Jandre Reis Felipe Jose, Macedo Adriana Ribeiro
Department of Physiotherapy, Federal Institute of Rio de Janeiro, Rio de Janeiro, Brazil. ; Department of Clinical Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Physiotherapy, Federal Institute of Rio de Janeiro, Rio de Janeiro, Brazil.
Asian Spine J. 2015 Aug;9(4):535-40. doi: 10.4184/asj.2015.9.4.535. Epub 2015 Jul 28.
STUDY DESIGN: Cross-sectional study. PURPOSE: To verify the association of hamstring tightness and range of motion in anterior pelvic tilt (PT), lumbar motion (LM), and trunk flexion (TF) during forward bending. OVERVIEW OF LITERATURE: Increased hamstring stiffness could be a possible contributing factor to low back injuries. Clinical observations have suggested that hamstring tightness influences lumbar pelvic rhythm. Movement restrictions or postural asymmetry likely lead to compensatory movement patterns of the lumbar spine, and subsequently to increased stress on the spinal soft tissues and an increased risk of low back pain (LBP). METHODS: Hamstring muscle tightness was measured using the self-monitored active knee extension (AKE) test. A bubble inclinometer was used to determine the range of motion of PT, LM, and TF during forward bending. Statistical analysis included descriptive statistics, comparisons between groups and a correlation between hamstring tightness (AKE) and anterior PT, TF, and regional LM with p≤0.05. RESULTS: The LBP group was composed of 36 participants, and the asymptomatic group consisted of 32 participants. The mean for PT in the control group was 66.7°, 64.5° for LM and 104.6° for TF. Respective values in the symptomatic group were 57.0°, 79.8°, and 82.2°. CONCLUSIONS: Participants with LBP showed restriction in the pelvis and TF range of motion, but had higher amplitudes in the lumbar spine during forward bending.
研究设计:横断面研究。 目的:验证腘绳肌紧张度与前骨盆倾斜(PT)、腰椎活动度(LM)和前屈时躯干前屈(TF)活动范围之间的关联。 文献综述:腘绳肌僵硬度增加可能是导致下背部损伤的一个因素。临床观察表明,腘绳肌紧张度会影响腰骶节律。运动受限或姿势不对称可能导致腰椎的代偿性运动模式,进而增加脊柱软组织的压力以及下背痛(LBP)的风险。 方法:使用自我监测主动膝关节伸展(AKE)试验测量腘绳肌紧张度。使用气泡倾斜仪确定前屈时PT、LM和TF的活动范围。统计分析包括描述性统计、组间比较以及腘绳肌紧张度(AKE)与前PT、TF和局部LM之间的相关性,p≤0.05。 结果:下背痛组由36名参与者组成,无症状组由32名参与者组成。对照组PT的平均值为66.7°,LM为64.5°,TF为104.6°。症状组的相应值分别为57.0°、79.8°和82.2°。 结论:下背痛参与者在前屈时骨盆和TF活动范围受限,但腰椎活动幅度更大。
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