DOI QR코드

DOI QR Code

스트레칭 기법에 따른 뒤넙다리근의 유연성, 근력, 압통 역치, 근 긴장도에 미치는 효과 비교

A Comparison of The Effect of Stretching Technique on Hamstring Muscle for Flexibility, Strength, Pressure Pain Threshold Value and Muscle Tone

  • 박훈영 (대전대학교 물리치료학과 보건의료대학원) ;
  • 이명모 (대전대학교 물리치료학과)
  • Park, Hoon-Young (Dept. of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Lee, Myung-Mo (Dept. of Physical Therapy, Daejeon University)
  • 투고 : 2017.05.08
  • 심사 : 2017.06.27
  • 발행 : 2017.11.30

초록

PURPOSE: The effectiveness of the stretching to increase the range of motion of the joint, reduce the risk of injury, enhance athletic performance or decrease post exercise muscle soreness. This study was to compare the effect of the stretching method applied on the shortened hamstring muscle for flexibility, strength, pressure pain threshold value and muscle tone. METHODS: This study is a two-group pretest- posttest design. Fifty-four healthy young adults were randomly assigned to a vibration-assisted stretching group (VASG, n=27) or a static stretching group (SSG, n=27). Participants performed each stretch in 4 sets of 30 seconds each. A 30-second break time was provided between the sets. The range of motion, strength, pressure pain threshold values and muscle tone of the hamstring muscle were measured to compare the effects of the stretching methods. RESULTS: Both the VASG and the SSG participants showed significant improvement in the range of motion and strength (p<.05); however, the increase in the VASG was significantly higher than that in the SSG (p<.05). The pressure pain threshold values and muscle tone were significantly decreased only in the VASG (p<.05). CONCLUSION: These findings indicate that vibration-supported stretching is an effective intervention for people with hamstring shortening, with high pain level and muscle tone decrease.

