The Effects of Hip Joint Movement on the Lumbo-pelvic Muscle Activities and Pelvic Rotation During Four-point Kneeling Arm and Leg Lift Exercise in Healthy Subjects
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Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.
Abstract
Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.
참고문헌 (43)
- Bergmark A, "Stability of the lumbar spine. A study in mechanical engineeri", Acta Orthop Scand Suppl, 230, pp.1~54 (1989)
- Chang M, "Muscle activation patterns of the lumbo-pelvic-hip complex during walking gait before and after exercise", Gait Posture, 52, pp.15~21 (2017)
- Coenen P, "The effect of lifting during work on low back pain : a health impact assessment based on a meta-analysis", Occup Environ Med, 71(12), pp.871~877 (2014)
- Coenen P, "Cumulative mechanical low-back load at work is a determinant of low-back pain", Occup Environ Med, 71(5), pp.332~337 (2014)
- Ko MJ, "Effects of the abdominal drawing-in maneuver on hamstring rotational activity and pelvic stability in females", J Back Musculoskelet Rehabil, 35(2), pp.413~419 (2022)
- 강남구, "The Effects of Sling Exercise on Gluteus Muscle Strength and Gait Velocity in Females with History of Chronic Low Back Pain", 근골격계과학기술학회, 5(2), pp.59~66 (2021), KEMA학회[DOI]
- Farrokhi S, "Trunk position influences the kinematics, kinetics, and muscle activity of the lead lower extremity during the forward lunge exercise", J Orthop Sports Phys Ther, 38(7), pp.403~409 (2008)
- Lee YH, "Effect of belt pressure and breath held on trunk electromyography", Spine(Phila Pa 1976), 27(3), pp.282~290 (2002)
- Leetun DT, "Core stability measures as risk factors for lower extremity injury in athletes", Med Sci Sports Exerc, 36(6), pp.926~934 (2004)
- Kang MH, "Effects of real-time visual biofeedback of pelvic movement on electromyographic activity of hip muscles and lateral pelvic tilt during unilateral weightbearing and side-lying hip abduction exercises", J Electromyogr Kinesiol, 48, pp.31~36 (2019)
- Norrie JP, "Brace yourself : how abdominal bracing affects intersegmental lumbar spine kinematics in response to sudden loading", J Electromyogr Kinesiol, 54, pp.102451~ (2020)
- Taylor JR, "Physical therapy of the low back" (2000), Churchill Livingstone
- Taniguchi M, "Relative mobility of the pelvis and spine during trunk axial rotation in chronic low back pain patients : a case-control study", PLoS One, 12(10), pp.e0186369~ (2017)
- Ko HI, "Comparison of hip extensor muscle activity including the adductor magnus during three prone hip extension exercises", Physiother Theory Pract, 35(5), pp.451~457 (2019)
- Kang SY, "Modifying the hip abduction angle during bridging exercise can facilitate gluteus maximus activity", Man Ther, 22, pp.211~215 (2016)
- Cissik J., "Programming abdominal training, part I", Strength Cond J, 24(1), pp.9~15 (2002)
- Comerford MJ, "Diagnosis of uncontrolled movement, subgroup classification and motor control retraining of the lumbar spine", KC International, 2010
- Kim JS, "Comparison of selective electromyographic activity of the superficial lumbar multifidus between prone trunk extension and four-point kneeling arm and leg lift exercises", J Phys Ther Sci, 27(4), pp.1037~1039 (2015)
- Stevens VK, "Electromyographic activity of trunk and hip muscles during stabilization exercises in four-point kneeling in healthy volunteers", Eur Spine J, 16(5), pp.711~718 (2007)
- Jeon IC, "Comparison of gluteus maximus and hamstring electromyographic activity and lumbopelvic motion during three different prone hip extension exercises in healthy volunteers", Phys Ther Sport, 22, pp.35~40 (2016)
- Kang SY, "Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions", Man Ther, 18(4), pp.303~307 (2013)
