The Journal of Korean Physical Therapy

  • 제34권5호
  • /
  • Pages.255-266
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  • 2022
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
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Effect of Cross-legged Sitting Posture on Joint Range of Motion: Correlation with Musculoskeletal Symptoms and Facial Asymmetry

  • Shin, Yeong hui (Department of Integrative and Alternative Medicine Major in Chiropractic, Completed School, Shinhan University)
  • 투고 : 2022.09.27
  • 심사 : 2022.10.28
  • 발행 : 2022.10.31
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초록

Purpose: This study sought to study the effects of cross-legged sitting posture on joint motion. It also examined the correlation between the changes in the joint range of motion, musculoskeletal symptoms, and facial asymmetry. Methods: The Acumar Digital Inclinometer (Lafayette Instrument Company, USA) was used to measure the range of motion (ROM). We measured the flexion and extension of the cervical, thoracic, and lumbar spine using a dual inclinometer, and measured the ROM of the shoulder and hip joint with a single inclinometer. The Likert scale questionnaire was used to investigate musculoskeletal symptoms and facial asymmetry. Results: The data analysis was performed using the Jamovi version 1.6.23 statistical software. After confirming the normality of the ROM with descriptive statistics, it was compared with the normal ROM through a one-sample t-test. Correlation matrix analysis was performed to confirm the association between facial asymmetry and musculoskeletal symptoms. The result of the one-sample t-test showed a significant increase in the thoracic spine extension and right and left hip external rotation (p<0.001***), while most other joints were restricted. As per the frequency analysis, facial asymmetry was found to be 81.70%. Conclusion: The independent variable, namely cross-legged sitting posture led to an increase in ROM. The study also suggests that facial asymmetry and musculoskeletal symptoms could occur. Therefore, to prevent the increase and limitation of ROM and to prevent the occurrence of facial asymmetry and musculoskeletal symptoms, it is suggested that the usual cross-legged sitting posture should be avoided.

