• 대한물리치료과학회지
• /
• 제24권1호
• /
• pp.49-58
• /
• 2017

Purpose: To determine the effect of Functional movement screen(FMS) of Healthy subjects. Method: 18 subjects were randomly assigned toFunctional movement screen test. To measure functional movement screen(deep squat, hurdle step, in line lunge, shoulder mobility reaching, active straight leg raise, trunk stability push up, rotary stability). Result: FMS scores were deep squat 2.61score, right hurdle step 2.67 score, lift hurdle step 2.83 score, in line lunge 2.83 score, right shoulder mobility 2.67 score, left shoulder mobility 2.61 score, right active straight-leg raise 3.00 score, left active straight-leg raise 3.00 score, trunk stability push up 2.33 score, rotary stability 1.94 score. Conclusion: FMS can improve functional movement in healthy adults.

• The Journal of Korean Physical Therapy
• /
• 제35권4호
• /
• pp.117-123
• /
• 2023

Purpose: In this study, subjects with femoral anterior glide type were examined to investigate the effects of femoral head anterior glide fixation during active straight leg raise on the strength of the hip flexor in a supine position. Methods: Fifteen subjects participated in this study. All subjects were classified through an evaluation form for femoral anterior glide type (FAGT). The strength of the hip flexor was measured during active straight leg raise test (ASLR test), and compared with and without femoral anterior glide fixation in a supine position. The fixation of the femoral head was achieved as per the therapist's manual guidelines. Paired t-test was applied to compare changes in the strength of the hip flexor according to fixation conditions. The level of statistical significance was set at α=0.05. Results: The strength of the hip flexor was lesser during the ASLR test with fixation compared to without fixation (p=0.007). Conclusion: The strength of the hip flexor decreases with fixation. Results of this study revealed a difference between hip flexor strength, with and without femoral anterior glide fixation during ASLR, in subjects with femoral anterior glide type.

• The Journal of Korean Physical Therapy
• /
• 제31권5호
• /
• pp.266-272
• /
• 2019

Purpose: This study compared the effects of Static stretching and Mulligan's Two-leg rotation about the Hamstring flexibility, Hip range of motion, and pain. Methods: The subjects were allocated randomly into two groups: Static stretching group (n=13) and Mulligan's two leg rotation group (n=14). The study was designed with stretching protocols for four minutes and thirty seconds per day five times a week for three weeks in total. Measurements, including the Sit and reach test, Active/Passive Straight leg raise, and Visual analogue scale, were conducted before and after the intervention. The data were analyzed using a paired t-test and independent t-test. Results: The flexibility of the two leg rotation group was higher than the static stretching group after the intervention. The post-sit and reach test value of the two leg rotation group was significantly higher than the pre-sit and reach test value of the static stretching group. In addition, the variance of the sit and reach test of the two leg rotation group was significantly higher than that of the static stretching group. Conclusion: These results showed that two leg rotation techniques have a positive effect on the changes in the sit and reach test and active straight leg raise test. Two leg rotation techniques can be recommended as a self-stretching and easier way to stabilize the lumbopelvic rhythm, reduce the stiffness of the muscle and relieve pain. This is effective in preventing muscle damage, enabling muscle relaxation and reducing the risk of injury to the spine during daily lives and in sports activities.

• 대한물리치료과학회지
• /
• 제30권1호
• /
• pp.31-40
• /
• 2023

Hamstring flexibility is an important factor that affects muscle performance of the lower extremities and is closely associated with sports injuries. Therefore, evaluation of flexibility is important in clinical practice. Results of evaluation are determined by types of tests and cut-off values used; therefore, accurate and detailed understanding of these is necessary before examination. Although the straight leg raise and sit and reach tests are used to evaluate hamstring extensibility, structures including the nerves, fascia, and other muscles can significantly confound the results of these tests. The knee extension test is performed at 90° of hip flexion to minimize the posterior pelvic tilt that occurs during the straight leg test. The knee extension test is most recommended for selective evaluation of hamstring flexibility. The knee extension test is classified into active and passive tests. The cut-off value is usually set at 20° for the active and at 10° for the passive knee extension test. Although a strong association is observed between the two tests, the active knee extension test is preferred in clinical practice because it can be performed by a single examiner, which serves as an advantage. Age, sex, and warm-up exercise tend to affect flexibility; therefore, results should be interpreted with caution. Detailed understanding of each flexibility test is important for reliable evaluation.

