Comparison of the Flexion-Relaxation Ratio of the Hamstring Muscle and Lumbopelvic Kinematics During Forward Bending in Subjects With Different Hamstring Muscle Flexibility
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Background: Flexion-relaxation phenomenon (FRP) was a term which refers to a sudden onset of myoelectric silence in the erector spinae muscles of the back during standing full forward flexion. Hamstring muscle length may be related to specific pelvic and trunk movements. Many studies have been done on the FRP of the erector spinae muscles. However, no studies have yet investigated the influence of hamstring muscle flexibility on the FRP of the hamstring muscle and lumbopelvic kinematics during forward bending. Objects: The purpose of this study was to examine the flexion-relaxation ratio (FRR) of the hamstring muscles and lumbopelvic kinematics and compare them during forward bending in subjects with different hamstring muscle flexibility. Methods: The subjects of two different groups were recruited using the active knee extension test. Group 1-consisted of 13 subjects who had a popliteal angle under 30°; Group 2-consisted of 13 subjects who had a popliteal angel above 50°. The kinematic parameters during the trunk bending task were recorded using a motion analysis system and the FRRs of the hamstring muscles were calculated. Differences between the groups were identified with an independent t-test. Results: The subjects with greater hamstring length had significantly less lumbar spine flexion movement and more pelvic flexion movement. The subjects with greater pelvic flexion movement had a higher rate of flexion relaxation during full trunk bending (p<.05). Conclusion: The results of this study suggest that differences in hamstring muscle flexibility might cause changes in people’s hamstring muscle activity and lumbopelvic kinematics.
Abstract
Background: Flexion-relaxation phenomenon (FRP) was a term which refers to a sudden onset of myoelectric silence in the erector spinae muscles of the back during standing full forward flexion. Hamstring muscle length may be related to specific pelvic and trunk movements. Many studies have been done on the FRP of the erector spinae muscles. However, no studies have yet investigated the influence of hamstring muscle flexibility on the FRP of the hamstring muscle and lumbopelvic kinematics during forward bending. Objects: The purpose of this study was to examine the flexion-relaxation ratio (FRR) of the hamstring muscles and lumbopelvic kinematics and compare them during forward bending in subjects with different hamstring muscle flexibility. Methods: The subjects of two different groups were recruited using the active knee extension test. Group 1-consisted of 13 subjects who had a popliteal angle under 30°; Group 2-consisted of 13 subjects who had a popliteal angel above 50°. The kinematic parameters during the trunk bending task were recorded using a motion analysis system and the FRRs of the hamstring muscles were calculated. Differences between the groups were identified with an independent t-test. Results: The subjects with greater hamstring length had significantly less lumbar spine flexion movement and more pelvic flexion movement. The subjects with greater pelvic flexion movement had a higher rate of flexion relaxation during full trunk bending (p<.05). Conclusion: The results of this study suggest that differences in hamstring muscle flexibility might cause changes in people’s hamstring muscle activity and lumbopelvic kinematics.
참고문헌 (64)
- Ahern DK, "Comparison of lumbar paravertebral EMG patterns in chronic low-back pain patients and non-patient controls", Pain, 34(2), pp.153~160 (1988)
- Alschuler KN, "Flexion-relaxation and clinical features associated with chronic low back pain : A comparison of different methods of quantifying flexion-relaxation", Clin J Pain, 25(9), pp.760~766 (2009)
- Cailliet R, "Low Back Pain Syndrome", pp.17~55 (1995), Davis Co
- Callaghan JP, "Examination of the flexion relaxation phenomenon in erector spinae muscles during short duration slumped sitting", Clin Biomech(Bistol, Avon), 17(5), pp.353~360 (2002)
- Childs JD, "A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation : A validation study", Ann Intern Med, 141(12), pp.920~928 (2004)
- Cibulka MT, "Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain", Spine(Phila Pa, 1976), 23(9), pp.1009~1015 (1998)
