Effects of Lumbopelvic Neutralization on the Electromyographic Activity, Lumbopelvic and Knee Motion during Seated Knee Extension in Subjects with Hamstring Shortness

[Purpose] The purpose of this study was to examine the effects of lumbopelvic neutralization on the angle of knee extension, lumbopelvic motion, and the electromyographic (EMG) activities of the quadriceps, hamstrings, and rectus abdominis muscles of subjects with hamstring shortness during seated k...

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Published inJournal of Physical Therapy Science Vol. 24; no. 1; pp. 17 - 22
Main Authors Jeon, Hye-Seon, Kim, Su-Jung, Lee, Won-Hwee, Ha, Sung-Min, Yi, Chung-Hwi, Kwon, Oh-Yun, Park, Kyue-Nam
Format Journal Article
LanguageEnglish
Published The Society of Physical Therapy Science 2012
Subjects
Analysis
Electromyography
Feedback
Hamstring shortness
Knee extension
Knees
Lumbopelvic neutralization
Measurement
Movement
Muscles
Muscles (exercise effects)
Stress
Online AccessGet full text
ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.24.17

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Abstract [Purpose] The purpose of this study was to examine the effects of lumbopelvic neutralization on the angle of knee extension, lumbopelvic motion, and the electromyographic (EMG) activities of the quadriceps, hamstrings, and rectus abdominis muscles of subjects with hamstring shortness during seated knee extension. [Subjects] Twenty young subjects (14 men, 6 women) with hamstring shortness were recruited for this study. [Methods] A pressure biofeedback unit was used to monitor the lumbopelvic neutralization during seated knee extension with lumbopelvic neutralization. The EMG activity and kinematic data were measured during seated knee extension with and without lumbopelvic neutralization. Surface EMG was used for measuring the muscle activities of the quadriceps, hamstrings, and rectus abdominis muscles. The angles of knee extension, lumbar flexion, lumbar rotation, and posterior pelvic tilt were measured using a 3-dimensional motion analysis system. [Results] The angles of the lumbar flexion, lumbar rotation, posterior pelvic tilt, and knee extension decreased significantly when performing seated knee extension with lumbopelvic neutralization compared to performing the same maneuver without lumbopelvic neutralization. The EMG activities of the medial and lateral hamstrings, quadriceps, and rectus abdominis decreased significantly during seated knee extension with lumbopelvic neutralization using a pressure biofeedback unit. [Conclusion] Seated knee extension exercise with lumbopelvic neutralization may be useful for minimizing compensatory lumbopelvic motion and preventing compensatory hamstrings and rectus abdominis muscle activities of subjects with hamstring shortness during seated knee extension.
AbstractList [Purpose] The purpose of this study was to examine the effects of lumbopelvic neutralization on the angle of knee extension, lumbopelvic motion, and the electromyographic (EMG) activities of the quadriceps, hamstrings, and rectus abdominis muscles of subjects with hamstring shortness during seated knee extension. [Subjects] Twenty young subjects (14 men, 6 women) with hamstring shortness were recruited for this study. [Methods] A pressure biofeedback unit was used to monitor the lumbopelvic neutralization during seated knee extension with lumbopelvic neutralization. The EMG activity and kinematic data were measured during seated knee extension with and without lumbopelvic neutralization. Surface EMG was used for measuring the muscle activities of the quadriceps, hamstrings, and rectus abdominis muscles. The angles of knee extension, lumbar flexion, lumbar rotation, and posterior pelvic tilt were measured using a 3-dimensional motion analysis system. [Results] The angles of the lumbar flexion, lumbar rotation, posterior pelvic tilt, and knee extension decreased significantly when performing seated knee extension with lumbopelvic neutralization compared to performing the same maneuver without lumbopelvic neutralization. The EMG activities of the medial and lateral hamstrings, quadriceps, and rectus abdominis decreased significantly during seated knee extension with lumbopelvic neutralization using a pressure biofeedback unit. [Conclusion] Seated knee extension exercise with lumbopelvic neutralization may be useful for minimizing compensatory lumbopelvic motion and preventing compensatory hathstrings and rectus abdominis muscle activities of subjects with hamstring shortness during seated knee extension.
