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옆으로 누운 자세에서 고관절 외전시 반대 측 고관절 내전이 요추안정화 근육 두께와 골반 외측 경사에 미치는 영향

Effect of Contralateral Hip Adduction on Muscle Thicknesses of Lumbar Stabilizers and Pelvic Lateral Tilting During Hip Abduction in Side-lying

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참고문헌

키워드

주제분류물리치료학

초록

The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on thickness of lumbar stabilizers during hip abduction in side-lying. Twenty healthy subjects without back pain were recruited for this study. The thickness of transverse abdominis (TrA), internal oblique (IO) and quadratus lumborum (QL) were measured by ultrasonography. Pelvic lateral tilting motion was measured using a three-dimensional motion analysis system. Measurements were performed at rest position (RP), $35℃preferred hip abduction (PHA) and $35℃abduction with $10^{\circ}$contralateral hip adduction (CHA) in side-lying at the end of expiration. During the measurements, subjects were asked to maintain steady trunk alignment without hand support. Thickness of TrA and IO was significantly greater in CHA than in PHA and RP conditions. There was no significant difference in thickness of TrA and IO between PHA and RP conditions. Medio-lateral (M-L) thickness of QL was not significant between PHA and CHA conditions. Anterio-posterior (A-P) thickness of QL in PHA and CHA significantly decreased compared to RP condition. Angle of pelvic lateral tilting was significantly decreased in CHA compared to PHA condition. In conclusion, CHA can be recommended for increasing trunk stability without compensatory pelvic motion during hip abduction exercise in side-lying.

Abstract

The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on thickness of lumbar stabilizers during hip abduction in side-lying. Twenty healthy subjects without back pain were recruited for this study. The thickness of transverse abdominis (TrA), internal oblique (IO) and quadratus lumborum (QL) were measured by ultrasonography. Pelvic lateral tilting motion was measured using a three-dimensional motion analysis system. Measurements were performed at rest position (RP), $35℃preferred hip abduction (PHA) and $35℃abduction with $10^{\circ}$contralateral hip adduction (CHA) in side-lying at the end of expiration. During the measurements, subjects were asked to maintain steady trunk alignment without hand support. Thickness of TrA and IO was significantly greater in CHA than in PHA and RP conditions. There was no significant difference in thickness of TrA and IO between PHA and RP conditions. Medio-lateral (M-L) thickness of QL was not significant between PHA and CHA conditions. Anterio-posterior (A-P) thickness of QL in PHA and CHA significantly decreased compared to RP condition. Angle of pelvic lateral tilting was significantly decreased in CHA compared to PHA condition. In conclusion, CHA can be recommended for increasing trunk stability without compensatory pelvic motion during hip abduction exercise in side-lying.

참고문헌 (32)

