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DOI QR Code

복부근력이 약한 성인여성과 정상 성인여성에게 복부 드로우-인 운동 후 엎드려 엉덩관절 폄 시 척추세움근과 큰볼기근의 근활성도의 즉각적인 변화

Immediate Changes in Gluteus Maximus and Erector Spinae Muscle Activities During Prone Hip Extension After the Abdominal Drawing-in Exercise in Female Adults With Weak Abdominal Muscles and Normal Female Adults

  • 김동우 (대구대학교 대학원 물리치료학과) ;
  • 박한규 (대구대학교 대학원 물리치료학과)
  • Kim, Dong-woo (Dept. of Physical Therapy, The Graduate School, Daegu University) ;
  • Park, Han-kyu (Dept. of Physical Therapy, The Graduate School, Daegu University)
  • 투고 : 2019.01.22
  • 심사 : 2019.03.18
  • 발행 : 2019.05.21

초록

Background: Improvement of the lumbo-pelvic stability can reduce the compensatory action of the erector spinae (ES) during prone hip extension (PHE). Furthermore, the application of abdominal drawing-in (ADI) maneuver increases the action of gluteus maximus (GM) and decreases the action of ES during PHE by improving the lumbo-pelvic stability. However, the post-ADI exercise effects on PHE, not the real-time application of ADI maneuver, has not been studied. Objects: This study is aimed at investigating the post-ADI exercise effects on the muscle activities of GM and ES during PHE. Methods: A total of 24 female adults participated in the study, and they were divided into two groups: Those with normal abdominal muscles ($n_1=12$) and those with weak abdominal muscles (WA) ($n_2=12$). Before the intervention, the subjects' GM and ES muscle activities during PHE were measured. Subsequently, the two groups were asked to perform the ADI exercise for 10 minutes. After the ADI exercise, the GM and ES activities were equally measured during PHE. Results: The comparison result of the ES muscle activities before intervention shows a significant difference between the two groups (p<.05); the WA group showed higher muscle activities than the normal group. For the within-group comparison, the muscle activities of the ES in the WA group significantly decreased after the ADI exercise (p<.05). For the GM muscle activity, no significant difference was observed in all comparisons (p>.05). For the changes in muscle activities before and after the ADI exercise, a significant difference exists between the two groups only for the changes in ES activities (p<.05); WA group exhibits higher changes than the normal group. By contrast, no significant difference exists between the two groups for the changes in GM activities (p>.05). Conclusion: After the ADI exercise, the compensatory action of ES in the female adults with WC is implied to decrease during PHE.

키워드

참고문헌

  1. Beinart NA, Goodchild CE, Weinman JA, et al. Individual and intervention-related factors associated with adherence to home exercise in chronic low back pain: A systematic review. Spine J. 2013;13(12):1940-1950. https://doi.org/10.1016/j.spinee.2013.08.027
  2. Chaitow. Muscle energy techniques. 2nd ed. London, Churchill Livingstone. 2001:180-208.
  3. 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
  4. Hodges PW, Gurfinkel VS, Brumagne S, et al. Coexistence of stability and mobility in postural control: Evidence from postural compensation for respiration. Exp Brain Res. 2002;144(3):293-302. https://doi.org/ 10.1007/s00221-002-1040-x
  5. Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997;114(2):362-370. https://doi.org/10.1007/s00221-002-1040-x
  6. Karthikbabu S, Nayak A, Vijayakumar K, et al. Comparison of physio ball and plinth trunk exercises regimens on trunk control and functional balance in patients with acute stroke: A pilot randomized controlled trial. Clin Rehabil. 2011;25(8):709-719. https://doi.org/10.1177/0269215510397393
  7. Kendall F, McCreary E, Provance P. Muscles: Testing and Function With Posture and Pain. 5th ed. Baltimore, Lippincott Williams & Wilkin. 2005:180-218.
  8. Kim DW, Kim TH. 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. Phys Ther Korea. 2018;25(1):22-30. https://doi.org/10.12674/ptk.2018.25.1.022
  9. 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
  10. Kim TW, Kim YW. Effects of abdominal drawing-in during prone hip extension on the muscle activities of the hamstring, gluteus maximus, and lumbar erector spinae in subjects with lumbar hyperlordosis. J Phys Ther Sci. 2015;27(2):383-386. https://doi.org/10.1589/jpts.27.383
  11. Kim T, Woo Y, Kim Y. Effect of abdominal drawing-in maneuver during hip extension on the muscle onset time of gluteus maximus, hamstring, and lumbar erector spinae in subjects with hyperlordotic lumbar angle. J Physiol Anthropol. 2014;33(1):34. https://doi.org/10.1186/1880-6805-33-34
  12. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 4th ed. Philadelphia, Davis co. 2002:657-659.
  13. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a swiss ball. Chiropr Osteopat. 2005;13:14. https://doi.org/10.1186/1746-1340-13-14
  14. McConnell J. Recalcitrant chronic low back and leg pain a new theory and different approach to management. Man Ther. 2002;7(4):183-192. https://doi.org/10.1054/math.2002.0478
  15. McPherson SL, Watson T. Training of transversus abdominis activation in the supine position with ultrasound biofeedback translated to increased transversus abdominis activation during upright loaded functional tasks. PM R. 2014;6(7):612-623. https://doi.org/10.1016/j.pmrj.2013.11.014
  16. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 2nd ed. St Louis, Mosby. 2009:379-420.
  17. 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.
  18. O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-255. https://doi.org/10.1016/j.math.2005.07.001
  19. 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
  20. Panjabi MM. The stabilizing system of the spine. Part i. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-389. https://doi.org/10.1097/00002517-199212000-00001
  21. Page P, Frank C, Lardner R. Assessment and Treatment of Muslce Imbalance: The Janda Approach. 1st ed. Human Kinetics, 2010:79-81.
  22. 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
  23. Richardson CA, Jull GA, Hodges PW. Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain. 1st ed. London, Churchill Livingstone. 1999:111-123.
  24. Sahrmann SA. Diagnosis Treatment Movement Impairment Syndrome. New York, Mosby. 2002:79-106.
  25. Suehiro T, Mizutani M, Ishida H, et al. Individuals with chronic low back pain demonstrate delayed onset of the back muscle activity during prone hip extension. J Electromyogr Kinesiol. 2015;25(4):675-680. https://doi.org/10.1016/j.jelekin.2015.04.013
  26. Tateuchi H, Taniguchi M, Mori N, et al. Balance of hip and trunk muscle activity is associated with increased anterior pelvic tilt during prone hip extension. J Electromyogr Kinesiol. 2012;22(3):391-397. https://doi.org/10.1016/j.jelekin.2012.03.003
  27. Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 2000;80(6):564-569. https://doi.org/10.1093/ptj/80.6.564
  28. Vogt L, Banzer W. Dynamic testing of the motor stereotype in prone hip extension from neutral position. Clin Biomech (Bristol, Avon). 1997;12(2):122-127. https://doi.org/10.1016/S0268-0033(96)00055-1