Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Immediate Effect of Hip Joint Exercise Program on Low Back Pain and Performance Level in Amateur Golfers with Chronic Low Back Pain

고관절 운동 프로그램이 만성 요통이 있는 아마추어 골퍼의 통증과 골프수행 수준에 미치는 즉각적인 효과

  • Jang, Se-Hee (Dept. of Physical Therapy, Graduate School of Health and Medicine, Deajeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Health and Medical Science, Deajeon University)
  • 장세희 (대전대학교 보건의료대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2017.10.17
  • Accepted : 2017.11.27
  • Published : 2018.02.28
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Abstract

PURPOSE: This study investigated the influence of a specific hip joint exercise program on the characteristics of chronic low back pain (LBP), hip joint range of motion (ROM), and performance level in amateur golfers with LBP. METHODS: The study included 28 adult male amateur golfers with LBP and reduced internal rotation (IR) of the lead side hip joint. Subjects were randomly assigned to an experimental (EG) (n=14) or control group (CG) (n=14). The Numerical Rating Scale score for pain, ROM of the hip joint and trunk rotation, performance parameters for golfing were evaluated. A specific exercise program designed to improve IR of the lead side hip joint was performed by the EG, but not the CG. Post-intervention evaluation was performed and the collected data were analyzed. RESULTS: After the intervention, the severity of LBP was significantly reduced (p<.05) and the IR ROM of the lead side hip joint was significantly increased (p<.01) in the EG. Moreover, the trunk rotation range was significantly increased in the EG (p<.01). The drive distance was significantly difference between the EG and CG (p<.05). CONCLUSION: A specific hip joint exercise program can help to reduce pain level and improve performance level in amateur golfers with LBP and increased IR ROM of the lead side hip joint. A significant increase in ROM of the lead side hip joint reduce LBP and was related to driving distance in the EG.

