PNF and Movement

  • 제19권1호
  • /
  • Pages.43-55
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  • 2021
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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만성 요통 환자에게 수축 이완과 등장성 수축 결합이 엉덩관절과 허리골반 움직임에 미치는 영향

The Effects of Contract Relaxation and a Combination of Isotonics on the Hip and Lumbopelvic Motions in Patients with Chronic Low Back Pain

  • 김치환 (해운대자생한방병원 물리치료실) ;
  • 이주훈 (경성대학교 일반대학원 물리치료학과) ;
  • 한진태 (경성대학교 물리치료학과 재활과학연구소)
  • Kim, Chi-Hwan (Department of Physical Therapy, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Lee, Ju-Hun (Department of Physical Therapy, Graduate School, Kyungsung University) ;
  • Han, Jin-Tae (Department of Physical Therapy and Institute for Rehabilitation Science, Kyungsung University)
  • 투고 : 2020.11.30
  • 심사 : 2020.12.21
  • 발행 : 2021.04.30
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초록

Purpose: The purpose of this study was to determine the effects of contract relaxation and a combination of isotonics in proprioceptive neuromucular facilitation (PNF) on hip and lumbopelvic motions of male patients with chronic low back pain. Methods: As the subjects of this study, a total of 45 male patients with chronic low back pain were divided into groups: 15 who underwent contract relaxation (CR) of the PNF of their hip joints, 15 who underwent a combination of isotonics (CI) of the PNF, and 15 who underwent both techniques. A device for analyzing three-dimensional motion was used to measure hip medial rotation angles, lumbopelvic rotation angles, and hip medial rotation angles at the start of lumbopelvic rotation during hip medial rotation. A two-way repeated measures ANOVA was used to compare the average values. Results: There were interactions in the hip medial rotation angles, lumbopelvic rotation angles and hip medial rotation angles at the start of lumbopelvic rotation based on the methods and periods of exercise (p < 0.05). The CR and the CR+CI groups displayed more increased hip medial angles when compared to the CI group. The CR+CI group had more decreased lumbopelvic rotation angles when compared to the CR and the CI groups. The CR+CI group had more increased hip medial rotation angles at the start of lumbopelvic rotation when compared to the CR and the CI groups. Conclusion: It can be concluded that the combination of stretching and stability exercises was effective in male patients with chronic low back pain who showed limited hip medial rotation.

