• 한국전문물리치료학회지
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• 제26권1호
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• pp.75-83
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• 2019

Background: A tight iliotibial band (ITB) may lead to lateral patellar maltracking, compression, and tilt, and dominant vatus lateralis (VL) muscle activation relative to vastus medialis oblique (VMO) can laterally displace the patella, which leads to anterior knee pain. Therefore, an effective management technique is needed to stabilize the patella in individuals with tight ITB. Increased stability during the modified Thomas test has the potential to decrease compensatory motion and thus to selectively stretch the ITB. Objects: The purpose of this study was to determine the effects of ITB stretching in the modified Thomas test position on ITB flexibility, patellar translation, and muscle activities of the VMO and VL during quadreceps-setting (QS) exercise in individuals with tight ITB. Methods: Twenty-one subjects with tight ITB were recruited. Digital inclinometer was used to measure the hip adduction angle during the modified Ober test. Universal goniometer was used to measure the hip abduction angle during the modified Thomas test. Ultrasonography was used to measure the patella-condylar distance. Electromyography was performed to collect data of muscle activities. Paired t-test was used to determine the statistical significance between pretest and posttest. Results: The range of hip adduction in modified Ober test increased (p=.04) and the range of hip abduction in the modified Thomas test decreased after ITB stretching (p<.01). There was no difference between lateral patellar translation (p=.18). VMO muscle activity significantly increased after ITB stretching during QS (p<.01). VL muscle activity had no difference after stretching. Conclusion: The ITB stretching in the modified Thomas test position can be suggested as a management method for improving ITB flexibility and VMO muscle activity in individuals with tight ITB.

• 대한통합의학회지
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• 제8권2호
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• pp.21-27
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• 2020

Purpose : The purpose of this paper is to compare the immediate effects of tensor fascia latae (TFL) stretching with weight bearing (standing position) or non-weight bearing (side-lying position). Methods : The study was conducted on 30 adults (12 men, 18 women) in their 20s. Modified Thomas's test was conducted to find out if the TFL muscle has a tightness for current study. This study randomly divided the subjects into two groups and set the standing stretching group (n=15) or the side-lying stretching group (n=15). Both groups applied self-stretching under the therapist's supervision. TFL stretching in each positions was performed 30 seconds per set, 3 times, and 30 seconds per set could rest. The Ober test were conducted to investigate the effect of TFL stretching in each positions. Results : For the Ober test measurements within each group, both groups significantly increased after intervention compared to before (p<.05). There was no significant difference between the groups (p>.05). Conclusion : TFL stretching in standing position and side-lying position increased the range of motion of the TFL muscle. Therefore, if it is difficult to apply TFL stretching in standing position (weight bearing) due to pain or other reasons, it will be able to TFL stretching in side-lying position (non-weight bearing).

• 대한정형도수물리치료학회지
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• 제12권2호
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• pp.11-20
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• 2006

Low back pain is often experienced by many people who are in an activity flag. Their work and daily life are affected by low back pain. There are many causes of low back pain. Among those many causes, this study was focused on a relation between low back pain and the tightness of iliopsoas. The study was implemented by measuring the angles of the hip joints in subjects consisting of a 30 patients group, who had been selected from the outpatients at the Median Hospital, and a 30 people control group from the outpatients at the M Hospital and employee of M hospital. The patients group consists of the patients with low back pain who have intermittently or continuously experienced low back pain within the last 6 months. The group also had no symptom of spondylolysis or spondylolithesis and no muscular abnormality in terms of pathology without any experience of disc or spine fusion operation. The control group consisted out of persons who had never experienced lower back pain and had never been subjected to physical therapy due to lower back pain. The hip joint angles of the subjects of this study were measured by means of the modified Thomas test position. Data was analysed by independent sampling t-test using SPSS 11.0. The following results were obtained: 1. The measured angles of patient's both hip joints were significantly smaller than the control group's. 2. In the males group, The angles of patients' both hip joints were smaller than the controls'. In the females group, The angles of patients' both hip joints were smaller than the controls'. In conclusion, this study demonstrates that there is a significant difference in the tightness of the iliopsoas muscles when comparing the patient group with the control group. We should therefore pay more attention in releasing the muscle tightness of iliopsoas muscles when performing physical therapy with patients with lower back pain.