Effects of Tensor Fasciae Latae-Iliotibial Band Self-Stretching on Lumbopelvic Movement Patterns During Active Prone Hip Lateral Rotation in Subjects With Lumbar Extension Rotation Syndrome원문보기
Lim, One-Bin
(Dept. of Physical Therapy, The Graduate School, Yonsei University)
,
Yi, Chung-Hwi
(Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health Science, Yonsei University)
,
Kwon, Oh-Yun
(Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health Science, Yonsei University)
,
Cynn, Heon-Seock
(Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health Science, Yonsei University)
The purpose of this study was to identify the effects of tensor fasciae latae-iliotibial band (TFL-ITB) self-stretching exercise on the lumbopelvic movement patterns during active prone hip lateral rotation (HLR) in subjects with lumbar extension rotation syndrome accompanying TFL-ITB shortness. Ele...
The purpose of this study was to identify the effects of tensor fasciae latae-iliotibial band (TFL-ITB) self-stretching exercise on the lumbopelvic movement patterns during active prone hip lateral rotation (HLR) in subjects with lumbar extension rotation syndrome accompanying TFL-ITB shortness. Eleven subjects (9 male and 2 female) were recruited for the two-week study. A three dimensional ultrasonic motion analysis system was used to measure the lumbopelvic movement patterns. The TFL-ITB length was measured using the modified Ober's test and was expressed as the hip horizontal adduction angle. The subjects were instructed how to perform TFL-ITB self-stretching exercise program at home. A paired t-test was performed to determine the significant difference in the angle of lumbopelvic rotation, movement onset time of lumbopelvic rotation, TFL-ITB length, and LBP intensity before and after the two-week period of performing the TFL-ITB self-stretching exercise. The results showed that after the intervention, the lumbopelvic rotation angle decreased significantly (p<.05), the movement onset time reduced significantly (p<.05), and LBP intensity decreased slightly but not significantly (p=.07). The hip horizontal adduction angle increased significantly (p<.05) after the intervention. These findings indicate that TFL-ITB stretching exercise increased TFL-ITB length, decreased lumbopelvic rotation angle, and delayed the movement onset time of lumbopelvic rotation after two-weeks. In conclusion, the TFL-ITB self-stretching exercise performed over a period of two weeks may be an effective approach for patients with lumbar extension rotation syndrome accompanying TFL-ITB shortness.
The purpose of this study was to identify the effects of tensor fasciae latae-iliotibial band (TFL-ITB) self-stretching exercise on the lumbopelvic movement patterns during active prone hip lateral rotation (HLR) in subjects with lumbar extension rotation syndrome accompanying TFL-ITB shortness. Eleven subjects (9 male and 2 female) were recruited for the two-week study. A three dimensional ultrasonic motion analysis system was used to measure the lumbopelvic movement patterns. The TFL-ITB length was measured using the modified Ober's test and was expressed as the hip horizontal adduction angle. The subjects were instructed how to perform TFL-ITB self-stretching exercise program at home. A paired t-test was performed to determine the significant difference in the angle of lumbopelvic rotation, movement onset time of lumbopelvic rotation, TFL-ITB length, and LBP intensity before and after the two-week period of performing the TFL-ITB self-stretching exercise. The results showed that after the intervention, the lumbopelvic rotation angle decreased significantly (p<.05), the movement onset time reduced significantly (p<.05), and LBP intensity decreased slightly but not significantly (p=.07). The hip horizontal adduction angle increased significantly (p<.05) after the intervention. These findings indicate that TFL-ITB stretching exercise increased TFL-ITB length, decreased lumbopelvic rotation angle, and delayed the movement onset time of lumbopelvic rotation after two-weeks. In conclusion, the TFL-ITB self-stretching exercise performed over a period of two weeks may be an effective approach for patients with lumbar extension rotation syndrome accompanying TFL-ITB shortness.
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문제 정의
The aim of this study was to identify the effects of TFL-ITB self-stretching exercise performed for two weeks on the lumbopelvic movement patterns during active prone HLR in people with lumbar extension rotation syndrome accompanying TFL-ITB shortness. It was hypothesized that TFL-ITB length would increase, lumbopelvic rotation angle would decrease, movement onset time of lumbopelvic rotation would be delayed, and LBP intensity would decrease during active HLR following the TFL-ITB self-stretching exercise performed over two weeks.
