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The Immediate Effects of Hamstring Eccentric Exercise and Static Stretching on Trunk Forward Bending

즉각적인 뒤넙다리근 편심성 운동과 정적 스트레칭이 몸통 전방 굽힘에 미치는 영향

  • Kim, Tae-eun (Dept. of Physical Therapy, Hyosung City Hospital) ;
  • Choi, Bo-ram (Dept. of Physical Therapy, College of Health and Welfare, Silla university)
  • 김태은 (효성시티병원 물리치료실) ;
  • 최보람 (신라대학교 보건복지대학 물리치료학과)
  • Received : 2019.04.11
  • Accepted : 2019.07.17
  • Published : 2019.09.17

Abstract

Background: Limitations in hip flexion caused by tight hamstrings lead to excessive lumbar flexion and low back pain. Accordingly, many studies have examined how to stretch the hamstring muscle. However, no study has focused on the effect of hamstring eccentric exercise for tight hamstrings on trunk forward bending. Objects: We compared the short-term effect of hamstring eccentric exercise (HEE) and hamstring static stretching (HSS) on trunk forward bending in individuals with tight hamstrings. Methods: Thirty individuals with tight hamstrings participated in the study. The subjects were randomly allocated to either a HEE or HSS group. To determine whether the hamstrings were tight, the active knee extension (AKE) test was performed, and the degree of hip flexion was measured. To assess trunk forward bending, subjects performed the fingertip to floor (FTF) and modified modified Schober tests, and the degree of trunk forward bending was measured using an inclinometer. We used paired t-tests to compare the values before and after exercise in each group and independent t-tests to compare the two groups on various measures Results: The FTF test results were improved significantly after the exercise in both groups, and AKE for both legs increased significantly in both groups. There was no significant difference in the hip angles, mmS test results, or degree of trunk forward bending between groups after the exercise. No test results differed significantly between the two groups at baseline or after the exercise. Both groups increased hamstring flexibility and trunk forward bending. Conclusion: HSS and the HEE groups increased hamstring flexibility and trunk forward bending. However, HEE has additional benefits, such as injury prevention and muscle strengthening.

