Physical Therapy Rehabilitation Science

  • 제11권2호
  • /
  • Pages.259-268
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  • 2022
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Immediate Effect of Hip Hinge Exercise Stretching on Flexibility of Lower Limb, Pelvic Tilting Angle, Proprioception and Dynamic Balance in Individual with Hamstring Tightness

  • Jung, Myeongeun (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Kim, Namwoo (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Lee, Yongwoo (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • 투고 : 2022.06.20
  • 심사 : 2022.06.29
  • 발행 : 2022.06.30
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초록

Objective: The purpose of this study was to measure the immediate effect of hip hinge exercise stretching on hamstring flexibility, pelvic tilting angle, proprioception, and dynamic balance in individual with tightness of the hamstring. Design: A randomized controlled trial. Methods: A total of 35 healthy young adults (27 males, 8 females) volunteered for this study and randomly divided into three groups (Hip hinge exercise stretching group, passive stretching group, and PNF stretching group). The hamstring flexibility, pelvic tilting angle, knee joint proprioception, dynamic balance was conducted for 3 times. In order to evaluate the hamstring flexibility, the active knee extension test was performed. Forward bending test was performed to examine pelvic tilting angle.The proprioception was tested by the joint position sense test and dynamic balance was evaluated by Y balance test. Results: The hamstring flexibility, pelvic tilting angle and dynamic balance were significantly improved between three groups before and after intervention (p<0.05). Dynamic balance was significantly difference between the three groups in the posterolateral direction (p<0.05). Conclusions: This study result showed that hip hinge exercise stretching was the most effective method for increasing hamstring flexibility, pelvic tilting angle and dynamic balance. In addition, it is necessary to study whether hamstring stretching is effective in low back pain patient with hamstrings tightness.

