DOI QR코드

DOI QR Code

Effects of the PNF Stabilization Technique for the Hip Joint and the Bridging Exercise on the Trunk Stabilizer Muscles in Healthy Adults

고관절에 적용한 PNF 안정화 기법과 교각운동이 요부안정화 근육에 미치는 영향

  • 김용훈 (마산대학교 물리치료과) ;
  • 정주현 (김해대학교 물리치료과)
  • Received : 2016.11.24
  • Accepted : 2016.12.01
  • Published : 2017.04.30

Abstract

Purpose: The purpose of this study was to examine the effects of the PNF stabilization technique for the hip joint and the bridging exercise on the trunk stabilizer muscles in healthy adults. Methods: Twenty-eight healthy adults were randomly allocated to either a PNF stabilization exercise group (n = 12) or a bridging exercise group (n = 16). The outcome measures included the contraction thickness ratio in the transversus abdominis (TrA), internal oblique (IO), and external oblique (EO), and the TrA lateral slide was assessed during the abdominal drawing-in maneuver using b-mode ultrasound. The researcher measured the abdominal muscle thickness of each participant before the therapist began the intervention and at the moment that the intervention was applied. Between-group comparisons were performed using the Mann-Whitney U test. The level of statistical significance was set at 0.05. Results: The PNF intervention program showed a significant increase in the trunk stabilizer muscle. The percentage of change in the TrA thickness showed a significant interaction between intervention. However, there were no significant differences in the IO and EO between the two groups. Conclusion: The PNF stabilization technique for the hip joint can be used effectively to improve the IO and TrA muscles in healthy adults.

Keywords

References

  1. Adler SS, Beckers D, Buck M. PNF in practice an illustrated guide, 2nd ed. Berlin. Springer-Verlag. 2002.
  2. Hodges PW, Pengel LH, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27(6):682-692. https://doi.org/10.1002/mus.10375
  3. van Dijke GAH, Snijders CJ, Stoeckart R, et al. A biomechanicl model on muscle forces in the transter of spinal load to the pelvis and legs. Journal of Biomechanics. 1999;32(9):927-933. https://doi.org/10.1016/S0021-9290(99)00085-8
  4. Jeon HJ. Comparative study of chopping and lifting pattern of proprioceptive neuromuscular facilitation versus trunk exercise program for the management of chronic low back pain. Eulji University. Dissertation of Master's Degree. 2008.
  5. Jeon HY. The effects of a bridging exercise on body shape changes and foot pressure distribution. Dongshin University. Dissertation of Doctorate. 2010.
  6. Kim JH. Comparing the effects of two different lumbar stabilization exercises on the cross sectional area of the lumbar multifidus muscle in patients with low back pain. Sahmyook University. Dissertation of Master's Degree. 2008.
  7. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques, 4th ed. Philadelphia. FA Davis. 2002.
  8. Kwon NH, Lee HO, Park DJ. The use of real-time ultrasound imaging for feedback during abdominal hollowing. Journal of the Korean Society of Physical Medicine. 2011;6(3):303-310.
  9. Lee CW, Kim JS, Lee IS. The effects of combination patterns of proprioceptive neuromuscular facilitation and ball exercise on pain and balance in chronic low back pain patients. Journal of the Korean Society of Physical Medicine. 2012;7(1):1-9. https://doi.org/10.13066/kspm.2012.7.1.001
  10. Lee SY. The correlation of hip abductor, adductor and abdominis, low limb muscle activation during bridging exercise with hip abductor and adductor contraction. Journal of the Korean Society of Physical Medicine. 2012;7(2):199-203. https://doi.org/10.13066/kspm.2012.7.2.199
  11. Lee YJ. The effects of the PNF techniques on lumbar stability and the functional activity in chronic low back pain patients. Dongshin University. Dissertation of Master's Degree. 2009.
  12. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercise on and off a swiss ball. Chiroprpractic & Osteopathy. 2005;13(1):14-21. https://doi.org/10.1186/1746-1340-13-14
  13. Lindh, M. Biomechanics of lumbar spine: in Nordin M, Frankel V.H., ed. Basic biomechanics of musculoskeletal system, 2nd ed. Philadelphia. Lea and Febiger. 1989.
  14. Marshall PW, Murphy BA. Core stability exercises on and off a swiss ball. Archive of Physical Medicine Rehabilitation. 2005;86(2):242-249. https://doi.org/10.1016/j.apmr.2004.05.004
  15. Park DJ. The effect of real-time ultrasound imaging feedback during abdominal hollowing in four point kneeling to healthy men. Journal Korean Society of Physical Therapy. 2010;22(6):1-6.
  16. Springer BA, Mielcarek BJ, Nesfield TK, et al. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(5):289-297. https://doi.org/10.2519/jospt.2006.2217
  17. Stevens VK, Bouche KG, Mahiru NN, et al. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskeletal Disorders. 2006;7(75):1-8. https://doi.org/10.1186/1471-2474-7-1
  18. Teyhen DS, Gill NW, Whittaker JL, et al. Rehabilitative ultrasound imaging of the abdominal muscles. Journal of Orthopaedic & Sports Physical Therapy. 2007; 37(8):450-466. https://doi.org/10.2519/jospt.2007.2558