Keywords

References

  1. Adams MA, Hutton WC. The mechanical function of the lumbar apophyseal joints. Spine (phila pa 1976). 1983;8(3):327-330. https://doi.org/10.1097/00007632-198304000-00017
  2. Bakker EW, Verhagen AP, van Trijffel E, et al. Spinal mechanical load as a risk factor for low back pain: A systematic review of prospective cohort studies. Spine (Phila Pa 1976). 2009;34(8):E281-E293. https://doi.org/10.1097/BRS.0b013e318195b257
  3. Burdorf A, Sorock G. Positive and negative evidence of risk factors for back disorders. Scand J Work Enviro Health. 1997;23(4):243-256. https://doi.org/10.5271/sjweh.217
  4. Butterfield TA, Herzog W. The magnitude of muscle strain does not influence serial sarcomere number adaptations following eccentric exercise. Pflugers Arch. 2006;451(5):688-700. https://doi.org/10.1007/s00424-005-1503-6
  5. CARLSOO S. The static muscle load in different work positions: An electromyographic study. Ergonomics. 1961;4(3):193-211. https://doi.org/10.1080/00140136108930520
  6. Carregaro RL, Coury HJCG. Does reduced hamstring flexibility affect trunk and pelvic movement strategies during manual handling? Int J Indl Ergon. 2009;39(1):115-120. https://doi.org/10.1016/j.ergon.2008.05.004
  7. Congdon R, Bohannon R, Tiberio D. Intrinsic and imposed hamstring length influence posterior pelvic rotation during hip flexion. Clin Biomech (Bristol, Avon). 2005;20(9):947-951. https://doi.org/10.1016/j.clinbiomech.2005.03.011
  8. Esola MA, McClure PW, Fitzgerald GK, et al. Analysis of lumbar spine and hip motion during forward bending in subjects with and without a history of low back pain. Spine(phila pa 1976). 1996;21(1):71-78. https://doi.org/10.1097/00007632-199601010-00017
  9. Feldman DE, Shrier I, Rossignol M, et al. Risk factors for the development of low back pain in adolescence. Am J Epidemiol. 2001;154(1):30-36. https://doi.org/10.1093/aje/154.1.30
  10. Gajdosik RL, Hatcher CK, Whitsell S. Influence of short hamstring muscles on the pelvis and lumbar spine in standing and during the toe-touch test. Clin Biomech (Bristol, Avon). 1992;7(1):38-42. https://doi.org/10.1016/0268-0033(92)90006-P
  11. Gajdosik RL, Lusin G. Hamstring muscle tightness: Reliability of an active-knee-extension test. Phys Ther. 1983;63(7):1085-1088. https://doi.org/10.1093/ptj/63.7.1085
  12. Gauvin MG, Riddle DL, Rothstein JM. Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method. Phys Ther. 1990;70(7):443-447. https://doi.org/10.1093/ptj/70.7.443
  13. Granata KP, Sanford AH. Lumbar-pelvic coordination is influenced by lifting task parameters. Spine (Phila Pa 1976). 2000;25(11):1413-1418. https://doi.org/10.1097/00007632-200006010-00014
  14. Halbertsma JP, van Bolhuis AI, Goeken LN. Sport stretching: Effect on passive muscle stiffness of short hamstrings. Arch of Phys Med Rehabil. 1996;77(7):688-692. https://doi.org/10.1016/S0003-9993(96)90009-X
  15. Hamill J, Knutzen KM. Biomechanical Basis of Human Movement. Lippincott Williams & Wilkins, 2006;101-102.
  16. Hasebe K, Okubo Y, Kaneoka K, et al. The effect of dynamic stretching on hamstrings flexibility with respect to the spino-pelvic rhythm. J Med Invest. 2016;63(1.2):85-90. https://doi.org/10.2152/jmi.63.85
  17. Herrington L. The effect of pelvic position on popliteal angle achieved during 90:90 hamstring-length test. J Sport Rehabil. 2013;22(4):254-256. https://doi.org/10.1123/jsr.22.4.254
  18. Hoogendoorn WE, Bongers PM, de Vet HC, et al. Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: Results of a prospective cohort study. Spine (Phila Pa 1976). 2000;25(23):3087-3092. https://doi.org/10.1097/00007632-200012010-00018
  19. Jandre Reis FJ, Macedo AR. Influence of hamstring tightness in pelvic, lumbar and trunk range of motion in low back pain and asymptomatic volunteers during forward bending. Asian Spine J. 2015;9(4):535-540. https://doi.org/10.4184/asj.2015.9.4.535
  20. Kilgallon M, Donnelly AF, Shafat A. Progressive resistance training temporarily alters hamstring torque-angle relationship. Scand J Med Sci Sports. 2007;17(1):18-24. https://doi.org/10.1111/j.1600-0838.2005.00491.x
