본문 바로가기
KERD
논문KCI 등재

즉각적인 뒤넙다리근 편심성 운동과 정적 스트레칭이 몸통 전방 굽힘에 미치는 영향

The Immediate Effects of Hamstring Eccentric Exercise and Static Stretching on Trunk Forward Bending

2

조회

0

다운로드

5

인용

0

참고문헌

키워드

주제분류물리치료학

초록

Background: Limitations in hip flexion caused by tight hamstrings lead to excessive lumbar flexion and low back pain. Accordingly, many studies have examined how to stretch the hamstring muscle. However, no study has focused on the effect of hamstring eccentric exercise for tight hamstrings on trunk forward bending. Objects: We compared the short-term effect of hamstring eccentric exercise (HEE) and hamstring static stretching (HSS) on trunk forward bending in individuals with tight hamstrings. Methods: Thirty individuals with tight hamstrings participated in the study. The subjects were randomly allocated to either a HEE or HSS group. To determine whether the hamstrings were tight, the active knee extension (AKE) test was performed, and the degree of hip flexion was measured. To assess trunk forward bending, subjects performed the fingertip to floor (FTF) and modified modified Schober tests, and the degree of trunk forward bending was measured using an inclinometer. We used paired t-tests to compare the values before and after exercise in each group and independent t-tests to compare the two groups on various measures Results: The FTF test results were improved significantly after the exercise in both groups, and AKE for both legs increased significantly in both groups. There was no significant difference in the hip angles, mmS test results, or degree of trunk forward bending between groups after the exercise. No test results differed significantly between the two groups at baseline or after the exercise. Both groups increased hamstring flexibility and trunk forward bending. Conclusion: HSS and the HEE groups increased hamstring flexibility and trunk forward bending. However, HEE has additional benefits, such as injury prevention and muscle strengthening.

Abstract

Background: Limitations in hip flexion caused by tight hamstrings lead to excessive lumbar flexion and low back pain. Accordingly, many studies have examined how to stretch the hamstring muscle. However, no study has focused on the effect of hamstring eccentric exercise for tight hamstrings on trunk forward bending. Objects: We compared the short-term effect of hamstring eccentric exercise (HEE) and hamstring static stretching (HSS) on trunk forward bending in individuals with tight hamstrings. Methods: Thirty individuals with tight hamstrings participated in the study. The subjects were randomly allocated to either a HEE or HSS group. To determine whether the hamstrings were tight, the active knee extension (AKE) test was performed, and the degree of hip flexion was measured. To assess trunk forward bending, subjects performed the fingertip to floor (FTF) and modified modified Schober tests, and the degree of trunk forward bending was measured using an inclinometer. We used paired t-tests to compare the values before and after exercise in each group and independent t-tests to compare the two groups on various measures Results: The FTF test results were improved significantly after the exercise in both groups, and AKE for both legs increased significantly in both groups. There was no significant difference in the hip angles, mmS test results, or degree of trunk forward bending between groups after the exercise. No test results differed significantly between the two groups at baseline or after the exercise. Both groups increased hamstring flexibility and trunk forward bending. Conclusion: HSS and the HEE groups increased hamstring flexibility and trunk forward bending. However, HEE has additional benefits, such as injury prevention and muscle strengthening.

참고문헌 (43)

