Effects of Three Different Hip Positions in Frontal Plane on Activity of Abdominal Muscles During Active Straight-Leg Raise
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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±1.2 years, height=160.0±7.3 ㎝, weight=55.0±10.6 ㎏, body mass index=21.5±2.3 ㎏/㎡). The subjects had three trials on each ASLR with hip 10° adduction, neutral hip, and hip 30° abduction. Separate repeated-measures analysis of variance (ANOVA) and the post hoc Bonferroni tests (with α=.05/3=.017) were performed for each muscle among the three different hip positions in frontal plane (ASLR with hip 10° adduction, neutral hip, and hip 30° 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° abduction compared with ASLR with hip 10° adduction. Also, the ipsilateral EO, contralateral EO, and ipsilateral IO/TrA were significantly greater in ASLR with hip 30° abduction compared with ASLR with neutral hip. These results suggest that ASLR with hip 30° abduction and neutral would be useful method to strengthen the EO and IO/TrA. And, ASLR with hip 10° 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.
Abstract
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±1.2 years, height=160.0±7.3 ㎝, weight=55.0±10.6 ㎏, body mass index=21.5±2.3 ㎏/㎡). The subjects had three trials on each ASLR with hip 10° adduction, neutral hip, and hip 30° abduction. Separate repeated-measures analysis of variance (ANOVA) and the post hoc Bonferroni tests (with α=.05/3=.017) were performed for each muscle among the three different hip positions in frontal plane (ASLR with hip 10° adduction, neutral hip, and hip 30° 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° abduction compared with ASLR with hip 10° adduction. Also, the ipsilateral EO, contralateral EO, and ipsilateral IO/TrA were significantly greater in ASLR with hip 30° abduction compared with ASLR with neutral hip. These results suggest that ASLR with hip 30° abduction and neutral would be useful method to strengthen the EO and IO/TrA. And, ASLR with hip 10° 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.
참고문헌 (29)
- Beales DJ, "Motor control patterns during an active straight leg raise in pain-free subjects", Spine (Phila Pa 1976), 34(1), pp.E1~E8 (2009)
- Brown SH, "Muscle force-stiffness characteristics influence joint stability: A spine example", Clin Biomech (Bristol, Avon), 20(9), pp.917~922 (2005)
- Escamilla RF, "An electromyographic analysis of commercial and common abdominal exercises: implications for rehabilitation and training", J Orthop Sports Phys Ther, 36, pp.45~57 (2006)
- García-Vaquero MP, "Trunk muscle activation during stabilization exercises with single and double leg support", J Electromyogr Kinesiol, 22(3), pp.398~406 (2012)
- Henderson, ER, "Hip abductor moment arm - a mathematical analysis for proximal femoral replacement", J Orthop Surg Res, 25(6), pp.6~ (2011)
- Hu H, "Understanding the active straight leg raise (ASLR): An electromyographic study in healthy subjects", Man Ther, 17(6), pp.531~537 (2012)
- Jacobs C, "Strength and fatigability of the dominant and nondominant hip abductors", J Athl Train, 40(3), pp.203~206 (2005)
- Kang SY, "Activation ofthe 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)
- Kavcic N, "Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises", Spine (Phila Pa 1976), 29(20), pp.2319~2329 (2004)
- Kendall FP, "Muscles Testing and Function with Posture and Pain", pp.176~182 (2005), Lippincott williams & wilkins
- Kim SJ, "Comparison of abdominal muscle activity during a single-legged hold in the hook-lying position on the floor and on a round foam roll", J Athl Train, 46(4), pp.403~408 (2011)
- Liebenson C, "The active straight leg raise test and lumbar spine stability", PM R, 1(6), pp.530~535 (2009)
- Marshall P, "The validity and reliability of surface emg to assess the neuromuscular response of the abdominal muscles to rapid limb movement", J Electromyogr Kinesiol, 13(5), pp.477~489 (2003)
- McGill SM, "Exercises for spine stabilization: Motion", motor patterns, stability progressions, and clinical technique, 2009, pp.90(1), 118~126
- Mens JM, "Reliability and validity of the active straight leg raise test in posterior pelvic pain since pregnancy", Spine (Phila Pa 1976), 26(10), pp.1167~1171 (2001)
- Mens JM, "Validity of the active straight leg raise test for measuring disease severity in patients with posterior pelvic pain after pregnancy", Spine (Phila Pa 1976), 27(2), pp.196~200 (2002)
- Mens JM, "The active straight leg raising test and mobility of the pelvic joints", Eur Spine J, 8(6), pp.468~473 (1999)
- Ng JK, "Functional roles of abdominal and back muscles during isometric axial rotation of the trunk", J Orthop Res, 19(3), pp.463~471 (2001)
- O’Sullivan PB, "Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test", Spine (Phila Pa 1976), 27(1), pp.E1~E8 (2002)
- Park KH, "Effects of the pelvic rotatory control method on abdominal muscle activity and the pelvic rotation during active straight leg raising", Man Ther, 18(3), pp.220~224 (2013)
- Potvin JR, "An equation to calculate individual muscle contributions to joint stability", J Biomech, 38(5), pp.973~980 (2005)
- Richardson CA, "Muscle control-pain control. What exercises would you prescribe?", Man Ther, 1(1), pp.2~10 (1995)
- Snijders CJ, "Transfer of lumbosacral load to iliac bones and legs part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise", Clin Biomech (Bristol, Avon), 8(6), pp.285~294 (1993)
- Souza GM, "Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises", Arch Phys Med Rehabil, 82(11), pp.1551~1557 (2001)
- Stevens VK, "Trunk muscle activity in healthy subjects during bridging stabilization exercises", BMC Musculoskelet Disord, 7, pp.75~ (2006)
- Stevens VK, "The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises", Man Ther, 12(3), pp.271~279 (2007)
- Sung PS, "A compensation of angular displacements of the hip joints and lumbosacral spine betweensubjects with and without idiopathic low back pain during squatting", J Electromyogr Kinesiol, 23(3), pp.741~745 (2013)
- Teyhen DS, "Ultrasound characteristics of the deep abdominal muscles during the active straight leg raise test", Arch Phys Med Rehabil, 90(5), pp.761~767 (2009)
- Vera-Garcia FJ, "Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations", J Electromyogr Kinesiol, 17(5), pp.556~567 (2007)
