The Effect of Patellar Inferior Gliding on Knee Flexion Range of Motion in Individuals With Rectus Femoris Tightness
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Background: Various methods are used for recovery of knee flexion range of motion (ROM) due to a tightened rectus femoris muscle (RFM) or limited inferior glide of the patella. Stretching methods are common interventions for restoring the tightened RFM length. Also patellar inferior gliding (PIG) technique can recover tightened RFM length too. However, effect of applying the PIG to passive knee flexion (PKF) has not been studied. Objects: The purpose of this study was to investigate the effect of combining PIG with RFM stretching for improving knee flexion ROM in subjects with RFM tightness. Methods: Twenty-six subjects with RFM tightness were recruited. Two different methods of knee stretching were tested: 1) PKF during modified Thomas test (MTT) and 2) PKF with PIG during MTT. The passive stretching forces was controlled by hand-held dynamometer. The knee flexion ROM angle was measured by a MTT with ImageJ software. Differences between the conditions with and without PIG were identified with a paired t-test. Results: The knee flexion ROM was significantly greater for PKF with PIG (114.44±9.33) than for PKF alone (108.97±9.42) (p<.001). Conclusion: A combination of passive knee flexion exercise and PIG can be more effective than PKF in increasing knee flexion ROM in individuals with RFM tightness.
Abstract
Background: Various methods are used for recovery of knee flexion range of motion (ROM) due to a tightened rectus femoris muscle (RFM) or limited inferior glide of the patella. Stretching methods are common interventions for restoring the tightened RFM length. Also patellar inferior gliding (PIG) technique can recover tightened RFM length too. However, effect of applying the PIG to passive knee flexion (PKF) has not been studied. Objects: The purpose of this study was to investigate the effect of combining PIG with RFM stretching for improving knee flexion ROM in subjects with RFM tightness. Methods: Twenty-six subjects with RFM tightness were recruited. Two different methods of knee stretching were tested: 1) PKF during modified Thomas test (MTT) and 2) PKF with PIG during MTT. The passive stretching forces was controlled by hand-held dynamometer. The knee flexion ROM angle was measured by a MTT with ImageJ software. Differences between the conditions with and without PIG were identified with a paired t-test. Results: The knee flexion ROM was significantly greater for PKF with PIG (114.44±9.33) than for PKF alone (108.97±9.42) (p<.001). Conclusion: A combination of passive knee flexion exercise and PIG can be more effective than PKF in increasing knee flexion ROM in individuals with RFM tightness.
참고문헌 (47)
- Anil Bhave, "Prescribing Quality Patellofemoral Rehabilitation Before Advocating Operative Care", Orthopedic Clinics of North America, 39(3), pp.275~285 (2008), Elsevier BV[DOI]
- Bianchi S, "Central aponeurosis tears of the rectus femoris: Sonographic findings", Skeletal Radiol, 31(10), pp.581~586 (2002)
- Björklund M, "Sensory adaptation after a 2-week stretching regimen of the rectus femoris muscle", Arch Phys Med Rehabil, 82(9), pp.1245~1250 (2001)
- Butler DS, "The Sensitive Nervous System", pp.302~303 (2000), Noigroup publications
- Cibulka MT, "Changes in innominate tilt after manipulation of the sacroiliac joint in patients with low back pain an experimental study", Phys Ther, 68(9), pp.1359~1363 (1988)
- Phyllis A Clapis, "Reliability of inclinometer and goniometric measurements of hip extension flexibility using the modified Thomas test", Physiotherapy Theory and Practice, 24(2), pp.135~141 (2009), Informa UK Limited[DOI]
- Clarkson HM, "Musculoskeletal Assessment: Joint range of motion and manual muscle strength", pp.323~324 (2000), Lippincott Williams &Wilkins
- de Lucena GL, "Prevalence and associated factors of Osgood-Schlatter syndrome in a population-based sample of Brazilian adolescents", Am J Sports Med, 39(2), pp.415~420 (2011)[DOI]
- Dejour H, "Factors of patellar instability: An anatomic radiographic study", Knee Surg Sports Traumatol Arthrosc, 2(1), pp.19~26 (1994)
- Gabbe BJ, "Reliability of common lower extremity musculoskeletal screening tests", Phys Ther Sport, 5(2), pp.90~97 (2004)
- Gajdosik RL, "Rectus femoris muscle tightness:Intratester reliability of an active knee flexion test", J Orthop Sports Phy Ther, 6(5), pp.289~292 (1985)
- Godges JJ, "The effects of two stretching procedures on hip range of motion and gait economy", J Orthop Sports Phys Ther, 10(9), pp.350~357 (1989)
- Hammer WI, "Functional Soft Tissue Examination and Treatment by Manual Methods: New perspectives", pp.463~ (2005), Jones and Barlett Publishers
- Harvey D, "Assessment of the flexibility of elite athletes using the modified Thomas test", Br J Sports Med, 32(1), pp.68~70 (1998)
