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Effects of Three Different Hip Positions in Frontal Plane on Activity of Abdominal Muscles During Active Straight-Leg Raise

  • Yoon, Tae-Lim (Applied Kinesiology and Ergonomic Technology Laboratory, Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kim, Ki-Song (Research Institute for Basic Sciences, Dept. of Physical Therapy, College of Natural Science, Hoseo University)
  • Received : 2013.07.24
  • Accepted : 2013.09.03
  • Published : 2013.09.17

Abstract

Active straight-leg raise (ASLR) is a physical evaluation procedure to test lumbar spine stability. Several previous studies have reported various methods to control the activation of abdominal muscles during ASLR. We investigated the effects of three different hip positions in frontal plane on abdominal muscles to increase or decrease the difficulty level of lumbar spine stability exercise during ASLR in pain free subjects. Eleven young and healthy subjects voluntarily participated in this study (6 men, 5 women; mean age=$24.0{\pm}1.2$ years, height=$160.0{\pm}7.3cm$, weight=$55.0{\pm}10.6kg$, body mass index=$21.5{\pm}2.3kg/m^2$). The subjects had three trials on each ASLR with hip $10^{\circ}$ adduction, neutral hip, and hip $30^{\circ}$ abduction. Separate repeated-measures analysis of variance (ANOVA) and the post hoc Bonferroni tests (with ${\alpha}$=.05/3=.017) were performed for each muscle among the three different hip positions in frontal plane (ASLR with hip $10^{\circ}$ adduction, neutral hip, and hip $30^{\circ}$ abduction). The ipsilateral external oblique (EO), contralateral EO, ipsilateral internal oblique/transverse abdominis (IO/TrA), and contralateral IO/TrA were significantly greater in ASLR with hip $30^{\circ}$ abduction compared with ASLR with hip $10^{\circ}$ adduction. Also, the ipsilateral EO, contralateral EO, and ipsilateral IO/TrA were significantly greater in ASLR with hip $30^{\circ}$ abduction compared with ASLR with neutral hip. These results suggest that ASLR with hip $30^{\circ}$ abduction and neutral would be useful method to strengthen the EO and IO/TrA. And, ASLR with hip $10^{\circ}$ adduction would be effective in early stages of lumbar stabilization program due to low activation of EO and IO/TrA during maintaining of ASLR position with low load.