제안 방법
This study has several limitations. First, the subjects participated in only a two-week period of the TFL-ITB self-stretching exercise. The effect of long-term TFL-ITB stretching exercise on LBP, EMG activity, and the lumbopelvic motion in subjects with lumbar extension rotation syndrome should be determined.
The study examined the effect of two-week TFL-ITB self-stretching exercise on lumbopelvic movement patterns during active prone HLR in subjects with lumbar extension rotation syndrome accompanying TFL-ITB shortness. The results showed that two-week TFL-ITB self-stretching exercise significantly increased TFL-ITB length, decreased lumbopelvic rotaion angle, delayed movement onset time of lumbopelvic rotation, and LBP intensity decreased slightly, but not significantly.
The TFL-ITB self-stretching exercise was performed as a home exercise program (Figure 3). The subjects were instructed to perform TFL-ITB self-stretching as follows: 2 sets of 10 repetitions a day, 7 days a week, over a 2-week period. The subject assumed a standing position with the hands clasped overhead.
TFL-ITB shortness contributes to limited HLR and increased lumbopelvic motion in the transverse plane in patients with LBP (Sahrmann, 2002). Therefore, the current study was undertaken to determine the effect the two-week TFL-ITB self-stretching exercise on TFL-ITB length, amounts of lumbopelvic rotation angle, movement onset time of lumbopelvic rotation, and LBP intensity in patients with lumbar extension rotation syndrome. To our knowledge, this is the first study to show that the two-week TFL-ITB self-stretching exercise significantly elongated TFL-ITB length, reduced lumbopelvic rotation angle, delayed the movement onset time of lumbopelvic rotation during HLR, and reduced slightly LBP intensity in subjects with lumbar extension rotation syndrome.
데이터처리
The one-sample Kolmogorov-Smirnov test was performed to determine whether continuous data approximated a normal distribution. The paired t-test was used to compare differences in TFL-ITB length, the amount of lumbopelvic rotation angle, movement onset time of lumbopelvic rotation, and VAS between pre- and post-intervention sessions. The level of significance was set at α=.
성능/효과
The laboratory procedures were as follows: 1) the amount of active HLR was determined by asking the subject to laterally rotate the hip as far as possible; 2) the target bar was positioned at 50% of the maximum amount of active HLR, so that excessive stretching of the soft tissue of the hip was prevented and tactile feedback was provided to stop active HLR when the lateral aspect of the foot touched the target bar. The subjects were given 10 seconds to complete this movement (initial 5 seconds, moving to target position; last 5 seconds, staying in the target position).
The results showed that two-week TFL-ITB self-stretching exercise significantly increased TFL-ITB length, decreased lumbopelvic rotaion angle, delayed movement onset time of lumbopelvic rotation, and LBP intensity decreased slightly, but not significantly. In conclusion, the two-week TFL-ITB self-stretching exercise could be an effective approach for patients with lumbar extension rotation syndrome accompanying TFL-ITB shortness.
The aim of this study was to identify the effects of TFL-ITB self-stretching exercise performed for two weeks on the lumbopelvic movement patterns during active prone HLR in people with lumbar extension rotation syndrome accompanying TFL-ITB shortness. It was hypothesized that TFL-ITB length would increase, lumbopelvic rotation angle would decrease, movement onset time of lumbopelvic rotation would be delayed, and LBP intensity would decrease during active HLR following the TFL-ITB self-stretching exercise performed over two weeks.
First, the subjects participated in only a two-week period of the TFL-ITB self-stretching exercise. The effect of long-term TFL-ITB stretching exercise on LBP, EMG activity, and the lumbopelvic motion in subjects with lumbar extension rotation syndrome should be determined. Second, we studied the effect of the TFL-ITB stretching exercise during a standardized movement test.
The study examined the effect of two-week TFL-ITB self-stretching exercise on lumbopelvic movement patterns during active prone HLR in subjects with lumbar extension rotation syndrome accompanying TFL-ITB shortness. The results showed that two-week TFL-ITB self-stretching exercise significantly increased TFL-ITB length, decreased lumbopelvic rotaion angle, delayed movement onset time of lumbopelvic rotation, and LBP intensity decreased slightly, but not significantly. In conclusion, the two-week TFL-ITB self-stretching exercise could be an effective approach for patients with lumbar extension rotation syndrome accompanying TFL-ITB shortness.
