Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Comparison of the Gluteus Maximus Activity during Various Prone Hip Extension in Subject with Chronic Low Back Pain

  • Kwon, Yoo-Hun (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Cynn, Heon-Seock (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Park, Dong-Hwan (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Shin, A-Reum (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Baik, Seung-Min (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Lee, Ji-Hyun (Department of Physical Therapy, Baekseok University)
  • Received : 2019.04.15
  • Accepted : 2019.06.03
  • Published : 2019.08.31
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Abstract

PURPOSE: Prone hip extension (PHE) has been used for assessment of lumbo-pelvic movement and strengthening exercise for weakness of the hip joint muscles in patients with chronic low back pain (CLBP). On the other hand, few studies have examined which are the best PHE exercises to activate the gluteus maximus (GM) selectively in physical therapy practice. To aim of this study compared the muscle activity of the GM, rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA) during these four different prone hip extensions, PHE, PHE with quadriceps activation (PHEQA), PHE with ankle dorsiflexion (PHEAD), and PHE with ankle plantarflexion (PHEAP), in subjects with CLBP. METHODS: Nineteen subjects with low back pain participated in this study. Subject performed four PHE exercises and surface electromyography (EMG) was used to evaluate the muscle activity. Data were analyzed by one-way repeated-measures analysis of variance (${\alpha}=.05/3=.017$) and a Bonferroni adjustment was performed if a significant difference was found. RESULTS: The muscle activities recorded by EMG showed significant among the four exercises. The muscle activity of the GM increased significantly during PHEQA than during PHEAP (P=.012). CONCLUSION: PHEQA is the most effective exercise for eliciting greater GM muscle activation among the four PHE exercises in subjects with CLBP.

