Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

The Effects of Evjenth-Hamberg Stretching on Active Range of Motion of the Hip Joint and the Pennation Angle

에비안스-함베르크 스트레칭 방법이 고관절의 능동 가동범위와 우모각에 미치는 영향

  • Chon, Seung-Chul (Dept. of Occupational Therapy, College of Health and Welfare, Woosong University) ;
  • Chang, Ki-Yeon (Dept. of Occupational Therapy, College of Health and Welfare, Woosong University)
  • 천승철 (우송대학교 보건복지대학 작업치료학과) ;
  • 장기연 (우송대학교 보건복지대학 작업치료학과)
  • Received : 2009.12.29
  • Accepted : 2010.03.22
  • Published : 2010.05.21
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effects of Evjenth-Hamberg stretching on the active range of motion (ROM) of the hip joint and the pennation angle of the semitendinosus muscle. Eighty healthy adults participated in this study. The active ROM of the hip joint was measured by a goniometer and the pennation angle of the semitendinosus muscle was measured by ultrasonographic imaging (USI). Both ROM and pennation angle were recorded before and after the static stretching and the Evjenth-Hamberg stretching, respectively. Data were analyzed using paired t-lest and independent t-test at p<.05. The results were as follows: 1) The active ROM of the hip joint increased significantly after both stretching interventions compared with the baseline (p<.001). However, the active ROM of the hip joint increased significantly in Evjenth-Hamberg stretching compared with static stretching. 2) The pennation angle decreased significantly after both stretching interventions compared with the baseline (p<.001). However, the pennation angle decreased significantly in Evjenth-Hamberg stretching compared with static stretching. 3) Reliability data showed that there was a high consistency in USl measurements (ICC=.978). Our findings suggest that the Evjenth-Hamberg stretching was more effective than static stretching in increasing the active ROM of the hip joint and decreasing the pennation angle of the semitendinosus muscle.

