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신경가동기법, 정적신장기법, 유지­이완기법이 뇌졸중 환자의 슬괵근 유연성에 미치는 효과 비교

Comparison of Nerve Mobilization, Static Stretching, and Hold­Relax on Hamstring Flexibility in Stroke Patients

최종덕|성재현
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2010.05|한국전문물리치료학회지 (Physical Therapy Korea)|제17권 제2호|pp. 67-74

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주제분류물리치료학

초록

The purpose of this study was to examine the acute effects of nerve mobilization, static stretching, and hold­relax on the flexibility of hamstring muscles and their surface electromyographic (EMG) responses to passive stretches in post­stroke hemiparesis. This study was a randomized cross­over trial. Fourteen subjects received three treatment sessions in random order with each consisting of ten repetitions. The treatment sessions included nerve mobilization, static stretching, and hold­relax. The treatment sessions were held at least 24 hours apart to minimize any carryover effect. The outcome was measured by the distance between the greater trochanter and lateral malleolus and hamstring EMG activity during passive knee extension stretching. Repeated­measures analysis of variance showed significant changes in hamstring flexibility and EMG activity in main effect of time pre, post and follow­up (p<.05). However, no significant differences occurred among the three stretching techniques. No technique was consistently found to be superior. The three stretching techniques in this study make it difficult to determine the most effective technique. Therefore, clinicians use nerve mobilization of effective stretching techniques with other stretching techniques.

Abstract

The purpose of this study was to examine the acute effects of nerve mobilization, static stretching, and hold­relax on the flexibility of hamstring muscles and their surface electromyographic (EMG) responses to passive stretches in post­stroke hemiparesis. This study was a randomized cross­over trial. Fourteen subjects received three treatment sessions in random order with each consisting of ten repetitions. The treatment sessions included nerve mobilization, static stretching, and hold­relax. The treatment sessions were held at least 24 hours apart to minimize any carryover effect. The outcome was measured by the distance between the greater trochanter and lateral malleolus and hamstring EMG activity during passive knee extension stretching. Repeated­measures analysis of variance showed significant changes in hamstring flexibility and EMG activity in main effect of time pre, post and follow­up (p<.05). However, no significant differences occurred among the three stretching techniques. No technique was consistently found to be superior. The three stretching techniques in this study make it difficult to determine the most effective technique. Therefore, clinicians use nerve mobilization of effective stretching techniques with other stretching techniques.

참고문헌 (31)

  1. 김용정, "신경가동기법, 정적신장기법, 수축-이완기법이 뇌졸중으로 인한 편마비 환자의 슬괵근 유연성과 보행능력에 미치는 효과", pp.2010
  2. 윤장순, "편마비 환자의 슬건근의 근력의 차이가 보행에 미치는 영향", 대한물리치료사학회지, 12(4), pp.69~77 (2005)
  3. 이창렬, "신경가동기법이 뇌졸중 환자의 족관절 저측굴근 경직에 미치는 영향", 석사, pp.2006
  4. 주민, "1개 초등학교 3학년생의 슬괵근 유연성 평가", 대한물리치료학회지, 12(1), pp.73~78 (2000), 대한물리치료학회
  5. Anderson B, "Scientific, medical, and practical aspects of stretching", Clin Sports Med., 10(1), pp.63~86 (1991)
  6. Bandy WD, "The effect of time and frequency of static stretching on flexibility of the hamstring muscles", Phys Ther., 77(10), pp.1090~1096 (1997)
  7. Barlow A, "Effect of massage of the hamstring muscles on selected electromyographic characteristics of biceps femoris during sub-maximal isometric contraction", Int J Sports Med., 28(3), pp.253~256 (2007)
  8. Brodowicz GR, "Comparison of stretching with ice, stretching with heat, or stretching alone on hamstring flexibility", J Athl Train., 31(4), pp.324~327 (1996)
  9. Burke DG, "Effects of hot or cold water immersion and modified proprioceptive neuromuscular facilitation flexibility exercise on hamstring length", J Athl Train., 36(1), pp.16~19 (2001)
  10. Butler DS, "Mobilization of the Nervous System", pp.68~69 (1991), Churchill Livingstone
  11. Chan SP, "Flexibility and passive resistance of the hamstrings of young adults using two different static stretching protocols", Scand J Med Sci Sports., 11(2), pp.81~86 (2001)
  12. Davis DS, "The effectiveness of 3 stretching techniques on hamstring flexibility using consistent stretching parameters", J Strength Cond Res., 19(1), pp.27~32 (2005)
  13. Decoster LC, "The effects of hamstring stretching on range of motion: A systematic literature review", J Orthop Sports Phys Ther., 35(6), pp.377~387 (2005)
  14. Fasen JM, "A randomized controlled trial of hamstring stretching: Comparison of four techniques", J strength Cond Res., 23(2), pp.660~667 (2009)
  15. Ford GS, "The effect of 4 different durations of static hamstring stretching on passive knee-extension range of motion", J Sport Rehabil., 14(2), pp.95~107 (2005)
  16. Funk D, "Efficacy of moist heat pack application over static stretching on hamstring flexibility", J Strength Cond Res., 15(1), pp.123~126 (2001)
  17. Funk DC, "Impact of prior exercise on hamstring flexibility: A comparison of proprioceptive neuromuscular facilitation and static stretching", J Strength Cond Res., 17(3), pp.489~492 (2003)
  18. Gajdosik RL, "Comparison of four clinical tests for assessing hamstring muscle length", J Orthop Sports Phys Ther., 18(5), pp.614~618 (1993)
  19. Gracies JM, "Pathophysiology of spastic paresis. I: Paresis and soft tissue changes", Muscle Nerve., 31(5), pp.535~551 (2005)
  20. Halbertsma JP, "Repeated passive stretching: Acute effect on the passive muscle moment and extensibility of short hamstrings", Arch Phys Med Rehabil., 80(4), pp.407~414 (1999)
  21. Handel M, "Effects of contract-relax stretching training on muscle performance in athletes", Eur J Appl Physiol Occup Physiol., 76(5), pp.400~408 (1997)
  22. Hedrick A, "Dynamic flexibility training", Strength Cond J., 22(5), pp.33~38 (2000)
  23. Holt S, "Passive resistance of hamstring muscles in children with severe multiple disabilities", Dev Med Child Neurol, 42(8), pp.541~544 (2000)
  24. Lee GP, "Effects of stretching and heat treatment on hamstring extensibility in children with severe mental retardation and hypertonia", Clin Rehabil., 22(9), pp.771~779 (2008)
  25. Lundy-Ekman L, "Neuroscience: Fundamentals for rehabilitation. 3rd ed", pp.483~484 (2007), Saunders
  26. Magnusson SP, "Viscoelastic response to repeated static stretching in the human hamstring muscle", Scand J Med Sci Sports., 5(6), pp.342~347 (1995)
  27. Patla AE, "The role of active forces and intersegmental dynamics in the control of limb trajectory over obstacles during locomotion in humans", Exp Brain Res., 106(3), pp.499~504 (1995)
  28. Shacklock M, "Neurodynamics", Physiotherapy, 81(1), pp.9~16 (1995)
  29. Shumway-Cook A, "Motor Control: Translating research into clinical practice", pp.121~122 (2007), Williams & Wilkins
  30. Spernoga SG, "Duration of maintained hamstring flexibility after a one-time modified hold-relax stretching protocol", J Athl Train., 36(1), pp.44~48 (2001)
  31. Whatman C, "Acute changes in passive stiffness and range of motion post-stretching", Physical Therapy in Sport., 7(4), pp.195~200 (2006)

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