DOI QR코드

DOI QR Code

Effects of Posterior Oblique Sling Activation on Gluteus Maximus Muscle Activity during Prone Hip Extension Exercises in Healthy Male Individuals

  • Byeong-Hun Hwang (Department of Physical Therapy, College of Life and Health Science, Hoseo University) ;
  • Sung-Dae Choung (Department of Physical Therapy, Division of Health Science, Baekseok University) ;
  • No-Yul Yang (Department of Occupational Therapy, Chungnam State University) ;
  • In-Cheol Jeon (Department of Physical Therapy, College of Life and Health Science, Hoseo University)
  • Received : 2023.01.04
  • Accepted : 2023.02.17
  • Published : 2023.02.28

Abstract

Purpose: The purpose of this study was to investigate the effects of posterior oblique sling activation on the muscle activities of the gluteus maximus (GM), multifidus (MF), and biceps femoris (BF) during three different prone hip extension exercises in healthy male individuals. Methods: Twenty healthy subjects participated in this study. An electromyography device was used to measure the muscle activities of the GM, MF, and BF. Each subject was asked to perform three different prone hip extensions as follows: [1) Prone hip extension with knee flexion + hip abduction 30°; PHE1, 2) Prone hip extension with knee flexion + hip abduction 30° and shoulder abduction 125°; PHE2, 3) Prone hip extension with knee flexion + hip abduction 30° and shoulder abduction 125° with 1kg loading; PHE3, in random order. A one-way repeated measures analysis of the variance and a Bonferroni post hoc test were used to analyze the results. The statistical significance was set at α=0.01. Results: The muscle activity of the GM was significantly different between the three positions (Padj<0.01). The muscle activity of the GM was significantly greater during PHE3 compared with PHE1 and PHE2 (Padj<0.01). The BF muscle activity was significantly lower during PHE3 compared with PHE1 and PHE2 (Padj< 0.01). There was no significant difference in the muscle activity of the MF (Padj<0.01). The ratio of the muscle activity (ratio=GM/BF) during PHE3 was significantly greater compared to PHE1 and PHE2 (Padj< 0.01). Conclusion: The GM activity and GM/BF ratio during the PHE3 exercise were significantly greater compared to that during PHE1 and PHE2. Therefore, the PHE3 exercise could be recommended as a selectively effective GM activation exercise while decreasing the muscle activity of the BF.

Keywords

Acknowledgement

This research was funded by the University Innovation Support Project of Hoseo University in 2022.