Keywords

References

  1. 권혁철, 정동훈, 앉은 자세와 기립 자세의 비율이 정상 성인의 체간 굴곡 유연성에 미치는 영향. 한국전문물리치료학회지. 2001;8(2):55-63.
  2. 박기영, 김현리, 이성문. 근골격계 질환에 있어 초음파검사의 유용성. 대한재활의학회지. 2000;24(6):1142-1147.
  3. 이현희, 육동원, 고의석 등. 정적 스트레칭과 에비안스-함베르크 스트레칭이 슬관절의 관절가동범위의 변화에 미치는 영향. 한국전문물리치료학회지. 2005;12(2):37-43.
  4. Abellaneda S, Guissard N, Duchateau J. The relative lengthening of the myotendinous structures in the medial gastrocnemius during passive stretching differs among individuals. J Appl Physiol. 2009;106(1):169-177 .
  5. Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther. 1997;77(10):1090-1096.
  6. Bjorklund M, Hamberg J, Crenshaw AG. Sensory adaptation after a 2-week stretching regimen of the rectus femoris muscle. Arch Phys Med Rehabil. 2001;82(9):1245-1250. https://doi.org/10.1053/apmr.2001.24224
  7. Chi-Fishman G, Hicks JE, Cintas HM, et al. Ultrasound imaging distinguishes between normal and weak muscle. Arch Phys Med Rehabil. 2004;85(6):980-986. https://doi.org/10.1016/j.apmr.2003.07.008
  8. Chleboun GS, France AR, Crill MT, et al. In vivo measurement of fascicle length and pennation angle of the human biceps femoris muscle. Cells Tissues Organs. 2001;169(4):401-409. https://doi.org/10.1159/000047908
  9. DeLateur BJ, Lehmann JF, Stonebrid JB, et al. Muscle heating in human subjects with 915 MHz. Microwave contact applicator. Arch Phys Med Rehabil. 1970;51(3):147-151.
  10. Deschenes MR, Kraemer WJ, Crivello JF, et al. The effects of different treadmill running programs on the muscle morphoiogy of adult rats. Int J Sports Med. 1995;16(5):273-277. https://doi.org/10.1055/s-2007-973004
  11. Evjenth O, Hamberg J. Muscle Stretching in Manual Therapy: A clinical manual. Sweden, Alfta Rehab, 1985.
  12. Halbertsma JP, Goeken LN. Stretching exercises: Effect on passive extensibility and stiffness in short hamstrings of healthy subjects. Arch Phys Med Rehabil. 1994;75(9):976-981.
  13. Handel M, Horstmann T, Dickhuth HH, et al. Effects of contract-relax stretching training on muscle performance in athletes. Eur J Appl Physiol Occup Physiol. 1997;76(5):400-408. https://doi.org/10.1007/s004210050268
  14. Herbert RD, Gandevia SC. Changes in pennation with joint angle and muscle torque: In vivo measurements in human brachialis muscle. J Physiol. 1995;484(Pt 2):523-532.
  15. Ito M, Kawakami Y, lchinose Y, et al. Nonisometric behavior of fascicles during isometric contractions of a human muscle. J Appl Physiol. 1998;85(4):1230-1235.
  16. Jacobson JA. Fundamentals of Musculoskeletal Ultrasound. Saunders, 2008.
  17. Kisner C, Colby LA. Therapeutic Exercise: Foundation and techniques. 4th ed. Philadelphia, F.A. Davis, 2002.
  18. Knight CA, Rutledge CR, Cox ME, et al. Effect of superficial heat, deep heat, and active exercise warm-up on the extensibility of the plantar flexors. Phys Ther. 2001;81(6):1206-1214.
  19. Koulouris G, ConneIl D. Hamstring muscle complex: An imaging review. Radiographics. 2005;25(3):571-586. https://doi.org/10.1148/rg.253045711
  20. Maganaris CN. Force-length characteristics of the in vivo human gastrocnemius muscle. Clin Anat. 2003;16(3):215-223. https://doi.org/10.1002/ca.10064
  21. Magnusson SP, Simonsen EB, Aagaard P, et al. Mechanical and physical responses to stretching with and without preisometric contraction in human skeletal muscle. Arch Phys Med Rehabil. 1996;77(4):373-378. https://doi.org/10.1016/S0003-9993(96)90087-8
  22. Mitchell FL. Elements of muscle energy techniques. In: Basmagian JV, Nyberg R, eds. Rational Manual Therapies. Baltimore, William & Wilkins, 1993.
  23. Morse Cl, Degens H, Seynnes OR, et al. The acute effect of stretching on the passive stiffness of the human gastrocnemius muscle tendon unit. J Physiol. 2008;586(1):97-106.
  24. Narici MV, Binzoni T, Hiltbrand E, et al. In vivo human gastrocnemius architecture with changing joint angle at rest and during graded isometric contraction. J Physiol. 1996;496(Pt 1):287-297.
  25. Powers S, Howley ET. Exercise Physiology: Theory and Application to Fitness and Performances. Med Sci Sports Exerc. 1995;27(3):466.
  26. Reeves ND, Narici MV. Behavior of human muscle fascicles during shortening and lengthening contractions in vivo. J Appl Physiol. 2004;95(3):1090-1096.
  27. Rubini EC, Costa AL, Games PS. The effects of stretching on strength performance. Sports Med. 2007;37(3):213-224. https://doi.org/10.2165/00007256-200737030-00003
  28. Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching: Mechanisms and clinical implications. Sports Med. 2006;36(11):929-939. https://doi.org/10.2165/00007256-200636110-00002
  29. Sherrington CS. On plastic tonus and proprioceptive reflexes. Quart J Exp Physiol. 1909;2:109-156.
  30. Smith CA. The warm-up procedure: To stretch or not to stretch. A brief review. J Orthop Sports Phys Ther. 1994;19(1):12-17.
  31. Swank AM, Funk DC, Durham MP, et al. Adding weights to stretching exercise increases passive range of motion for healthy elderly. J Strength Cond Res. 2003;17(2):374-378.
  32. Youdas JW, Krause DA, Egan KS, et al. The effect of static stretching of the calf muscle-tendon unit on active ankle dorsiflexion range of motion. J Orthop Sports Phys Ther. 2003;33(7):408-417.