  21. Kingma JJ, de Knikker R, Wittink HM, et al. Eccentric overload training in patients with chronic achilles tendinopathy: A systematic review. Br J Sports Med. 2007;41(6):e3. https://doi.org/e3.10.1136/bjsm.2006.030916
  22. Kroll PG, Raya MA. Hamstring muscles: An overview of anatomy, biomechanics and function, injury etiology, treatment, and prevention. Phys Rehabil Med. 1997;9(3-4):191-203.
  23. Kumar GP. Comparison of cyclic loading and hold relax technique in increasing resting length of hamstring muscles. Hong Kong Physiother J. 2011;29(1):31-33. https://doi.org/10.1016/j.hkpj.2011.03.002
  24. Lopez-Minarro PA, Alacid F. Influence of hamstring muscle extensibility on spinal curvatures in young athletes. Sci Sports. 2010;25(4):188-193. https://doi.org/10.1016/j.scispo.2009.10.004
  25. Lopez-Minarro PA, Muyor JM, Belmonte F, et al. Acute effects of hamstring stretching on sagittal spinal curvatures and pelvic tilt. J Hum Kinet. 2012;31:69-78. https://doi.org/10.2478/v10078-012-0007-7
  26. Magnusson SP, Simonsen EB, Aagaard P, et al. Biomechanical responses to repeated stretches in human hamstring muscle in vivo. Am J Sports Med. 1996;24(5):622-628. https://doi.org/10.1177/036354659602400510
  27. Manchikanti L. Epidemiology of low back pain. Pain physician. 2000;3(2):167-192. https://doi.org/10.36076/ppj.2000/3/167
  28. Morgan DL, Allen DG. Early events in stretch-induced muscle damage. J Appl physiol(1985). 1999;87(6):2007-2015. https://doi.org/10.1152/jappl.1999.87.6.2007
  29. Nachemson AL. Disc pressure measurements. Spine (Phila Pa 1976). 1981;6(1):93-97. https://doi.org/10.1097/00007632-198101000-00020
  30. Nelson RT, Bandy WD. Eccentric training and static stretching improve hamstring flexibility of high school males. J Athl Train. 2004;39(3):254-258.
  31. Norris CM. Back Stability. Hum Kinet, 2000.
  32. O'Sullivan K, McAuliffe S, Deburca N. The effects of eccentric training on lower limb flexibility: A systematic review. Br J Sports Med. 2012;46(12): 838-845. http://doi.org/10.1136/bjsports-2011-090835
  33. Petersen J, Holmich P. Evidence based prevention of hamstring injuries in sport. Br J Sports Med. 2005;39(6):319-323. http://doi.org/10.1136/bjsm.2005.018549
  34. Potier TG, Alexander CM, Seynnes OR. Effects of eccentric strength training on biceps femoris muscle architecture and knee joint range of movement. Eur J Appl Physiol. 2009;105(6): 939-944. https://doi.org/10.1007/s00421-008-0980-7
  35. Saunders R, Kraus SL, Woerman A. Evaluation, Treatment and Prevention of Musculoskeletal Disorders. 1st ed. Saunders Group, 1993;703-705.
  36. Saur PM, Ensink FB, Frese K, et al. Lumbar range of motion: Reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility. Spine (Phila Pa 1976). 1996;21(11):1332-1338. https://doi.org/10.1097/00007632-199606010-00011
  37. Shin G, Shu Y, Li Z, et al. Influence of knee angle and individual flexibility on the flexion-relaxation response of the low back musculature. J Electromyogr Kinesiol. 2004;14(4):485-494. https://doi.org/10.1016/j.jelekin.2003.12.001
  38. Sjolie AN. Low-back pain in adolescents is associated with poor hip mobility and high body mass index. Scand J Med Sci Sports. 2004;14(3):168-175. https://doi.org/10.1111/j.1600-0838.2003.00334.x
  39. Spernoga SG, Uhl TL, Arnold BL, et al. Duration of maintained hamstring flexibility after a one-time, modified hold-relax stretching protocol. J Athl Train. 2001;36(1):44-48.
  40. Tousignant M, Poulin L, Marchand S, et al. The modified-modified schober test for range of motion assessment of lumbar flexion in patients with low back pain: A study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil. 2005;27(10):553-559. https://doi.org/10.1080/09638280400018411
  41. Wasielewski NJ, Kotsko KM. Does eccentric exercise reduce pain and improve strength in physically active adults with symptomatic lower extremity tendinosis? A systematic review. J Athl Train. 2007;42(3):409-421.
  42. White S, Sahrmann S. A movement system balance approach to management of musculoskeletal pain. Physical therapy of the cervical and thoracic spine. 1994:339-357.
  43. Williams R, Binkley J, Bloch R, et al. Reliability of the modified-modified schober and double inclinometer methods for measuring lumbar flexion and extension. Phys Ther. 1993;73(1):33-44.