한국전문물리치료학회지 (Physical Therapy Korea)

  • 제31권2호
  • /
  • Pages.123-130
  • /
  • 2024
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

Effects of Isometric Hip Extension Using Thera-band on Hip Muscle Activities During Side-lying Hip Abduction Exercise in Participants With Gluteus Medius Weakness

  • Sae-hwa Kim (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Hyun-ji Lee (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Seok-hyun Kim (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Seung-min Baik (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Heon-seock Cynn (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University)
  • 투고 : 2024.03.24
  • 심사 : 2024.05.02
  • 발행 : 2024.08.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Weakness of gluteus medius (Gmed) is related with musculoskeletal disorders. Individuals who experience weakness in the Gmed may activate the tensor fasciae latae (TFL) as a compensatory mechanism. Application of isometric hip extension (IHE) with Thera-band may affect the activities of the Gmed, gluteus maximus (Gmax), and TFL, and the activity ratio of Gmed/TFL during side-lying hip abduction (SHA). Objects: To determine the influences of IHE during SHA on Gmed, Gmax, and TFL activities in participants with Gmed weakness. Methods: Three types of SHA exercises were performed: 1) traditional SHA in the frontal plane (SHA-T), 2) SHA with IHE applying Thera-band in the frontal plane (SHA-IHE), 3) and SHA with isometric hip flexion (IHF) applying Thera-band in the frontal plane (SHA-IHF). Results: SHA-IHE significantly showed higher Gmed and Gmax activities than SHA-T and SHA-IHF. SHA-IHF significantly showed higher activity of TFL than SHA-T or SHA-IHE. The activity ratio of Gmed/TFL was significantly higher in the SHA-IHE, SHA-T, and SHA-IHF, in that order. Conclusion: The SHA-IHE resulted in higher activities of Gmed, Gmax and a higher muscle ratio of Gmed/TFL.

키워드

참고문헌

  1. Cichanowski HR, Schmitt JS, Johnson RJ, Niemuth PE. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 2007;39(8):1227-32. https://doi.org/10.1249/mss.0b013e3180601109
  2. Al-Hayani A. The functional anatomy of hip abductors. Folia Morphol (Warsz) 2009;68(2):98-103.
  3. Moore KL, Dalley AF, Agur AMR. Clinically oriented anatomy. 5th ed. Lippincott Williams & Wilkins; 2006.
  4. Kang SY, Jeon HS, Kwon O, Cynn HS, Choi B. Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions. Man Ther 2013;18(4):303-7. https://doi.org/10.1016/j.math.2012.11.006
  5. Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med 2000;10(3):169-75. https://doi.org/10.1097/00042752-200007000-00004
  6. DeJong AF, Koldenhoven RM, Hart JM, Hertel J. Gluteus medius dysfunction in females with chronic ankle instability is consistent at different walking speeds. Clin Biomech 2020;73:140-8. https://doi.org/10.1016/j.clinbiomech.2020.01.013
  7. Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J 2016;25(4):1258-65. https://doi.org/10.1007/s00586-015-4027-6
  8. Bolgla LA, Uhl TL. Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects. J Orthop Sports Phys Ther 2005;35(8):487-94. https://doi.org/10.2519/jospt.2005.35.8.487
  9. Distefano LJ, Blackburn JT, Marshall SW, Padua DA. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther 2009;39(7):532-40. https://doi.org/10.2519/jospt.2009.2796
  10. Lee JH, Cynn HS, Kwon OY, Yi CH, Yoon TL, Choi WJ, et al. Different hip rotations influence hip abductor muscles activity during isometric side-lying hip abduction in subjects with gluteus medius weakness. J Electromyogr Kinesiol 2014;24(2):318-24. https://doi.org/10.1016/j.jelekin.2014.01.008
  11. McBeth JM, Earl-Boehm JE, Cobb SC, Huddleston WE. Hip muscle activity during 3 side-lying hip-strengthening exercises in distance runners. J Athl Train 2012;47(1):15-23. https://doi.org/10.4085/1062-6050-47.1.15
  12. Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther 2010;15(1):61-5. https://doi.org/10.1016/j.math.2009.07.001
  13. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. Human Kinetics; 2010; xiii, 297.
  14. Baik SM, Cynn HS, Shim JH, Lee JH, Shin AR, Lee KE. Effects of log-rolling position on hip-abductor muscle activation during side-lying hip-abduction exercise in participants with gluteus medius weakness. J Athl Train 2021;56(9):945-51. https://doi.org/10.4085/306-20
  15. Choi SA, Cynn HS, Yi CH, Kwon OY, Yoon TL, Choi WJ, et al. Isometric hip abduction using a Thera-Band alters gluteus maximus muscle activity and the anterior pelvic tilt angle during bridging exercise. J Electromyogr Kinesiol 2015;25(2):310-5. https://doi.org/10.1016/j.jelekin.2014.09.005
  16. Bishop BN, Greenstein J, Etnoyer-Slaski JL, Sterling H, Topp R. Electromyographic analysis of gluteus maximus, gluteus medius, and tensor fascia latae during therapeutic exercises with and without elastic resistance. Int J Sports Phys Ther 2018;13(4):668-75. https://doi.org/10.26603/ijspt20180668
  17. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function, with posture and pain. 5th ed. Lippincott Williams & Wilkins; 2005; xxiv, 48, 48.
  18. Lee JH, Cynn HS, Choi SA, Yoon TL, Jeong HJ. Effects of different hip rotations on gluteus medius and tensor fasciae latae muscle activity during isometric side-lying hip abduction. J Sport Rehabil 2013;22(4):301-7. https://doi.org/10.1123/jsr.22.4.301
  19. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960-1994. Int J Obes Relat Metab Disord 1998;22(1):39-47. https://doi.org/10.1038/sj.ijo.0800541
  20. Hunter AM, St Clair Gibson A, Lambert MI, Nobbs L, Noakes TD. Effects of supramaximal exercise on the electromyographic signal. Br J Sports Med 2003;37(4):296-9. https://doi.org/10.1136/bjsm.37.4.296
  21. Criswell E. Cram's introduction to surface electromyography. 2nd ed. Jones & Bartlett Publishers; 2011.
  22. McAndrew D, Gorelick M, Brown JMM. Muscles within muscles: a mechanomyographic analysis of muscle segment contractile properties within human gluteus maximus. J Musculoskelet Res 2006;10(1):23-35. https://doi.org/10.1142/S0218957706001704
  23. French DN, Kraemer WJ, Cooke CB. Changes in dynamic exercise performance following a sequence of preconditioning isometric muscle actions. J Strength Cond Res 2003;17(4):678-85.
  24. Ayotte NW, Stetts DM, Keenan G, Greenway EH. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. J Orthop Sports Phys Ther 2007;37(2):48-55. https://doi.org/10.2519/jospt.2007.2354
  25. Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard P. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther 2006;86(5):683-97. https://doi.org/10.1093/ptj/86.5.683