PNF and Movement

  • 제14권1호
  • /
  • Pages.7-14
  • /
  • 2016
  • /
  • 2508-6227(pISSN)
  • /
  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
권호 표지
DOI QR코드

DOI QR Code

고유수용성신경근촉진법(PNF) 수축-이완 기법의 직접적 간접적 방법의 비교

The Effectiveness of the Direct and Indirect Contract-Relax Technique in PNF

  • 김난영 (부산가톨릭대학교 물리치료과) ;
  • 김은혜 (부산가톨릭대학교 물리치료과) ;
  • 김현지 (부산가톨릭대학교 물리치료과) ;
  • 김희온 (부산가톨릭대학교 물리치료과) ;
  • 박순우 (부산가톨릭대학교 물리치료과) ;
  • 박슬기 (부산가톨릭대학교 물리치료과) ;
  • 유승용 (부산가톨릭대학교 물리치료과) ;
  • 유지연 (부산가톨릭대학교 물리치료과) ;
  • 이현옥 (부산가톨릭대학교 물리치료과)
  • Kim, Nan-Young (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Kim, Eun-Hye (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Kim, Hyeon-Ji (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Kim, Hee-On (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Park, Sun-U (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Park, Seul-Gi (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Yu, Seung-Yong (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Yu, Ji-Yeon (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Lee, Hyun-Ok (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2016.04.18
  • 심사 : 2016.04.25
  • 발행 : 2016.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to determine the effectiveness of direct and indirect methods of contract-relax techniques in proprioceptive neuromuscular facilitation (PNF) stretching for improving hamstring flexibility. Methods: Twenty-six subjects were randomly assigned to either a direct contract-relax technique group or an indirect contract-relax group. For each group, stretching intervention was performed three times a week for a period of two weeks, with 12 seconds for the contraction and 10 seconds for the relaxation per once. The direct contract-relax technique for hamstring flexibility was applied by asking the subject to press down on the shoulder of the trainer in the straight leg-raising position. Conversely, the indirect contract-relax technique was performed by raising the leg with resistance. To facilitate a comparative analysis of hamstring flexibility between the two groups before and after the stretching intervention, two-way repeated ANOVA was performed. Hamstring flexibility for each group was measured using a passive straight leg-raising test. Results: The results showed significant improvement in hamstring flexibility for all subjects in the two groups. However, there was no significant difference between the groups. Conclusion: In conclusion, both direct and indirect contract-relax techniques are confirmed to be useful for improving hamstring flexibility. The choice of suitable technique has to be made individually according to the condition of each subject.

