[논문]Effects of Taping the Lower Back on the Lumbopelvic Region and Hip Joint Kinematics During Sit-to-Stand

Kim, Si-Hyun; Park, Kyue-Nam; Kwon, Oh-Yun; Choi, Houng-Sik

doi:10.12674/ptk.2014.21.4.049

[국내논문] Effects of Taping the Lower Back on the Lumbopelvic Region and Hip Joint Kinematics During Sit-to-Stand 원문보기

한국전문물리치료학회지 = Physical Therapy Korea, v.21 no.4, 2014년, pp.49 - 55

Kim, Si-Hyun (Kinetic Ergocise Based on Movement Analysis Laboratory) , Park, Kyue-Nam (Dept. of Physical Therapy, College of Medical Science, Jeonju University) , Kwon, Oh-Yun (Kinetic Ergocise Based on Movement Analysis Laboratory) , Choi, Houng-Sik (Dept. of Physical Therapy, Division of Health Science, Hanseo University)

Abstract ▼ AI-Helper

Excessive lumbar flexion during sit-to-stand (STS) is a risk factor for lower back pain. Postural taping can prevent unwanted flexion of the lumbar spine. This study aimed to demonstrate the effect of taping the lower back on the lumbopelvic region and hip joint kinematics during STS. Sixteen healthy subjects participated. All subjects performed the STS with and without taping of the lower back. A three-dimensional motion analysis system was used to measure the kinematics of the lumbar spine, pelvis, and hip joint during STS. The angle of the peak lumbar flexion, pelvic anterior tilting, and hip flexion and angular displacement of the lumbar spine between starting position and maximal lumbar flexion were collected. Paired t-tests, or Wilcoxon's rank-sum test for non-parametric distribution, were used to assess differences in the measurements with and without taping. A p-value <.05 was taken to indicate a significant difference. Significant differences were observed in the angle of the peak lumbar flexion, pelvic anterior tilting, hip flexion and angular displacement of the lumbar spine (p<.05). Taping was associated with a significant decrease in the angle of peak lumbar flexion and angular displacement of the lumbar spine between the starting position and maximal lumbar spine flexion. In addition, the peak angle of pelvic anterior tilting and hip flexion were significantly increased with taping. The findings of this study suggest that taping the lower back can decrease excessive lumbar flexion, and increase the pelvic anterior tilting and hip flexion motion during STS.

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문제 정의

Several studies have reported the effects of postural taping in preventing unwanted movement of the spine or extremities (Greig et al, 2008; Kang et al, 2013; Karlsson and Andreasson, 1992); however, none demonstrate the effect of the taping the lower back on lumbopelvic region and hip joint kinematics during STS. Therefore, the purpose of this study was to examine the effect of taping the lower back on lumbopelvic region and hip joint kinematics during STS in healthy subjects. We hypothesized that application to the lower back would decrease the lumbar flexion angle and increase the angle of the pelvic anterior tilting and hip flexion during STS compared to without tape application.
This study demonstrated the effects of taping the lower back on lumbopelvic region and hip joint kinematics during STS. The results showed that taping resulted in a decreased angle of the lumbar flexion and angular displacement of the lumbar spine between the starting position and maximal lumbar flexion, and an increased angle of the pelvic anterior tilting and hip flexion.
This study demonstrates the immediate effect of taping the lower back on lumbopelvic region and hip joint kinematics in healthy subjects during STS. These findings may be useful in preventing excessive lumbar flexion in individuals who perform STS repetitively, or patients who experience lower back pain during STS.
Excessive lumbar flexion could be a risk factor for lower back pain (Kang et al, 2013; Kim et al, 2014; Sahrmann 2002). This study therefore aimed to assess the effect of taping the lower back on the kinematics of the lumbopelvic region and hip joint during STS. The results showed a decrease in the lumbar flexion angle and angular displacement of the lumbar spine between the starting position and maximal lumbar flexion, and an increase in the angle of the pelvic anterior tilting and hip flexion, after tape application.

가설 설정

Therefore, the purpose of this study was to examine the effect of taping the lower back on lumbopelvic region and hip joint kinematics during STS in healthy subjects. We hypothesized that application to the lower back would decrease the lumbar flexion angle and increase the angle of the pelvic anterior tilting and hip flexion during STS compared to without tape application.

제안 방법

The height of the stool was adjusted for each subject to the length of the subject’s leg from the floor to the mid-knee-joint line. All subjects underwent a familiarization session with the experimental conditions with and without taping; after subjects completed this session, data collection commenced. All subjects performed STS three times in each condition with a 1-min rest between trials and with 10-min rest between tasks.

대상 데이터

Sixteen healthy subjects participated in this study (Table 1). Inclusion criteria were those with 1) no experience of low back pain in the previous 6 months, and 2) no limited movement of the lower leg and lower back because of recent injury within the last 6 months.

이론/모형

To assess the normality of the distribution of the collected data, a Kolmogorov-Smirnov Z test was used. Paired t-tests for parametric variables and Wilcoxon rank-sum tests for non-parametric variables were used to identify significant differences for each variable between with and without taping. Significance was set at p<.
Means and standard deviations were calculated for lumbopelvic region and hip motion kinematics during STS with and without taping. To assess the normality of the distribution of the collected data, a Kolmogorov-Smirnov Z test was used. Paired t-tests for parametric variables and Wilcoxon rank-sum tests for non-parametric variables were used to identify significant differences for each variable between with and without taping.

성능/효과

Significant differences in the angle of the peak lumbar flexion, pelvic anterior tilting and hip flexion, and angular displacement of the lumbar spine between the starting position and maximal lumbar flexion were demonstrated (p<.05).
This study therefore aimed to assess the effect of taping the lower back on the kinematics of the lumbopelvic region and hip joint during STS. The results showed a decrease in the lumbar flexion angle and angular displacement of the lumbar spine between the starting position and maximal lumbar flexion, and an increase in the angle of the pelvic anterior tilting and hip flexion, after tape application.
This study demonstrated the effects of taping the lower back on lumbopelvic region and hip joint kinematics during STS. The results showed that taping resulted in a decreased angle of the lumbar flexion and angular displacement of the lumbar spine between the starting position and maximal lumbar flexion, and an increased angle of the pelvic anterior tilting and hip flexion. These results suggest that taping can prevent excessive lumbar flexion motion and facilitate hip joint movement during STS.

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