• 대한물리의학회지
• /
• 제10권4호
• /
• pp.39-48
• /
• 2015

PURPOSE: This study aimed to compare the degree of lumbopelvic rotation during the active straight leg raise (ASLR) test in chronic low back pain with and without lumbar segmental instability. METHODS: A total of 71 patients with chronic low back pain were recruited for this study. The subjects who tested positive for more than three of the five lumbar segmental instability tests (prone lumbar instability, lumbar passive extension test, anterior posterior mobility test, passive straight leg raise, age) were categorized into the lumbar segmental instability positive group. Patients who tested positive for less than three of the five tests were categorized into the lumbar segmental instability negative group. The lumbopelvic rotation was measured three times during ASLR and a mean was determined. Subjective heaviness during the ASLR was measured on 6 point scale. RESULTS: There was a statistically significant difference in the lumbopelvic rotation angle between the groups with and without lumbar segmental instability (p<.01). There was no significant difference in the subjective heaviness during ASLR. The mean lumbopelvic rotation angle during ASLR was $13.54{\pm}2.86^{\circ}$, and $8.81{\pm}2.47^{\circ}$ in the positive and negative groups, respectively (p<.01). The cut-off value of the lumbopelvic rotation during was $10.5^{\circ}$, the sensitivity was 82.9%, and the specificity was 80.6%. CONCLUSION: These results suggest that lumbopelvic rotation is more prevalent in patients without lumbar segmental instability. Clinically, this important when diagnosing chronic low back pain with lumbar segmental instability, as the lumbopelvic rotation angle during the ASLR test can be used to aid in diagnosis.

• 한국융합학회논문지
• /
• 제11권4호
• /
• pp.87-93
• /
• 2020

본 연구는 신체적 특성과 기능적 움직임 검사(FMS)의 융합적 상관관계에 대해 알아보고자 한다. 연구대상자는 정상 성인으로 193명을 대상으로 단일측정하였다. 자료분석은 SPSS 26.0 Ver 프로그램으로 T-검증을 실시하였고, 각 변수들 간 피어슨 상관계수로 분석을 하였다. 분석결과, 검사 방법 중 능동 뻗은 다리 올림 검사와 몸통 안정성 푸쉬업 검사 영역에서 성별 간에 유의한 차이가 나타났다(P<.05). 어깨 가동성 검사와 능동 뻗은 다리 올림 검사 영역을 제외한 나머지 FMS의 검사에서 체지방률과 부적 상관관계가 있었다. 능동 뻗은 다리 올림에서 여성이 기능적 움직임의 질이 높았으며, 몸통 안정성 푸쉬업에서는 남성이 기능적 움직임의 질이 높았다. 그러므로 남성은 하지의 유연성을 보강해야하며, 여성은 상체 근력과 몸통의 안정성 운동을 적용해야 한다고 판단된다.

• Physical Therapy Rehabilitation Science
• /
• 제2권1호
• /
• pp.44-48
• /
• 2013

Objective: The purpose of this study was to investigate changes of abdominal muscles thickness according to the angle during the active straight leg raise (ASLR) in young healthy subjects. Design: Cross sectional study. Methods: Twenty-three healthy university students (13 men and 10 women) voluntary participated to the study in S University. The ASLR was performed with the subject lying supine with lower extremities straight on a standard plinth, hands resting on the chest, and elbows on the plinth. When one subject performed ASLR from each angles ($30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $90^{\circ}$), compared changes in the thickness of rectus abdominis muscle. Changes in muscle thickness during ASLR test were assessed with ultrasonography. All subjects were to provide enough time of rest after performed ASLR. Rectus abdominis thickness were measured using rehabilitative ultrasound image. Results: Good quality rectus abdominal muscle activation data were recorded during ASLR. The length changes of linea alba showed significantly shorter in between $0^{\circ}$ and $30^{\circ}$ (p<0.05). The thickness of rectus abdominis muscle were significantly different between $0^{\circ}$ and $30^{\circ}$, $0^{\circ}$ and $45^{\circ}$, $0^{\circ}$ and $60^{\circ}$, $0^{\circ}$ and $90^{\circ}$. According to increase of pelvic angle, the thickness of rectus abdominis muscle were more thickening (p<0.05). Conclusions: This result is changes of abdominal muscles thickness according to the angle during the ASLR.

