DOI QR코드

DOI QR Code

Effect of PNF Lower Extremity Pattern on Selective Muscle Contraction of the Contralateral Lower Extremity in Healthy Subjects

정상인에 적용한 PNF 하지 패턴이 반대측 하지의 선택적 근수축에 미치는 영향

  • Kang, Tae-Wook (Department of Physical Therapy, Walk Rehabilitation Hospital) ;
  • Jung, Ju-Hyeon (Department of Physical Therapy, Gimhae College)
  • 강태욱 (워크재활의학과병원 물리치료실) ;
  • 정주현 (김해대학교 물리치료과)
  • Received : 2020.04.13
  • Accepted : 2020.05.07
  • Published : 2020.08.31

Abstract

Purpose: The purpose of this study was to investigate the effect of proprioceptive neuromuscular facilitation (PNF) lower extremity pattern on the dominant leg on muscle activity of the lower extremity supported by the ground. Methods: The subjects were 20 healthy males living in Busan. All subjects performed four direction PNF lower extremity patterns, and data were collected by surface electromyography from the gluteus medius (GM), tensor fascia latae (TFL), vastus medialis oblique (VMO), vastus lateralis oblique (VLO), and semitendinosus (STD) muscles of the opposite lower extremity during PNF lower extremity pattern. The PNF lower extremity pattern applied to the dominant leg was (1) flexion/adduction/external rotation with knee flexion; (2) extension/abduction/internal rotation with knee extension; (3) flexion/abduction/internal rotation with knee flexion; and (4) extension/adduction/external rotation with knee extension pattern, repeated 3 times per pattern and using the average value of the collected results. Collected muscle activity values were analyzed by one-way ANOVA, and post-hoc Tukey testing was performed to check between-group differences. The statistical significance level was set at α = 0.05. Results: GM and TFL flexion/abduction/internal rotation pattern with knee flexion was significantly higher than other patterns. VMO and VLO extension/adduction/external rotation pattern with knee extension was significantly higher than other patterns. STD flexion/adduction/external rotation pattern with knee flexion was significantly higher than other patterns. Conclusion: The study confirms differences in lower extremity muscle activity for the PNF lower extremity pattern, indicating that selective muscle contraction induction is possible using a pattern appropriate to the purpose of treatment.

