Electromyographic Analysis of Gluteus Maximus, Gluteus Medius, Hamstring and Erector Spinae Muscles Activity During the Bridge Exercise With Hip External Rotation in Different Knee Flexion Angles in Healthy Subjects
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: The bridge exercise targets the gluteus maximus (Gmax) and gluteus medius (Gmed). However, there is also a risk of dominant hamstring (HAM) and erector spinae (ES) muscles. Objects: To analyze the muscle activity the of Gmax, Gmed, HAM and ES during the bridge exercise with and without hip external rotation in different degrees of knee flexion. Methods: Twenty-three subjects were participated. The electormyography (EMG) activity of the Gmax, Gmed, HAM and ES muscles was recorded during the exercise. The subjects performed the bridge exercise under four different conditions: (a) with 90˚ knee flexion, without hip external rotation (b) with 90˚ knee flexion, with hip external rotation (c) with 135˚ knee flexion, without hip external rotation (d) with 135˚ knee flexion, with hip external rotation. Results: There was no significant interaction effect between the degree of knee flexion and hip external rotation. There was a significant main effect for degree of knee flexion in Gmax, HAM muscles activity. Gmax muscle activity was significantly greater in the 135˚ knee flexion position than in the 90˚ knee flexion position (p<.001). While HAM muscle activity was significantly less in 135˚ knee flexion position than in the 90˚ knee flexion position (p<.001). ES muscle activity was significantly less in the 135˚ knee flexion position than in the 90˚ knee flexion position (p=.002). The activity of both the Gmax and Gmed muscles was significantly greater with hip external rotation (p<.001 and p=.005, respectively). Conclusion: For patients performing the bridge exercise, positioning the knee in 135° of flexion with hip external rotation is effective for improving Gmax and Gmed muscle activity while decreasing HAM, and ES muscle activity.
Abstract
Background: The bridge exercise targets the gluteus maximus (Gmax) and gluteus medius (Gmed). However, there is also a risk of dominant hamstring (HAM) and erector spinae (ES) muscles. Objects: To analyze the muscle activity the of Gmax, Gmed, HAM and ES during the bridge exercise with and without hip external rotation in different degrees of knee flexion. Methods: Twenty-three subjects were participated. The electormyography (EMG) activity of the Gmax, Gmed, HAM and ES muscles was recorded during the exercise. The subjects performed the bridge exercise under four different conditions: (a) with 90˚ knee flexion, without hip external rotation (b) with 90˚ knee flexion, with hip external rotation (c) with 135˚ knee flexion, without hip external rotation (d) with 135˚ knee flexion, with hip external rotation. Results: There was no significant interaction effect between the degree of knee flexion and hip external rotation. There was a significant main effect for degree of knee flexion in Gmax, HAM muscles activity. Gmax muscle activity was significantly greater in the 135˚ knee flexion position than in the 90˚ knee flexion position (p<.001). While HAM muscle activity was significantly less in 135˚ knee flexion position than in the 90˚ knee flexion position (p<.001). ES muscle activity was significantly less in the 135˚ knee flexion position than in the 90˚ knee flexion position (p=.002). The activity of both the Gmax and Gmed muscles was significantly greater with hip external rotation (p<.001 and p=.005, respectively). Conclusion: For patients performing the bridge exercise, positioning the knee in 135° of flexion with hip external rotation is effective for improving Gmax and Gmed muscle activity while decreasing HAM, and ES muscle activity.
참고문헌 (21)
- Bishop BN, "Electromyographic analysis of gluteus maximus, gluteus medius, and tensor fascia latae during therapeutic exercises with and without elastic resistance", J Sports Phys, 13(4), pp.668~675 (2018)
- Bolgla LA, "Comparison of hip and knee strength and neuromuscular activity in subjects with and without patellofemoral pain syndrome", J Sports Phys, 6(4), pp.285~296 (2011)
- 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)
- Criswell E, "Cram’s Introduction to Surface Electromyography" (2010), Jones & Bartlett Publishers
- Earl JE, "Patterns of dynamic malalignment, muscle activation, joint motion, and patellofemoral-pain syndrome", J Sport Rehabil, 14(3), pp.216~233 (2005)
- Richard A. Ekstrom, "Electromyographic Analysis of Core Trunk, Hip, and Thigh Muscles During 9 Rehabilitation Exercises", Journal of Orthopaedic & Sports Physical Therapy, 37(12), pp.754~762 (2007), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Ito J, "Human lower limb muscles: An evaluation of weight and fiber size", Okajimas Folia Anat Jpn, 80(2.3), pp.47~56 (2003)
- Jonkers I, "The complementary role of the plantarflexors, hamstrings and gluteus maximus in the control of stance limb stability during gait", Gai Posture, 17(3), pp.264~272 (2003)
- Kendall FP, "Muscles: Testing and Function with Posture and Pain" (2005), Williams & Wilkins
- Kisner C, "Therapeutic Exercise:Foundations and Techniques" (2017), FA Davis
- Ji-hyun Lee, "Different hip rotations influence hip abductor muscles activity during isometric side-lying hip abduction in subjects with gluteus medius weakness", Journal of Electromyography and Kinesiology, 24(2), pp.318~324 (2014), Elsevier BV[DOI]
- Lehecka BJ, "Building a better gluteal bridge : Electromyographic analysis of hip muscle activity during modified single-leg bridges", Int J Sports Phys Ther, 12(4), pp.543~549 (2017)
- Amelia Rose Marshall, "Structure and function of the abductors in patients with hip osteoarthritis: Systematic review and meta-analysis", Journal of Back and Musculoskeletal Rehabilitation, 29(2), pp.191~204 (2016), IOS Press[DOI]
- Paul W.M. Marshall, "Gluteus medius strength, endurance, and co-activation in the development of low back pain during prolonged standing", Human Movement Science, 30(1), pp.63~73 (2011), Elsevier BV[DOI]
- Amir MassoudArab, "The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction", Journal of Manual & Manipulative Therapy, 19(1), pp.5~10 (2014), Informa UK Limited[DOI]
- Erika Nelson-Wong, "Development of Active Hip Abduction as a Screening Test for Identifying Occupational Low Back Pain", Journal of Orthopaedic & Sports Physical Therapy, 39(9), pp.649~657 (2009), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Donald A. Neumann, "Kinesiology of the Hip: A Focus on Muscular Actions", Journal of Orthopaedic & Sports Physical Therapy, 40(2), pp.82~94 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Neumann DA, "Kinesiology of the Musculoskeletal System: Foundation for Rehabilitation", pp.364~365 (2010), Mosby
- Christopher M. Powers, "The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective", Journal of Orthopaedic & Sports Physical Therapy, 40(2), pp.42~51 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Sahrmann S, "Diagnosis and Treatment of Movement Impairment Syndromes" (2001), Elsevier Health Sciences
- Stephanie Tanamas, "Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review", Arthritis & Rheumatism, 61(4), pp.459~467 (2009), Wiley[DOI]
