relax stretching protocol. J Athl Train. 2001;36(1):44-8.
  4. Akinpelu AO, Bakare U, Adegoke BA. Influence of age on hamstring tightness in apparently healthy Nigerians. Journal of the Nigeria Society of Physiotherapy. 2009;15(2):35-41.
  5. Ayala F, de Baranda PS, Croix MDS, et al. Comparison of active stretching technique in males with normal and limited hamstring flexibility. Phys Ther Sport. 2013;14(2):98-104. https://doi.org/10.1016/j.ptsp.2012.03.013
  6. Park YN, Bae YS, Comparison of muscle performance of the lumbar region and head alignment according to the length of sitting time. J Kor Soc Phys Ther. 2013;25(6):386-92.
  7. Moon AY, Jang HJ, Jang HJ. Comparison of the duration of hamstring flexibility improvement following termination of modified dynamic stretching, hold-relax, and static stretching. Korean Research Society of Physical Therapy. 2014;21(1):47-54. https://doi.org/10.12674/ptk.2014.21.1.047
  8. Nelson RT. A comparison of the immediate effects of eccentric training vs static stretch on hamstring flexibility in high school and college athletes. N Am J Sports Phys Ther. 2006;1(2):56.
  9. Puentedura EJ, Huijbregts PA, Celeste S, et al. Immediate effects of quantified hamstring stretching: Hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport. 2011;12(3):122-6. https://doi.org/10.1016/j.ptsp.2011.02.006
  10. Lim CG, The effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise using the sprinter and the skater on balance and gait function in the stroke patients physical therapy. J Kor Soc Phys Ther. 2014;26(4):249-56.
  11. Decoster LC, Scanlon RL, Horn KD, et al. Standing and supine hamstring stretching are equally effective. J Athl Train. 2004;39(4):330.
  12. Cipriani D, Abel B, Pirrwitz D. A comparison of two stretching protocols on hip range of motion: Implications for total daily stretch duration. J Strength Cond Res. 2003;17(2):274-8. https://doi.org/10.1519/00124278-200305000-00008
  13. Yuktasir B, Kaya F. Investigation into the long-term effects of static and PNF stretching exercises on range of motion and jump performance. J Bodyw Mov Ther. 2009;13(1):11-21. https://doi.org/10.1016/j.jbmt.2007.10.001
  14. Morishita K, Karasuno H, Yokoi Y, et al. Effects of therapeutic ultrasound on range of motion and stretch pain. J Phys Ther Sci. 2014; 26(5):711. https://doi.org/10.1589/jpts.26.711
  15. Solomon J, Shebshacvich V, Adler R, et al. The effects of TENS, heat, and cold on the pain thresholds induced by mechanical pressure in healthy volunteers. Neuromodulation: Technology at the Neural Interface. 2003;6(2):102-7. https://doi.org/10.1046/j.1525-1403.2003.03016.x
  16. Lee JW, Park AR, Hwang TY, Change in autonomic nerve responses after low-frequency transcutaneous electrical nerve stimulation. J Kor Soc Phys Ther. 2010;22(6):71-6.
  17. Vance CG, Dailey DL, Rakel BA, et al. Using TENS for pain control: the state of the evidence. Pain management. 2014;4(3):197-209. https://doi.org/10.2217/pmt.14.13
  18. De Weijer VC, Gorniak GC, Shamus E. The effect of static stretch and warm-up exercise on hamstring length over the course of 24 hours. J Orthop Sports Phys Ther. 2003;33(12):727-33. https://doi.org/10.2519/jospt.2003.33.12.727
  19. DePino GM, Webright WG, Arnold BL. Duration of maintained hamstring flexibility after cessation of an acute static stretching protocol. J Athl Train. 2000;35(1):56.
  20. Kolber MJ, Hanney WJ. The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: A technical report. Int J Sports Phys Ther. 2012;7(3):306.
  21. Davis DS, Ashby PE, McCale KL, et al. The effectiveness of 3 stretching techniques on hamstring flexibility using consistent stretching parameters. J Strength Cond Res. 2005;19(1):27-32. https://doi.org/10.1519/14273.1
  22. Maciel A, Camara S. Influence of transcutaneous electrical nerve stimulation (TENS) associate with muscle stretching on flexibility gains. Braz J Phys Ther. 2008;12(5):373-8. https://doi.org/10.1590/S1413-35552008000500006
  23. Mannheimer JS. Electrode placements for transcutaneous electrical nerve stimulation. Phys Ther. 1978;58(12):1455-62. https://doi.org/10.1093/ptj/58.12.1455
  24. Denegar CR, Perrin DH. Effect of transcutaneous electrical nerve stimulation, cold, and a combination treatment on pain, decreased range of motion, and strength loss associated with delayed onset muscle soreness. J Athl Train. 1992;27(3):200.
  25. Chae YW, Kim SY, Kim JS, et al. The effects of tens and cold application on secondary thermal hyperalgesia in rats induced by muscle pain. J Kor Soc Phys Ther. 2004;16(2):181-94.
  26. Sluka KA, Deacon M, Stibal A, et al. Spinal blockade of opioid receptors prevents the analgesia produced by tens in arthritic rats. J Pharmacol Exp Ther. 1999;289(2):840-6.
  27. Jeong DH, Chang CH, Park RJ. A review of conception and developmental process of stretching in sports physical therapy. J Kor Soc Phys Ther. 2002;14(4):423-40.