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참고문헌

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide, 3rd ed. Heidelberg. Springer. 2007.
  2. Bae SS. Hwang BG, Kim MH, et al. Clinical application of combination Isotonic in proprioceptive neuromuscular facilitation. The Journal of Korea Society of Physical Therapy. 2004;16(3):427-436.
  3. Baechle TR, Earle RW. Essentials of strength training and conditioning, 4th ed. New York. Human kinetics. 2016.
  4. Bandy WD, Irion JM, Briggler M. The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. Journal of Orthopaedic & Sports Physical Therapy. 1998;27(4):295-300. https://doi.org/10.2519/jospt.1998.27.4.295
  5. Bremner CB, Girouard TJ, Samuel MN, et al. The acute effect of hip external rotator stretches on hip internal rotation range of motion. International Journal of Exercise Science. 2015;8(1):75-84.
  6. Chaitow L, Crenshaw, K. Muscle energy techniques, 3rd ed. New York. Elsevier Health Sciences. 2006.
  7. Cayco CS, Labro AV, Gorgon EJR. Hold-relax and contract-relax stretching for hamstrings flexibility: a systematic review with meta-analysis. Physical Therapy in Sport. 2019;35(1):42-55. https://doi.org/10.1016/j.ptsp.2018.11.001
  8. Decoster LC, Cleland J, Altieri C, et al. The effects of hamstring stretching on range of motion: a systematic literature review. Journal of Orthopaedic & Sports Physical Therapy. 2005;35(6):377-387. https://doi.org/10.2519/jospt.2005.35.6.377
  9. Etnyre BR, Abraham LD. Gains in range of ankle dorsiflexion using three popular stretching techniques. American journal of physical medicine. 1986;65(4):189-196.
  10. Eyal L, Gregory DC, Robert D, et al. The science & practice of manual therapy, 2nd ed. New York. Elsevier Health Sciences. 2005.
  11. Feland JB, Myrer JW, Merrill RM. Acute changes in hamstring flexibility: PNF versus static stretch in senior athletes. Physical Therapy in Sport. 2001:2(4):186-193. https://doi.org/10.1054/ptsp.2001.0076
  12. Goo BO, Park SM, Kim AJ, et al. Effects of proprioceptive neuromuscular facilitation on trunk stability and balance in elderly People with chronic low back pain; the application of rhythmic stabilization and combination of isotonic. P NF and Movement. 2007:5(2):37-46.
  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. 1996;21(22):2640-2650. https://doi.org/10.1097/00007632-199611150-00014
  14. Hodges PW, Richardson CA. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. Journal of spinal disorders. 1998;11(1):46-56.
  15. Hoffman SL, Johnson MB, Zou D, et al. Sex differences in lumbopelvic movement patterns during hip medial rotation in people with chronic low back pain. Archives of physical medicine and rehabilitation. 2011;92(7):1053-1059. https://doi.org/10.1016/j.apmr.2011.02.015
  16. Hoffman SL, Johnson MB, Zou D, et al. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Manual therapy. 2011;16(4):344-350. https://doi.org/10.1016/j.math.2010.12.007
  17. Hoffman SL, Johnson MB, Zou D, et al. Gender differences in modifying lumbopelvic motion during hip medial rotation in people with low back pain. Rehabilitation Research and Practice. 2012;2012(1):1-7 https://doi.org/10.1155/2012/635312
  18. Kim CH. The effects of gender and chronic LBP on lumbopelvic motion during hip rotation. Kyungsung University. Dissertation of Master's Degree. 2017.
  19. Kim CH, Kim BR. The effects of abdominal strength training using proprioceptive neuromuscular facilitation on the balance ability and pain of patients with chronic lower back pain. PNF and Movement. 2017:15(2):141-148.
  20. Kim MH, Bae SS. Review of characteristics of the isotonic combination: importance of eccentric training. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2004;2(1):25-33.
  21. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques, 6th ed. New York. Fa Davis. 2012.
  22. Koh EK, Jung DY. Effects of positions of pressure biofeedback unit on lumbopelvic rotation during prone hip medial rotation. Indian Journal of Physiotherapy & Occupational Therapy. 2019;13(3):178-184. https://doi.org/10.5958/0973-5674.2019.00115.1
  23. Lee HS, Cho BM. Effects of PNF, PIC, MET stretching a literature review. Journal of Sport and Leisure Studies. 2005:23(1):379-390. https://doi.org/10.51979/KSSLS.2005.05.23.379
  24. Lim OB, Yi CH, Kwon OY, et al. Effects of tensor fasciae latae-iliotibial band self-stretching on lumbopelvic movement patterns during active prone hip lateral rotation in subjects with lumbar extension rotation syndrome. Korean Research Society of Physical Therapy. 2012;19(4):61-69.
  25. Marshall PW, Cashman A, Cheema BS. A randomized controlled trial for the effect of passive stretching on measures of hamstring extensibility, passive stiffness, strength, and stretch tolerance. Journal of Science and Medicine in Sport. 2011;14(6):535-540. https://doi.org/10.1016/j.jsams.2011.05.003
  26. Morse CI, Degens H, Seynnes OR, et al. The acute effect of stretching on the passive stiffness of the human gastrocnemius muscle tendon unit. The Journal of physiology. 2008;586(1):97-106. https://doi.org/10.1113/jphysiol.2007.140434
  27. Nagarwal AK, Zutshi K, Ram CS, et al. Improvement of hamstring flexibility: a comparison between two PNF stretching techniques, International Journal of Sports Science and Engineering. 2010:4(1):25-33.
  28. O'Hora J, Cartwright A, Wade CD, et al. Efficacy of static stretching and proprioceptive neuromuscular facilitation stretch on hamstrings length after a single session. The Journal of Strength & Conditioning Research. 2011;25(6):1586-1591. https://doi.org/10.1519/JSC.0b013e3181df7f98
  29. Park KN. Effects of lumbar stabilization and rectus femoris stretching exercises on muscle activity, pelvic motions, and angle of knee flexion during active prone knee flexion in patients with lumbar extension rotation syndrome. Yonsei University. Dissertation of Doctorate Degree. 2012.
  30. Richardson C, Jull G, Hodges P, et al. Therapeutic exercises for spinal segmental stabilization in low back pain: scientific basis and clinical approach. New York. Elsevier Health Sciences. 1998.
  31. Richardson C, Hodges P, Hides J. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain, 2nd ed. New York. Elsevier Health Sciences. 2004.
  32. Ryan ED, Herda TJ, Costa PB, et al. Determining the minimum number of passive stretches necessary to alter musculotendinous stiffness. Journal of sports sciences. 2009;27(9):957-961. https://doi.org/10.1080/02640410902998254
  33. Saber-Sheikh K, Bryant EC, Glazzard C, et al. Feasibility of using inertial sensors to assess human movement. Manual therapy. 2010;15(1):122-125. https://doi.org/10.1016/j.math.2009.05.009
  34. Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. New York. Elsevier Health Sciences. 2002.
  35. Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Brazilian Journal of Physical Therapy. 2017;21(6):391-399. https://doi.org/10.1016/j.bjpt.2017.08.001
  36. Scholtes SA, Norton BJ, Lang CE, et al. The effect of within-session instruction on lumbopelvic motion during a lower limb movement in people with and people without low back pain. Manual therapy. 2010;15(5):496-501. https://doi.org/10.1016/j.math.2010.05.003
  37. Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching. Sports medicine. 2006;36(11):929-939. https://doi.org/10.2165/00007256-200636110-00002
  38. Tabary J, Tabary C, Tardieu C, et al. Physiological and structural changes in the cat's soleus muscle due to immobilization at different lengths by plaster casts. The Journal of physiology. 1972;224(1):231-244. https://doi.org/10.1113/jphysiol.1972.sp009891
  39. Van Dillen LR, Sahrmann SA, Norton BJ, et al. Movement system impairment-based categories for low back pain: stage 1 validation. Journal of Orthopaedic & Sports Physical Therapy. 2003;33(3):126-142. https://doi.org/10.2519/jospt.2003.33.3.126
  40. Van Dillen LR, Maluf KS, Sahrmann SA. Further examination of modifying patient-preferred movement and alignment strategies in patients with low back pain during symptomatic tests. Manual therapy. 2009;14(1):52-60. https://doi.org/10.1016/j.math.2007.09.012
  41. Willy RW, Kyle BA, Moore SA, et al. Effect of cessation and resumption of static hamstring muscle stretching on joint range of motion. Journal of Orthopaedic & Sports Physical Therapy. 2001;31(3):138-144. https://doi.org/10.2519/jospt.2001.31.3.138