PNF and Movement

  • 제20권1호
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  • Pages.83-90
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  • 2022
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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골반 고정을 동반한 엉덩관절 굽힘근 스트레칭이 일측성 엉덩관절 굽힘근 단축이 있는 일반 성인의 엉덩관절 폄 유연성과 보행 매개변수에 미치는 즉각적인 효과

The Immediate Effect of Hip Flexor Stretching with Pelvic Fixation on Hip Extension Flexibility and Gait Parameters in Subjects with Unilateral Hip flexor Shortness

  • 김태규 (부경대학교 해양스포츠학과) ;
  • 김영훈 (부경대학교 해양스포츠학과) ;
  • 김수용 (양산부산대학교병원 물리치료실)
  • Kim, Tae-Gyu (Department of Marine Sports, Pukyong National University) ;
  • Kim, Young-Hoon (Department of Marine Sports, Pukyong National University) ;
  • Kim, Soo-Yong (Department of Physical Therapy, Pusan National University Yangsan Hospital)
  • 투고 : 2022.03.15
  • 심사 : 2022.03.30
  • 발행 : 2022.04.30
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초록

Purpose: The purpose of this study was to investigate the immediate effects of hip flexor stretching with pelvic fixation on the flexibility of hip extension and gait capacity in subjects with limited hip extension flexibility. Methods: Twenty-six subjects with limited hip extension flexibility were divided into two groups: a hip flexor stretching with pelvic fixation group (n = 13) and a hip flexor stretching without pelvic fixation group (n = 13). The subjects were assessed based on flexibility of hip extension, stride, and gait velocity after applying hip flexor stretching. Results: The hip flexor stretching with pelvic fixation group showed significantly improved flexibility of hip extension, stride, and gait velocity compared with hip flexor stretching without pelvic fixation group (p <0.05). The flexibility of hip extension was significantly improved after application of hip flexor stretching in both groups; however, stride and gait velocity were significantly improved only in the hip flexor stretching with pelvic fixation group. Conclusion: Hip flexor stretching with pelvic fixation is an effective intervention for improving the flexibility of hip extension and gait capacity.

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과제정보

This work supported by a research grant from Pukyong National University (2021).

참고문헌

  1. Aslan HIY, Buddhadev HH, Supark DN, et al. Acute effects of two hip flexor stretching techniques on knee joint position sense and balance. International Journal of Sports Physical Therapy. 2018;13(5):846-859. https://doi.org/10.26603/ijspt20180846
  2. Clapis PA, Davis SM, Davis RO. Reliability of inclinometer and goniometric measurements of hip extension flexibility using the modified Thomas test. Physiotherapy Theory and Practice. 2008;24(2):135-141. https://doi.org/10.1080/09593980701378256
  3. Godges JJ, MacRae PG, Engelke KA. Effects of exercise on hip range of motion trunk muscle performance and gait economy. Physical Therapy. 1993;73(7):468-477. https://doi.org/10.1093/ptj/73.7.468
  4. Hatefi M, Babakhani F, Ashrafizadeh. The effect of static stretching exercises on hip range of motion, pain, and disability in patients with non-specific low back pain. Journal of Experimental Orthopaedics. 2021;8(1):55. https://doi.org/10.1186/s40634-021-00371-w
  5. Kim WD, Shin DC. Correlations between hip extension range of motion, hip extension asymmetry, and compensatory lumbar movement in patients with nonspecifc chronic low back pain. Medical Science Monitor.2020; 26:e925080.
  6. Kerrigan DC, Todd MK, Della Croce U, et al. Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. Archives Physical Medicine Rehabilitation. 1998;79(3): 317-322. https://doi.org/10.1016/S0003-9993(98)90013-2
  7. Kerrigan D, Lee L, Collins J, et al. Reduced hip extension during walking: healthy elderly and fallers versus young adults. Archives Physical Medicine Rehabilitation. 2001; 82(1):26-30. https://doi.org/10.1053/apmr.2001.18584
  8. Kerrigan DC, Xenopoulos-Oddsson A, Sullivan MJ, et al. Effect of a hip flexor-stretching program on gait in the elderly. Archives Physical Medicine Rehabilitation. 2003;84(1):1-6. https://doi.org/10.1053/apmr.2003.50056
  9. Konard A, Mocnik R, Nakamura M, et al. The influence of stretching the hip flexor muscles on performance parameters. A systematic review with meta-analysis. International Journal of Environment Research Public Health. 2021;18(4):1936. https://doi.org/10.3390/ijerph18041936
  10. Krivickas LS, Feinberg, JH. Lower extremity injuries in college athletes: relation between ligamentous laxity and lower extremity muscle tightness. Archives Physical Medicine Rehabilitational. 1996;77(11):1139-1143. https://doi.org/10.1016/S0003-9993(96)90137-9
  11. Menz HB, Latt MD, Tiedemann A et al. Reliability of the GAITRite® walkway system for the quantification of temporo-spatial parameters of gait in young and older people. Gait & Posture. 2004;20(1):20-25. https://doi.org/10.1016/S0966-6362(03)00068-7
  12. Mettler JH, Shapiro R, Pohl MB. Effects of a hip flexor stretching program on running kinematics in individuals with limited passive hip extension. Journal of Strength Conditioning Research. 2019;33(12):3338-3344. https://doi.org/10.1519/jsc.0000000000002586
  13. Neumann, DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 3rd ed. St. louis, Mosby, 2018.
  14. Park S. Effect of local vibration on triceps surae flexibility compared to static stretching. The Journal of Korean Physical Therapy. 2020;32(4):245-9. https://doi.org/10.18857/jkpt.2020.32.4.245
  15. Sahrmann, SA. Diagnosis and treatment of movement impairment syndromes. St. louis, Mosby, 2001.
  16. Watt JR, Jackson K, Franz JR, et al. Effect of a supervised hip flexor stretching program on gait in elderly individuals. PM & R. 2011;3(4):324-329. https://doi.org/10.1016/j.pmrj.2010.11.012
  17. Winter DA, Patla AE, Frank JS, et al. Biomechanical walking pattern changes in the fit and healthy elderly. Physical Therapy. 1990;70(6):340-347. https://doi.org/10.1093/ptj/70.6.340
  18. Winters MV, Blake CG, Trost JS, et al. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: a randomized clinical trial. Physical Therapy. 2004;84(9):800-807. https://doi.org/10.1093/ptj/84.9.800