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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

        ( One Bin Lim ),( Chung Hwi Yi ),( Oh Yun Kwon ),( Heon Seock Cynn ) 한국전문물리치료학회 2012 한국전문물리치료학회지 Vol.19 No.4

        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 Effects of Active Stretching Exercise on Passive Stiffness of Rectus Femoris Muscle and Low Back Pain in Patients with Lumbar Extension Rotation Syndrome

        박규남 KEMA학회 2017 근골격계과학기술학회 Vol.1 No.1

        ABSTRACT Background A previous literature suggested that increased passive stiffness of rectus femoris muscle (RF) can cause compensatory lumbopelvic motion in sagittal plane or transverse plane during active knee flexion in patients with lumbar extension rotation syndrome (L-ext & rot syn), resulting low back pain. Purpose The purpose of this study was to investigate the effects of active stretching exercise of RF during 6-week on passive muscle stiffness of RF and low back pain in patients with L-ext & rot syn. Study design Pre/post-test design. Methods Twenty patients with L-ext & rot syn were recruited for this study. Passive RF stiffness was measured in pre- and post-stretching period using specially designed motorized pulling machine. Subjective stretch sensation and intensity of low back pain were measured using numeric rating scale. The subjects performed the active RF stretching exercise during 6-week. The significance of the difference between pre- and post-stretching exercises was assessed using repeated one-way analysis of variance. Results Passive RF stiffness and stretch sensation after RF stretching exercise was significantly reduced in subjects with L-ext & rot syn. However, pain intensity of low back during daily activity showed no significant difference between before and after stretching exercise. Conclusions Active RF stretching exercise during 6-week can decrease RF stiffness, but failed to decrease pain intensity of low back during daily activity in patients with L-ext & rot syn.

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