  1. Adams MA, "The mechanical function of the lumbar apophyseal joints", Spine(phila pa 1976), 8(3), pp.327~330 (1983)
  2. Eric W. P. Bakker, "Spinal Mechanical Load as a Risk Factor for Low Back Pain", Spine, 34(8), pp.E281~E293 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
  3. Burdorf A, "Positive and negative evidence of risk factors for back disorders", Scand J Work Enviro Health, 23(4), pp.243~256 (1997)
  4. Timothy A. Butterfield, "The magnitude of muscle strain does not influence serial sarcomere number adaptations following eccentric exercise", Pflügers Archiv - European Journal of Physiology, 451(5), pp.688~700 (2006), Springer Science and Business Media LLC[DOI]
  5. CARLSÖÖ S, "The static muscle load in different work positions : An electromyographic study", Ergonomics, 4(3), pp.193~211 (1961)
  6. Rodrigo Luiz Carregaro, "Does reduced hamstring flexibility affect trunk and pelvic movement strategies during manual handling?", International Journal of Industrial Ergonomics, 39(1), pp.115~120 (2009), Elsevier BV[DOI]
  7. Congdon R, "Intrinsic and imposed hamstring length influence posterior pelvic rotation during hip flexion", Clin Biomech(Bristol, Avon), 20(9), pp.947~951 (2005)
  8. Esola MA, "Analysis of lumbar spine and hip motion during forward bending in subjects with and without a history of low back pain", Spine(phila pa 1976), 21(1), pp.71~78 (1996)
  9. Feldman DE, "Risk factors for the development of low back pain in adolescence", Am J Epidemiol, 154(1), pp.30~36 (2001)[DOI]
  10. R.L. Gajdosik, "Influence of short hamstring muscles on the pelvis and lumbar spine in standing and during the toe-touch test", Clinical Biomechanics, 7(1), pp.38~42 (1992), Elsevier BV[DOI]
  11. Gajdosik RL, "Hamstring muscle tightness : Reliability of an active-knee-extension test", Phys Ther, 63(7), pp.1085~1088 (1983)[DOI]
  12. Gauvin MG, "Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method", Phys Ther, 70(7), pp.443~447 (1990)[DOI]
  13. Granata KP, "Lumbar–pelvic coordination is influenced by lifting task parameters", Spine(Phila Pa 1976), 25(11), pp.1413~1418 (2000)
  14. Halbertsma JP, "Sport stretching : Effect on passive muscle stiffness of short hamstrings", Arch of Phys Med Rehabil, 77(7), pp.688~692 (1996)
  15. Hamill J, "Biomechanical Basis of Human Movement", pp.101~102 (2006), Lippincott Williams &Wilkins
  16. Kiyotaka Hasebe, "The effect of dynamic stretching on hamstrings flexibility with respect to the spino-pelvic rhythm", The Journal of Medical Investigation, 63(1.2), pp.85~90 (2016), University of Tokushima Faculty of Medicine[DOI]
  17. Herrington L, "The effect of pelvic position on popliteal angle achieved during 90 : 90 hamstring-length test", J Sport Rehabil, 22(4), pp.254~256 (2013)
  18. Hoogendoorn WE, "Flexion and rotation of the trunk and lifting at work are risk factors for low back pain : Results of a prospective cohort study", Spine(Phila Pa 1976), 25(23), pp.3087~3092 (2000)
  19. Felipe Jose Jandre Reis, "Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending", Asian Spine Journal, 9(4), pp.535~540 (2015), 대한척추외과학회
  20. Kilgallon M, "Progressive resistance training temporarily alters hamstring torque-angle relationship", Scand J Med Sci Sports, 17(1), pp.18~24 (2007)[DOI]
  21. Kingma JJ, "Eccentric overload training in patients with chronic achilles tendinopathy: A systematic review", Br J Sports Med, 41(6), pp.e3~ (2007)[DOI]
  22. Kroll PG, "Hamstring muscles: An overview of anatomy, biomechanics and function, injury etiology, treatment, and prevention", Phys Rehabil Med, 9(3-4), pp.191~203 (1997)
  23. Kumar GP, "Comparison of cyclic loading and hold relax technique in increasing resting length of hamstring muscles", Hong Kong Physiother J, 29(1), pp.31~33 (2011)
  24. P.A. López-Miñarro, "Influence of hamstring muscle extensibility on spinal curvatures in young athletes", Science & Sports, 25(4), pp.188~193 (2010), Elsevier BV[DOI]
  25. Pedro López-Miñarro, "Acute Effects of Hamstring Stretching on Sagittal Spinal Curvatures and Pelvic Tilt", Journal of Human Kinetics, 31(1), pp.69~78 (2012), Walter de Gruyter GmbH[DOI]
  26. S. Peter Magnusson, "Biomechanical Responses to Repeated Stretches in Human Hamstring Muscle In Vivo", The American Journal of Sports Medicine, 24(5), pp.622~628 (2016), SAGE Publications[DOI]
  27. Manchikanti L, "Epidemiology of low back pain", Pain physician, 3(2), pp.167~192 (2000)
  28. D. L. Morgan, "Early events in stretch-induced muscle damage", Journal of Applied Physiology, 87(6), pp.2007~2015 (1999), American Physiological Society[DOI]
  29. Nachemson AL, "Disc pressure measurements", Spine(Phila Pa 1976), 6(1), pp.93~97 (1981)
  30. Nelson RT, "Eccentric training and static stretching improve hamstring flexibility of high school males", J Athl Train, 39(3), pp.254~258 (2004)
  31. Norris CM, "Back Stability" (2000), Hum Kinet
  32. Kieran O'Sullivan, "The effects of eccentric training on lower limb flexibility: a systematic review", British Journal of Sports Medicine, 46(12), pp.838~845 (2012), BMJ[DOI]
  33. J Petersen, "Evidence based prevention of hamstring injuries in sport", British Journal of Sports Medicine, 39(6), pp.319~323 (2005), BMJ[DOI]
  34. Tara G. Potier, "Effects of eccentric strength training on biceps femoris muscle architecture and knee joint range of movement", European Journal of Applied Physiology, 105(6), pp.939~944 (2009), Springer Science and Business Media LLC[DOI]
  35. Saunders R, "Evaluation, Treatment and Prevention of Musculoskeletal Disorders", pp.703~705 (1993), Saunders Group
  36. Saur PM, "Lumbar range of motion : Reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility", Spine(Phila Pa 1976), 21(11), pp.1332~1338 (1996)
  37. Gwanseob Shin, "Influence of knee angle and individual flexibility on the flexion–relaxation response of the low back musculature", Journal of Electromyography and Kinesiology, 14(4), pp.485~494 (2004), Elsevier BV[DOI]
  38. Astrid Noreng Sjolie, "Low-back pain in adolescents is associated with poor hip mobility and high body mass index", Scandinavian Journal of Medicine and Science in Sports, 14(3), pp.168~175 (2004), Wiley[DOI]
  39. Spernoga SG, "Duration of maintained hamstring flexibility after a one-time, modified hold-relax stretching protocol", J Athl Train, 36(1), pp.44~48 (2001)
  40. M Tousignant, "The Modified – Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: A study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change", Disability and Rehabilitation, 27(10), pp.553~559 (2009), Informa UK Limited[DOI]
  41. Wasielewski NJ, "Does eccentric exercise reduce pain and improve strength in physically active adults with symptomatic lower extremity tendinosis? A systematic review", J Athl Train, 42(3), pp.409~421 (2007)
  42. White S, "A movement system balance approach to management of musculoskeletal pain", Physical therapy of the cervical and thoracic spine, pp.339~357 (1994)
  43. Williams R, "Reliability of the modified-modified schöber and double inclinometer methods for measuring lumbar flexion and extension", Phys Ther, 73(1), pp.33~44 (1993)

관련 논문AI추천

이 간행물의 다른 논문 (11건)