- Suehiro T, "Comparison of spine motion and trunk muscle activity between abdominal hollowing and abdominal bracing maneuvers during prone hip extension", J Bodyw Mov Ther, 18(3), pp.482~488 (2014)
- Suehiro T, "Altered trunk muscle recruitment patterns during lifting in individuals in remission from recurrent low back pain", J Electromyogr Kinesiol, 39, pp.128~133 (2018)
- Puntumetakul R, "The effect of core stabilization exercise on lumbar joint position sense in patients with subacute nonspecific low back pain : a randomized controlled trial", J Phys Ther Sci, 30(11), pp.1390~1395 (2018)
- Shojaei I, "Comparison of lumbo-pelvic kinematics during trunk forward bending and backward return between patients with acute low back pain and asymptomatic controls", Clin Biomech(Bristol, Avon), 41, pp.66~71 (2017)
- Saiklang P, "The effect of core stabilization exercise with the abdominal drawing-in maneuver technique on stature change during prolonged sitting in sedentary workers with chronic low back pain", Int J Environ Res Public Health, 19(3), pp.1904~ (2022)
- Liddle SD, "Exercise and chronic low back pain : what works?", Pain, 109, pp.200~201 (2004)
- Kahlaee AH, "Effect of the abdominal hollowing and bracing maneuvers on activity pattern of the lumbopelvic muscles during prone hip extension in subjects with or without chronic low back pain : a preliminary study", J Manipulative Physiol Ther, 40(2), pp.106~117 (2017)
- MacKenzie JF, "Muscle activity during lifting : examining the effect of core conditioning of multifidus and transversus abdominis", Work, 47(4), pp.453~462 (2014)
- Frey M, "The relationship between lumbopelvic flexibility and sitting posture in adult women", J Biomech, 84, pp.204~210 (2019)
- Pirouzi S, "Is abdominal muscle activity different from lumbar muscle activity during four-point kneeling?", Iran J Med Sci, 38(4), pp.327~333 (2013)
- Adhia DB, "Innominate movement patterns, rotation trends and range of motion in individuals with low back pain of sacroiliac joint origin", Man Ther, 21, pp.100~108 (2016)
- Smidt GL, "Sacroiliac motion for extreme hip positions. A fresh cadaver study", Spine(Phila Pa 1976), 22(18), pp.2073~2082 (1997)
- Barker PJ, "Anatomy and biomechanics of gluteus maximus and the thoracolumbar fascia at the sacroiliac joint", Clin Anat, 27(2), pp.234~240 (2014)
- Macadam P, "An examination of the gluteal muscle activity associated with dynamic hip abduction and hip external rotation exercise : a systematic review", Int J Sports Phys Ther, 10(5), pp.573~591 (2015)
- Lederman E, "The myth of core stability", J Bodyw Mov Ther, 14(1), pp.84~98 (2010)
- Koumantakis GA, "Intermittent isometric fatigue study of the lumbar multifidus muscle in fourpoint kneeling : an intra-rater reliability investigation", Man Ther, 6(2), pp.97~105 (2001)
- Choi SA, "Isometric hip abduction using a Thera-Band alters gluteus maximus muscle activity and the anterior pelvic tilt angle during bridging exercise", J Electromyogr Kinesiol, 25(2), pp.310~315 (2015)
- Poilliot AJ, "A systematic review of the normal sacroiliac joint anatomy and adjacent tissues for pain physicians", Pain Physician, 22(4), pp.E247~ (2019)
- Suehiro T, "Individuals with chronic low back pain demonstrate delayed onset of the back muscle activity during prone hip extension", J Electromyogr Kinesiol, 25(4), pp.675~680 (2015)
- Hodges PW, "Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis", Spine(Phila Pa 1976), 21(22), pp.2640~2650 (1996)
- Huang TZ, "Immediate effect of trunk flexion and extension isometric exercise using an external compression device on electromyography of the hip extensor and trunk range of motion of healthy subjects", BMC Sports Sci Med Rehabil, 14(1), pp.116~ (2022)
- Oh JS, "Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt", J Orthop Sports Phys Ther, 37(6), pp.320~324 (2007)