한국전문물리치료학회지 (Physical Therapy Korea)

  • 제25권1호
  • /
  • Pages.22-30
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  • 2018
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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옆으로 누워 엉덩관절 벌림운동 시 복부드로우-인, 복부브레이싱, 골반압박벨트가 중간볼기근과 몸통 근육의 활성도에 미치는 영향

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

  • 김동우 (대구대학교 대학원 물리치료학과) ;
  • 김태호 (대구대학교 물리치료학과)
  • Kim, Dong-woo (Dept. of Physical Therapy, The Graduate School, Daegu University) ;
  • Kim, Tae-ho (Dept. of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 투고 : 2017.12.26
  • 심사 : 2018.01.31
  • 발행 : 2018.02.19
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초록

Background: Improvement of lumbo-pelvic stability can reduce the compensatory action of the quadratus lumborum (QL) and selectively strengthen the gluteus medius (GM) during side-lying hip abduction (SHA). There are abdominal draw-in maneuver (ADIM) and abdominal bracing (AB) as active ways, and pelvic compression belt (PCB) as a passive way to increase of lumbo-pelvic stability. It is necessary to compare how these stabilization methods affect the selective strengthening of the GM. Objects: To investigate the effects of ADIM, AB, and PCB during SHA on the electromyography (EMG) activity of the GM, QL, external oblique (EO) and internal oblique (IO), and the GM/QL EMG activity ratio. Methods: A total of 20 healthy male adults participated in the study. The subjects performed three conditions in side-lying in random order: SHA with ADIM (SHA-ADIM), SHA with AB (SHA-AB), and SHA with PCB (SHA-PCB). To compare the differences among the three conditions, the EMG activities of the GM, QL, EO and IO, and GM/QL EMG activity ratio were analyzed using one-way repeated ANOVA. Results: The EMG activity of the QL was significantly higher in SHA-AB than in SHA-ADIM and SHA-PCB. The GM/QL activity ratio was significantly higher in SHA-PCB than in SHA-ADIM and SHA-AB. In addition, the figure for SHA-ADIM was significantly higher than that for SHA-AB. In the case of the EO, the figure for SHA-AB was significantly higher than corresponding values for the other two conditions. The figure for SHA-ADIM was significantly higher than that for SHA-PCB. The EMG activity of the IO was significantly higher in SHA-AH than in SHA-PCB. Conclusion: It can be suggested that wearing the PCB can more selectively strengthen the GM than to perform ADIM and AB during SHA. In addition, the ADIM can be recommended when there is a need to strengthen abdominal muscles during SHA.

