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http://dx.doi.org/10.21598/JKPNFA.2022.20.1.83

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

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)
Publication Information
PNF and Movement / v.20, no.1, 2022 , pp. 83-90 More about this Journal
Abstract
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.
Keywords
Hip flexor stretching; Hip extension flexibility; Gait;
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1 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.   DOI
2 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.   DOI
3 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.   DOI
4 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.   DOI
5 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.   DOI
6 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.
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.   DOI
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.   DOI
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.   DOI
10 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.   DOI
11 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.   DOI
12 Neumann, DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 3rd ed. St. louis, Mosby, 2018.
13 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.   DOI
14 Sahrmann, SA. Diagnosis and treatment of movement impairment syndromes. St. louis, Mosby, 2001.
15 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.   DOI
16 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.   DOI
17 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.   DOI
18 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.   DOI