DOI QR코드

DOI QR Code

Effects of Lumbar Central Posteroanterior Mobilization on Isometric Knee Extension and Patellar Tendon Reflex Amplitude: A Pilot Study

  • Received : 2018.01.25
  • Accepted : 2018.02.26
  • Published : 2018.03.31

Abstract

The main focus of this study was to investigate effects of lumbar central posteroanterior (PA) mobilization on isometric knee extension (IKE) ability and patellar tendon reflex amplitude (PTRA) in healthy university students. University students aged 19-26 (male; 10, female; 10) without any neurological disorders participated voluntarily and excluded the subjects with abnormal reflexes. The participation had an average body mass of $64.25{\pm}13.52kg$, an average height of $1.66{\pm}0.08m$, and an average Body Mass Index (BMI) of $23.07{\pm}3.21$. Every student was randomly assigned to be received squatting exercise and PA mobilization sequentially with 5 days of wash out period. IKE and PTRA were not significantly different between the two groups after the intervention. All the outcome measures were arranged into two data groups; PA mobilization and squatting exercise data group. In the PA mobilization data group, IKE and PTRA significantly increased after the intervention, however, these aspects were decreased in the squatting exercise group. These findings suggest that IKE and PTRA increase immediately after PA mobilization, therefore PA mobilization could be a valuable topic for controlled clinical trials.