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참고문헌

  1. Kim TH, Seo K, Gong, WT. The chang of muscle activities of trunk muscles during various leg-crossing positions in low back pain patients. J Kor Phys Ther. 2007;19(5):1-10.
  2. Snijders CJ, Slagter AH, Strik RV et al. Why leg crossing? the influence of common postures on abdominal muscle activity. Spine (Phila Pa 1976). 1995;20(18):1989-93. https://doi.org/10.1097/00007632-199509150-00005
  3. Ilbo JK. A study on the habit of sitting with crossed legs. the habit of sitting cross-legged, an express train to a herniated disc [Internet]. South Korea: 2014 May 14 [cited 2020 April 02]. Available from: http://jkilbo.com/news/articleView.html?idxno=15626.
  4. Joeun news. Bareun World hospital, survey on leg twisting for office workers in their 20s and 30s [Internet]. South Korea: 2014 May 14 [cited 2020 Oct 05]. Available from: http://www.egn.kr/news/articleView.html?idxno=56869
  5. Kim JS. Effect of menstrual characteristics, stress, anxiety, and lifestyle habits on menstrual pain in female college students. The Korea Society for Nursing Education. 2014;20(2):350-7. https://doi.org/10.5977/jkasne.2014.20.2.350
  6. Callaghan J, McGill S. Low back joint loading and kinematics during standing and unsupported sitting. Ergonomics. 2001;44(3):280-94. https://doi.org/10.1080/00140130118276
  7. Jeong YG. The effect of crossed- legs on the muscle activity of trunk muscles during computer work. Yonsei University Dissertation of Master's Degree. 2005.
  8. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5:383. https://doi.org/10.1097/00002517-199212000-00001
  9. Lee SW. Our bodies don't lie. Paju, Kim young-sa, 2006:133.
  10. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance. Yeongju, YeongMoon Publisher, 2012:5-241
  11. Lee JH, Park SY, Yoo WG. Changes in craniocervical and trunk flexion angles and gluteal pressure during VDT work with continuous crosslegged sitting. Journal of Occupational Health. 2011:1108010202.
  12. Watanabe S, Kobara K, Ishida H et al. Influence of trunk muscle co-contraction on spinal curvature during sitting cross-legged. Electromyogr Clin Neurophysiol. 2010;50(3-4):187-92.
  13. Lee WH, Kang TH, Kim JH. Effect of various leg-crossing positions on muscle activities of rectus femoris, tensor fascia latae, and hamstring in healthy 20's adults. J Kor Phys Ther. 2015;27(5):315-9. https://doi.org/10.18857/jkpt.2015.27.5.315
  14. Kang SY, Kim SH, Ahn S et al. A comparison of pelvic, spine angle and buttock pressure in various cross-legged sitting postures. PTK. 2012;19(1):1-9.
  15. Andersson BJG, Nachemson R, Nachemson AL et al. The sitting posture: an electromyographic and discometric study. Orthop Clin North Am. 1975;1:105-20.
  16. Lee BJ, Cha HG, Lee WH. The effects of sitting with the right leg crossed on the trunk length and pelvic torsion of healthy individuals. J Phys Ther Sci. 2016;28(11):3162-4. https://doi.org/10.1589/jpts.28.3162
  17. Kim MJ, Son CG, Heo DS et al. Analysis of clinical tendency of spinal disorder in primary, middle and high school students in Korea. Journal of Acupuncture Research. 2010;27(2):43-9.
  18. Dischiavi S, Wright A, Hegedus E et al. Biotensegrity and myofascial chains: a global approach to an integrated kinetic chain. Med Hypotheses. 2018;110:90-6. https://doi.org/10.1016/j.mehy.2017.11.008
  19. Lack S, Barton C, Sohan O et al. Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis. Br J Sports Med. 2015;49(21):1365-76. https://doi.org/10.1136/bjsports-2015-094723
  20. Wilke J, Krause F, Vogt L et al. What is evidence-based about myofascial chains: a systematic review. Arch Phys Med Rehabil. 2016;97(3):454-61. https://doi.org/10.1016/j.apmr.2015.07.023
  21. Masi AT, Hannon JC. Human resting muscle tone (HRMT): narrative introduction and modern concepts. J Bodywork Movement Ther. 2008;12(4):320-32. https://doi.org/10.1016/j.jbmt.2008.05.007
  22. Levin SM. The tensegrity-truss as a model for spine mechanics: biotensegrity. J Mechanics Medicine Bio. 2002;2(03n04):375-88. https://doi.org/10.1142/S0219519402000472
  23. Rata BC, Rata M, Antohe B. Morpho-functional implications of myofascial stretching applied to muscle chains: a case study. J Back Musculoskelet Rehabil. 2018;31(4):749-58. https://doi.org/10.3233/BMR-170998
  24. Huijing PA, Yaman A, Ozturk C et al. Effects of knee joint angle on global and local strains within human triceps surae muscle: MRI analysis indicating in vivo myofascial force transmission between synergistic muscles. Surg Radiol Anat. 2011;33(10):869-79. https://doi.org/10.1007/s00276-011-0863-1
  25. Neta TCMC, Angelica dST, Oliveira-Souza AIS et al. Neck and back muscle chains hypomobility in women with migraine. J Bodyw Mov Ther. 2021;28:470-7. https://doi.org/10.1016/j.jbmt.2021.06.013
  26. Krause F, Wilke J, Vogt L et al. Intermuscular force transmission along myofascial chains: a systematic review. J Anatomy. 2016;228(6):910-8. https://doi.org/10.1111/joa.12464
  27. Williams W, Selkow NW. Self-myofascial release of the superficial back line improves sit-and-reach distance. J Sport Rehabil. 2019;29(4):400-4. https://doi.org/10.1123/jsr.2018-0306