후속연구
However, it is not known whether the effects of the TFL-ITB stretching observed in this study will generalize to the performance of other functional activities in subjects with lumbar extension rotation syndrome. Hence, further studies are required to confirm whether the TFL-ITB stretching exercise can prevent lumbar extension rotation stress in daily living.
참고문헌 (30)
Burnett AF, Cornelius MW, Dankaerts W, et al. Spinal kinematics and trunk muscle activity in cyclists: A comparison between healthy controls and non-specific chronic low back pain subjects- a pilot investigation. Man Ther. 2004;9(4):211-219.
Crossley K, Bennell K, Green S, et al. Physical therapy for patellofemoral pain: A randomized, double- blinded, placebo controlled trial. Am J Sports Med. 2002;30(6):857-865.
Cynn HS, Oh JS, Kwon OY, et al. Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Arch Phys Med Rehabil. 2006;87(11):1454-1458.
Ellison JB, Rose SJ, Sahrmann SA. Patterns of hip rotation range of motion: A comparison between healthy subjects and patients with low back pain. Phys Ther. 1990;70(9):537-541.
Fredericson M, White JJ, MacMahon JM, et al. Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches. Arch Phys Med Rehabil. 2002;83(5):589-592.
Gombatto SP, Collins DR, Sahrmann SA, et al. Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain. Clin Biomech (Bristol, Avon). 2006;21(3):263-271.
Gombatto SP, Norton BJ, Scholtes SA, et al. Differences in symmetry of lumbar region passive tissue characteristics between people with and people without low back pain. Clin Biomech (Bristol, Avon). 2008;23(8):986-995.
Harris-Hayes M, Van Dillen LR. The inter-tester reliability of physical therapists classifying low back pain problems based on the movement system impairment classification system. PM R. 2009;1(2):117-126.
Herrington L, Rivett N, Munro S. The relationship between patella position and length of the iliotibial band as assessed using Ober's test. Man Ther. 2006;11(3):182-186.
Hoffman SL, Johnson MB, Zou D, et al. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16(4):344-350.
Hoffman SL, Johnson MB, Zou D, et al. Gender differences in modifying lumbopelvic motion during hip medial rotation in people with low back pain. Rehabil Res Pract. 2012;2012:635312. Epub 2012 Jan 23.
Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and pain. 5th ed. Baltimore, Lippincott Williams & Wilkins, 2005;392-393.
Krismer M, van Tulder M. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007;21(1):77-91.
Li Y, McClure PW, Pratt N. The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending. Phys Ther. 1996;76(8):836-845.
Luomajoki H, Kool J, de Bruin ED, et al. Movement control tests of the low back: Evaluation of the difference between patients with low back pain and healthy controls. BMC Musculoskelet Disord. 2008;9:170.
Oh JS, Cynn HS, Won JH, et al. Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther. 2007;37(6)320-324.
O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-255.
Park KN, Cynn HS, Kwon OY, et al. Effects of the abdominal drawing-in maneuver on muscle activity, pelvic motions, and knee flexion during active prone knee flexion in patients with lumbar extension rotation syndrome. Arch Phys Med Rehabil. 2011;92(9):1477-1483.
Roussel NA, Nijs J, Mottram S, et al. Altered lumbopelvic movement control but not generalized joint hypermobility is associated with increased injury in dancers. A prospective study. Man Ther. 2009;14(6):630-635.
Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndrome. St. Louis, Mosby, 2002:300-301.
Shum GL, Crosbie J, Lee RY. Symptomatic and asymptomatic movement coordination of the lumbar spine and hip during an everyday activity. Spine (Phila Pa 1976). 2005;30(23):E697-E702.
Trudelle-Jackson E, Sarvaiya-Shah SA, Wang SS. Interrater reliability of a movement impairment- based classification system for lumbar spine syndromes in patients with chronic low back pain. J Orthop Sports Phys Ther. 2008;38(6):371-376.
Vad VB, Bhat AL, Basrai D, et al. Low back pain in professional golfers: The role of associated hip and low back range-of-motion deficits. Am J Sports Med. 2004;32(2):494-497.
Van Dillen LR, Gombatto SP, Collins DR, et al. Symmetry of timing of hip and lumbopelvic rotation motion in 2 different subgroups of people with low back pain. Arch Phys Med Rehabil. 2007;88(3):351-360.
Van Dillen LR, Sahrmann SA, Norton BJ, et al. Reliability of physical examination items used for classification of patients with low back pain. Phys Ther. 1998;78(9):979-988.
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