대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제13권4호
  • /
  • Pages.85-94
  • /
  • 2018
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

치료적 운동이 축구 특이적 골반 앞 기울임을 가진 유소년 축구선수 엉덩관절의 관절가동범위, 도수근력, 기능적 움직임 및 방사선학적 평가에 미치는 영향: 증례보고

Effects of Therapeutic Exercise on Hip Joint Range of Motion, Manual Muscle Test, Functional Movement Screen and Radiological Evaluation in a Youth Football Player with Football-specific Anterior Pelvic Tilt: A Case Report

  • 유동훈 (단국대학교 대학원 운동의과학과) ;
  • 서상원 (단국대학교 대학원 운동의과학과) ;
  • 이호성 (단국대학교 대학원 운동의과학과)
  • Yu, Dong-Hun (Department of Kinesiologic Medical Science, Graduate, Dankook University) ;
  • Seo, Sang-Won (Department of Kinesiologic Medical Science, Graduate, Dankook University) ;
  • Lee, Ho-Seong (Department of Kinesiologic Medical Science, Graduate, Dankook University)
  • 투고 : 2018.08.28
  • 심사 : 2018.09.26
  • 발행 : 2018.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: This study was conducted to determine the effects of therapeutic exercise on range of motion (ROM), the manual muscle test (MMT), functional movement screen (FMS) and radiological evaluation in a youth football player with football-specific anterior pelvic tilt (APT). METHODS: The subject of this case report was a 12-year-old youth football player, who presented with football-specific APT. Therapeutic exercise consisted of hamstring stretch, prone hip extension, abdominal crunch, bridging with isometric hip abduction, plank exercise with posterior tilt and posterior pelvic tilting exercise using a swiss-ball for 40 min/day, twice a week for 8-weeks. ROM, MMT, FMS (deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, rotary stability and trunk stability push-up) and radiographs (lumbar lordotic and sacral horizontal angle) were analyzed before and after week 8 of therapeutic exercise. RESULTS: The ROM, MMT, and FMS increased and the lumbar lordotic angle and sacral horizontal angle improved after 8-weeks of therapeutic exercise. CONCLUSION: The results of this case report suggest that therapeutic exercise improves ROM, MMT and radiography associated parameters in youth football players with football-specific APT. These findings have clinical implications for therapeutic exercise in youth football players with football-specific APT.