[Purpose] The purpose of this study was to examine the effects of lumbopelvic neutralization on the angle of knee extension, lumbopelvic motion, and the electromyographic (EMG) activities of the quadriceps, hamstrings, and rectus abdominis muscles of subjects with hamstring shortness during seated knee extension. [Subjects] Twenty young subjects (14 men, 6 women) with hamstring shortness were recruited for this study. [Methods] A pressure biofeedback unit was used to monitor the lumbopelvic neutralization during seated knee extension with lumbopelvic neutralization. The EMG activity and kinematic data were measured during seated knee extension with and without lumbopelvic neutralization. Surface EMG was used for measuring the muscle activities of the quadriceps, hamstrings, and rectus abdominis muscles. The angles of knee extension, lumbar flexion, lumbar rotation, and posterior pelvic tilt were measured using a 3-dimensional motion analysis system. [Results] The angles of the lumbar flexion, lumbar rotation, posterior pelvic tilt, and knee extension decreased significantly when performing seated knee extension with lumbopelvic neutralization compared to performing the same maneuver without lumbopelvic neutralization. The EMG activities of the medial and lateral hamstrings, quadriceps, and rectus abdominis decreased significantly during seated knee extension with lumbopelvic neutralization using a pressure biofeedback unit. [Conclusion] Seated knee extension exercise with lumbopelvic neutralization may be useful for minimizing compensatory lumbopelvic motion and preventing compensatory hamstrings and rectus abdominis muscle activities of subjects with hamstring shortness during seated knee extension.
Author Jeon, Hye-Seon
Ha, Sung-Min
Park, Kyue-Nam
Lee, Won-Hwee
Yi, Chung-Hwi
Kim, Su-Jung
Kwon, Oh-Yun
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  organization: Department of Physical Therapy, College of Health Science, Yonsei University
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  fullname: Kim, Su-Jung
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  fullname: Lee, Won-Hwee
  organization: Department of Rehabilitation Therapy, Graduate School, Yonsei University
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  fullname: Ha, Sung-Min
  organization: Department of Rehabilitation Therapy, Graduate School, Yonsei University
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  fullname: Yi, Chung-Hwi
  organization: Department of Physical Therapy, College of Health Science, Yonsei University
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  fullname: Kwon, Oh-Yun
  organization: Department of Physical Therapy, Kinetic Ergocise Based on Movement Analysis Laboratory, College of Health Science, Yonsei University
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CitedBy_id crossref_primary_10_1589_jpts_27_447
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Cites_doi 10.1093/ptj/80.11.1097
10.1249/MSS.0b013e31819e8e5d
10.1590/S0100-879X2009001000012
10.1016/j.ptsp.2004.08.005
10.1177/0363546507307867
10.1186/1471-2474-9-170
10.1016/0268-0033(93)90013-8
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10.1097/00007632-200206010-00019
10.1097/00007632-199410000-00013
10.1016/j.jbiomech.2004.04.004
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10.1016/S1350-4533(99)00068-5
10.1097/01.brs.0000234735.98075.50
10.1016/j.jelekin.2008.11.003
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10.1016/j.physio.2008.05.009
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10.2519/jospt.2003.33.3.126
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References 2) Sahrmann SA: Diagnosis and Treatment of Movement Impairment Syndrome. 1st ed. Missouri: Mosby, 2002,pp 103-111.
6) Luomajoki H, Kool J, de Bruin ED, et al.: Movement control tests of the low back; Evaluation of the difference between patients with low back pain and healthy controls. BMC Musculoskelet Disord, 2008, 24: 170-181.