  28. Lee S, Yun S. Applied Kinesiology. 2nd. Goyang, Daesung Medical History, 2002:114-5.
  29. Park JG; Lee MS; Kwon BA et al. Cranial sacral healing technique unleashed understanding the protocols and application of the CST. 2nd. Seoul, Good Book Publishing Land, 2014:105.
  30. Kim BH, Kim JS, Moon YJ. Human anatomy. 8th. Seoul, Book Publishing Hanmi Medicine, 2016:163.
  31. Heifetz MD, Weiss M. Detection of skull expansion with increased intracranial pressure. J Neurosurg. 1981;55(5):811-2. https://doi.org/10.3171/jns.1981.55.5.0811
  32. Encyclopedia Daum. Facial asymmetry [Internet]. South Korea [cited 2020 Oct 15]. Available from: https://100.daum.net/encyclopedia/view/216XXXH002405.
  33. Dillen V, McDonnell LR, Fleming MK et al. Effect of knee and hip position on hip extension range of motion in individuals with and without low back pain. J Orthop Sports Phys Ther. 2000;30(6):307-16. https://doi.org/10.2519/jospt.2000.30.6.307
  34. Myers TW. Fascia meridian anatomy posture analysis and treatment. 2nd. South Korea, Elsbear Korea, 2011:17-109.
  35. Hales TR, Sauter SL, Peterson MR et al. Musculoskeletal disorders among visual display terminal users in a telecommunications company. Ergonomics. 1994;37(10):1603-21. https://doi.org/10.1080/00140139408964940
  36. Park JS. Guidelines for investigation of hazardous factors for workplace burdened by the musculoskeletal system [Internet]. South Korea: 2018 [cited 2020 July 20]. Available from: https://kosha.or.kr/kosha/data/musculoskeletalPreventionData_G.do?
  37. Lafayette Instrument Company. Acuma Range of Motion Measurement Illustrations. Louisiana, Lafayette Instrument Co, 2008:1-16.
  38. Sangtarash F, Manshadi FD, Sadeghi A et al. Validity and reliability of dual digital inclinometer in measuring thoracic kyphosis in women over 45 years. J spine. 2014;3:1-4.
  39. Nahm SG. Understanding effect sizes. Hanyang Med Rev. 2015;35(1):40-3. https://doi.org/10.7599/hmr.2015.35.1.40
  40. Kang MH, OJ JS, Park BJ et al. Comparison of the lumbar flexion angle and EMG activity in trunk muscles in individuals with and without limited hip flexion range of motion during visual display terminal work with cross-legged sitting. J Phys Ther Sci. 2013;25:1537-9. https://doi.org/10.1589/jpts.25.1537
  41. Sahrmann SA. Movement system impairment syndromes of the extremities, cervical and thoracic spines. St Louis, Elsevier, 2011:354-406.
  42. Joseph E, Muscolino DC. Know the body muscle, bone, and palpation essentials. St. Louis, Mosby, 2011:339.
  43. Lee JH, Yoo WG. Changes in gluteal pressure and pelvic inclination angles after continuous cross-legged sitting. Work. 2011;40(2):247-52. https://doi.org/10.3233/WOR-2011-1225
  44. Cheryl RK, Keysor JJ. Skeletal malalignments of the lower quarter: correlated and compensatory motions and postures. J Orthop Sports Phys Ther. 1996;23(2):164-70. https://doi.org/10.2519/jospt.1996.23.2.164
  45. Egan DA, Einas AlE. Pelvic skeletal asymmetry, postural control, and the association with low back pain: a review of the evidence. Phy Rehabil Med. 1999;11(3&4):299-338.
  46. Magee DJ. Orthopedic manual therapy diagnostics. 6th. Seoul, Elsevier Korea LLC, 2014:667.
  47. Asan medical center in Seoul. Disease encyclopedia-sciatica [Internet]. South Korea [cited 2021 March 09]. Available from: http://www.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=31919
  48. Gabriel A, Konrad A, Roidl A et al. Myofascial treatment techniques on the plantar surface influence functional performance in the dorsal kinetic chain. J Sports Sci Med. 2022;21(1):13.
  49. Adstrum SC, Hedley G, Schleip R et al. Defining the fascial system. J Bodywork Movement Ther. 2017;21:173-7. https://doi.org/10.1016/j.jbmt.2016.11.003
  50. Stecco C, Adstrum S, Hedley G et al. Update on fascial nomenclature. J Bodywork Movement Ther. 2018;22:354. https://doi.org/10.1016/j.jbmt.2017.12.015
  51. Burk C, Perry J, Lis S et al. Can myofascial interventions have a remote effect on ROM? a systematic review and meta-analysis. J Sport Rehabil. 2019;29(5):650-6. https://doi.org/10.1123/jsr.2019-0074
  52. Vleeming A, Pool-Goudzwaard AL, Stoeckart R et al. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine (Phila Pa 1976). 1995;20(7):753-8. https://doi.org/10.1097/00007632-199504000-00001
  53. Carvalhais VO, Ocarino Jde M, Araujo VL et al. Myofascial force transmission between the latissimus dorsi and gluteus maximus muscles: an in vivo experiment. J Biomech. 2013;46(5):1003-7. https://doi.org/10.1016/j.jbiomech.2012.11.044
  54. Ganjaei KG, Ray JW, Waite B et al. The fascial system in musculoskeletal function and myofascial pain. Curr Phys Med Rehabil Rep. 2020;8(4): 364-72. https://doi.org/10.1007/s40141-020-00302-3
  55. Pinar RK, Sabuncu NM, Oksay AG. Effects of crossed leg on blood pressure. Blood Press. 2004;13(4):252-4. https://doi.org/10.1080/08037050410000903
  56. Snijders CJ, Hermans PFG, Niesing R et al. The influence of slouching and lumbar support on iliolumbar ligaments, intervertebral discs and sacroiliac joints. Clin Biomech. 2004;19(4):223-9.
  57. Thompson D. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. Phys Ther. 2003;83(4):402.