Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Active and Passive Hamstring Stretching on Pelvic Mobility in Low Back Pain Patients

뒤넙다리근 능동과 수동신장 운동이 요통 환자의 골반 가동성에 미치는 영향

  • Jung, Seung-Hwa (Department of Physical Therapy, The Graduate School of Medical Science, Konyang University) ;
  • Park, Dae-Sung (Department of Physical Therapy, Konyang University)
  • 정승화 (건양대학교 물리치료학과 일반대학원) ;
  • 박대성 (건양대학교 물리치료학과)
  • Received : 2020.07.27
  • Accepted : 2020.10.28
  • Published : 2021.02.28
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Abstract

PURPOSE: Hamstring muscle shortening is related to low back pain, and it is important to check the hamstring muscle flexibility and pelvic mobility to analyze the effects of the intervention. This study examined the effects of hamstring muscle shortening on flexibility and pelvic mobility according to the method of stretching the hamstring muscle in patients with low back pain. METHODS: Forty Low Back Pain Patients participated. The subjects performed the Visual Analogue Scale (VAS), Fear Avoidance Belief Questionnaire (FABQ), Korean version of Oswestry Disability Index (KODI), Myovision, and sensbalance therapy cushion (pelvic mobility, proprioception). The subjects were divided into two groups to perform the passive and active stretching protocol. The intervention was conducted three times a week for four weeks. RESULTS: Hamstring muscle flexibility was increased significantly in both groups (p < .05), and there was no difference between the groups. VAS, FABQ was decreased significantly in both groups (p < .01), and there was no difference between the groups. The left lower back muscle impedance was decreased significantly in both groups (p < .05). The passive stretching group showed a significant increase in the pelvic anterior, posterior, and left tilt ROM (p < .05). The active stretching group showed a significant increase in the pelvic anterior, posterior tilt ROM (p < .05). CONCLUSION: Both stretching methods may be useful intervention methods for pelvic mobility and pain recovery and can assess back pain recovery.

