탄력밴드를 이용한 등척성 엉덩관절 벌림 교각운동이 전방머리자세 환자의 족저압에 미치는 영향

The Effect Of Isometric Hip Abduction Bridge Exercise Using Elastic Band on Foot Pressure in Patients with Forward Head Posture

  • 유재호 (남서울대학교 일반대학원 물리치료학과) ;
  • 이상빈 (남서울대학교 물리치료과)
  • Jae-ho, Yu (Dept. of Physical Therapy, Graduate of Natural Science, Namseoul University) ;
  • Sang-bin, Lee (Dept. of Physical Therapy, College of Natural Science, Namseoul University)
  • 투고 : 2022.11.03
  • 심사 : 2022.12.02
  • 발행 : 2022.12.30

초록

Background: In patients with forward head posture (FHP), the head is positioned forward, causing increased tension in the muscles and structures of the head, neck, and shoulders. This can result in joint dysfunction that may lead to abnormal afferent information. The purpose of this study was to investigate the effect on foot pressure through the isometric hip abduction (IHA) bridge exercise using elastic bands in patients with FHP. Methods: Twenty patients with FHP were randomly assigned to a study group that applied joint mobilization, soft tissue mobilization, a deep neck flexor strengthening exercise, and the IHA bridge exercise using an elastic band. A control group was also constituted, and members were given joint mobilization, soft tissue mobilization therapies, and the deep neck flexor strengthening exercise. Ten patients were assigned to each group. The static foot pressure and dynamic foot pressure of each patient were measured before and after the intervention, and the interventions for each group were applied twice a week for 4 weeks. Results: Both the study group and the control group showed significant differences in static and dynamic foot pressure before and after the interventions (p<.05). There were no significant differences in foot pressure between the study and control groups. Conclusion: : The results of this study revealed that there were no significant differences between the group doing the IHA bridge exercise using the elastic band and the control group. However, the intervention methods applied to both the groups were effective in improving the body center control of FHP patients.

키워드

참고문헌

  1. Aliaa ME, Omar ME. Relationships between forward head posture and lumbopelvic sagittal alignment in older adults with chronic Low back pain. J Bodyw Mov Ther. 2021;28:150-156. https://doi.org/10.1016/j.jbmt.2021.07.036
  2. Berthonnaud E, Dimnet J, Roussouly P, et al. Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters. J Spinal Disord Tech. 2005; 18(1):40 -47. https//doi: 10.1097/01.bsd.0000117542. 88865.77
  3. Buckthorpe M, Stride M, Villa FD. Assessing and treating gluteus maximus weakness- A clinical commentary. International Journal of Sports Physical Therapy, 2019;14(4):655-669. https://doi.org/10.26603/ijspt20190655
  4. Chaitow L. Muscle Energy Techniques. London (UK): Churchill Livingstone. 4th ed. 2013.
  5. Choi SA, Cynn HS, Yi CH, et al. Isometric hip abduction using a thera-band alters gluteus maximus muscle activity and the anterior pelvic tilt angle during bridging exercise. J Electromyogr Kinesiol. 2015;25(2):310-315. https://doi.org/10.1016/j.jelekin.2014.09.005
  6. Diakow PR, Grod JP. Effect of neck pain on verticality perception: A cohort study. Arch. Phys. Med. Rehabil. 2002;83(3):412-415. https://doi.org/10.1053/apmr.2002.29660
  7. Decker MJ, Hintermeister RA, Faber KJ, et al. Serratus anterior muscle activity during selected rehabilitation exercises. The American Journal of Sports Medicine. 1999;27(6):784-791. https://doi.org/10.1177/03635465990270061
  8. Dolphens M, Cagnie B, Coorevits P, et al. Sagittal standing posture and its association with spinal pain: A school-based epidemiological study of 1196 Flemish adolescents before age at peak height velocity. Spine. 2012; 37(19):1657-1666. https://doi:10.1097/BRS.0b013e3182408053
  9. Ehrlich R, Garlick D, Ninio M. The effect of jaw clenching on the electromyographic activities of 2 neck and 2 trunk muscles. J Orofac Pain. 1999;13(2):1115-1120.
  10. Han JH, Kim JH, Jung MK, et al. The correlation between forward head posture used McKenzie exercise and plantar pressure. The Journal of Korean Academy of Orthopecic Manual Therapy. 2016;22(1):65-70.
  11. Kang HJ, Park RY, Lee S, et al. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012;36(1):98-104. https://doi:10.5535/arm.2012.36.1.98
  12. Kang HJ, Yang HS. Effects of neck and shoulder exercise program on spino-pelvic alignment in subject with forward head posture. Journal of The Korean Society of Integrative Medicine. 2019;7(4):265-272. https://doi.org/10.15268/ksim.2019.7.4.265
  13. Massoud AA, Reza Nourbakhsh M, Mohammadifar A. The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction. J Man Manip Ther. 2011;19(1):5-10. https://doi:10.1179/106698110X12804993426848
  14. Morningstar M, Pettibon R, Heidi S, et al. Reflex control of the spine and posture: A review of the literature from a chiropractic perspective. Chiropr. Osteopathy 2005;13(16):1-17. https://doi.org/10.1186/1746-1340-13-16
  15. Nansel DD, Waldorf T, Cooperstein R. Effect of cervical spinal adjustments on lumbar paraspinal muscle tone: Evidence for facilitation of intersegmental tonic neck reflexes. J Manipulative Physiol Ther. 1993;16(2):91-95.
  16. 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://www.jospt.org/doi/10.2519/jospt.2007.2435
  17. Park KM, Cynn HS, Yi CH, et al. Effect of isometric horizontal abduction on pectoralis major and serratus anterior EMG activity during three exercises in subjects with scapular winging. J Electromyogr Kinesiol. 2013;23(2):462-468. https://doi.org/10.1016/j.jelekin.2012.11.013
  18. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndromes. 1st ed. St. Louis, MO: Mosby. 2002.
  19. Shon HW. Effect of Joint Play and Sling Exercise on Foot Pressure, Pain and Cervical Alignment in Forward Head Posture. Graduate School of Dong Shin University. Unpublished Master's Thesis. 2018
  20. Wingerden JP, Vleeming AH, Buyruk M, 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