키워드

참고문헌

  1. Arab AM, Nourbakhsh MR. The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain. Chiropr Osteopat. 2010;18:1. https://doi.org/10.1186/1746-1340-18-1
  2. Bolgla LA, Uhl TL. Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects. J Orthop Sports Phys Ther. 2005;35(8):487-494. https://doi.org/10.2519/jospt.2005.35.8.487
  3. Chaitow L. Muscle Energy Techniques. 2nd ed. London, Churchill Livingstone. 2001:200-208.
  4. Clark JM, Haynor DR. Anatomy of the abductor muscles of the hip as studied by computed tomography. J Bone Joint Surg Am. 1987;69(7):1021-1031. https://doi.org/10.2106/00004623-198769070-00010
  5. 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
  6. Cynn HS, Oh JS, Kwon OY, et al. Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Arch Phys Med Rehabil. 2006;87(11):1454-1458. https://doi.org/10.1016/j.apmr.2006.08.327
  7. Dalstra M, Huiskes R. Load transfer across the pelvic bone. J Biomech. 1995;28(6):715-724. https://doi.org/10.1016/0021-9290(94)00125-N
  8. Damen L, Spoor CW, Snijders CJ, et al. Does a pelvic belt influence sacroiliac joint laxity? Clin Biomech (Bristol, Avon). 2002;17(7):495-498. https://doi.org/10.1016/S0268-0033(02)00045-1
  9. Distefano LJ, Blackburn JT, Marshall SW, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532-540. https://doi.org/10.2519/jospt.2009.2796
  10. Earl JE. Gluteus medius activity during 3 variations of isometric single-leg stance. J Sport Rehabil. 2005;14(1): 1-11. https://doi.org/10.1123/jsr.14.1.1
  11. Fredericson M, White JJ, MacMahon JM, et al. Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches. Arch Phys Med Rehabil. 2002;83(5):589-592. https://doi.org/10.1053/apmr.2002.31606
  12. Grenier SG, McGill SM. Quantification of lumbar stability by using 2 different abdominal activation strategies. Arch Phys Med Rehabil 2007;88(1):54-62. https://doi.org/10.1016/j.apmr.2006.10.014
  13. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine (Phila Pa 1976). 1996;21(22):2640-2650. https://doi.org/10.1097/00007632-199611150-00014
  14. Hodges PW, Richardson CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett. 1999;265(2):91-94 https://doi.org/10.1016/S0304-3940(99)00216-5
  15. 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
  16. 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
  17. 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
  18. Kang MH, Oh JS. Effects of a pelvic belt on hip muscle forces and abdominal muscle activities during isometric hip adduction and abduction. Phys Ther Korea. 2017;24(2):19-26. https://doi.org/10.12674/ptk.2017.24.2.019
  19. Kavcic N, Grenier S, McGill SM. Determining the stabilizing role of individual torso muscles during rehabilitation exercises. spine (Phila Pa 1976). 2004;29(11):1254-1265. https://doi.org/10.1097/00007632-200406010-00016
  20. Kendall FP, McCreary EK, Provance PG. Muscles: Testing and function with posture and pain. 5th ed. Baltimore, MD, Lippincott Williams & Wilkin. 2005:195-434.
  21. 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
  22. Kisner C, Colby LA. Therapeutic Exercise: Foundations and techniques. 4th ed. Philadelphia, PA, F.A. Davis co., 2002:657-659.
  23. Kumagai M, Shiba N, Higuchi F, et al. Functional evaluation of hip abductor muscles with use of magnetic resonance imaging. J Orthop Res. 1997;15(6):888-893. https://doi.org/10.1002/jor.1100150615
  24. 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.
  25. Lee DK, Moon SN, Noh KH, et al, The effects of using a pressure bio-feedback unit and a pelvic belt on selective muscle activity in the hip abductor during hip abduction exercise. J Korean Soc Phys Med. 2011;6(3):323-330.
  26. Lee JA. Effect of the pelvic compression belt on electromyographic activity of trunk and lower extremety muscles and during asymmetric lifting in four point kneeling. Daejeon, Daejeon University, Master Thesis. 2012.
  27. Lee JH, Cynn HS, Kwon OY, et al. Different hip rotations influence hip abductor muscles activity during isometric side-lying hip abduction in subjects with gluteus medius weakness. J Electromyogr Kinesiol. 2014;24(2):318-324. https://doi.org/10.1016/j.jelekin .2014.01.008
  28. McGill SM, Grenier S, Kavcic N, et al. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol. 2003;13(4):353-359. https://doi.org/10.1016/S1050-6411(03)00043-9
  29. 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
  30. Nadler SF, Malanga GA, Bartoli LA, et al. Hip muscle imbalance and low back pain in athletes: Influence of core strengthening. Med Sci Sports Exerc. 2002;34(1):9-16. https://doi.org/10.1097/00005768-200201000-00003
  31. Noh KH, Moon SN, Lee DK, et al. Influence of internal and external stabilization methods during prone hip extension on the selective activation of the gluteus maximus. Phys Ther Korea. 2011;18(3):1-7.
  32. Niemuth PE, Johnson RJ, Myers MJ, et al. Hip muscle weakness and overuse injuries in recreational runners. Clin J Sport Med. 2005;15(1):14-21. https://doi.org/10.1097/00042752-200501000-00004
  33. Nyland J, Kuzemchek S, Parks M, et al. Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude: Composite hip abductor EMG amplitude ratios during isometric combined hip abduction-external rotation. J Electromyogr Kinesiol. 2004;14(2):255-261. https://doi.org/10.1016/S1050-6411(03)00078-6
  34. Oh JS, Cynn HS, Won JH, et al. Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther. 2007;37(6):320-324. https://doi.org/10.2519/jospt.2007.2435
  35. 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
  36. Park KN, Kwon OY, Kim SH, et al. Effects of soft tissue massage of the posterior deltoid muscle on shoulder horizontal adduction. Phys Ther Korea. 2010;17(4):35-40.
  37. Pel JJ, Spoor CW, Goossens RH, et al. Biomechanical model study of pelvic belt influence on muscle and ligament forces. J Biomech. 2008;41(9):1878-1884. https://doi.org/10.1016/j.jbiomech.2008.04.002
  38. Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995;1(1):2-10. https://doi.org/10.1054/math.1995.0243
  39. Richardson CA, Jull GA, Hodges PW, et al. Therapeutic Exercise for Spinal Segmental Stabilitation in Low Back Pain: Scientific basis and clinical appraoch. Edinburgh, Churchill Livingstone, 1999:111-123.
  40. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. 1st ed. St. Louis, Mo., Mosby, 2002;74-84.
  41. Sashika H, Matsuba Y, Watanabe, Y. Home program of physical therapy: Effect on disabilities of patients with total hip arthroplasty. Arch Phys Med Rehabil. 1996;77(3):273-277. https://doi.org/10.1016/S0003-9993(96)90111-2
  42. Schmitz RJ, Riemann BL, Thompson T. Gluteus medius activity during isometric closed-chain hip rotation. J Sport Rehabil. 2002;11(3):179-188. https://doi.org/10.1123/jsr.11.3.179
  43. Suehiro T, Mizutani M, Watanabe S, et al. Comparison of spine motion and trunk muscle activity between abdominal hollowing and abdominal bracing maneuvers during prone hip extension. J Bodyw Mov Ther. 2014;18(3):482-488. https://doi.org/10.1016/j.jbmt.2014.04.012
  44. Sykes K, Wong YM. Electrical activity of vastus medialis oblique muscle in straight leg raise exercise with different angles of hip rotation. Physiotherapy. 2003;89(7):423-430 https://doi.org/10.1016/S0031-9406(05)60076-4
  45. Vera-Garcia FJ, Elvira JL, Brown SH, et al. Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol. 2007;17(5):556-567. https://doi.org/10.1016/j.jelekin.2006.07.004

피인용 문헌

  1. Effect of Abdominal Drawing-In Maneuver on the Low Back Pain Oswestry Disability Index and Balance Ability in Industrial Workers with Chronic Back Pain vol.16, pp.1, 2018, https://doi.org/10.24332/aospt.2020.16.1.04
  2. Effects of Thorax Belt Application on the Spinal Stability in Subjects with Wide Infra-sternal Angle vol.26, pp.4, 2018, https://doi.org/10.9708/jksci.2021.26.04.143