Keywords

References

  1. Scanlon VC, Sanders T. Essentials of anatomy and physiology(5th ed). Philadelphia: F.A. Davis Company. 2005.
  2. Ganong WF. Review of medical physiology(21st ed). New York: McGraw-Hill Companies Inc. 2003.
  3. Kandel ER, Schwartz JH, Jessell TM. Principles of neural science. New York: McGraw-Hill. 2000.
  4. Bickley LS, Szilagyi PG. Bates' guide to physical examination and history taking. Philadelphia, PA: Lippincott Williams and Wilkins. 2003.
  5. Frijns CJ, Laman DM, van Duijn MA, van Duijn H. Normal values of patellar and ankle tendon reflex latencies. Clin. Neurol. Neurosurg.1997; 99(1): 31-6. https://doi.org/10.1016/S0303-8467(96)00593-8
  6. Voerman GE, Gregoric M, Hermens HJ. Neurophysiological methods for the assessment of spasticity: the Hoffmann reflex, the tendon reflex, and the stretch reflex. Disabil. Rehabil. 2005; 27(2): 33-68. https://doi.org/10.1080/09638280400014600
  7. Walker HK, Hall WD, Hurst JW. Clinical methods: the history, physical and laboratory examinations. Boston: Butterworth Publisher. 1990.
  8. Applegate E. Anatomy and physiology learning system(2nd ed). Pennsylvania: Saunders Elsevier. 2000.
  9. Schwartzman RJ. Neurologic examination. Massachusetts: Blackwell Publishing. 2006.
  10. Maitland GD, Hengeveld E, Banks K, English K. Vertebral manipulation(6th ed). London: Butterworth-Heineman. 2000.
  11. Burton AK, Tillotson KM, Cleary J. Single-blind randomised controlled trial of chemonucleolysis and manipulation in the treatment of symptomatic lumbar disc herniation. Eur Spine J. 2000; 9: 202-7. https://doi.org/10.1007/s005869900113
  12. Kulig K, Landel RF, Powers CM. Assessment of lumbar spine kinematics using dynamic MRI: A proposed mechanism of sagittal plane motion induced by manual posterior-to-anterior mobilization. Journal of Orthopaedic & Sports Physical Therapy. 2004; 34(2): 57-64. https://doi.org/10.2519/jospt.2004.34.2.57
  13. Keller TS, Colloca CJ, Beliveau JG. Force-deformation response of the lumbar spine: a sagittal plane model of posteroanterior manipulation and mobilization. Clin Biomech. 2002; 17: 185-96. https://doi.org/10.1016/S0268-0033(02)00003-7
  14. Lee RYW, Evans JH. An in-vivo study of the intervertebral movements produced by posteroanterior mobilization. Clin Biomech. 1997; 12: 400-8. https://doi.org/10.1016/S0268-0033(97)00019-3
  15. McCollam RL, Benson CJ. Effects of posteroanterior mobilization on lumbar extension and flexion. J Manual Manipulative Ther. 1993; 1: 134-41. https://doi.org/10.1179/jmt.1993.1.4.134
  16. Avela J, Kyrolainen H, Komi PV. Neuromuscular changes after long lasting mechanically and electrically elicited fatigue. Eur J Appl Physiol. 2001; 85: 317-25. https://doi.org/10.1007/s004210100455
  17. Zhang LQ, Rymer WZ. Reflex and intrinsic changes induced by fatigue of human elbow extensor muscles. J Neurophysiol. 2001; 86: 1086-94. https://doi.org/10.1152/jn.2001.86.3.1086
  18. Torvinen S, Kannus P, Sievanen H, Jarvinen TAH, Pasanen M, Kontulainen S, Jarvinen TLN, Jarvinen M, Oja P, Vuori I. Effect of four-month vertical whole body vibration on performance and balance. Med. Sci. Sports Exerc. 2002; 34(9); 1523-8. https://doi.org/10.1097/00005768-200209000-00020
  19. Rubin E, Zorumski C. Adult Psychiatry: Blackwell's Neurology and Psychiatry Access Series(2nd ed). Massachusetts: Blackwell Publishing. 2005.
  20. www.sizekorea.kr
  21. Bohannon RW. Test-retest reliability of handheld dynamometry during a single session of strength assessment. Physical Therapy.1986; 66: 206-9
  22. Csuka M, McCarty DJ. Simple method for measurement of lower extremity muscle strength. American Journal of Medicine. 1985; 78: 77-81.
  23. Agre JC, Magness JL, Hull SZ, Wright KC, Baxter TL, Patterson R, Stradel L. Strength testing with a portable dynamometer: reliability for upper and lower extremities. Arch Phys Med Rehabil. 1987; 68: 454-8.
  24. Haramura M, Takai Y, Yoshimoto T, Yamamoto M, Kanehisa H. Cardiorespiratory and metabolic responses to body mass-based squat exercise in young men. J Physiol Anthropol. 2017; 36: 14-22. https://doi.org/10.1186/s40101-017-0127-9
  25. Maitland GD. Vertebral Manipulation(5th ed). London: Baltimore. 1986
  26. Lee R, Evans J. Load-displacement-time characteristics of the spine under posteroanterior mobilisation. Australian Journal of Physiotherapy. 1992; 38: 115-123. https://doi.org/10.1016/S0004-9514(14)60556-0
  27. Mokaya FO, Nguyen B, Kuo C, Jacobson Q, Rowe A, Zhang P. MARS: a muscle activity recognition system enabling self-configuring musculoskeletal sensor networks. International conference on Information processing in sensor networks. Philadelphia; 2013.
  28. Tham LK, Osman NAA, Wan Abas WAB, Lim KS. Motion analysis of normal patellar tendon reflex. Journal Canadien Des Sciences Neurologiques. 2013; 40(6); 836-841.
  29. Stam J, Tan KM. Tendon reflex variability and method of stimulation. Electromyogr Clin Neurophysiol. 1987; 67(5): 463-7. https://doi.org/10.1016/0013-4694(87)90010-1
  30. Stam J, van Crevel H. Measurement of tendon reflexes by surface electromyography in normal subjects. J Neurol. 1989; 236(4): 231-7. https://doi.org/10.1007/BF00314505
  31. Mikkelsen C, Werner S, Eriksson E. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: A prospective matched follow-up study. Knee Surgery, Sports Traumatology, Arthroscopy. 2000; 8(6): 337-342. https://doi.org/10.1007/s001670000143
  32. Maitland GD, Hengeveld E, Banks K, English K. Maitland's vertebral manipulation(6th ed). Oxford: Butterworth-Heinemann. 2001.
  33. Lee RYW, McGregor AH, Bull AMJ, Wragg P. Dynamic response of the cervical spine to posteroanterior mobilisation. Clinical Biomechanics. 2005; 20(2): 228-231. https://doi.org/10.1016/j.clinbiomech.2004.09.013
  34. Petty NJ. The effect of posteroanterior mobilisation on sagittal mobility of the lumbar spine. Manual Therapy. 1995; 1(1): pp. 25-9. https://doi.org/10.1054/math.1995.0246
  35. Lee RYW, Evans JH. An in-vivo study of the intervertebral movements produced by posteroanterior mobilization. Clin Biomech. 1997; 12: 400-8. https://doi.org/10.1016/S0268-0033(97)00019-3
  36. Gibson H, Ross J, Alien J, Latimer J, Maher C. The effect of mobilization on forward bending range. J Manual Manipulative Ther. 1993; 1: 142-7. https://doi.org/10.1179/jmt.1993.1.4.142
  37. Shum GL, Tsung BY, Lee RY. The immediate effect of posteroanterior mobilization on reducing back pain and the stiffness of the lumbar spine. Archives of Physical Medicine and Rehabilitation, 2013; 94(4): 673-679. https://doi.org/10.1016/j.apmr.2012.11.020
  38. Cochrane DJ, Stannard SR. Acute whole body vibration training increases vertical jump and flexibility performance in elite female field hockey players. British Journal of Sports Medicine. 2005; 39(11): 860-5 https://doi.org/10.1136/bjsm.2005.019950
  39. Stewart JA, Cochrane DJ, Morton RH. Differential effects of whole body vibration durations on knee extensor strength. JSAMS. 2009;12(1): 50-3.
  40. Cochrane DJ, Stannard SR, Firth EC, Rittweger J. Comparing muscle temperature during static and dynamic squatting with and without whole-body vibration. Clinical Physiology and Functional Imaging. 2010; 30(4): 223-9 https://doi.org/10.1111/j.1475-097X.2010.00931.x
  41. Cochrane DJ. The potential neural mechanisms of acute indirect vibration. Sports Sci Med. 2011; 10(1): 19-30.
  42. Rittweger J, Mutschelknauss M, Felsenberg D. Acute changes in neuromuscular excitability after exhaustive whole body vibration exercise as compared to exhaustion by squatting exercise. Clinical Physiology and Functional Imaging, 2003; 23(2): 81-86. https://doi.org/10.1046/j.1475-097X.2003.00473.x