DOI QR코드

DOI QR Code

등척성 엉덩관절 모음 및 벌림 시 골반 벨트가 엉덩관절 근육의 근력과 복부 근육 근 활성도에 미치는 영향

Effects of a Pelvic Belt on Hip Muscle Forces and Abdominal Muscle Activities During Isometric Hip Adduction and Abduction

  • 강민혁 (한국국제대학교 물리치료학과) ;
  • 오재섭 (인제대학교 물리치료학과)
  • Kang, Min-hyeok (Dept. of Physical Therapy, College of Health Science, International University of Korea) ;
  • Oh, Jae-seop (Dept. of Physical Therapy, College of Biomedical Science and Engineering, Inje University)
  • 투고 : 2017.04.05
  • 심사 : 2017.05.08
  • 발행 : 2017.05.21

초록

Background: To improve lumbo-pelvic stability, passive support devices (i.e., a pelvic belt) are recommended clinically. Nevertheless, to understand the influence of passive support on lumbo-pelvic stability, it is necessary to examine the influence of a pelvic belt on the abdominal and hip abductor muscles. Objects: To examine the effects of a pelvic belt on the forces of the hip adductor and abductor muscles and activity of the abdominal muscles during isometric hip adduction and abduction. Methods: This study recruited 14 healthy men. All subjects performed isometric hip adduction and abduction with and without a pelvic belt in a neutral hip position. Load cells, wrapped with a non-elastic belt, were placed above the medial and lateral malleoli of the dominant leg to measure the muscle forces of the hip adductors and abductors, respectively. The forces of the hip adductors and abductors were measured using a load cell during isometric hip adduction and abduction, while the electromyographic activities of the bilateral rectus abdominis, internal oblique, and external oblique muscles were measured. Results: The forces generated by the hip adductors and abductors were significantly greater with the pelvic belt than without (p<.05). No significant differences in abdominal muscle activities between the two conditions were found (p>.05). Conclusion: These findings suggest that use of a pelvic belt could lead to effective strengthening exercise of hip muscles in individuals with sacroiliac joint pain.

키워드

참고문헌

  1. Comerford MJ, Mottram SL. Movement and stability dysfunction-contemporary developments. Man Ther. 2001;6(1):15-26. https://doi.org/10.1054/math.2000.0388
  2. Criswell E. Cram's Introduction to Surface Electromyography. 2nd ed. Sudbury, MA, Jones and Bartlett Publishers. 2010:348-350.
  3. Franca FR, Burke TN, Caffaro RR, et al. Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain: a randomized, controlled trial. J Manipulative Physiol Ther. 2012;35(4): 279-285. https://doi.org/10.1016/j.jmpt.2012.04.012.
  4. Hodges PW. Is there a role for transversus abdominis in lumbo-pelvic stability? Man Ther. 1999;4(2):74-86. https://doi.org/10.1054/math.1999.0169
  5. Hu H, Meijer OG, Hodges PW, et al. Understanding the active straight leg raise (ASLR): An electromyographic study in healthy subjects. Man Ther. 2012;17(6):531-537. https://doi.org/10.1016/j.math.2012.05.010
  6. Hu H, Meijer OG, van Dieen JH, et al. Muscle activity during the active straight leg raise (ASLR), and the effects of a pelvic belt on the ASLR and on treadmill walking. J Biomech. 2010;43(3):532-539. https://doi.org/10.1016/j.jbiomech.2009.09.035
  7. Jung HS, Jeon HS, Yi CH, et al. Effects of applying the pelvic compression belt on the trunk and hip extensor electromyography pattern in female patients with sacroiliac joint pain during the one-leg standing. Phys Ther Korea. 2012;19(2):1-11. https://doi.org/10.12674/ptk.2012.19.2.001
  8. Kang MH, Kim MS. EMG activity in the abdominal muscles and the kinematics of the lumbar spine during unilateral upper-limb resistance exercises under stable and unstable conditions. J Phys Ther Sci. 2014;26(6):873-875. https://doi.org/10.1589/jpts.26.873
  9. Kang MH, Yoon JY, Yang JL, et al. The effect of visual biofeedback on EMG activity of trunk muscles and endurance holding time for correct position during whole-body tilt exercise. Phys Ther Korea. 2011;18(1):9-17.
  10. Kim JW, Kwon OY, Kim TH, et al. Effects of external pelvic compression on trunk and hip muscle EMG activity during prone hip extension in females with chronic low back pain. Man Ther. 2014;19(5):467-471. https://doi.org/10.1016/j.math.2014.04.016
  11. Kim SY, Kang MH, Kim ER, et al. Comparison of EMG activity on abdominal muscles during plank exercise with unilateral and bilateral additional isometric hip adduction. J Electromyogr Kinesiol. 2016;30:9-14. https://doi.org/10.1016/j.jelekin.2016.05.003
  12. Kim YG, Kang MH, Kim JW, et al. Shoulder girdle protraction strength and dynamic performance of the upper limb in individuals with scapular winging: A preliminary study. Isokinet Exerc Sci. 2015;23(1):33-40. https://doi.org/10.3233/IES-140561
  13. Lee D. The Pelvic Girdle: An approach to the examination and treatment of the lumbopelvic-hip region. 3rd ed. London, Churchill Livingstone. 2004:81-132.
  14. Mens J, Inklaar H, Koes BW, et al. A new view on adduction-related groin pain. Clin J Sport Med. 2006;16(1):15-19. https://doi.org/10.1097/01.jsm.0000180869.37673.7b
  15. Mottram S, Comerford M. Stability dysfunction and low back pain. J Orthop Med. 1998;20(2):13-18.
  16. Nadler SF, Malanga GA, DePrince M, et al. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med. 2000;10(2):89-97. https://doi.org/10.1097/00042752-200004000-00002
  17. Nourbakhsh MR, Arab AM. Relationship between mechanical factors and incidence of low back pain. J Orthop Sports Phys Ther. 2002;32:447-460. https://doi.org/10.2519/jospt.2002.32.9.447
  18. Park KH, Ha SM, Kim SJ, et al. Effects of the pelvic rotatory control method on abdominal muscle activity and the pelvic rotation during active straight leg raising. Man Ther. 2013;18(3):220-224. https://doi.org/10.1016/j.math.2012.10.004
  19. Park KM, Kim SY, Oh DW. Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction. J Electromyogr Kinesiol. 2010;20(6):1141-1145. https://doi.org/10.1016/j.jelekin.2010.05.009
  20. Yoon DJ, Kim SY, Lee EH, et al. Effect of an application of pelvic compression belt on the strength of hip flexor in healthy young adult. The Korean Academy of Physical Therapy Science. 2008;15(4):35-42.

피인용 문헌

  1. Effects of Abdominal Draw-in Maneuver, Abdominal Bracing, and Pelvic Compression Belt on Muscle Activities of Gluteus Medius and Trunk During Side-Lying Hip Abduction vol.25, pp.1, 2018, https://doi.org/10.12674/ptk.2018.25.1.022
  2. Effects of Thorax Belt Application on the Spinal Stability in Subjects with Wide Infra-sternal Angle vol.26, pp.4, 2017, https://doi.org/10.9708/jksci.2021.26.04.143