- Cibulka MT, "Low back pain and its relation to the hip and foot", J Orthop Sports Phys Ther, 29(10), pp.595~601 (1999)
- Congdon R, "Intrinsic and imposed hamstring length influence posterior pelvic rotation during hip flexion", Clin Biomech(Bristol, Avon), 20(9), pp.947~951 (2005)
- Dickey JP, "Repeated spinal flexion modulates the flexion-relaxation phenomenon", Clin Biomech(Bristol, Avon), 18(9), pp.783~789 (2003)
- Dewberry MJ, "Pelvic and femoral contributions to bilateral hip flexion by subjects suspended from a bar", Clin Biomech(Bristol, Avon), 18(6), pp.484~499 (2003)
- Dolan P, "Passive tissues help the back muscles to generate extensor moments during lifting", J Biomech, 27(8), pp.1077~1085 (1994)
- Edgar MA, "The nerve supply of the lumbar intervertebral disc", J Bone Joint Surg Br, 89(9), pp.1135~1139 (2007)
- Ellison JB, "Patterns of hip rotation range of motion : acomparison between healthy subjects and patients with low back pain", Phys Ther, 70(9), pp.537~541 (1990)
- 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)
- Fairbank JC, "Influence of anthropometric factors and joint laxity in the incidence of adolescent back pain", Spine (Phila Pa, 1976), 9(5), pp.461~464 (1984)
- Floyd WF, "The function of erector spinae muscles in certain movements and postures in man", J Physiol, 129, pp.184~203 (1955)
- Floyd WF, "Function of the erectores spinae in flexion of the trunk", Lancet, 1(6647), pp.133~134 (1951)
- Flynn T, "A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation", Spine(Phila Pa, 1976), 27(24), pp.2835~2843 (2002)
- Frank C, "Normal ligament properties and ligament healing", Clin Orthop Rel at Res, (196), pp.15~25 (1985)
- Gajdosik GL, "Hamstring muscle tightness. Reliability of an active knee-extension-test", Phys Ther, 63(7), pp.1085~1090 (1983)
- Gajdosik RL, "Influence of hamstring length on the standing position and flexion range of motion of the pelvic angle, lumbar angle, and thoracic angle", J Orthop Sports Phys Ther, 20(4), pp.213~219 (1994)
- Gajdosik RL, "Influence of short hamstring muscles on the pelvis and lumbar spine in standing and during the toe-touch test", Clin Biomech (Bristol, Avon), 7(1), pp.38~42 (1992)
- Golding JSR, "Electromyography of the erector spinae in low back pain", Postgrad Med J, 28, pp.401~406 (1952)
- Harris-Hayes M, "Relationship between the hip and low back pain in athletes who participate in rotation-related sports", J Sport Rehabil, 18(1), pp.60~75 (2009)
- Hicks GE, "Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program", Arch Phys Med Rehabil, 86(9), pp.1753~1762 (2005)
- Holm S, "Sensorimotor control of the spine", J Electromyogr Kinesiol, 12, pp.219~234 (2002)
- Kim MH, "Comparison of lumbopelvic rhythm and flexion-relaxation response between 2 different low back pain subtypes", Spine, 38(15), pp.1260~1267 (2013)
- Leinonen V, "Back and hip extensor activities during trunk flexion", extension : Effects of low back pain and rehabilitation, 2000, pp.81(1), 32~37
- Lundberg A, "On the use of bone and skin markers in kinematics research", Hum Mov Sci, 15(3), pp.411~422 (1996)
- Macintosh JE, "The effects of flexion on the geometry and actions of the lumbar erector spinae", Spine(Phila Pa, 1976), 18, pp.884~893 (1993)
- Paul W.M. Marshall, "The eccentric, concentric strength relationship of the hamstring muscles in chronic low back pain", Journal of Electromyography and Kinesiology, 20(1), pp.39~45 (2010), Elsevier BV[DOI]
- Mathieu PA, "EMG and kinematics of normal subjects performing trunk flexion", extensions freely in space, 2000, pp.10(3), 197~209
- Mayora-Vega D, "Validity of sit and reach with plantar flexion test in children aged 10-12 years", RIMCAFD, 15(59), pp.577~591 (2015)
- McGill SM, "Transfer of loads between lumbar tissues during the flexion relaxation phenomenon", Spine(Phila Pa, 1976), 19(19), pp.2190~2196 (1994)
- McGorry RW, "Timing of activation of the erector spinae and hamstrings during a trunk flexion and extension task", Spine(Phila Pa, 1976), 26(4), pp.418~425 (2001)
- McLain RF, "Mechanoreceptor endings in human cervical facet joints", Spine(Phila Pa, 1976), 19, pp.495~501 (1994)
- Mellin G, "Correlations of hip mobility with degree of back pain and lumbar spinal mobility in chronic low-back pain patients", Spine(Phila Pa, 1976), 13, pp.668~670 (1988)