• Physical Therapy Rehabilitation Science
• /
• 제13권3호
• /
• pp.315-323
• /
• 2024

Objective: This study aimed to investigate the effects of active and passive soft tissue mobilization and active stretching on pain, functional disability, and flexibility in patients with nonspecific low back pain (NS-LBP). Specifically, it compared the effectiveness of these interventions when applied to the hamstring muscles. Design: A randomized controlled trial Methods: A total of 45 participants (mean age: 23.03±3.90 years) with NS-LBP were randomly assigned into three groups: active soft tissue mobilization (ASM) group (n=15), passive soft tissue mobilization (PSM) group (n=15), and hamstring active stretching (AS) group (n=15). The interventions were conducted for 20 minutes, three times a week, for four weeks. Outcome measures included pain assessed by the Numeric Pain Rating Scale (NPRS), functional disability measured by the Oswestry Disability Index (ODI), and flexibility assessed using the Sit and Reach Test and Passive Straight Leg Raise (PSLR) test. Results: The ASM group showed a significant reduction in NPRS scores (p<0.01) and ODI scores (p<0.01) compared to the PSM and AS groups. The ASM group also demonstrated significant improvements in flexibility in both the Sit and Reach Test (p<0.01) and PSLR test (p<0.01) compared to the other groups. Conclusions: Active soft tissue mobilization was more effective than passive soft tissue mobilization and active stretching in reducing pain, improving functional disability, and enhancing flexibility in patients with NS-LBP. These findings suggest that active interventions should be prioritized for managing NS-LBP.

• 한국전문물리치료학회지
• /
• 제20권3호
• /
• pp.81-88
• /
• 2013

Active straight-leg raise (ASLR) is a physical evaluation procedure to test lumbar spine stability. Several previous studies have reported various methods to control the activation of abdominal muscles during ASLR. We investigated the effects of three different hip positions in frontal plane on abdominal muscles to increase or decrease the difficulty level of lumbar spine stability exercise during ASLR in pain free subjects. Eleven young and healthy subjects voluntarily participated in this study (6 men, 5 women; mean age=$24.0{\pm}1.2$ years, height=$160.0{\pm}7.3cm$, weight=$55.0{\pm}10.6kg$, body mass index=$21.5{\pm}2.3kg/m^2$). The subjects had three trials on each ASLR with hip $10^{\circ}$ adduction, neutral hip, and hip $30^{\circ}$ abduction. Separate repeated-measures analysis of variance (ANOVA) and the post hoc Bonferroni tests (with ${\alpha}$=.05/3=.017) were performed for each muscle among the three different hip positions in frontal plane (ASLR with hip $10^{\circ}$ adduction, neutral hip, and hip $30^{\circ}$ abduction). The ipsilateral external oblique (EO), contralateral EO, ipsilateral internal oblique/transverse abdominis (IO/TrA), and contralateral IO/TrA were significantly greater in ASLR with hip $30^{\circ}$ abduction compared with ASLR with hip $10^{\circ}$ adduction. Also, the ipsilateral EO, contralateral EO, and ipsilateral IO/TrA were significantly greater in ASLR with hip $30^{\circ}$ abduction compared with ASLR with neutral hip. These results suggest that ASLR with hip $30^{\circ}$ abduction and neutral would be useful method to strengthen the EO and IO/TrA. And, ASLR with hip $10^{\circ}$ adduction would be effective in early stages of lumbar stabilization program due to low activation of EO and IO/TrA during maintaining of ASLR position with low load.

• Physical Therapy Rehabilitation Science
• /
• 제8권1호
• /
• pp.45-51
• /
• 2019

Objective: The purpose of this study was to investigate the muscle activity ratio of the lower limb according to changes in straight leg raise (SLR) test angles on hamstring muscle shortening during squat exercises. Design: Randomized controlled trial. Methods: The subjects were 14 healthy adults who were informed of and agreed to the method and purpose of the study. The participants were classified into SLR groups according to two angles (over $80^{\circ}$ or under $80^{\circ}$) assessed using the SLR tests. After training and practicing the wall squat posture to be applied to the experiment, electromyography (EMG) was used to measure changes in muscle activity during the performance of a wall squat. After stretching, a sequence of pre-stretch tests were performed again, and the active and passive SLR tests were also reconducted; thereafter, a wall squat was performed again by attaching EMG electrodes. The EMG results before and after stretching were compared. Results: The muscle activity of the vastus lateralis oblique muscle increased in both groups. The muscle activity of the vastus medialis oblique muscle decreased in over both group. Rectus femorus activity increased in the under 80-degree groups but decreased in the over 80-degree group. The muscle activity of the biceps femoris muscle decreased after stretching in the over 80-degree group and increased in the under 80-degree group, and the semitendinosus muscle activity after stretching was decreased. The quadriceps-to-hamstring muscle (Q:H) ratio before and after stretching between groups showed that the hamstring muscle ratio decreased after stretching in both groups. Conclusions: The results of this study showed that the Q:H ratio before and after stretching between groups was not significantly different.