Keywords

References

  1. Adler S, Beckers D, Buck M. PNF in practice: an illustrated guide, 4th ed. Heidelberg. Springer. 2014.
  2. Barton CJ, Kennedy A, Twycross-Lewis R, et al. Gluteal muscle activation during the isometric phase of squatting exercises with and without a swiss ball. Physical Therapy in Sport. 2014;15(1):39-46. https://doi.org/10.1016/j.ptsp.2013.02.006
  3. Bae SS. A Study of proprioceptive neuromuscular facilitation principles. The Journal of Korean Society of Physical Therapy. 1993;5(1):109-114.
  4. Chmielewski TL, Hodges MJ, Horodyski M, et al. Investigation of clinician agreement in evaluating movement quality during unilateral lower extremity functional tasks: a comparison of 2 rating methods. Journal of orthopaedic & sports physical therapy. 2007;37(3):122-129. https://doi.org/10.2519/jospt.2007.2457
  5. Comerford M, Mottram S. Kinetic control: the management of uncontrolled movement. Seoul. Elsevier Korea LLC. 2013.
  6. Cram J, Kasman G, Holtz J. Introduction to surface electromyography. Gaithersburg. Aspen Publishers. 1998.
  7. Earl JE, Schmitz RJ, Arnold BL. Activation of the VMO and VL during dynamic mini-aquat exercises with and without isometric hip adduction. Journal of electromyography and kinesiology. 2001;11(6):381-386. https://doi.org/10.1016/S1050-6411(01)00024-4
  8. Farthing JP, Borowsky R, Chilibeck PD, et al. Neurophysiological adaptations associated with cross-education of strength. Brain topography. 2007;20(2):77-88. https://doi.org/10.1007/s10548-007-0033-2
  9. Fukagawa NK, Brown M, Sinacore DR, et al. The relationship of strength to function in the older adult. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1995;50(1):55-59.
  10. Gottschalk F, Kourosh S, Leveau B. The functional anatomy of tensor fascia and gluteus medius and minimus. Journal of Anatomy. 1989;166(1):179.
  11. Hanten W P, S chulthies SS. Exercise effect o n electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Physical Therapy. 1990;70(9):561-565. https://doi.org/10.1093/ptj/70.9.561
  12. Hortobagyi T, Scott K, Lambert J, et al. Cross-education of muscle strength is greater with stimulated than voluntary contractions. Motor control. 1999;3(2):205-219. https://doi.org/10.1123/mcj.3.2.205
  13. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. Journal of aging and physical activity. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  14. Kim CS. Effects of lower limbs strengthening exercise and ergometer bicycle exercise on gait and balance in stroke patients. Daegu University. Dissertation of Master's Degree. 2008.
  15. Kim JM, Kuk EJ, Kim WH, et al. Principles of neural science, 4th ed. Seoul. HN science. 2011.
  16. Kim KH, Kim BK, Choi JI. Effect of repetition, HR, EMG response of the lower limb muscles and ratio of VM/VL during both feet and one foot squat exercise. The Korean journal of sport.2018;16(3):473-482.
  17. Kim HG. Comparison of muscle activity in the contralateral lower extremity from the PNF arm pattern and leg patterns. PNF and Movement. 2017;15(2):177-183.
  18. Kim KH, Park SH, Park NW, et al. The effect of proprioceptive neuromuscular facilitation exercise patterns targeting the lower extremity on lateral muscle activity of the opposite lower extremity in chronic hemiplegia patients. PNF and Movement. 2018;16(1):143-150.
  19. Kim WH. Effect of proprioceptive neuromuscular facilitation on muscle irradiation patterns of the affected side of in stroke patient: a preliminary study. Korean research society of physical therapy.2009;16(2):59-66.
  20. Kim YW, Weon JH, Kim TH. Availability of the pendulum test using NK table for spasticity measurement of low extremity. Journal of Korean Society of Physical Medicine. 2013;8(2):209-217. https://doi.org/10.13066/kspm.2013.8.2.209
  21. Kofotolis ND, Kellis E. Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature. Physical Therapy in Sport. 2007;8(3):109-116. https://doi.org/10.1016/j.ptsp.2007.02.004
  22. Kofotolis N, Vrava IS, Kalogeropoulou E, et al. Proprioceptive neuromuscular facilitation versus isokinetic training for strength, endurance and jumping performance. Journal of Human Movement Studies. 2002;42(1):155-165.
  23. Koo BO, Kwon MJ, Kwon YH, et al. Neurophysical therapy. Seoul. Daihak Seorim Co. Ltd. 2013.
  24. LaBella C. Patellofemoral pain syndrome: evaluation and treatment. Primary Care: Clinics in office practice. 2004;31(4):977-1003. https://doi.org/10.1016/j.pop.2004.07.006
  25. McConnell J. Management of patellofemoral problems. Manual therapy. 1996;1(2):60-66. https://doi.org/10.1054/math.1996.0251
  26. Munn J, Herbert RD, Gandevia SC. Contralateral effects of unilateral resistance training: a meta-analysis. Journal of Applied Physiology. 2004;96(5):1861-1866. https://doi.org/10.1152/japplphysiol.00541.2003
  27. Munn J, Herbert RD, Hancock MJ, et al. Training with unilateral resistance exercise increases contralateral strength. Journal of Applied Physiology. 2005;99(5):1880-1884. https://doi.org/10.1152/japplphysiol.00559.2005
  28. Nam HJ. The effects of 8weeks modified straight leg raise exercise program on muscular strength, electromyography activation and balance ability of hip joint. Kyung Hee University. Dissertation of Doctorate Degree. 2011.
  29. Neumann DA. Kinesiology of the musculoskeletal system. Saint Louis. Mosby Inc. 2002.
  30. Pal S, Draper CE, Fredericson M, et al. Patellar maltracking correlates with vastus medialis activation delay in patellofemoral pain patients. The American journal of sport medicine. 2011;39(3):590-598. https://doi.org/10.1177/0363546510384233
  31. Park IS, Lee SY. Effects of proprioceptive neuromuscular facilitation leg patterns on activity of gluteus medius at opposite side. PNF and Movement. 2016;14(3):195-202. https://doi.org/10.21598/JKPNFA.2016.14.3.195
  32. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. Journal of orthopaedic & sports Physical therapy. 2010;40(2):42-51. https://doi.org/10.2519/jospt.2010.3337
  33. Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. Missouri. Mosby. 2001.
  34. Shanker K. Exercise prescription. Philadelphia. Hanley & Belfus Inc. 1999.