골반압박벨트 착용이 한발서기 시 여성 천장관절통증 환자의 체간과 고관절 신전근 활성 양상에 미치는 영향
Effects of Applying the Pelvic Compression Belt on the Trunk and Hip Extensor Electromyography Pattern in Female Patients With Sacroiliac Joint Pain During the One-Leg Standing
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
The pelvic compression belt (PCB) contributes to improving sacroiliac joint stability, and it has been used as an additional therapeutic option for patients with sacroiliac joint pain (SIJP). This study aimed to investigate whether the muscle activation patterns of the supporting leg was different between asymptomatic subjects and subjects with SIJP during one-leg standing, and how it changes with the PCB. 15 subjects with SIJP and 10 asymptomatic subjects volunteered to participate in this study. Surface electromyography (EMG) data (reaction time [RT] and muscle activation) were collected from the internal oblique, lumbar multifidius, gluteus maximus and biceps femoris muscles during one-leg standing with and without the PCB. Without the PCB condition, in the SIJP group, the biceps femoris muscle showed the fastest RT among all muscles (p<.05), whereas in the asymptomatic group, the RT of the internal oblique muscle was the most rapid (p<.05). In condition without the PCB, the biceps femoris EMG amplitudes in the SIJP group were significantly greater than that in the asymptomatic group (p<.05). After the application of the PCB, the RT of the biceps femoris muscle was significantly increased only in the SIJP group (p<.05). Moreover, the biceps femoris EMG amplitudes significantly decreased and the gluteus maximus EMG amplitudes significant increased only in the SIJP group by applying the PCB (p<.05). However, this had no such effect on the gluteus maximus and biceps femoris EMG patterns in the asymptomatic group (p>.05). Thus, this study supports the applying the PCB to patients with SIJP can be used as a helpful option to modify the activation patterns of the gluteus maximus and biceps femoris muscle.
Abstract
The pelvic compression belt (PCB) contributes to improving sacroiliac joint stability, and it has been used as an additional therapeutic option for patients with sacroiliac joint pain (SIJP). This study aimed to investigate whether the muscle activation patterns of the supporting leg was different between asymptomatic subjects and subjects with SIJP during one-leg standing, and how it changes with the PCB. 15 subjects with SIJP and 10 asymptomatic subjects volunteered to participate in this study. Surface electromyography (EMG) data (reaction time [RT] and muscle activation) were collected from the internal oblique, lumbar multifidius, gluteus maximus and biceps femoris muscles during one-leg standing with and without the PCB. Without the PCB condition, in the SIJP group, the biceps femoris muscle showed the fastest RT among all muscles (p<.05), whereas in the asymptomatic group, the RT of the internal oblique muscle was the most rapid (p<.05). In condition without the PCB, the biceps femoris EMG amplitudes in the SIJP group were significantly greater than that in the asymptomatic group (p<.05). After the application of the PCB, the RT of the biceps femoris muscle was significantly increased only in the SIJP group (p<.05). Moreover, the biceps femoris EMG amplitudes significantly decreased and the gluteus maximus EMG amplitudes significant increased only in the SIJP group by applying the PCB (p<.05). However, this had no such effect on the gluteus maximus and biceps femoris EMG patterns in the asymptomatic group (p>.05). Thus, this study supports the applying the PCB to patients with SIJP can be used as a helpful option to modify the activation patterns of the gluteus maximus and biceps femoris muscle.