References

  1. Tateuchi H, Taniguchi M, Mori N et al. Balance of hip and trunk muscle activity is associated with increased anterior pelvic tilt during prone hip extension. J Electromyogr Kinesiol. 2012;22(3):391-7 https://doi.org/10.1016/j.jelekin.2012.03.003
  2. Sahrmann S, Azevedo DC, Dillen LV. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther. 2017;21(6):391-9. https://doi.org/10.1016/j.bjpt.2017.08.001
  3. Janda V, Frank C, Liebenson C. Rehabilitation of spine a practitioner's manual. 2nd ed. Philadelphia, Lippincott Williams & Wilkins, 1996:97-112.
  4. Ebrall PS. Assessment of the spine. London, Elsevier Health Sciences, 2004:85.
  5. Comerford M, Sarah M. Kinetic control: the management of uncontrolled movement. Sydne, Churchill Livingstone, 2012:186-7.
  6. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol. 2003;13(4):361-70. https://doi.org/10.1016/S1050-6411(03)00042-7
  7. Kerrigan DC, Ehrenthal SR. A maladaptive gait abnormality in patients with lumbar spinal stenosis. J Back Musculoskelet Rehabil. 1996;7(1):53-7. https://doi.org/10.3233/BMR-1996-7107
  8. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 3rd ed. Philadelphia, Mosby, 2016:479-521.
  9. Wilson J, Ferris E, Heckler A et al. A structured review of the role of gluteus maximus in rehabilitation. NZL J Physiother. 2005;33(3):95-100.
  10. Perry J, Davids JR. Gait analysis: normal and pathological function. J Pediatric Orthopaedics. 1992;12(6):815.
  11. Gussoni M, Margonato V, Ventura R et al. Energy cost of walking with hip joint impairment. Phys Ther. 1990;70(5):295-301. https://doi.org/10.1093/ptj/70.5.295
  12. Kuszewski M, Gnat R, Saulicz E. Stability training of the lumbo-pelvohip complex influence stiffness of the hamstrings: a preliminary study. Scand J Med Sci Sports. 2009;19(2):260-6. https://doi.org/10.1111/j.1600-0838.2008.00793.x
  13. Choi JS, Jang TJ, Jeon IC. Comparison of gluteus maximus, hamstring and multifidus muscle activities during bridge exercises according to three different hip abduction angles. PTK. 2022;29(1):11-8. https://doi.org/10.12674/ptk.2022.29.1.11
  14. Jeon IC, Hwang UJ, Jung SH et al. Comparison of gluteus maximus and hamstring electromyographic activity and lumbopelvic motion during three different prone hip extension exercises in healthy volunteers. Phys Ther Sport. 2016;22:35-40. https://doi.org/10.1016/j.ptsp.2016.03.004
  15. Kang SY, Jeon HS, Kwon O et al. Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions. Man Ther. 2013;18(4):303-7. https://doi.org/10.1016/j.math.2012.11.006
  16. Myers TW. Anatomy trains: myofascial meridians for manual and movement therapists. 4th ed. New York, Elsevier Churchill Livingston, 2014:137-44.
  17. Ha SM, Jeon IC. Comparison of the electromyographic recruitment of the posterior oblique sling muscles during prone hip extension among three different shoulder positions. Physiother Theory Pract. 2021;37(9):1043-50. https://doi.org/10.1080/09593985.2019.1675206
  18. Jeon IC, Hwang UJ, Kim HS et al. Comparison of EMG activity of the posterior oblique sling muscles and pelvic rotation during prone hip extension with and without lower trapezius pre-activation. PTK. 2016;23(1):80-6. https://doi.org/10.12674/ptk.2016.23.1.080
  19. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil. 2005;86(2):242-49. https://doi.org/10.1016/j.apmr.2004.05.004
  20. Bergmark A. A study in mechanical engineering. Acta Orthop Scand Suppl. 1989;60(230):1-54. https://doi.org/10.3109/17453678909154177
  21. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-97. https://doi.org/10.1097/00002517-199212000-00001
  22. Kim JW, Han JY, Kang MH et al. Comparison of posterior oblique sling activity during hip extension in the prone position on the floor and on a round foam roll. J Phys Ther Sci. 2013;25(8):977-9. https://doi.org/10.1589/jpts.25.977
  23. Choi JH, Oh JS, Kim MH. The effect of pelvic compression belt on the strength of hip muscle and EMG activity in individuals with sacroiliac joint pain during prone hip extension. J Musculoskelet Sci Technol 2019;3(1):14-21. https://doi.org/10.29273/jmst.2019.3.1.14
  24. Criswell E, Jeffrey RC. Cram's introduction to surface electromyography. 2nd ed. Massachusetts, Jones and Bartlett, 2011:107-13.
  25. Jung EJ, An DH, Yoo WG et al. Comparison of pelvic rotation angle and electromyography activity of the trunk and gluteus maximus muscles during four pilates exercises. J Musculoskelet Sci Technol, 2022;6(1):32-7. https://doi.org/10.29273/jmst.2022.6.1.32
  26. Soderberg GL, Loretta MK. A guide for use and interpretation of kinesiologic electromyographic data. Phys Ther. 2000;80(5):485-98. https://doi.org/10.1093/ptj/80.5.485
  27. Kendall FP, McCreary EK, Provance PG et al. Muscles testing and function with posture and pain. 5th ed. Philadelphia, Lippincott Williams & Wilkins, 2005:419-36.
  28. Dempster WT, Gaughran GR. Properties of body segments based on size and weight. Am J Anat. 1967;120(1):33-54. https://doi.org/10.1002/aja.1001200104
  29. Kang DK, Hwang YI. Comparison of muscle activities of the posterior oblique sling muscles among three prone hip extension exercises with and without contraction of the latissimus dorsi. J Kor Soci of Phys Med. 2019;14(3):39-45. https://doi.org/10.13066/kspm.2019.14.3.39
  30. Jeon IC, Jang JH. Comparison of prone hip extension exercise and prone hip extension exercise after iliopsoas stretching on lumbopelvic control and gluteus maximus activity in subjects with short iliopsoas. J Musculoskelet Sci Technol. 2017;1(1):19-25.
  31. Kwon OY, Kang MH, Kim MH et al. KEMA approach for analysis & management of movement impairment. Seoul, Hakjisa Medical. 2022:205-88.