Keywords

References

  1. Beales DJ, O'ullivan PB, Briffa NK. Motor control patterns during an active straight leg raise in pain-free subjects. Spine (Phila Pa 1976). 2009; 34(1):E1-E8. https://doi.org/10.1097/BRS.0b013e318188b9dd
  2. Brown SH, McGill SM. Muscle force-stiffness characteristics influence joint stability: A spine example. Clin Biomech (Bristol, Avon). 2005; 20(9):917-922. https://doi.org/10.1016/j.clinbiomech.2005.06.002
  3. Escamilla RF, McTaggart MS, Fricklas EJ, DeWitt R, Kelleher P, Taylor MK, et al. An electromyographic analysis of commercial and common abdominal exercises: implications for rehabilitation and training. J Orthop Sports Phys Ther. 2006;36:45-57. https://doi.org/10.2519/jospt.2006.36.2.45
  4. Garcia-Vaquero MP, Moreside JM, Brontons-Gil E, et al. Trunk muscle activation during stabilization exercises with single and double leg support. J Electromyogr Kinesiol. 2012;22(3): 398-406. https://doi.org/10.1016/j.jelekin.2012.02.017
  5. Henderson, ER., Marulanda, GA, Cheong, D, Temple, HT, & Letson, GD. Hip abductor moment arm - a mathematical analysis for proximal femoral replacement. J Orthop Surg Res. 2011:25(6):6.
  6. Hu H, Meijer OG, Hodges PW, et al. Understanding the active straight leg raise (ASLR): An electromyographic study in healthy subjects. Man Ther. 2012;17(6):531-537. https://doi.org/10.1016/j.math.2012.05.010
  7. Jacobs C, Uhl TL, Seeley M, et al. Strength and fatigability of the dominant and nondominant hip abductors. J Athl Train. 2005;40(3):203-206.
  8. Kang SY, Jeon HS, Kwon OY, et al. Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions. Man Ther. 2013; 18(4):303-307. https://doi.org/10.1016/j.math.2012.11.006
  9. Kavcic N, Grenier S, McGill SM. Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises. Spine (Phila Pa 1976). 2004;29(20): 2319-2329. https://doi.org/10.1097/01.brs.0000142222.62203.67
  10. Kendall FP, McCreary EK, Provance PG. Muscles Testing and Function with Posture and Pain. 5th ed. Baltimore, MD, Lippincott williams & wilkins, 2005;176-182.
  11. Kim SJ, Kwon OY, Yi CH, et al. Comparison of abdominal muscle activity during a single-legged hold in the hook-lying position on the floor and on a round foam roll. J Athl Train. 2011; 46(4):403-408. https://doi.org/10.4085/1062-6050-46.4.403
  12. Liebenson C, Karpowicz AM, Brown SH, et al. The active straight leg raise test and lumbar spine stability. PM R. 2009;1(6):530-535. https://doi.org/10.1016/j.pmrj.2009.03.007
  13. Marshall P, Murphy B. The validity and reliability of surface emg to assess the neuromuscular response of the abdominal muscles to rapid limb movement. J Electromyogr Kinesiol. 2003;13(5): 477-489. https://doi.org/10.1016/S1050-6411(03)00027-0
  14. McGill SM, Karpowicz A. Exercises for spine stabilization: Motion/motor patterns, stability progressions, and clinical technique. Arch Phys Med Rehabil. 2009;90(1):118-126. https://doi.org/10.1016/j.apmr.2008.06.026
  15. Mens JM, Vleeming A, Snijders CJ, et al. Reliability and validity of the active straight leg raise test in posterior pelvic pain since pregnancy. Spine (Phila Pa 1976). 2001;26(10):1167-1171. https://doi.org/10.1097/00007632-200105150-00015
  16. Mens JM, Vleeming A, Snijders CJ, et al. Validity of the active straight leg raise test for measuring disease severity in patients with posterior pelvic pain after pregnancy. Spine (Phila Pa 1976). 2002;27(2):196-200. https://doi.org/10.1097/00007632-200201150-00015
  17. Mens JM, Vleeming A, Snijders CJ, et al. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J. 1999;8(6):468-473. https://doi.org/10.1007/s005860050206
  18. Ng JK, Parnianpour M, Richardson CA, et al. Functional roles of abdominal and back muscles during isometric axial rotation of the trunk. J Orthop Res. 2001;19(3):463-471. https://doi.org/10.1016/S0736-0266(00)90027-5
  19. O'Sullivan PB, Beales DJ, Beetham JA, et al. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine (Phila Pa 1976). 2002;27(1):E1-E8. https://doi.org/10.1097/00007632-200201010-00015
  20. Park KH, Ha SM, Kim SJ, et al. Effects of the pelvic rotatory control method on abdominal muscle activity and the pelvic rotation during active straight leg raising. Man Ther. 2013;18(3): 220-224. https://doi.org/10.1016/j.math.2012.10.004
  21. Potvin JR, Brown SH. An equation to calculate individual muscle contributions to joint stability. J Biomech. 2005;38(5):973-980. https://doi.org/10.1016/j.jbiomech.2004.06.004
  22. Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995;1(1):2-10. https://doi.org/10.1054/math.1995.0243
  23. Snijders CJ, Vleeming A, Stoeckart R. Transfer of lumbosacral load to iliac bones and legs part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clin Biomech (Bristol, Avon). 1993;8(6): 285-294. https://doi.org/10.1016/0268-0033(93)90002-Y
  24. Souza GM, Baker LL, Powers CM. Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises. Arch Phys Med Rehabil. 2001;82(11): 1551-1557. https://doi.org/10.1053/apmr.2001.26082
  25. Stevens VK, Bouche KG, Mahieu NN, et al. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7:75. https://doi.org/10.1186/1471-2474-7-75
  26. Stevens VK, Coorevits PL, Bouche KG, et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther. 2007;12(3): 271-279. https://doi.org/10.1016/j.math.2006.07.009
  27. Sung PS. A compensation of angular displacements of the hip joints and lumbosacral spine between subjects with and without idiopathic low back pain during squatting. J Electromyogr Kinesiol. 2013;23(3):741-745. https://doi.org/10.1016/j.jelekin.2013.02.003
  28. Teyhen DS, Williamson JN, Carlson NH, et al. Ultrasound characteristics of the deep abdominal muscles during the active straight leg raise test. Arch Phys Med Rehabil. 2009;90(5):761-767. https://doi.org/10.1016/j.apmr.2008.11.011
  29. Vera-Garcia FJ, Elvira JL, Brown SH, et al. Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol. 2007;17(5):556-567. https://doi.org/10.1016/j.jelekin.2006.07.004