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References

  1. Almeida GPL, De Souza VL, Sano SS, et al. Comparison of hip rotation range of motion in judo athletes with and without history of low back pain. Man Ther. 2012;17(3):231-5. https://doi.org/10.1016/j.math.2012.01.004
  2. Bagwell JJ, Bauer L, Gradoz M, et al. The reliability of Faber test hip range of motion measurement. Int J Sports Phys Ther. 2016;11(7):1101-5.
  3. Bremner CB, Girouard TJ, Samuel MN, et al. The acute effect of hip external rotator stretches on hip internal rotation range of motion. Int J Exercise Sci. 2015;8(1):75-84.
  4. Burns S, Mintken P, Austin G, et al. Short-term response of hip mobilizations and exercise in individuals with chronic low back pain: A case series. J Man Manip Ther. 2011;19(2):100-7. https://doi.org/10.1179/2042618610Y.0000000007
  5. Cabri J, Sousa JP, Kots M, et al. Golf-related injuries: A systematic review. Eur J Sport Sci. 2009;9(6):353-66. https://doi.org/10.1080/17461390903009141
  6. Chaitow L. Muscle Energy Techniques (3rded). Korea. Gun Ja. 2008.
  7. Chesworth BM, Padfield BJ, Helewa A, et al. A comparison of hip mobility in patients with low back pain and matched healthy subjects. Physiother. Can. 1994; 46(4):267-74.
  8. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine. 2005;30(11):1331-4. https://doi.org/10.1097/01.brs.0000164099.92112.29
  9. Clarkson HM. Evaluation of Musculoskeletal System (2nded). Korea. YeongMun. 2004.
  10. Ellison JB, Rose SJ, Sahrmann SA. Patterns of hip rotation range of motion: A comparison between healthy subjects and patients with low back pain. Phys. Ther. 1990;70(9):537-41. https://doi.org/10.1093/ptj/70.9.537
  11. Evans K, Refshauge KM, Adams R, et al. Predictors of low back pain in young elite golfers: A preliminary study. Phys Ther Sport. 2005;6(3):122-30. https://doi.org/10.1016/j.ptsp.2005.05.003
  12. Gergley JC. Acute effects of passive static stretching during warm-up on driver club head speed, distance, accuracy, and consistent ball contact in young male competitive golfers. J. Strength Cond. Res. 2009;23(3):863-7. https://doi.org/10.1519/JSC.0b013e3181a00c67
  13. Hyong IH. A study of foot shape and low back pain, hip abduction muscle and ankle lateral injury. J Korean Soc Phys Med. 2008;3(2):127-33.
  14. Kendall K, Schmidt C, Ferber R, et al. The relationship between hip abductor muscle strength and magnitude of pelvic drop following a 3 week strengthening protocol in non-specific low back pain patients. J Sport Rehabil. 2010;19:422-35. https://doi.org/10.1123/jsr.19.4.422
  15. Kim KJ. Effects of golf specific warm-up on flexibility and driver performance in high school elite golf players. Science E. 2014;23(2):109-17.
  16. Kim SK, Kim WB, Ryu YU. Relationship between hip medial rotation range of motion and weight distribution in patients with low back pain. J Korean Soc Phys Med. 2014;9(3):279-84. https://doi.org/10.13066/kspm.2014.9.3.279
  17. Lee GC, Bae WS, Kim CH. The effects of bridge exercise with contraction of hip adductor muscles on thickness of abdominal muscles. J Korean Soc Phys Med. 2014;9(2):233-42. https://doi.org/10.13066/kspm.2014.9.2.233
  18. Lee SW, Kim SY. Effects of hip exercises for chronic low-back pain patients with lumbar instability. J Phys Ther Sci. 2015;27(2):345-8. https://doi.org/10.1589/jpts.27.345
  19. Lee SY. The correlation of hip abductor, adductor and abdominis, low limb muscle activation during bridging exercise with hip abductor and adductor contraction. J Korean Soc Phys Med. 2012;7(2):199-203. https://doi.org/10.13066/kspm.2012.7.2.199
  20. Lephart S, Smoliga JM, Myers JB, et al. An eight-weekgolf-specific exercise program improves physical characteristics, swing mechanics, and golf performance in recreational golfers. Strength Cond Res. 2007; 21(3):860-9.
  21. Lindsay D, Horton J. Comparison of spine motion in elite golfers with and without low back pain. J Sports Sci. 2002;20:599-605.
  22. McHardy AJ, Pollard HP, Luo K. Golf-related lower back injuries: An epidemiological survey. J Chiropr Med. 2007;6(1):20-6. https://doi.org/10.1016/j.jcme.2007.02.010
  23. Meira EP, Brumitt J. Minimizing injuries and enhancing performance in golf through training programs. Sports Health. 2010;2(4):337-44. https://doi.org/10.1177/1941738110365129
  24. Moon HJ, Goo BO. The effect of change in transversus abdominis thickness using ultrasound image during a hip adductor contraction. J Korean Soc Phys Med. 2011;6(3): 287-92.
  25. Murray E, Birley E, Twycross-Lewis R, et al. The relationship between hip rotation range of movement and low back pain prevalence in amateur golfers: An observational study. Phys Ther Sport. 2009;10(4):131-5. https://doi.org/10.1016/j.ptsp.2009.08.002
  26. Na SW, Oh DW, Park HJ. Effect of hip adductor co-contraction on trunk muscle activation during bridge exercise in healthy young individuals. J Korean Soc Phys Med. 2012;7(3):275-82. https://doi.org/10.13066/kspm.2012.7.3.275
  27. Neumann DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation (2nded). singapore. Mosby Elsevier. 2010.
  28. Nigel RT, Alison M. Effects of different warm-up programs on golf performance in elite male golfers. Int J Sports Phys Ther. 2012;7(4):38-9.
  29. Parziale JR, Mallon WJ. Golf injuries and rehabilitation. Phys Med Rehabil Clin N Am. 2006;17:589-607. https://doi.org/10.1016/j.pmr.2006.05.002
  30. Purevsuren T, Seok M, Man W, et al. Fatigue injury risk in anterior cruciate ligament of target side knee during golf swing. J Biomech. 2017;53:9-14.
  31. Vad VB, Bhat AL, Basrai D, et al. Low back pain in professional golfers: The role of associated hip and low back range-of-motion deficits. Am J Sports Med. 2004; 32(2):494-7. https://doi.org/10.1177/0363546503261729
  32. Vad VB, Gebeh A, Dines D, et al. Hip and shoulder internal rotation range of motion deficits in professional tennis players. J Sci Med Sport. 2003;6:71-5.
  33. Van Dillen LR, Bloom NJ, Gombatto SP, et al. Hip rotation range of motion in people with and without low back pain who participate in rotation-related sports. Phys Ther Sport. 2008;9(2):72-81. https://doi.org/10.1016/j.ptsp.2008.01.002
  34. Van Dillen LR, Gombatto SP, Collins DR, et al. Symmetry of timing of hip and lumbopelvic rotation motion in 2 different subgroups of people with low back pain. Arch Phys Med Rehabil. 2007;88(3):351-60. https://doi.org/10.1016/j.apmr.2006.12.021
  35. Winter S. Effectiveness of targeted home-based hip exercises in individuals with non-specific chronic or recurrent low back pain with reduced hip mobility: A randomised trial. J Back Musculoskelet Rehabil. 2015;28(4):811-25. https://doi.org/10.3233/BMR-150589