Physical Therapy Rehabilitation Science

  • 제13권1호
  • /
  • Pages.36-42
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  • 2024
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Effect of Hamstring Eccentric Exercise on Pain and Functional Activity in Patients with Chronic Low Back Pain

  • Seong-Won Kim (Department of Physical Therapy, Graduate school of Health and Medicine, Daejeon University) ;
  • Dong-Min Kum (Department of Physical Therapy, Graduate School of Daejeon University) ;
  • Won-Seob Shin (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2024.02.08
  • 심사 : 2024.03.08
  • 발행 : 2024.03.31
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초록

Objective: The aim of this study is to investigate the effect of hamstring eccentric exercise on pain and functional activity in patients with chronic low back pain. Design: Randomized controlled trial Methods: Participants comprised 27 subjects with back pain persisting for 3 months. They were randomly assigned to the experimental group (Eccentric exercise: n=13) and the control group (Stretching: n=14). The experimental group performed gastrocnemius, iliopsoas, and quadratus lumborum stretching along with hamstring eccentric exercise, while the control group engaged in the same stretches along with hamstring stretching. The eccentric exercise for the hamstrings was Nordic curl exercise. Each group practiced for 1 hour a day, 3 times a week, for 4 weeks. Pain, disability index, balance, and hamstring length were measured. Results: Significant differences were observed in the comparison of changes in back pain, back disability index, and hamstring length before and after exercise within each group (p<0.05). The balance ability of the experimental group showed a difference before and after exercise (p<0.05), whereas no significant difference in the control group. There were no significant differences in back pain and hamstring length between the groups. Changes in back disability index and balance ability significantly increased in the experimental group compared to the control group (p<0.05). Conclusion: Hamstring eccentric exercise using Nordic curls has a positive effect on back pain, back disability index, balance ability, and hamstring length changes.