- Mellin G., "Decreased joint and spinal mobility associated with low back pain in young adults", J Spinal Disord, 3(3), pp.238~243 (1990)
- Neumann DA, "Kinegiology of the Musculoskeletal System: Foundations for physical rehabilitation", pp.307~423 (2002), Mosby
- Xiaopeng Ning, "Influence of asymmetry on the flexion relaxation response of the low back musculature", Clinical Biomechanics, 26(1), pp.35~39 (2011), Elsevier BV[DOI]
- Nourbakhsh MR, "Relationship between mechanical factors and incidence of low back pain", J Orthop Sports Phys Ther, 32(9), pp.447~460 (2002)
- 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, pp.1238~1244 (2002)
- O’Sullivan PB, "Lumbar segmental ‘instability’ : clinical presentation and specific stabilizing exercise management", Man Ther, 5(1), pp.2~12 (2000)
- D.D. Raftopoulos, "Relaxation phenomenon in lumbar trunk muscles during lateral bending", Clinical Biomechanics, 3(3), pp.166~172 (1988), Elsevier BV[DOI]
- Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndromes", pp.121~143 (2002), Mosby
- Sarti MA, "Response of the flexion-relaxation phenomenon relative to the lumbar motion to load and speed", Spine (Phila Pa, 1976), 26(18), pp.E421~E426 (2001)
- Schultz AB, "Quantitative studies of the flexion-relaxation phenomenon in the back muscles", J Orthop Res, 3(2), pp.189~197 (1985)
- Alison Schinkel-Ivy, "Evaluation of Methods for the Quantification of the Flexion-Relaxation Phenomenon in the Lumbar Erector Spinae Muscles", Journal of Manipulative and Physiological Therapeutics, 36(6), pp.349~358 (2013), Elsevier BV[DOI]
- Alison Schinkel-Ivy, "Quantification of the Lumbar Flexion-Relaxation Phenomenon: Comparing Outcomes of Lumbar Erector Spinae and Superficial Lumbar Multifidus in Standing Full Trunk Flexion and Slumped Sitting Postures", Journal of Manipulative and Physiological Therapeutics, 37(7), pp.494~501 (2014), Elsevier BV[DOI]
- Masatoshi Sekine, "Mechanosensitive Afferent Units in the Lumbar Posterior Longitudinal Ligament", Spine, 26(14), pp.1516~1521 (2001), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Gwanseob Shin, "Creep and Fatigue Development in the Low Back in Static Flexion", Spine, 34(17), pp.1873~1878 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Shin G, "Influence of knee angle and individual flexibility on the flexion-relaxation response of the low back musculature", J Electromyogr Kinesiol, 14(4), pp.485~494 (2004)
- Shirado O, "Flexion-relaxation phenomenon in the back muscles. A comparative study between healthy subjects and patients with chronic low back pain", Am J Phys Med Rehabil, 74(2), pp.139~144 (1995)
- Shum GL, "Three-dimensional kinetics of the lumbar spine and hips in low back pain patients during sit-to-stand and stand-to-sit", Spine (Phila Pa, 1976), 32(7), pp.E211~E219 (2007)
- Sihvonen T, "Flexion relaxation of the hamstring muscles during lumbarpelvic rhythm", Arch Phys Med Rehabil, 78(5), pp.486~490 (1997)
- Solomonow M, "Biomechanics of increased exposure to lumbar injury caused by cyclic loading: Part 1. Loss of reflexive muscular stabilization", Spine (Phila Pa, 1976), 24(23), pp.2426~2434 (1999)
- Solomonow M, "Neuromuscular disorders associated with static lumbar flexion : a feline model", J Electromyogr Kinesiol, 12(2), pp.81~90 (2002)
- Soslowsky L, "Overuse activity injury in supraspinatus tendon in an animal model : A histologic and biomechanical study", J Shoulder Elbow Surg, 9(2), pp.79~84 (2000)
- Toussaint HM, "Flexion relaxation during lifting : implications for torque production by muscle activity and tissue strain at the lumbo-sacral joint", J Biomech, 28(2), pp.199~210 (1995)
- Vadivelan K, "influence of two different sitting postures on hamstring muscle flexibility in school going chilidren", Int J Physiother, 2(2), pp.459~464 (2015)
- Watson PJ, "Surface electromyography in the identification of chronic low back pain patients : The development of the flexion relaxation ratio", Clin Biomech(Bistol, Avon), 12(3), pp.165~171 (1997)
- Wong TK, "Effects of low back pain on the relationship between the movements of the lumbar spine and hip", Hum Mov Sci, 23(1), pp.21~34 (2004)
- Yamashita T, "Mechanosensitive afferent units in the lumbar facet joint", J Bone Joint Surg Am, 72(6), pp.865~870 (1990)
- Daniel Sánchez-Zuriaga, "Lumbopelvic flexibility modulates neuromuscular responses during trunk flexion–extension", Journal of Electromyography and Kinesiology, 28, pp.152~157 (2016), Elsevier BV[DOI]
