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Change of Lumbar Spine and Hip Joint Flexion Angles During Forward Bending of the Trunk Using Manual Facilitation and a Stick  

Choung, Sung-Dae (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University)
Park, Kyue-Nam (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University)
Hong, Ji-A (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University)
Cho, Min-Sue (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University)
Son, Dong-Hwi (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University)
Cynn, Heon-Seock (Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University)
Publication Information
Physical Therapy Korea / v.18, no.1, 2011 , pp. 57-63 More about this Journal
The purpose of this study was to identify the effects of manual facilitation and a stick on lumbar and hip joint flexion angles in subject with lumbar flexion syndrome during forward bending from a sitting position. Fifteen subjects with lumbar flexion syndrome were recruited for this study. As a pretest, all subjects performed three repetitions of bending the trunk forward until the tips of their fingers touched the target bar. After this pretest, the subjects practiced the forward bending of the trunk 10 times, using either manual facilitation or a stick. Then, as a posttest, all subjects repeated the pretest procedure. The flexion angles of lumbar spine and hip joint during forward bending in a sitting position were measured using a three-dimensional motion analysis system. A paired t-test was used to determine the statistical differences between pre-test and post-test flexion angles and pre- and post-test flexion angle differences between forward bending with manual facilitation and forward bending with a stick. The level of statistical significance was set at p=.05. The results of the study showed that the angle of the lumbar flexion decreased significantly and the bilateral hip flexion angle increased significantly when performing forward bending with stick and manual facilitation. Furthermore, the angle of lumbar flexion decreased significantly and the angle of bilateral hip flexion increased significantly in forward bending with a stick compared to forward bending with manual facilitation. The findings of this study indicate that both forward bending with manual facilitation and sticks could be used to prevent excessive lumbar flexion and increase hip flexion, and that forward bending with a stick is more effective than forward bending with manual facilitation for inducing lumbar spine and hip joint angle changes.
Forward bending; Hip flexion; Lumbar spine flexion; Manual facilitation; Stick;
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