키워드

참고문헌

  1. Alentorn-Geli E, Myer GD, Silvers HJ, et al. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc. 2009;17(7):705-29. https://doi.org/10.1007/s00167-009-0813-1
  2. Bagherian S, Ghasempoor K, Rahnama N, et al. The effect of core stability training on functional movement patterns in collegiate athletes. J Sport Rehabil. 2018;0(0):1-22.
  3. Bardenett SM, Micca JJ, DeNoyelles JT, et al. Functional Movement Screen normative values and validity in high school athletes: can the $FMS^{TM}$ be used as a predictor of injury? Int J Sports Phys Ther. 2015; 10(3):303-8.
  4. Bradley PS, Portas MD. The relationship between preseason range of motion and muscle strain lnjury in elite sccer players. J Strength Cond Res. 2007;21(4): 1155-9. https://doi.org/10.1519/00124278-200711000-00029
  5. Chorba RS, Chorba DJ, Eouillon LE, et al. Use of a Functional Movement Screening Tool to Determine Injury Risk in Female Collegiate Athletes. N Am J Sports Phys Ther. 2010;5(2):47-54.
  6. Chun SY. The effect of the chronic ankle instability soccer players on the calcaneus angle of the subtalarjoint and body alignment. Korean society for Wellness. 2017;12(1):623-32.
  7. Cook G, Burton L, Hoogenboom BJ, et al. Functional movement screening: the use of fundamental movements as an assessment of function-part 1. Int J Sports Phys Ther. 2014a;9(3):396-409.
  8. Cook G, Burton L, Hoogenboom BJ, et al. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2414b;9(4):549-63.
  9. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007;37(12):754-62. https://doi.org/10.2519/jospt.2007.2471
  10. Garrett WE. Muscle strain injuries. Am J Sports Med. 1996;24(6):2-8. https://doi.org/10.1177/036354659602400102
  11. Godges JJ, Macrae H, Longdon C, et al. The effects of two stretching procedures on hip range of motion and gait economy. J Orthop Sports Phys Ther. 1989;10(9): 350-7. https://doi.org/10.2519/jospt.1989.10.9.350
  12. Hellstrom M, Jacobsson B, Sward L, et al. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol. 1990;31(2):127-32. https://doi.org/10.1177/028418519003100202
  13. Hibbs AE, Thompson KG, French D, et al. Optimizing performance by improving core stability and core strength. Sports Med. 2008;38(12):995-1008. https://doi.org/10.2165/00007256-200838120-00004
  14. Kendall F, McCreary EK. Muscles testing and function. Baltimore, USA. Lippincott Williams & Wilkins. 1983.
  15. Kim HJ, Chung S, Kim S, et al. Influences of trunk muscles on lumbar lordosis and sacral angle. Eur Spine J. 2006;15(4):409-14. https://doi.org/10.1007/s00586-005-0976-5
  16. Kucera KL, Marshall SW, Kirkendall DT, et al. Injury history as a risk factor for incident injury in youth soccer. Br J Sports Med. 2005;39(7):462-6. https://doi.org/10.1136/bjsm.2004.013672
  17. Launay F. Sports-related overuse injuries in children. Orthopaedics & Traumatology, Surgery & Research. 2014;101(1): 139-47.
  18. Lazennec JY, Brusson A, Rousseau MA. Hip-spine relations and sagittal balance clinical consequences. European Spine Journal. 2011;20(5):686-98. https://doi.org/10.1007/s00586-011-1937-9
  19. Lee JH, Yoo WG. A Application of posterior pelvic tilt taping for the treatment of chronic low back pain with sacroiliac joint dysfunction and increased sacral horizontal angle. Phy Ther Sport. 2012;13(4):279-85. https://doi.org/10.1016/j.ptsp.2011.10.003
  20. Lee JW, Zhang SA, Lee JK. Effects of Combined Training on the FMS Score in Woman Rugby National Players. Journal of Korea Academia-Industrial cooperation Society. 2015;16(11):7439-46. https://doi.org/10.5762/KAIS.2015.16.11.7439
  21. Lloyd RS, Oliver JL, Radnor JM, et al. Relationships between functional movement screen scores, maturation and physical performance in young soccer players. J Sports Sci. 2015;33(1):11-9. https://doi.org/10.1080/02640414.2014.918642
  22. Ludwig O, Kelm J. Groin pain and muscular imbalance of quadriceps and hamstrings in an elite soccer player - A case study. Sportverletz Sportschaden. 2016; 30(3):163-7. https://doi.org/10.1055/s-0042-110249
  23. Masuda K, Kikuhara N, Demura S, et al. Relationship between muscle strength in various isokinetic movements and kick performance among soccer players. J Sports Med Phys Fitness. 2005;45(1):44-52.
  24. Navarro E, Chorro D, Torres G, et al. A review of risk factors for hamstring injury in soccer: a biomechanical approach. European Journal of Human Movement. 2015;34:52-74.
  25. Nemati N, Daneshmandi H. Evaluation of the association of strength, flexibility, and aerobic power with sport Injuries in soccer players. Tabari Journal of Preventive Medicine. 2017;2(4):69-78.
  26. Rahnama N, Lees A, Bambaecichi E. Comparison of muscle strength and flexibility between the preferred and non-preferred leg in English soccer players. Ergonomics. 2005;48(11-14):1568-75. https://doi.org/10.1080/00140130500101585
  27. Read P, Oliver JL, Croix MBADS, et al. Injury risk factors in male youth soccer player. Strength Cond J. 2015; 37(5):1-7. https://doi.org/10.1519/SSC.0000000000000171
  28. Roos H, Omell M, Gardsell P, et al. Soccer after anterior cruciate ligament injury--an incompatible combination? A national survey of incidence and risk factors and a 7-year follow-up of 310 players. Acta Orthop Scand. 1995;66(2):107-12.
  29. Rossler R, Junge A, Chomiak J, et al. Risk factors for football injuries in young players aged 7 to 12 years. Scand J Med Sci Sports. 2017;28(3):1176-82. https://doi.org/10.1111/sms.12981
  30. Sarikaya S, Ozdolpa S, Gumustass S, et al. Low back pain and lumbar angle in Turkish coal miners. Am J Ind Med. 2007;50(2):92-6. https://doi.org/10.1002/ajim.20417
  31. Seo SW, Lee HS. Evolution of Exercise Performance and Medical Assessments in U-12 Youth Football Players. The Korean Journal of Physical Education. 2017; 56(5):665-77.
  32. Shin DW, Yoon YS. Incidence and Pattern of Injuries of Asian Youth Soccer Players During Match. The Korean Journal of Sports Medicine. 2003;21(2):145-50.
  33. Smith NA, Chounthirath T, Xiang H. Soccer-related injuries treated in emergency departments: 1990-2014. Pediatrics. 2016;138(4):1-9. https://doi.org/10.1542/peds.2015-4268B
  34. Song HS, Woo SS, So WY, et al. Effects of 16-week functional movement screen training program on strength and flexibility of elite high school baseball players. J Exerc Rehabil. 2014;10(2):124-30. https://doi.org/10.12965/jer.140101
  35. Suputtitada A, Wacharapreechanont T, Chaisayan P. Effect of the "sitting pelvic tilt exercise" during the third trimester in primigravidas on back pain J Med Assoc Thai. 2002;85(1):170-9.
  36. Tak I, Glasgow P, Langout R, et al. Hip range of motion is lower in professional soccer players with hip and groin symptoms or previous injuries, independent of cam deformities. Am J Sports Med. 2016;44(3):1-7.
  37. Thorborg K, Petersen J, Magnusson SP, et al. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010;20(3):493-501. https://doi.org/10.1111/j.1600-0838.2009.00958.x
  38. Waryasz GR. Exercise strategies to prevent the development of the anterior pelvic tilt: implications for possible prevention of sports hernias and osteitis pubis. Strength Cond J. 2010;32(4):56-65. https://doi.org/10.1519/SSC.0b013e3181d58aac
  39. Yoo HN, Lee MG, Sung SC. Comparison of figures of the vertebra and pelvis by sports type in collegiate athletes. The Korean Journal of Physical Education. 2009; 48(1):411-21.

피인용 문헌

  1. 협응이동훈련이 아동의 자세 불균형과 보행에 미치는 영향 : 단일사례설계 vol.14, pp.3, 2019, https://doi.org/10.13066/kspm.2019.14.3.63