키워드

참고문헌

  1. Bae SH, Lee JI, Kim KY. Usefulness of myotonometer for measurement of tissue compliance on medialis gastrocnemius in patients with stroke. J Korea Acad Industr Coop Soc. 2012;13(3):1129-37. https://doi.org/10.5762/KAIS.2012.13.3.1129
  2. Baik SK, Lim YT. The study of muscle contraction effect of vibration exercise device using surface electromyogtaphy. Korean J Sport Biomech. 2006; 16(2):55-63. https://doi.org/10.5103/KJSB.2006.16.2.055
  3. Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther. 1997;77(10):1090-6. https://doi.org/10.1093/ptj/77.10.1090
  4. Bandy WD, Irion JM, Briggler M. The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. J Orthop Sports Phys Ther. 1998;27(4):295-300. https://doi.org/10.2519/jospt.1998.27.4.295
  5. Cardinale M, Lim J. Electromyography activity of vastus lateralis muscle during whole-body vibrations of different frequencies. J Strength Cond Res. 2003; 17(3):621-4. https://doi.org/10.1519/00124278-200308000-00032
  6. Chae YW. The Measurement of forward head posture and pressure pain threshold in neck muscle. J Korean Phys Ther. 2002;14(1):117-24.
  7. Chuang LL, Wu CY, Lin KC. Reliability, validity, and responsiveness of myotonometric measurement of muscle tone, elasticity, and stiffness in patients with stroke. Arch Phys Med Rehabil. 2012;93(3):532-40. https://doi.org/10.1016/j.apmr.2011.09.014
  8. Colloca CJ, Keller TS. Active trunk extensor contributions to dynamic posteroanterior lumbar spinal stiffness. J Manipulative Physiol Ther. 2004;27(4):229-37. https://doi.org/10.1016/j.jmpt.2003.11.001
  9. Costantino C, Galuppo L, Romiti D. Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial. Eur J Phys Rehabil Med. 2017;53(1):32-40.
  10. 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
  11. Faulkner JA, Larkin LM, Claflin DR, et al. Age-related changes in the structure and function of skeletal muscles. Clin Exp Pharmacol Physiol. 2007;34(11):1091-6. https://doi.org/10.1111/j.1440-1681.2007.04752.x
  12. Issurin VB, Liebermann DG, Tenenbaum G. Effect of vibratory stimulation training on maximal force and flexibility. J Sports Sci. 1994;12(6):561-6. https://doi.org/10.1080/02640419408732206
  13. Johnson EN, Thomas JS. Effect of hamstring flexibility on hip and lumbar spine joint excursions during forward-reaching tasks in participants with and without low back pain. Arch Phys Med Rehabil. 2010;91(7):1140-2. https://doi.org/10.1016/j.apmr.2010.04.003
  14. Kim GC, Lee JH, Kwon SM. Effects of hamstring flexibility and dynamic stability of lower lumbar according to stretching and massage techniques. J Korean Soc Phys Med. 2013;8(4):609-17. https://doi.org/10.13066/kspm.2013.8.4.609
  15. Kim JW, Lee KM. Evaluation of isometric shoulder strength in Korean adults using a hang-held dynamometer. Ann Rehabil Med. 1996;20(1):186-93.
  16. Kinser AM, Ramsey MW, O'Bryant HS, et al. Vibration and stretching effects on flexibility and explosive strength in young gymnasts. Med Sci Sports Exerc. 2008;40(1): 133-40. https://doi.org/10.1249/mss.0b013e3181586b13
  17. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques (6th ed). Fa Davis. 2012.
  18. Kokkonen J, Nelson AG, Eldredge C, et al. Chronic static stretching improves exercise performance. Med Sci Sports Exerc. 2007;39(10):1825-31. https://doi.org/10.1249/mss.0b013e3181238a2b
  19. Lee HS, Yoo JH. The effects of stretching and isometric exercise for chronic neck pain patient in strength and pain. J Korean Soc Phys Med. 2012;7(3):329-37. https://doi.org/10.13066/kspm.2012.7.3.329
  20. Leonard CT, Deshner WP, Romo JW, et al. Myotonometer intra- and interrater reliabilities. Arch Phys Med Rehabil. 2003;84(6):928-32. https://doi.org/10.1016/S0003-9993(03)00006-6
  21. Luo J, McNamara B, Moran K. The use of vibration training to enhance muscle strength and power. Sports Med. 2005;35(1):23-41. https://doi.org/10.2165/00007256-200535010-00003
  22. Ogura Y, Miyahara Y, Naito H, et al. Duration of static stretching influences muscle force production in hamstring muscles. J Strength Cond Res. 2007;21(3):788-92. https://doi.org/10.1519/00124278-200708000-00023
  23. Paoloni M, Mangone M, Scettri P, et al. Segmental muscle vibration improves walking in chronic stroke patients with foot drop: a randomized controlled trial. Neurorehabil Neural Repair. 2010;24(3):254-62. https://doi.org/10.1177/1545968309349940
  24. Rittweger J, Just K, Kautzsch K, et al. Treatment of chronic lower back pain with lumbar extension and wholebody vibration exercise: a randomized controlled trial. Spine (Phila Pa 1976). 2002;27(17):1829-34. https://doi.org/10.1097/00007632-200209010-00003
  25. Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching : mechanisms and clinical implications. Sports Med. 2006;36(11): 929-39. https://doi.org/10.2165/00007256-200636110-00002
  26. 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.
  27. Torvinen S, Kannus P, Sievanen H, et al. Effect of 8-month vertical whole body vibration on bone, muscle performance, and body balance: a randomized controlled study. J Bone Miner Res. 2003;18(5):876-84. https://doi.org/10.1359/jbmr.2003.18.5.876

피인용 문헌

  1. Comparison of Sit and Reach Test, Straight Leg Raise Test and Visual Analogue Scale When Applying Static Stretching and Mulligan's Two Leg Rotation in Young Adults with Hamstring Shortness vol.31, pp.5, 2017, https://doi.org/10.18857/jkpt.2019.31.5.266
  2. Comparison of the immediate effect of hamstring stretching techniques on hamstring muscle range of motion, pressure pain threshold and muscle tone vol.8, pp.4, 2019, https://doi.org/10.14474/ptrs.2019.8.4.210
  3. 다양한 도구의 적용이 뒤넙다리근의 뻣뻣함과 근 긴장도에 미치는 영향 vol.8, pp.4, 2020, https://doi.org/10.15268/ksim.2020.8.4.223