- Higgins M, "Therapeutic Exercise: From theory to practice", pp.435~438 (2011), FA Davis
- Kendall FP, "Muscles: Testing and function with posture and pain", pp.359~464 (2005), Lippincott Willams &Wilkins
- Gyoung-Mo Kim, "Reliability of the modified Thomas test using a lumbo-plevic stabilization", Journal of Physical Therapy Science, 27(2), pp.447~449 (2015), Society of Physical Therapy Science[DOI]
- Kisner C, "Therapeutic Exercise: Foundations and techniques", pp.768~ (2012), FA Davis
- Klein KK, "Mechanical problems of marathoners and joggers. Cause and solution", Am Correct Ther J, 30(6), pp.187~191 (1976)
- Knott M, "Proprioceptive Neuromuscular Facilitation: Patterns and techniques", pp.98~104 (1968), Medical Department Harper & Row
- Lénárt G, "Isolated contracture of the rectus femoris muscle", Clin Orthop Relat Res, (99), pp.125~130 (1974)
- Lee LW, "Dynamic implications of hip flexion contractures", Am J Phys Med Rehabil, 76(6), pp.502~508 (1997)
- Liebenson C, "Rehabilitation of the Spine: A practitioner’s manual", pp.407~ (2007), Lippincott Wiliams & Wilkins
- Longjohn D, "Soft tissue balance of the hip", Arthroplasty, 13(1), pp.97~100 (1998)
- Loudon JK., "The relationship between static posture and ACL injury in female athletes", J Orthop Sports Phys Ther, 24(2), pp.91~97 (1996)
- Magee DJ, "Orthopedic Physical Assessment", pp.728~729 (2014), Saunders, Elsevier
- Maitland GD, "Maitland’s Peripheral Manipulation", pp.512~ (2005), Butterworth-Heinemann
- Maluf KS, "Use of a classification system to guide nonsurgical management of a patient with chronic low back pain", Phys Ther, 80(11), pp.1097~1111 (2000)
- Marjon Mason, "The Effect of Taping, Quadriceps Strengthening and Stretching Prescribed Separately or Combined on Patellofemoral Pain", Physiotherapy Research International, 16(2), pp.109~119 (2011), Wiley-Blackwell[DOI]
- McDonald CM, "Limb contractures in progressive neuromuscular disease and the role of stretching, orthotics, and surgery", Phys Med Rehabil Clin N Am, 9(1), pp.187~211 (1998)
- Nadler SF, "The crossed femoral nerve stretch test to improve diagnostic sensitivity for the high lumbar radiculopathy:2 case reports", Arch Phys Med Rehabil, 82(4), pp.522~523 (2001)
- Nene A, "Assessment of rectus femoris function during initial swing phase", Gait Posture, 9(1), pp.1~9 (1999)
- Norris CM, "Spinal stabilisation: 4. Muscle imbalance and the low back", Physiotherapy, 81(3), pp.127~138 (1995)
- Peeler J, "Reliability of the Thomas test for assessing range of motion about the hip", Phys Ther Sport, 8(1), pp.14~21 (2007)
- Jason D. Peeler, "Reliability Limits Of The Modified Thomas Test For Assessing Rectus Femoris Muscle Flexibility About The Knee Joint", Journal of Athletic Training, 43(5), pp.470~476 (2008), Journal of Athletic Training[DOI]
- Jason Peeler, "Using digital photography to document rectus femoris flexibility: A reliability study of the modified Thomas test", Physiotherapy Theory and Practice, 29(4), pp.319~327 (2012), Informa UK Limited[DOI]
- Mohammad Reza Pourahmadi, "Effects of static stretching of knee musculature on patellar alignment and knee functional disability in male patients diagnosed with knee extension syndrome: A single-group, pretest–posttest trial", Manual Therapy, 22, pp.179~189 (2016), Elsevier BV[DOI]
- Richardson C, "Changes in muscle activity during fast, alternating flexion-extension movements of the knee", Scand J Rehabil Med, 18(2), pp.51~58 (1986)
- Roberts JM, "Effect of stretching duration on active and passive range of motion in the lower extremity", Br J Sports Med, 33(4), pp.259~263 (1999)
- Schache AG, "Relation of anterior pelvic tilt during running to clinical and kinematic measures of hip extension", Br J Sports Med, 34(4), pp.279~283 (2000)
- Sara A. Scholtes, "Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests", Clinical Biomechanics, 24(1), pp.7~12 (2009), Elsevier BV[DOI]
- Smith AD, "Flexibility and anterior knee pain in adolescent elite figure skaters", J Pediatr Orthop, 11(1), pp.77~82 (1991)
- Sutherland DH, "Common gait abnormalities of the knee in cerebral palsy", Clin Orthop Relat Res, 288, pp.139~147 (1993)
- Andrew D. Vigotsky, "Acute effects of anterior thigh foam rolling on hip angle, knee angle, and rectus femoris length in the modified Thomas test", PeerJ, 3, pp.e1281~ (2015), PeerJ[DOI]
- Wiktorsson-Moller M, "Effects of warming up, massage, and stretching on range of motion and muscle strength in the lower extremity", Am J Sports Med, 11(4), pp.249~252 (1983)
- Winters MV, "Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: A randomized clinical trial", Phys Ther, 84(9), pp.800~807 (2004)
- Young W, "Acute effects of static stretching on hip flexor and quadriceps flexibility, range of motion and foot speed in kicking a football", J Sci Med Sport, 7(1), pp.23~31 (2004)