키워드

참고문헌

  1. Alder SS, Beckers D, Buck M. PNF in Practice: An illustrated guide. 3rd ed, Berlin, Springer-Verlag. 2008
  2. Bonnar B, Deivert R, Gould T. The relationship between isometric contraction durations during hold-relax stretching and improvement of hamsting flexibility. Journal of sports medicine and physical fitness. 2004. 44(3);258-261.
  3. Gama ZAS, Medeiros CAS, Dantas AVR, et al. Influence of the stretching frequency using proprioceptive neuromuscular facilitation in the flexibility of the hamstring muscles. Revista Brasileira de Medicina do Esporte. 2007;13(1):27-31. https://doi.org/10.1590/S1517-86922007000100007
  4. Davis DS, Ashbly PE, McCale KL, et al. The effectiveness of 3 stretching techniques on hamstring flexibility using consistent stretching parameters. The Journal of Strength & Conditioning Research. 2005;19(1):27.
  5. Feland JB, Myrer J, Merrill R. Acute changes in hamstring flexibility: PNF versus static stretch in senior athletes. Physical Therapy in Sport. 2001;2(4):186-193. https://doi.org/10.1054/ptsp.2001.0076
  6. Ferber R, Osterning L, Gravelle D. Effect of PNF stretch techniques on knee flexor muscle EMG activity in older adults. Journal of Electromyography and Kinesiology. 2002;12(5):391-397. https://doi.org/10.1016/S1050-6411(02)00047-0
  7. Hindle KB, Whitcomb TJ, Briggs WO, et al. Proprioceptive Neuromuscular Facilitation (PNF): Its mechanisms and effects on range of motion and muscular function. Journal of Human Kinettics. 2012;31:105-113.
  8. Kim GC, Hwang BG. Research Article : Kinetic analysis on the lumbar at the trunk flexion according to the degree of hamstring flexibility of healthy adult. Journal of the Korean Society of Physical Medicine. 2012;7(4):51-508.
  9. Kim KH. Comparison of duration of maintained hamstring flexibility after static, dynamic and PNF stretching protocol. Graduate School of Chosun University. Dissertation of Master's Degree.2002
  10. Kim SY. Comparison of six tests for assessing hamstring muscle length. The Journal of Korean Academy of Orthopaedic Manual Physical Therapy. 1999;5(1):39-51.
  11. Lee MH, Park MC, Bae SS. Effect of contract-relax technique of proprioceptive neuromuscular facilitation on hamstring flexibility. Journal of Korean Proprioceptive Neuromuscular Facilitation Association. 2008;6(1):13-20.
  12. Markos PD. Ipsilateral and contralateral effects of proprioceptive neuromuscular facilitation techniques on hip motion and electromyographic activity. Physical Therapy. 1979;59(11):1366-1373. https://doi.org/10.1093/ptj/59.11.1366
  13. Nachtwey MN, Stricker K. Effects of the PNF-hold-relax-technique direct and indirect on hamstring muscle flexibility. International Proprioceptive Neuromuscular Facilitation Association; IPNFA Report. 2003
  14. Nagarwal AK, Zutshi K, Ram CS et al. Improvement of Hamstring Flexibility: A Comparison between Two PNF Stretching Techniques. International Journal of Sports Science and Engineering. 2010;4(1):25-33.
  15. Oh SJ, Choi JD. The Study of validity jn active movement control test for low back pain patients with or without hamstring shortening. Journal of the Korean Society of Physical Medicine. 2012;7(4):443-451. https://doi.org/10.13066/kspm.2012.7.4.443
  16. Oh YT, Effect of hold-relax technique for college students with hamstring shortening. Journal of the Korean Society of Physical Medicine. 2013;8(3):433-441. https://doi.org/10.13066/kspm.2013.8.3.433
  17. Ostering LR, Robertson RN, Trowel RK, et al. Differential responses to proprioceptive neuromuscular facilitation (PNF) stretch techniques. Medicine and Science in Sports and Exercise. 1990;22(1):106.
  18. Prentice W. A comparison of static stretching and PNF stretching for improving hip joint flexibility. Athletic training. 1983;18(1):56-59.
  19. Rowlands AV, Marginson VF, Lee J. Chronic flexibility gains: Effect of isometric contraction duration during proprioceptive neuromuscular facilitation stretching techniques. Research quarterly for exercise and sport. 2003;74(1):47-51. https://doi.org/10.1080/02701367.2003.10609063
  20. Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching : mechanisms and clinical implications. Sports Medicine. 2006;36(11):929-939. https://doi.org/10.2165/00007256-200636110-00002
  21. Wallin D, Ekblom B, Grahn R, et al. Improvement of muscle flexibility: A comparison between two techniqes. The American Journal of Sports Medicine. 1985;13(4):263. https://doi.org/10.1177/036354658501300409
  22. Whitehead CL, Hillman SJ, Richardson AM, et al. The effect of simulated hamstring shortening on gait in normal subjects. Gait and Posture. 2007;26(1):90-96. https://doi.org/10.1016/j.gaitpost.2006.07.011
  23. Youdas JW, Haeflinger KM, Kreun MK, et al. The efficacy of two modified proprioceptive neuromuscular facilitation stretching techniques in subjects with reduced hamstring muscle length. Physiotherapy Theory & Practice. 2010;26(4):240-250. https://doi.org/10.3109/09593980903015292