Keywords

References

  1. Andersson G. Epidemiology of low back pain. 1998;69(sup281):28-31.
  2. Hodges, Paul W, Carolyn A, Richardson, et al. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. 1999;80(9):1005-12. https://doi.org/10.1016/S0003-9993(99)90052-7
  3. 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):242-55. https://doi.org/10.1016/j.math.2005.07.001
  4. Vleeming A, Pool-Goudzwaard A, Stoeckart R, van Wingerden J, Snijders C, et al. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine. 1995;20(7):753-8. https://doi.org/10.1097/00007632-199504000-00001
  5. Dankaerts W, O'sullivan P, Burnett A, et al. Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: Importance of subclassification. 2006;31(17):2017-23. https://doi.org/10.1097/01.brs.0000228728.11076.82
  6. Hoy D, Brooks P, Blyth F, et al. The epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769-81. https://doi.org/10.1016/j.berh.2010.10.002
  7. Mooney V. Coupled motion of contralateral latissimus dorsi and gluteus maximus: its role in sacroiliac stabilization. Movement, Stability, and Low Back Pain. 1997.
  8. Van Wingerden J, Vleeming A, Buyruk H, Raissadat K, et al. Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis. Eur Spine J. 2004;13(3):199-205. https://doi.org/10.1007/s00586-003-0575-2
  9. Distefano L, Blackburn J, Marshall S, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532-40. https://doi.org/10.2519/jospt.2009.2796
  10. Janda V. On the concept of postural muscles and posture in man. 1983;29(3):83-4. https://doi.org/10.1016/S0004-9514(14)60665-6
  11. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. Elsevier Health Sciences. 2002.
  12. Wilson J, Ferris E, Heckler A, et al. A structured review of the role of gluteus maximus in rehabilitation. 2005;33(3).
  13. Hodges P, Moseley G. Kinesiology. Pain and motor control of the lumbopelvic region: Effect and possible mechanisms. 2003;13(4):361-70. https://doi.org/10.1016/S1050-6411(03)00042-7
  14. Hossain M, Nokes L. A model of dynamic sacro-iliac joint instability from malrecruitment of gluteus maximus and biceps femoris muscles resulting in low back pain. Med Hypotheses. 2005;65(2):278-81. https://doi.org/10.1016/j.mehy.2005.02.035
  15. Hungerford B, Gilleard W, Hodges P, et al. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. 2003;28(14):1593-1600. https://doi.org/10.1097/01.BRS.0000076821.41875.1C
  16. Leinonen V, Kankaanpaa M, Airaksinen O, et al. Back and hip extensor activities during trunk flexion/extension: Effects of low back pain and rehabilitation. 2000;81(1):32-7. https://doi.org/10.1016/S0003-9993(00)90218-1
  17. Chance-Larsen K, Littlewood C, Garth A, et al. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010;15(1):61-5. https://doi.org/10.1016/j.math.2009.07.001
  18. Jeon IC, Hwang UJ, Jung SH, et al. Comparison of gluteus maximus and hamstring electromyographic activity and lumbopelvic motion during three different prone hip extension exercises in healthy volunteers. Phys Ther Sport. 2016;22:35-40. https://doi.org/10.1016/j.ptsp.2016.03.004
  19. Kang SY, Jeon HS, Kwon O, et al. Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions. Man Ther. 2013;18(4):303-7. https://doi.org/10.1016/j.math.2012.11.006
  20. Joshua. C, Stock MS, Hernandez JM, et al. Additional insight into biarticular muscle function: The influence of hip flexor fatigue on rectus femoris activity at the knee. J Electromyogr Kinesiol. 2018;42:36-43. https://doi.org/10.1016/j.jelekin.2018.06.011
  21. Tassi N, Guazzelli JF, Goncalves M, et al. Electromyographic evaluation of the rectus femoris muscle during exercises performed on the leg press. 1998;38(4):223-9.
  22. Arab AM, Haghighat A, Amiri Z, et al. Lumbar lordosis in prone position and prone hip extension test: Comparison between subjects with and without low back pain. Chiropr Man Therap. 2017;25(1):8 https://doi.org/10.1186/s12998-017-0139-x
  23. Kahlaee AH, Ghamkhar L, Arab AM, et al. Effect of the abdominal hollowing and bracing maneuvers on activity pattern of the lumbopelvic muscles during prone hip extension in subjects with or without chronic low back pain: A preliminary study. J Manipulative Physiol Ther. 2017;40(2):106-17. https://doi.org/10.1016/j.jmpt.2016.10.009
  24. Vogt L, Banzer. Dynamic testing of the motor stereotype in prone hip extension from neutral position. 1997;12(2):122-7. https://doi.org/10.1016/S0268-0033(96)00055-1
  25. Magee DJ. Orthopedic physical assessment-e-book. Elsevier Health Sciences, 2014.
  26. Edgar E, Ohnhaus, Adler R, et al. Methodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale. 1975;1(4):379-84. https://doi.org/10.1016/0304-3959(75)90075-5
  27. Criswell E. Cram jr. Cram's introduction to surface electromyography. 2010.
  28. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function, with posture and pain. Philadelphia: Lippincott Williams & Wilkins. 2005.
  29. Emami M, Arab AM, Ghamkhar L, et al. The activity pattern of the lumbo-pelvic muscles during prone hip extension in athletes with and without hamstring strain injury. International journal of sports physical therapy. 2014;9(3):312.
  30. Arab AM, Ghamkhar L, Emami M, et al. Altered muscular activation during prone hip extension in women with and without low back pain. Chiropractic & manual therapies. 2011;19(1):18. https://doi.org/10.1186/2045-709X-19-18
  31. Sakamoto AC, Teixeira-Salmela LF, de Paula-Goulart FR, et al. Muscular activation patterns during active prone hip extension exercises. J Electromyogr Kinesiol. 2009;19(1):105-12. https://doi.org/10.1016/j.jelekin.2007.07.004
  32. Bryanton, Megan. Quadriceps effort during squat exercise depends on hip extensor muscle strategy. Sports biomechanics. 2015;14(1):122-38. https://doi.org/10.1080/14763141.2015.1024716
  33. Mokhtarzadeh, Hossein. Contributions of the Soleus and Gastrocnemius muscles to the anterior cruciate ligament loading during single-leg landing. Journal of biomechanics. 2013;46(11):1913-20. https://doi.org/10.1016/j.jbiomech.2013.04.010
  34. O' Connor, John J, Zavatsky, et al. Anterior cruciate ligament forces in activity. The Anterior Cruciate Ligament: Current and Future Concepts. Raven Press, New York. 1993.
  35. Hopf HC, Schlegel HJ, Lowitzsch K, et al. Irradiation of voluntary activity to the contralateral side in movements of normal subjects and patients with central motor disturbances. European neurology. 1974;12(3):142-7. https://doi.org/10.1159/000114613
  36. Shimura K, Kasai T. Effects of proprioceptive neuromuscular facilitation on the initiation of voluntary movement and motor evoked potentials in upper limb muscles. Human movement science. 2002;21(1):101-13. https://doi.org/10.1016/S0167-9457(01)00057-4
  37. Jonkers I, Stewart C, Spaepen A, et al. The complementary role of the plantarflexors, hamstrings and gluteus maximus in the control of stance limb stability during gait. Gait & posture. 2003;17(3):264-72. https://doi.org/10.1016/S0966-6362(02)00102-9
  38. Kennedy PM, Cresswell AG. The effect of muscle length on motor-unit recruitment during isometric plantar flexion in humans. Experimental brain research. 2001;137(1):58-64. https://doi.org/10.1007/s002210000623
  39. Ford LE, Huxley AF, Simmons RM, et al. The relation between stiffness and filament overlap in stimulated frogmuscle fibres. Journal of Physiology. 1981;311(1):219-49. https://doi.org/10.1113/jphysiol.1981.sp013582
  40. Huijing PA, Baan GC, et al. Myofascial force transmission causes interaction between adjacent muscles and connective tissue: effects of blunt dissection and compartmental fasciotomy on length force characteristics of rat extensor digitorum longus muscle. Archives of Physiology and Biochemistry. 2001;109(2):97-109. https://doi.org/10.1076/apab.109.2.97.4269
  41. Benz RJ, Friden J, Lieber RL, et al. Simultaneous stiffness and force measurements reveal subtle injury to rabbit soleus muscles. Molecular and Cellular Biochemistry. 1998;179(1-2):147-58. https://doi.org/10.1023/A:1006824324509