  1. 고경란, "실험토끼에서 근육내출혈의 시간경과에 따른 초음파소견과 병리소견의 연관성", 대한영상의학회지, 58(5), pp.519~527 (2008), 대한영상의학회
  2. 김성용, "근전도 검사 시 유발되는 통증에 대한 미다졸람의 효과", 대한재활의학회지, 23(2), pp.325~329 (1999)
  3. 윤혜선, "상지운동 동안 기저면의 넓이 변화가 체간과 하지의 근활성도에 미치는 영향", 한국전문물리치료학회지, 11(3), pp.43~50 (2004), 한국전문물리치료학회
  4. Ainscouph-Potts AM, "The response of the transverse abdominis and internal oblique muscles to different postures", Man Ther, 11(1), pp.54~60 (2006)
  5. Cholewicki J, "4th Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions", Clin Biomech (Bristol, Avon), 17, pp.99~105 (2002)
  6. Cholewicki J, "Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain", Clin Biomech (Bristol, Avon), 11(1), pp.1~15 (1996)
  7. Cholewicki J, "Effects of external trunk loads on lumbar spine stability", J biomech, 33(11), pp.1377~1385 (2000)
  8. Critchley D, "Instructing pelvic floor contraction facilitates transversus abdominis thickness increase during low-abdominal hollowing", Physiother Res Int, 7(2), pp.65~75 (2002)
  9. Cynn HS, "Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying", ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 87(11), pp.1454~1458 (2006), W B SAUNDERS CO-ELSEVIER INC
  10. Desmoulin G, "Lumbar mechanics from ultrasound imaging", Canadian Acoustics, 35(2), pp.61~68 (2007)
  11. Desmoulin G., "Lumbar mechanics from ultrasound imaging", pp.2005
  12. Hodges PW, "Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement", Exp Brain Res, 114(2), pp.362~370 (1997)
  13. Hodges PW, "Altered trunk muscle recruitment in people with low back pain with limb movement at different speeds", Arch Phys Med Rehabil, 80(9), pp.1005~1012 (1999)
  14. Hodges PW, "Measurement of muscle contraction with ultrasound imgaing", Muscle Nerve, 27(6), pp.682~692 (2003)
  15. Janda V., "Evaluation of Muscle Imbalance, In Rehabilitation of the spine: A practitioner's manual", pp.822~ (1996), Williams & Wilkins
  16. Judge JO, "Balance improvements in older women: Effects of exercise training", Phys Ther, 73(4), pp.254~262 (1993)
  17. Jull G, "Towards a measurement of active muscle control for lumbar stabilization", Aust J Physiother, 39(3), pp.187~193 (1993)
  18. Kirchmair L, "A study of the paravertebral anatomy for ultrasound-guided posterior lumbar plexus block", Anesth Analg, 93(2), pp.477~481 (2001)
  19. Kisner C, "Therapeutic Exercise: Foundation and techniques, 4th ed", pp.657~667 (2002), F.A. Davis
  20. Lee D., "The Pelvic Girdle. 2nd ed", pp.57~60 (1999), Churchill Livingstone
  21. Luoto S, "One-footed and externally disturbed two-footed postural control in patients with chronic low back pain and healthy control subjects: A controlled study with follow-up", Spine (Phila Pa 1976), 23(19), pp.2081~2089 (1998)
  22. McGill S, "Quantitative intramuscular myoelectric activity of quadratus lumborum during a wide variety of tasks", Clin Biomech (Bristol, Avon), 11(3), pp.170~172 (1996)
  23. McGill SM, "Measurement of the trunk musculature from T5 to L5 using mri scans of 15 young males corrected for muscle fibre orientation", Clin Biomech, 8, pp.171~178 (1993)
  24. McMeeken JM, "The relationship between emg and change in thickness of transversus abdominis", Clin Biomech (Bristol, Avon), 19(4), pp.337~342 (2004)
  25. Norris CM., "Spinal stabilisation: 4. Muscle imbalance and the low back", Physiotherapy, 81(3), pp.127~138 (1995)
  26. O'Sullivan PB, "Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis", Spine (Phila Pa 1976), 22(24), pp.2959~2967 (1997)
  27. O'Sullivan PB, "The effect of different standing and sitting postures on trunk muscle activity in a pain-free population", Spine (Phila Pa 1976), 27(11), pp.1238~1244 (2002)
  28. Peetrons P., "Ultrasound of muscles", Eur Radiol, 12, pp.35~43 (2002)
  29. Reeve A, "Effects of posture on the thickness of transversus abdominis in pain-free subjects", Man Ther, 14(6), pp.679~684 (2009)
  30. Root L, "Hip adductor transfer compared with adductor tenotomy in cerebral palsy", J Bone Joint Surg Am, 63(5), pp.767~772 (1981)
  31. Sahrmann SA., "Movement as a Cause of Musculoskeletal pain. Integrating Approaches", Proceedings of the Eighth Biennial Conference of the Manipulative Physiotherapists, Sydney, pp.2~4 (1993), Association of Australia
  32. Sashika H, "Home program of physical therapy: Effect on disabilities of patients with total hip arthroplasty", Arch Phys Med Rehabil, 77(3), pp.273~277 (1996)

관련 논문AI추천

Effect of Contralateral Hip Adduction on Activity of Lumbar Stabilizers and Pelvic Lateral Tilting During Hip Abduction in Side-Lying권오윤, 김효언, 신헌석, 이충휘, 최흥식한국전문물리치료학회 · 한국전문물리치료학회지2013 · 제20권 제4호Effects of Lumbar Stabilization Using Pressure Biofeedback Unit During Hip Abduction in Side-Lying in Patients With Low Back Pain서영택, 천승철한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제2호옆으로 누워 엉덩관절 벌림운동 시 복부드로우-인, 복부브레이싱, 골반압박벨트가 중간볼기근과 몸통 근육의 활성도에 미치는 영향김동우, 김태호한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제1호Effects of Three Different Hip Positions in Frontal Plane on Activity of Abdominal Muscles During Active Straight-Leg Raise김기송, 윤태림한국전문물리치료학회 · 한국전문물리치료학회지2013 · 제20권 제3호바로 누운 자세에서 하지 등척성 수축이 정상 성인의 반대측 체간 근활성도에 미치는 영향박현주, 심선미, 오덕원, 최종덕한국전문물리치료학회 · 한국전문물리치료학회지2012 · 제19권 제3호등척성 엉덩관절 모음 및 벌림 시 골반 벨트가 엉덩관절 근육의 근력과 복부 근육 근 활성도에 미치는 영향강민혁, 오재섭한국전문물리치료학회 · 한국전문물리치료학회지2017 · 제24권 제2호

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