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http://dx.doi.org/10.13066/kspm.2013.8.4.609

Effects of Hamstring Flexibility and Dynamic Stability of Lower Lumbar according to Stretching and Massage Techniques  

Kim, Gi-Chul (Department of Physical Therapy, Daegu Health College)
Lee, Jeon-Hyeong (Department of Physical Therapy, Daegu Health College)
Kwon, Sang-Min (Center for Continuing Education, Keimyung University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.4, 2013 , pp. 609-617 More about this Journal
Abstract
PURPOSE: This study aims to provide effects of therapeutic techniques as well as basic materials of safety by comparing and analyzing the effects of hamstring flexibility and dynamic stability of lower lumbar according to Stretching and Massage Techniques to adults with reduced the flexibility of hamstring. METHODS: This study conducted differential diagnosis through sit and reach test(SRT) and Schober test to select subjects who have shortened hamstring without any spinal problem. Selected subjects were divided into two groups randomly; HSG(Hamstring Stretching Group, n=8) and HMG(Hamstring Massage Group, n=8) and they received treatment for 2 weeks. To take statistics, SRT and dynamic view using x-ray were used. RESULTS: On SRT, HSG and HMG showed significant difference between pre and post test. A comparison of the difference value between HSG and HMG, HSG($9.73{\pm}1.78$) has more remarkable outcome than HMG($2.78{\pm}0.56$). Lower lumbar intervertebral disc length test for Intervertebral disc length(IDL)L45 and IDLL5S1 did not show significant differences between two groups and difference value. CONCLUSION: This study showed that stretching is more effective to improve hamstring flexibility than massage technique. Especially, flexibility increase of the hamstring in vertebral stabilization cannot affect improvement possibility will make a flexibility in order and the intervention and stabilization exercise of the spine.
Keywords
Hamstring stretching; Functional massage; SRT;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Al-Khayer A, Gervitt MP. The sacroiliac joint: an underestimated cause for low back pain. J Back Musculoskelet Rehabil. 2007;20:135-41.
2 Ayala F, Sainz de Baranda P, De Ste Croix M et al. Comparison of active stretching technique in males with normal and limited hamstring flexibility. Phys Ther Sport. 2013;14(2):98-104.   DOI   ScienceOn
3 Bandy WD, Irion JM. The effect of time on static stretch on the flexibility of the hamstring muscles. Phys Ther. 1994;74(9):845-50.
4 Barlow A, Clarke R, Johnson N et al. Effect of massage of the hamstring muscle group on performance of the sit and reach test. Br J Sports Med. 2004;38(3):349-51.   DOI   ScienceOn
5 Bell J. Massage therapy helps to increase range of motion, decrease pain and assist in healing a client with low back pain and sciatica symptoms. J Bodyw Mov Ther. 2008;12(3):281-9.   DOI   ScienceOn
6 Cholewicki J, Simons AP & Radebold A. Effects of external trunk loads on lumbar spine stability. J Biomech. 2000;33(11):1377-85.   DOI   ScienceOn
7 Feland JB, Myrer JW, Schulthies SS et al. The effect of duration of stretching of the hamstring muscle group for increasing range of motion in people aged 65 years or older. Phys Ther. 2001;81(5):1110-7.
8 Hopper D, Conneely M, Chromiak F et al. Evaluation of the effect of two massage techniques on hamstring muscle length in competitive female hockey players. Phys Ther Sport. 2005;6(3):137-45.   DOI   ScienceOn
9 Johnson EN, Thomas JS. Effect of Hamstring Flexibility on Hip and Lumbar Spine Joint Excursions During Forward Reaching Tasks in Individuals With and Without Low Back Pain. Arch Phys Med Rehabil. 2010;91(7):1140-2.   DOI   ScienceOn
10 Kim GC. Effect of upper thoracic joint mobilization on dynamic stability of patient with chronic neck pain. master's thesis. Daegu University.
11 Kim GC, Hwangbo G. Kinetic analysis on the lumbar at the trunk flexion according to the degree of hamstring flexibility of healthy adult. J Korean phys med. 2012;7(4):501-7.   과학기술학회마을   DOI   ScienceOn
12 Lee SC, Lee DT. Effects of exercise therapy on lower back pain patients. Health & Sports Medicine; Official Journal of KACEP. 2007;9(2):69-78.
13 Kippers V & Parker AW. Electromyographic studies of erectores spinae: symmetrical postures and sagittal trunk motion. Aus J Physiother. 1985;31(3):95-105.   DOI
14 Kisner C & Colby LA. Therapeutic exercise: foundations and techniques. 5th Ed. Philadelphia. F.A. Davis. 2007.
15 Kumar GP. Comparison of cyclic loading and hold relax technique in increasing resting length of hamstring muscles. Hong Kong Physiother J. 2011;29:31-3.   DOI   ScienceOn
16 Liebenson C. Rehabilitation of the spine: a practitioner's manual. 2nd Ed. Baltimore. Lippincott Williams & Wilkins, 2006.
17 Lopez-Minarro PA, Andujar PS, Garcia PL et al.. A comparison of the spine posture among several sit-and-reach test protocols. J Sci Med Sport. 2007;10(6):456-62.   DOI   ScienceOn
18 Lopez-Minarro PA, Muyor JM, Belmonte F et al. Acute effects of hamstring stretching on sagittal spinal curvatures and pelvic tilt. J Hum Kinet. 2012;31:69-78.
19 Magee DJ. Orthopedic physical assessment. 5th Ed. Philadelphia. Saunders. 2007.
20 Moon ES, Kim NH, Park JO et al. Radiographic morphometry of lumbar intervertebral disc space in normal korean. Journal of Korean Spine Surg. 2007;14(3):129-36.   DOI   ScienceOn
21 Neumann DA. Kinesiology of the musculoskeletal system:foundations for rehabilitation. 2nd Ed. London. Mosby. 2010.
22 Puentedura EJ, Huijbregts PA, Celeste S et al. Immediate effects of quantified hamstring stretching: Hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport. 2011;12(3):122-6.   DOI   ScienceOn
23 Norris CM, Matthews M. Correlation between hamstring muscle length and pelvic tilt range during forward bending in healthy individuals: An initial evaluation. J Bodyw Mov Ther. 2006;10(2):122-6.   DOI   ScienceOn
24 Oh SJ, Choi JD. The study of validity in active movement control test for low back pain patients with or without hamstring shortening. J Korean phys med. 2012;7(4):443-50.   과학기술학회마을   DOI   ScienceOn
25 Olaf E, Jern H. Auto stretching: the complete manual of specific stretching. 2nd ed. Sweden. Alfta rehab forlag. 2001.
26 Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. New York. Mosby. 2001.
27 Travell JG & Simon DG. Myofacial pain and dysfunction:the trigger point manual the lower extremity. Baltimore. Williams & Wilkins. 1993.