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참고문헌

  1. Rezazadeh F, Taheri N, Okhravi SM, Hosseini SM. The relationship between cross-sectional area of multifidus muscle and disability index in patients with chronic non-specific low back pain. Musculoskeletal Sci Pract. 2019;42:1-5.  https://doi.org/10.1016/j.msksp.2019.03.005
  2. Hazard RG. Chronic low back pain and disability: the efficacy of functional restoration. Bull Hosp Jt Dis. 1996;55(4):213-6. 
  3. Seif HE, Alenazi A, Hassan SM, Kachanathu SJ, Hafez AR. The effect of stretching hamstring, gastrocnemius, iliopsoas and back muscles on pain and functional activities in patients with chronic low back pain: a randomized clinical trial. OJTR. 2015;3(04):139. 
  4. Lawrence JP, Greene HS, Grauer JN. Back Pain in Athletes. J Am Acad Orthop Surg. 2006;14:726-35.  https://doi.org/10.5435/00124635-200612000-00004
  5. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance. 2010;297 
  6. Dolan KJ, Green A. Lumbar spine reposition sense: the effect of a 'slouched'posture. Manual therapy. 2006;11(3):202-7.  https://doi.org/10.1016/j.math.2006.03.003
  7. Claeys K, Brumagne S, Dankaerts W, Kiers H, Janssens L. Decreased variability in postural control strategies in young people with non-specific low back pain is associated with altered proprioceptive reweighting. Eur J Appl Physiol. 2011;111:115-23.  https://doi.org/10.1007/s00421-010-1637-x
  8. Kang KS, Jahng JS, Moon JH, Park HW, Yang KH, Jang BY. The Role of the Hamstrings as Antagonist of Quadriceps in Maintaining Knee Joint Stability. J Korean Orthop Asso. 1991;26(3):945-9.  https://doi.org/10.4055/jkoa.1991.26.3.945
  9. Chaurasia BD. Human anatomy regional and applied. 3rd ed. Vol. 2. New Delhi: CBS Publishers & Distributors.1998;74 
  10. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: Testing and function with posture and pain. 5th ed. Baltimore: Lippincott Williams & Wilkins; 2005:213-20. 
  11. Mistry GS, Vyas NJ, Sheth MS. Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. J Clin Exp Res, 2014;2(1):85. 
  12. Carregaro RL, Coury HJ. C. G. Does reduced hamstring flexibility affect trunk and pelvic movement strategies during manual handling? Int J Ind Ergon. 2009;39(1):115-20.  https://doi.org/10.1016/j.ergon.2008.05.004
  13. Da Silva Dias R, Gomez-Conesa A. Sindrome de los isquiotibiales acortados. Fisioterapia. 2008;30(4):186-93.  https://doi.org/10.1016/j.ft.2008.07.004
  14. Lopez Minarro PA, Rodriguez Garcia PL, Yuste JL, Alacid F, Ferragut C, Garcia Ibarra A. Validity of the lumbo-sacral position in bending as measure of hamstring muscle extensibility on young athletes. Arch Med Deporte. 2008;25:103-10. 
  15. Hori M, Hasegawa H, Takasaki H. Comparisons of hamstring flexibility between individuals with and without low back pain: systematic review with meta-analysis. Physiother Theory Pract. 2021;37(5):559-82.  https://doi.org/10.1080/09593985.2019.1639868
  16. Kim BR, Lee HJ. Effectiveness of Core Stabilization Exercise and Hamstring Muscles Stretching Convergence on the Body Function and Activity in Patients with Non-specific Low Back Pain. J INCA. 2020;4(2):214-22.  https://doi.org/10.33097/JNCTA.2020.04.02.214
  17. Pandey E, Kumar D, Das S. Effect of Stretching on Shortened Quadratus Lumborum Muscle in Non-Specific Low Back Pain. Indian J Physiother Occup Ther. 2018;11:80-6. 
  18. Saleh A, Al Attar W, Faude O, Husain MA, Soomro N, Sanders RH. Combining the Copenhagen adduction exercise and nordic hamstring exercise improves dynamic balance among male athletes: a randomized controlled trial. Sports Health. 2021;13(6):580-7.  https://doi.org/10.1177/1941738121993479
  19. Yu JS, Shin WS. Comparison of the immediate effect of hamstring stretching techniques on hamstring muscle range of motion, pressure pain threshold and muscle tone. Phys Ther Rehabil Sci. 2019;8(4):210-17.  https://doi.org/10.14474/ptrs.2019.8.4.210
  20. Lee JJ, Song B. The Effects of the Passive and Active Stretching Exercises of Iliopsoas Muscles on Low Back Pain Patients. J Spec Educ Rehab. 2015;54(2):291-307.  https://doi.org/10.15870/jsers.2015.06.54.2.291
  21. Lee JH, Lee SJ, Ryu JN. Effect of Heat Therapy before Gastrocnemius Stretching on Dorsiflexion Angle and Pennate Angle of the Gastrocnemius in People with Limited Ankle Dorsiflexion. Kor J Neuromuscul Rehabil. 2022;12(1):1-9.  https://doi.org/10.37851/kjnr.2022.12.1.1
  22. Noh IC, Shin WS. Effects of Progressive Scapular Stabilization Exercise on Neck, Muscle Strength, Upper Extremity Function in Patients with Acute Whiplash Injury. Phys Ther Rehabil Sci. 2023;12(3):310-19.  https://doi.org/10.14474/ptrs.2023.12.3.310
  23. Baek GS, Park SH, Shin WS. Effects of Lumbar Stabilization Exercise Program with Proprioceptive Stimulation in 20s Female Low Back Pain Patient. Phys Ther Rehabil Sci. 2022;11(2):198-206.  https://doi.org/10.14474/ptrs.2022.11.2.198
  24. Pojskic H, McGawley K, Gustafsson A, Behm DG. The reliability and validity of a novel sport-specific balance test to differentiate performance levels in elite curling players. J Sports Sci Med. 2020;19(2):337. 
  25. Kim SY. Comparison of six tests for assessing hamstring muscle length. The Journal of Kor Acad Ortho Man Phys Ther. 1999;5(1):39-51. 
  26. Yu JS, Shin WS. Comparison of the immediate effect of hamstring stretching techniques on hamstring muscle range of motion, pressure pain threshold and muscle tone. Phys Ther Rehabil Sci. 2019;8(4):210-17.  https://doi.org/10.14474/ptrs.2019.8.4.210
  27. Davis DS, Quinn RO, Whiteman CT, Williams JD, Young CR. Concurrent validity of four clinical tests used to measure hamstring flexibility. J Strength Cond Res. 2008;22(2):583-8  https://doi.org/10.1519/JSC.0b013e31816359f2
  28. Narouei S, Imai A, Akuzawa H, Hasebe K, Kaneoka K. Hip and trunk muscles activity during nordic hamstring exercise. J Exerc Rehabil. 2018;14(2):231. 
  29. Kim M, Yang HM, Yeo IS. Anatomical study of the sacrotuberous ligament and the hamstring muscles: A histomorphological analysis. Clinical Anatomy. 2023;1-7 
  30. Wilson J, Ferris E, Heckler A, Maitland L, Taylor C. A structured review of the role of gluteus maximus in rehabilitation. PNZ. 2005;33:95-100. 
  31. Kim TE, Choi BR. The Immediate Effects of Hamstring Eccentric Exercise and Static Stretching on Trunk Forward Bending. PTK. 2019;26(3):32-41.  https://doi.org/10.12674/ptk.2019.26.3.032
  32. Halbertsma JP, van Bolhuis AI, Goeken LN. Sport stretching: effect on passive muscle stiffness of short hamstrings. Arch Phys Med Rehabil. 1996;77(7):688-92.  https://doi.org/10.1016/S0003-9993(96)90009-X
  33. Spernoga SG, Uhl TL, Arnold BL, Gansneder BM. Duration of maintained hamstring flexibility after a one-time, modified hold-relax stretching protocol. J Athl Train. 2001;36(1):44. 
  34. Nelson RT, & Bandy WD. Eccentric training and static stretching improve hamstring flexibility of high school males. J Athl Train. 2004;39(3):254. 
  35. Han HI, Choi HS & Shin WS. Effects of hamstring stretch with pelvic control on pain and work ability in standing workers. J Back Musculoskelet Rehabil. 2016;29(4):865-71.  https://doi.org/10.3233/BMR-160703
  36. Reynolds B. The acute effects of eccentric exercise on indicators of hamstring muscle damage. Phd J Pharm Policy Pract. 2015;1-88