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뒤넙다리근 능동과 수동신장 운동이 요통 환자의 골반 가동성에 미치는 영향

Effects of Active and Passive Hamstring Stretching on Pelvic Mobility in Low Back Pain Patients

대한물리의학회지 2021년 16권 1호 p.49 ~ 61
정승화, 박대성,
소속 상세정보
정승화 ( Jung Seung-Hwa ) - Konyang University Graduate School of Medical Science Department of Physical Therapy
박대성 ( Park Dae-Sung ) - Konyang University Department of Physical Therapy

Abstract


PURPOSE: Hamstring muscle shortening is related to low back pain, and it is important to check the hamstring muscle flexibility and pelvic mobility to analyze the effects of the intervention. This study examined the effects of hamstring muscle shortening on flexibility and pelvic mobility according to the method of stretching the hamstring muscle in patients with low back pain.

METHODS: Forty Low Back Pain Patients participated. The subjects performed the Visual Analogue Scale (VAS), Fear Avoidance Belief Questionnaire (FABQ), Korean version of Oswestry Disability Index (KODI), Myovision, and sensbalance therapy cushion (pelvic mobility, proprioception). The subjects were divided into two groups to perform the passive and active stretching protocol. The intervention was conducted three times a week for four weeks.

RESULTS: Hamstring muscle flexibility was increased significantly in both groups (p < .05), and there was no difference between the groups. VAS, FABQ was decreased significantly in both groups (p < .01), and there was no difference between the groups. The left lower back muscle impedance was decreased significantly in both groups (p < .05). The passive stretching group showed a significant increase in the pelvic anterior, posterior, and left tilt ROM (p < .05). The active stretching group showed a significant increase in the pelvic anterior, posterior tilt ROM (p < .05).

CONCLUSION: Both stretching methods may be useful intervention methods for pelvic mobility and pain recovery and can assess back pain recovery.

키워드

Low back pain; Hamstring muscles; Stretching; Pelvic mobility

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