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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 Syndrome

한국전문물리치료학회지 2012년 19권 4호 p.61 ~ 69
임원빈, 이충휘, 권오윤, 신헌석,
소속 상세정보
임원빈 ( Lim One-Bin ) - Yonsei University Graduate School Department of Physical Therapy
이충휘 ( Yi Chung-Hwi ) - Yonsei University College of Health Science Department of Physical Therapy
권오윤 ( Kwon Oh-Yun ) - Yonsei University College of Health Science Department of Physical Therapy
신헌석 ( Cynn Heon-seock ) - Yonsei University College of Health Science Department of Physical Therapy

Abstract


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.

키워드

Lumbar Extension Rotation Syndrome;Lumbopelvic Movement Patterns;Tensor Fasciae Latae-Iliotibial Band

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