Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Effects of performing hip abduction and adduction during bridging exercise on trunk and lower extremity muscle activity in healthy individuals

  • Hwang, Joo Young (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Ahn, Woo Young (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Kim, Hyo Jae (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Woo, Je Hyun (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Choi, Woo Jin (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Park, Jae Wook (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Lee, Mi Young (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2017.02.27
  • Accepted : 2017.03.17
  • Published : 2017.03.30
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Abstract

Objective: To investigate the effect of performing three different bridge exercise conditions on the activities of four different muscles using surface electromyography (sEMG) in healthy young adults. Design: Cross-sectional study. Methods: A total of 20 healthy young adults (10 males, 10 females) voluntarily participated in this study. All subjects randomly performed three different bridge conditions as follows: general bridge exercise, isometric hip abduction (IHAB) with a blue Theraband (Hygenic Corp., USA), and isometric hip adduction (IHAD) with a Swiss ball (Hygenic Corp.). The muscle activities of bilateral erector spinae (ES), gluteus maximus (GM), biceps femoris (BF), and external oblique (EO) muscles during the bridge exercises were measured using sEMG. Subjects performed each of the three bridge conditions three times in random order and mean values were obtained. Results: For bilateral ES and BF, there was a significant increase in muscle activity in the IHAD condition compared to the general bridge and IHAB condition (p<0.05). For bilateral GM, there was a significant increase in muscle activity in the IHAB condition compared to the general bridge condition (p<0.05) and there was a significant increase in muscle activity in the IHAB condition compared to IHAD condition (p<0.05). For left EO, a significant increase was observed in the IHAD condition compared to the general bridge condition (p<0.05). Conclusions: ES and BF muscle activity increases were observed with hip adduction and increased GM activity was observed with hip abduction. These findings may be applicable within the clinical field for selective trunk and lower extremity muscle activation and advanced rehabilitation purposes.

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References

  1. Lee S, Park J, Lee D. Effects of bridge exercise performed on an unstable surface on lumbar stabilizing muscles according to the knee angle. J Phys Ther Sci 2015;27:2633-5. https://doi.org/10.1589/jpts.27.2633
  2. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. 4th ed. Philadelphia, PA: F.A. Davis; 2002. p. 497-500, 657-9.
  3. O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. 6th ed. Philadelphia, PA: F.A. Davis; 2013.
  4. Kang SY, Choung SD, Jeon HS. Modifying the hip abduction angle during bridging exercise can facilitate gluteus maximus activity. Man Ther 2016;22:211-5. https://doi.org/10.1016/j.math.2015.12.010
  5. Choi K, Bak J, Cho M, Chung Y. The effects of performing a one-legged bridge with hip abduction and use of a sling on trunk and lower extremity muscle activation in healthy adults. J Phys Ther Sci 2016;28:2625-8. https://doi.org/10.1589/jpts.28.2625
  6. Choi SA, Cynn HS, Yi CH, Kwon OY, Yoon TL, Choi WJ, et al. Isometric hip abduction using a Thera-Band alters gluteus maximus muscle activity and the anterior pelvic tilt angle during bridging exercise. J Electromyogr Kinesiol 2015;25:310-5. https://doi.org/10.1016/j.jelekin.2014.09.005
  7. Jang EM, Kim MH, Oh JS. Effects of a bridging exercise with hip adduction on the EMG activities of the abdominal and hip extensor muscles in females. J Phys Ther Sci 2013;25:1147-9. https://doi.org/10.1589/jpts.25.1147
  8. Cichanowski HR, Schmitt JS, Johnson RJ, Niemuth PE. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 2007;39:1227-32. https://doi.org/10.1249/mss.0b013e3180601109
  9. Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med 2000; 10:169-75. https://doi.org/10.1097/00042752-200007000-00004
  10. Friel K, McLean N, Myers C, Caceres M. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train 2006;41: 74-8.
  11. Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med 2006;34:299-311. https://doi.org/10.1177/0363546505284183
  12. Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 2003;33:671-6. https://doi.org/10.2519/jospt.2003.33.11.671
  13. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain. 5th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2005.
  14. Magee DJ. Orthopedic physical assessment. 5th ed. St. Louis, MO: Saunders; 2007.
  15. Liebenson C. The relationship of the sacroiliac joint, stabilization musculature, and lumbo-pelvic instability. J Bodyw Mov Ther 2004;8:43-5. https://doi.org/10.1016/S1360-8592(03)00090-1
  16. Mens JM, Vleeming A, Snijders CJ, Stam HJ, Ginai AZ. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J 1999;8:468-73. https://doi.org/10.1007/s005860050206
  17. Criswell E, Cram JR. Cram's introduction to surface electromyography. 2nd ed. Sudbury, MA: Jones and Bartlett Publishers; 2011.
  18. Netter FH. The ciba collection of medical illustrations: vol 8: musculoskeletal system: part I: anatomy, physiology and metabolic disorders. Lincoln: Anybook Ltd; 1987.
  19. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Gaithersburg, MD: Aspen Publishers Inc; 1998.
  20. Bolgla LA, Uhl TL. Reliability of electromyographic normalization methods for evaluating the hip musculature. J Electromyogr Kinesiol 2007;17:102-11. https://doi.org/10.1016/j.jelekin.2005.11.007
  21. Bolgla LA, Malone TR, Umberger BR, Uhl TL. Reliability of electromyographic methods used for assessing hip and knee neuromuscular activity in females diagnosed with patellofemoral pain syndrome. J Electromyogr Kinesiol 2010;20:142-7. https://doi.org/10.1016/j.jelekin.2008.11.008
  22. Lee D, Park J, Lee S. Effects of bridge exercise on trunk core muscle activity with respect to sling height and hip joint abduction and adduction. J Phys Ther Sci 2015;27:1997-9. https://doi.org/10.1589/jpts.27.1997
  23. Na SW, Oh DW, Park HJ. Effect of hip adductor co-contraction on trunk muscle activation during bridge exercise in healthy young individuals. J Korean Soc Phys Med 2012;7:275-82. https://doi.org/10.13066/kspm.2012.7.3.275
  24. Soderberg GL. Muscle mechanics and pathomechanics. Their clinical relevance. Phys Ther 1983;63:216-20. https://doi.org/10.1093/ptj/63.2.216
  25. Bo K, Stien R. Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough, Valsalva, abdominal, hip adductor, and gluteal muscle contractions in nulliparous healthy females. Neurourol Urodyn 1994;13:35-41. https://doi.org/10.1002/nau.1930130106
  26. Kibler WB, Chandler TJ, Livingston BP, Roetert EP. Shoulder range of motion in elite tennis players. Effect of age and years of tournament play. Am J Sports Med 1996;24:279-85. https://doi.org/10.1177/036354659602400306

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