Keywords

References

  1. Kim HJ. A Study on the influence of hamstring stretching on high school soccer players' basic motor ability and soccer skill. Master's Degree. Kyungsung University. 2010.
  2. Vleeming A, Van Wingerden JP, Snijders CJ, et al. Load application to the sacrotuberous ligament; influences on sacroiliac joint mechanics. Clin Biomech. 1989;4(4): 204-9. https://doi.org/10.1016/0268-0033(89)90003-X
  3. Johnson EN, Thomas JS. Effect of hamstring flexibility on hip and lumbar spine joint excursions during forward-reaching tasks in participants with and without low back pain. Arch Phys Med Rehabil. 2010;91(7):1140-2. https://doi.org/10.1016/j.apmr.2010.04.003
  4. Barash HL, Galante JO, Lambert CN, et al. Spondylolisthesis and tight hamstrings. J Bone Joint Surg Am. 1970;52(7):1319-28. https://doi.org/10.2106/00004623-197052070-00004
  5. Kim SY. Comparison of six tests for assessing hamstring muscle length. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 1999;5(1):39-51.
  6. Lee SC, Lee DT. Effects of exercise therapy on lower back pain patients. Health & Sports Medicine; Official Journal of KACEP. 2007;9(2):69-78.
  7. Lopez-Minarro P, Muyor J, Belmonte F, et al. Acute effects of hamstring stretching on sagittal spinal curvatures and pelvic tilt. J Hum Kinet. 2012;31:69-78. https://doi.org/10.2478/v10078-012-0007-7
  8. Han SW, Kong SA, Lee JH. The effect of muscle strength, endurance and flexibility on Graded Low back exercise and education of chronic low back pain patents. Journal of Korean Physical Therapy Science. 2002;9(2):27-36.
  9. Pfingsten M, Kroner-Herwig B, Leibing E, et al. Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Eur J Pain. 2000;4(3):259-66. https://doi.org/10.1053/eujp.2000.0178
  10. Langrana NA, Lee CK. Isokinetic evaluation of trunk muscles. J Spine. 1984;9(2):171-5. https://doi.org/10.1097/00007632-198403000-00007
  11. Croisier JL. Factors associated with recurrent hamstring injuries. Sports Med. 2004;34(10):681-95. https://doi.org/10.2165/00007256-200434100-00005
  12. Ogura Y, Miyahara Y, Naito H, et al. Duration of static stretching influences muscle force production in hamstring muscles. J Strength Cond Res. 2007;21(3):788-92. https://doi.org/10.1519/R-18785.1
  13. Schilling BK, Stone MH. Stretching: acute effect on strength and power performance. Strength Cond J. 2000;22(1):44-7. https://doi.org/10.1519/1533-4295(2000)022<0044:SAEOSA>2.0.CO;2
  14. An CS. The effects of hamstring stretching exercise on angle of lumbar flexion and pain reduction with chronic low back patients. Journal of Korean Physical Therapy. 2005;17(4):559-67.
  15. White SG, Sahrmann SA. A movement system balance approach to management of musculoskeletal pain. Physical therapy of the cervical and thoracic spine. 1994;2:339-57.
  16. Li Y, McClure PW, Pratt N. The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending. Physical therapy. 1996;76(8):836-45. https://doi.org/10.1093/ptj/76.8.836
  17. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndromes. 1st ed. St Louis: Mosby. 2002.
  18. Kisner C, Colby LA. Therapeutic exercise foundations and techniques(3rd). JP, F.A. Davis Company. 1996.
  19. Park MC, Lee MH, Goo BO, Bae SS. A comparison of Passive and Active Stretching on Hamstring Flexibility. J Korean Soc Phys Med. 2008;3(1):57-62.
  20. Kim JH, Kim TH. Immediate effects of stretching on hamstring stiffness. Journal of Korean Physical Therapy. 2010;22(1):1-7.
  21. Meroni R, Cerri CG, Lanzarini C, et al. Comparison of active stretching technique and static stretching technique on hamstring flexibility. Clin J Sport Med. 2010;20(1):8-14. https://doi.org/10.1097/JSM.0b013e3181c96722
  22. Bandy WD, Irion JM, Briggler M. The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. J Orthop Sports Phys Ther. 1998;27(4):295-300. https://doi.org/10.2519/jospt.1998.27.4.295
  23. Kim SY, Seo JC, Seo YJ, et al. The effect of korean medical treatment with postural yinyang correction of temporomandibular Joint on chronic low back pain. Korean J Acupunct. 2016;33(4):157-65. https://doi.org/10.14406/acu.2016.018
  24. Cameron DM, Bohannon RW. Relationship between active knee extension and active straight leg raise test measurements. J Orthop Sports Phys Ther. 1993;17(5): 257260.
  25. Reurink G, Goudswaard GJ, Oomen HG, et al. Reliability of the active and passive knee extension test in acute hamstring injuries. Am J Sports Med. 2013;41(8):1757-1761. https://doi.org/10.1177/0363546513490650
  26. Price DD, McGrath PA, Rafii A et al. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56. https://doi.org/10.1016/0304-3959(83)90126-4
  27. Joo MK, Kim TY, Kim JT, Kim SY. Reliability and validity of the Korean version of the fear-avoidance beliefs questionnaire. Physical Therapy Korea. 2009;16(2):24-30.
  28. Kim DY, Lee SH, Lee HY, et al. Validation of the Korean version of the oswestry disability index. J Spine. 2005; 30(5):E123-7. https://doi.org/10.1097/01.brs.0000157172.00635.3a
  29. Kim GE, Yun DU, An YJ, et al. Reliability and validity of new evaluation methods using static surface electromyography in persons with neck pain. Phys Ther Rehabil Sci. 2019;8(1):1-7 https://doi.org/10.14474/ptrs.2019.8.1.1
  30. Jung SH, Park DS. Reliability and Validity of the Measurement of Pelvic Movement in Low Back Pain Patients using Cushion Sensor in Sitting Position. J Korean Soc Phys Med. 2020;15(2):83-91. https://doi.org/10.13066/kspm.2020.15.2.83
  31. Winters MV, Blake CG, Trost JS, et al. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: a randomized clinical trial. Phys Ther. 2004;84(9):800-7. https://doi.org/10.1093/ptj/84.9.800
  32. Nelson RT, Bandy WD. Eccentric training and static stretching improve hamstring flexibility of high school males. J Athl Train. 2004;39(3):254-258.
  33. De Deyne, P. G. Application of passive stretch and its implications for muscle fibers. Phys Ther. 2001;81(2): 819-27. https://doi.org/10.1093/ptj/81.2.819
  34. Kandel ER, Schwartz JH, Jessell TM. Principles of neural science (Vol. 4). New York. McGraw-hill. 2000.
  35. Kwag KI, Lim JH. The Effects of Stabilization Exercise and Stretching Exercise on Muscle Strength and Pain of Patients with Lower Back Pain. J Korean Acad Clin Electrophys. 2011;9(2):39-46. https://doi.org/10.5627/KACE.2011.9.2.039
  36. Kim JD. Effect of stretching exercise on the reducation of pain with low back pain. Kyunghee University. Dissertation of Master's Degree. 1999.
  37. Choi IS, Jang HJ, Kim SY. Regression analysis of the relationship among the level of pain and dysfunction and psychosocial factors in patients with chronic back pain. Phys Ther Korea. 2016;23(1):38-45. https://doi.org/10.12674/ptk.2016.23.1.038
  38. Won JI. Comparison of the relationship between impairment, disability and psychological factors according to the difference of duration of low back pain. Phys Ther Korea. 2011;18(3):76-84.
  39. Lee SH, Park JW. The study of factors affecting functional disability of the low back pain patients using oswestry disability index (ODI) assessment tool. Korean Jorthop Manu Ther. 2007;13(1):18-25.
  40. Hwang HS. The effect of stretching type on hamstring flexibility. J Int Acad Phys Ther Res. 2018;9(2):1461-7. https://doi.org/10.20540/JIAPTR.2018.9.2.1461
  41. Kim TE, Choi BR. The Immediate Effects of Hamstring Eccentric Exercise and Static Stretching on Trunk Forward Bending. Physical Therapy Korea. 2019;26(3):32-41. https://doi.org/10.12674/ptk.2019.26.3.032
  42. Jeong YJ, Youn JH, Kim GY. The Effects of Altered Surface conditions on Balance Ability for the Patients with Hemiplegia. Journal of Korean Physical Therapy Science. 2008;15(1):67-74.
  43. Konradsen L. Factors contributing to chronic ankle instability: kinesthesia and joint position sense. J Athl Train. 2002;37(4):381.