Gnat Rafał, Saulicz Edward
Department of Physiotherapy, University School of Physical Education, Katowice, Poland.
J Manipulative Physiol Ther. 2008 Mar;31(3):204-11. doi: 10.1016/j.jmpt.2008.02.012.
This study evaluates the hypothesis that triggering and eliminating induced static pelvic asymmetry (SPA) may be followed by immediate change in functional asymmetry of the lumbo-pelvo-hip complex.
Repeated measures experimental design with 2 levels of independent variable, that is, induced SPA triggered and induced SPA eliminated, was implemented. Three series of measurements were performed, that is, baseline, after triggering SPA, and after eliminating SPA. A group of 84 subjects with no initial symptoms of SPA was studied. Different forms of mechanical stimulation were applied aiming to induce SPA, and the 2 manual stretching-manipulating techniques were performed aiming to eliminate it. A hand inclinometer was used to measure SPA in standing posture. Selected ranges of motion of the hip joints and lumbar spine were used to depict functional asymmetry of the lumbo-pelvo-hip complex. The functional asymmetry indices for individual movements were calculated. Repeated measures design of analysis of variance, dependent data Student t test, and linear Pearson's correlation test were used.
Assessment of the SPA showed its significant increase between baseline and series 2 measurements, with a subsequent significant decrease between series 2 and series 3 measurements. Values of the functional asymmetry indices changed accordingly, that is, they increased significantly between series 1 and series 2 and had returned to their initial level in series 3 measurements.
Induced SPA shows considerable association with functional asymmetry of the lumbo-pelvo-hip complex.
本研究评估这样一种假设,即引发并消除诱导性静态骨盆不对称(SPA)后,腰-骨盆-髋关节复合体的功能不对称可能会立即发生改变。
采用重复测量实验设计,自变量有2个水平,即诱导性SPA引发和诱导性SPA消除。进行了3组测量,即基线测量、引发SPA后测量和消除SPA后测量。对一组84名无SPA初始症状的受试者进行了研究。采用不同形式的机械刺激来诱导SPA,并采用2种手动拉伸-手法技术来消除它。使用手持倾斜仪测量站立姿势下的SPA。选取髋关节和腰椎的特定活动范围来描述腰-骨盆-髋关节复合体的功能不对称。计算各个动作的功能不对称指数。采用重复测量方差分析、相关数据的学生t检验和线性皮尔逊相关检验。
对SPA的评估显示,在基线测量和第2组测量之间其显著增加,随后在第2组和第3组测量之间显著降低。功能不对称指数的值相应地发生了变化,即在第1组和第2组之间显著增加,并在第3组测量中恢复到初始水平。
诱导性SPA与腰-骨盆-髋关节复合体的功能不对称有显著关联。