참고문헌 (38)
- Beimborn D, "A review of the literature related to trunk muscle performance", Spine, 13(6), pp.655~660 (1988)
- Cappellini G, "Motor patterns in human walking and running", J Neurophysiol, 95(6), pp.3426~3437 (2006)
- Chance⎼Larsen K, "Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris", Man Ther, 15(1), pp.61~65 (2010)
- 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
- Damen L, "Does a pelvic belt influence sacroiliac joint Laxity", Clin Biomech, 17(7), pp.495~498 (2002)
- Dankaerts W, "Reliability of EMG measurements for trunk muscles during maximal and sub-maximalvoluntary isometric contractions in healthy controls and CLBP patients", J Electromyogr Kinesiol, 14(3), pp.333~342 (2004)
- De Groot M, "The active straight leg raising test (ASLR) in pregnant women: Differences in muscle activity and force between patients and healthy subjects", Man Ther, 13(1), pp.68~74 (2008)
- Gibbons SGT, "Functional anatomy of gluteus maximus: Deep sacral gluteus maximus - a new muscle", 5th Interdisciplinary World Congress on Low Back Pain (2004)
- Hodges P, "Contraction of the abdominal muscles associated with movement of the lower limb", Phys Ther, 77(2), pp.132~142 (1997)
- Hossain M, "A biomechanical model of sacro-iliac joint dysfunction as acause of low back pain", J Bone Joint Surg Br, 90B(Suppl 2), pp.222~223 (2008)
- Hu H, "Muscle activity during the active straight leg raise (ASLR), and the effects of a pelvic belt on the ASLR and on treadmill walking", J Biomech, 43(3), pp.532~539 (2010)
- Hungerford B, "Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain", Spine, 28(14), pp.1593~1600 (2003)
- Hungerford B, "Altered patterns of pelvic bone motion determined in subjects with posterior pelvic pain using skin markers", Clin Biomech, 19(5), pp.456~464 (2004)
- Hungerford BA, "Evaluation of the ability of physical therapists to palpate intra pelvic motion with the Stork test on the support side", Phys Ther, 87(7), pp.879~887 (2007)
- Janssen I, "Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr", J Appl Physiol, 89(1), pp.81~88 (2000)
- Kendall FP, "Muscles: Testing and function with posture and pain. 5th ed", pp.167~234 (2005), Lippincott Williams and Wilkins
- Laslett M, "Evidence-based diagnosis and treatment of the painful sacroiliac joint", J Man Manip Ther, 16(3), pp.142~152 (2008)
- Laslett M, "Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests", Man Ther, 10(3), pp.207~218 (2005)
- Laslett M, "The reliability of selected pain provocation tests for sacroiliac joint pathology", Spine, 19(11), pp.1243~1249 (1994)
- Lee DG., "The Pelvic Girdle", pp.81~132 (2004), Churchill Livingstone
- Liebenson C, "The relationship of the sacroiliac joint, stabilization musculature, and lumbo-pelvic instability", J Bodyw Mov Ther, 8(1), pp.43~45 (2004)
- Maigne JY, "Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain", Spine, 21(16), pp.1889~1892 (1996)
- Mens JM, "The mechanical effect of a pelvic belt in patients with pregnancy-related pelvic pain", Clin Biomech, 21(2), pp.122~127 (2006)
- Mens JM, "Reliability and Validity of the Active Straight Leg Raise Test in Posterior Pelvic Pain Since Pregnancy", Spine, 26(10), pp.1167~1171 (2001)
- Pel JJ, "Biomechanical model study of pelvic belt influence on muscle and ligament forces", J Biomech, 41(9), pp.1878~1884 (2008)
- Pool⎼Goudzwaard AL, "Insufficient lumbopelvic stability: A clinical, anatomical and biomechanical approach to ‘a-specific’ low back pain", Man Ther, 3(1), pp.12~20 (1998)
- Prather H, "Conservative management of low back pain, Part 1. Sacroiliac joint pain", Dis Mon, 50(12), pp.670~683 (2004)
- Richardson CA, "The relation between the transversus abdomonis muscles, sacroiliac joint mechanics, and low back pain", Spine, 27(4), pp.399~405 (2002)
- Rogers MW, "Patterns of muscle activation accompanying transitions in stance during rapid leg flexion", J Electromyogr Kinesiol, 3(3), pp.149~156 (1993)
- Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndrome", pp.121~192 (2002), Mosby
- Schwarzer AC, "The sacroiliac joint in chronic low back pain", Spine, 20(1), pp.31~37 (1995)
- Silfies SP, "Differences in feedforward trunk muscle activity in subgroups of patients with mechanical low back pain", Arch Phys Med Rehabil, 90(7), pp.1159~1169 (2009)
- Slipman CW, "Sacroiliac joint syndrome", Pain Physician, 4(2), pp.143~152 (2001)
- Snijders CJ, "EMG recordings of abdominal and back muscles in various standing postures: Validation of a biomechanical model on sacroiliac joint stability", J Electromyogr Kinesiol, 8(4), pp.205~214 (1998)
- Takasaki H, "The influence of increasing sacroiliac joint force closure on the hip and lumbar spine extensor muscle firing pattern", Man Ther, 14(5), pp.484~489 (2009)
- Vleeming A, "An integrated therapy for peripartum pelvic instability: A study of the biomechanical effects of pelvic belts", Am J Obstet Gynecol, 166(4), pp.1243~1247 (1992)
- Vleeming A, "The function of the long dorsal sacroiliac ligament: Its implication for understanding low back pain", Spine, 21(5), pp.556~562 (1996)
- Wingerden JP, "A functional-anatomical approach to the spine-pelvis mechanism: Interaction between the biceps femoris muscle and the sacrotuberous ligament", Eur Spine J, 2(3), pp.140~144 (1993)
