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The Effects of Static Hamstring Stretching on Hip Motion and Lumbo-Pelvic Kinematics

  • Oh, Jaeseop (Department of Physical Therapy, Inje University) ;
  • Kang, Minhyeok (Department of Physical Therapy, Catholic University of Pusan)
  • Received : 2020.07.07
  • Accepted : 2020.08.10
  • Published : 2020.09.30

Abstract

Background: Static hamstring stretching exercises have been widely used to improve flexibility of the hamstring muscles. However, few studies have examined the influence of standing static hamstring stretching (e.g., jack-knife stretching) on movements of the lumbopelvic-hip complex. Objectives: To examine the short-term effects of jack-knife stretching on movements of the lumbopelvic-hip complex. Design: Case series. Methods: Fourteen participants with hamstring tightness (8 male, 6 female) were recruited. Participants performed jack-knife stretching for 150 s. Before and after stretching, participants performed the finger-to-floor distance (FFD), sit and reach (SRT), active knee extension (AKE), passive straight leg raising (PSLA), and active straight leg raising (ASLR) tests as well as pelvic tilt while standing to identify the effects of stretching. Results: There were significant improvements in the FFD, SRT, AKE, PSLA, and ASLR tests after stretching. However, pelvic tilt angle while standing did not significantly change. Conclusion: Jack-knife stretching can be a useful exercise to improve flexibility of the hamstring muscles, but not pelvic alignment while standing.

Keywords

References

  1. McGill SM. Low Back Disorders: Evidence-Based Prevention and Rehabilitation. 2nd ed. Champaign: Human Kinetics; 2007.
  2. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndrome. St. Louis: Mosby; 2002.
  3. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 3rd ed. St Louis: Elsevier; 2017.
  4. Kang MH, Jung DH, An DH, Yoo WG, Oh JS. Acute effects of hamstring-stretching exercises on the kinematics of the lumbar spine and hip during stoop lifting. J Back Musculoskelet Rehabil. 2013;26(3):329-336. https://doi.org/10.3233/BMR-130388
  5. Medeiros DM, Cini A, Sbruzzi G, Lima CS. Influence of static stretching on hamstring flexibility in healthy young adults: Systematic review and meta-analysis. Physiother Theory Pract. 2016;32(6):438-445. https://doi.org/10.1080/09593985.2016.1204401
  6. Yildirim MS, Ozyurek S, Tosun O, Uzer S, Gelecek N. Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biol Sport. 2016;33(1):89-94. https://doi.org/10.5604/20831862.1194126
  7. Demoulin C, Wolfs S, Chevalier M, et al. A comparison of two stretching programs for hamstring muscles: A randomized controlled assessorblinded study. Physiother Theory Pract. 2016;32(1):53-62. https://doi.org/10.3109/09593985.2015.1091533
  8. Ahmed H, Iqbal A, Anwer S, Alghadir A. Effect of modified hold-relax stretching and static stretching on hamstring muscle flexibility. J Phys Ther Sci. 2015;27(2):535-538. https://doi.org/10.1589/jpts.27.535
  9. Lim KI, Nam HC, Jung KS. Effects on hamstring muscle extensibility, muscle activity, and balance of different stretching techniques. J Phys Ther Sci. 2014;26(2):209-213. https://doi.org/10.1589/jpts.26.209
  10. Puentedura EJ, Huijbregts PA, Celeste S, et al. Immediate effects of quantified hamstring stretching: hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport. 2011;12(3):122-126. https://doi.org/10.1016/j.ptsp.2011.02.006
  11. Sairyo K, Kawamura T, Mase Y, et al. Jackknife stretching promotes flexibility of tight hamstrings after 4 weeks: a pilot study. Eur J Orthop Surg Traumatol. 2013;23(6):657-663. https://doi.org/10.1007/s00590-012-1044-6
  12. Gunn LJ, Stewart JC, Morgan B, et al. Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial. J Man Manip Ther. 2019;27(1):15-23. https://doi.org/10.1080/10669817.2018.1475693
  13. Han HI, Choi HS, Shin WS. Effects of hamstring stretch with pelvic control on pain and work ability in standing workers. J Back Musculoskelet Rehabil. 2016;29(4):865-871. https://doi.org/10.3233/BMR-160703
  14. Spernoga SG, Uhl TL, Arnold BL, Gansneder BM. Duration of maintained hamstring flexibility after a one-time, modified hold-relax stretching protocol. J Athl Train. 2001;36(1):44-48.
  15. Jung SH, Kwon OY, Yi CH, et al. Predictors of dysfunction and health-related quality of life in the flexion pattern subgroup of patients with chronic lower back pain: The STROBE study. Medicine (Baltimore). 2018;97(29):e11363. https://doi.org/10.1097/MD.0000000000011363
  16. Hasebe K, Okubo Y, Kaneoka K, Takada K, Suzuki D, Sairyo K. The effect of dynamic stretching on hamstrings flexibility with respect to the spino-pelvic rhythm. J Med Invest. 2016;63(1-2):85-90. https://doi.org/10.2152/jmi.63.85
  17. Ayala F, Sainz de Baranda P, De Ste Croix M, Santonja F. Reproducibility and criterion-related validity of the sit and reach test and toe touch test for estimating hamstring flexibility in recreationally active young adults. Phys Ther Sport. 2012;13(4):219-226. https://doi.org/10.1016/j.ptsp.2011.11.001
  18. Kang MH, Kim ER, Kim YG, Kim TH, Oh JS. The effects of lumbo-pelvic postural taping on gait parameters in patients with lumbar spinal stenosis. Clin Biomech (Bristol, Avon). 2013;28(9-10):956-960. https://doi.org/10.1016/j.clinbiomech.2013.10.005
  19. Meroni R, Cerri CG, Lanzarini C, et al. Comparison of active stretching technique and static stretching technique on hamstring flexibility. Clin J Sport Med. 2010;20(1):8-14. https://doi.org/10.1097/JSM.0b013e3181c96722
  20. White SG, Sahrmann SA. A Movement System Balance Approach to Management of Musculoskeletal Pain. In: Grant R. Physical Therapy of The Cervical and Thoracic Spine. New York: Churchill Livingstone Inc; 1994:339-357.
  21. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 6th ed. Philadelphia: FA Davis Company; 2012.
  22. Borman NP, Trudelle-Jackson E, Smith SS. Effect of stretch positions on hamstring muscle length, lumbar flexion range of motion, and lumbar curvature in healthy adults. Physiother Theory Pract. 2011;27(2):146-154. https://doi.org/10.3109/09593981003703030
  23. Nourbakhsh MR, Arab AM. Relationship between mechanical factors and incidence of low back pain. J Orthop Sports Phys Ther. 2002;32(9):447-460. https://doi.org/10.2519/jospt.2002.32.9.447