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참고문헌

  1. Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018;98:421-8.
  2. Sadler SG, Spink MJ, Ho A, De Jonge XJ, Chuter VH. Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies. BMC Musculoskelet Disord. 2017;18:179. https://doi.org/10.1186/s12891-017-1534-0
  3. Hodges PW. Pain and motor control: From the laboratory to rehabilitation. J Electromyogr Kinesiol. 2011;21:220-8. https://doi.org/10.1016/j.jelekin.2011.01.002
  4. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes: Mosby; 2001.
  5. Hori M, Hasegawa H, Takasaki H. Comparisons of hamstring flexibility between individuals with and without low back pain: systematic review with meta-analysis. Physiother Theory Pract. 2019:1-24.
  6. van Wingerden J-P, Vleeming A, Buyruk H, Raissadat K. Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis. Eur Spine J. 2004;13:199-205. https://doi.org/10.1007/s00586-003-0575-2
  7. Fasuyi FO, Fabunmi AA, Adegoke BOA. Hamstring muscle length and pelvic tilt range among individuals with and without low back pain. J Bodyw Mov Ther. 2017;21:246-50. https://doi.org/10.1016/j.jbmt.2016.06.002
  8. Norris C, Matthews M. Correlation between hamstring muscle length and pelvic tilt range during forward bending in healthy individuals: An initial evaluation. Journal of bodywork and movement therapies. 2006;10:122-6. https://doi.org/10.1016/j.jbmt.2005.06.001
  9. Hasebe K, Sairyo K, Hada Y, Dezawa A, Okubo Y, Kaneoka K, et al. Spino-pelvic-rhythm with forward trunk bending in normal subjects without low back pain. Eur J Orthop Surg Traumatol. 2014;24:193-9. https://doi.org/10.1007/s00590-013-1303-1
  10. Esola MA, McClure PW, Fitzgerald GK, Siegler S. Analysis of lumbar spine and hip motion during forward bending in subjects with and without a history of low back pain. Spine (Phila Pa 1976). 1996;21:71-8. https://doi.org/10.1097/00007632-199601010-00017
  11. Chen CH, Xin Y, Lee KW, Lin MJ, Lin JJ. Acute effects of different dynamic exercises on hamstring strain risk factors. PLoS One. 2018;13:e0191801. https://doi.org/10.1371/journal.pone.0191801
  12. Bradley PS, Olsen PD, Portas MD. The effect of static, ballistic, and proprioceptive neuromuscular facilitation stretching on vertical jump performance. J Strength Cond Res. 2007;21:223-6. https://doi.org/10.1519/00124278-200702000-00040
  13. Su H, Chang NJ, Wu WL, Guo LY, Chu IH. Acute Effects of Foam Rolling, Static Stretching, and Dynamic Stretching During Warm-ups on Muscular Flexibility and Strength in Young Adults. J Sport Rehabil. 2017;26:469-77. https://doi.org/10.1123/jsr.2016-0102
  14. Hansberger BL, Loutsch R, Hancock C, Bonser R, Zeigel A, Baker RT. Evaluating the relationship between clinical assessments of apparent hamstring tightness: A correlational analysis. Int J Sports Phys Ther. 2019;14:253-63. https://doi.org/10.26603/ijspt20190253
  15. Park S, Lim W. Effects of proprioceptive neuromuscular facilitation stretching at low-intensities with standing toe touch on developing and maintaining hamstring flexibility. J Bodyw Mov Ther. 2020;24:561-7. https://doi.org/10.1016/j.jbmt.2020.08.003
  16. Hamid MS, Ali MR, Yusof A. Interrater and Intrarater Reliability of the Active Knee Extension (AKE) Test among Healthy Adults. J Phys Ther Sci. 2013;25:957-61. https://doi.org/10.1589/jpts.25.957
  17. Jenny JY. Measurement of the knee flexion angle with a Smartphone-application is precise and accurate. J Arthroplasty. 2013;28:784-7. https://doi.org/10.1016/j.arth.2012.11.013
  18. Kuszewski MT, Gnat R, Gogola A. The impact of core muscles training on the range of anterior pelvic tilt in subjects with increased stiffness of the hamstrings. Hum Mov Sci. 2018;57:32-9. https://doi.org/10.1016/j.humov.2017.11.003
  19. Kaya D, Guney-Deniz H, Sayaca C, Calik M, Doral MN. Effects on Lower Extremity Neuromuscular Control Exercises on Knee Proprioception, Muscle Strength, and Functional Level in Patients with ACL Reconstruction. Biomed Res Int. 2019;2019:1694695.
  20. Powden CJ, Dodds TK, Gabriel EH. The reliability of the star excursion balance test and lower quarter y-balance test in healthy adults: a systematic review. Int J Sports Phys Ther. 2019;14:683-94. https://doi.org/10.26603/ijspt20190683
  21. Gil-Martin M, Johnston W, San-Segundo R, Caulfield B. Scoring Performance on the Y-Balance Test Using a Deep Learning Approach. Sensors (Basel). 2021;21.
  22. Iwata M, Yamamoto A, Matsuo S, Hatano G, Miyazaki M, Fukaya T, et al. Dynamic Stretching Has Sustained Effects on Range of Motion and Passive Stiffness of the Hamstring Muscles. J Sports Sci Med. 2019;18:13-20.
  23. Ozmen T, Yagmur Gunes G, Dogan H, Ucar I, Willems M. The effect of kinesio taping versus stretching techniques on muscle soreness, and flexibility during recovery from nordic hamstring exercise. J Bodyw Mov Ther. 2017;21:41-7. https://doi.org/10.1016/j.jbmt.2016.04.001
  24. Jandre Reis FJ, Macedo AR. Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending. Asian Spine J. 2015;9:535-40. https://doi.org/10.4184/asj.2015.9.4.535
  25. Lee JH, Jang KM, Kim E, Rhim HC, Kim HD. Effects of Static and Dynamic Stretching With Strengthening Exercises in Patients With Patellofemoral Pain Who Have Inflexible Hamstrings: A Randomized Controlled Trial. Sports Health. 2021;13:49-56. https://doi.org/10.1177/1941738120932911