12) McGill SM, Kippers V: Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon. Spine, 1994, 19: 2190-2196.
27) Keir PJ, Wells RP, Ranney DA: Passive properties of the forearm musculature with reference to hand and finger postures. Clin Biomech, 1996, 11: 401-409.
28) Cesarelli M, Bifulco P, Bracale M: Quadriceps muscles activation in anterior knee pain during isokinetic exercise. Med Eng Phys, 1999, 21: 469-478.
11) Dolan P, Adams MD: Effects of lumbar and hip mobility on the bending stresses acting on the lumbar spine. Clin Biomech, 1993, 8: 185-192.
23) Neumann DA: Kinesiology of the musculoskeletal system. 1st ed. Philadelphia: Mosby, 2002,pp 418-420.
1) Marques AP, Vasconcelos AA, Cabral CM, et al.: Effect of frequency of static stretching on flexibility, hamstring tightness and electromyographic activity. Braz J Med Biol Res, 2009, 42: 949-953.
22) Roussel N, Nijs J, Truijen S, et al.: Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case-control study. Eur Spine J, 2009,18:1066-1073.
5) Williams GN, Snyder-Mackler L, Barrance PJ, et al.: Quadriceps femoris muscle morphology and function after ACL injury: A differential response in copers versus non-copers. Biomech, 2005, 38: 685-693.
18) Rolls A, George K: The relationship between hamstring muscle injuries and hamstring muscle length in young elite footballers. Phys Ther Sport, 2004, 5: 179-187.
14) Harris-Hayes M, Van Dillen LR, Sahrmann SA: Classification, treatment and outcomes of a patient with lumbar extension syndrome. Physiother Theory Pract, 2005, 21: 181-196.
29) Van Dillen LR, Sahrmann SA, Norton BJ: Movement system impairment-based categories for low back pain: stage 1 validation. J Orthop Sports Phys Ther, 2003, 33: 126-142.
21) Van Dillen LR, Sahrmann SA, Norton BJ, et al.: Reliability of physical examination items used for classification of patients with low back pain. Phys Ther ,1998, 78: 979-988.
17) Richardson CA, Hodges PW, Hides JA: Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of lowback pain. 2nd ed. Edinburgh: Churchill Livingstone, 2004, pp 153-154.
7) Maluf KS, Sahrmann SA, Van Dillen LR: Use of a classification system to guide nonsurgical management of a patient with chronic low back pain. Phys Ther, 2000, 80: 1097-1111.
26) Krishnan C, Williams GN: Sex differences in quadriceps and hamstrings EMG-moment relationships. Med Sci Sports Exerc, 2009, 41: 1652-1660.
20) Hsu YH, Chen WY, Lin HC, et al.: The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol, 2009,19:1092-1099.
25) Kisner C, Colby LA: Therapeutic exercise: foundations and techniques. 4th ed. Pennsylvania: F.A. Davis, 2002, pp 171-175.
3) Tagesson S, Oberg B, Good L, et al.: A comprehensive rehabilitation program with quadriceps strengthening in closed versus open kinetic chain exercise in patients with anterior cruciate ligament deficiency: A randomized clinical trial evaluating dynamic tibial translation and muscle function. Am J Sports Med, 2008, 36: 298-307.
9) Cynn HS, Oh JS, Kwon OY, et al.: Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Arch Phys Med Rehabil, 2006, 87: 1454-1458.
19) Cram JR, Kasman GS, Holtz J: Introduction to Surface Electromyography. 1st ed. Maryland: Aspen Publishers Inc, 1998, pp 365-370.
16) O’Sullivan PB, Grahamslaw KM, Kendell M, et al.: The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine, 2002, 27: 1238-1244.
8) Van Dillen LR, Sahrmann SA, Wagner JM: Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome. Phys Ther, 2005, 85: 336-351.
10) Oh JS, Cynn HS, Won JH, Kwon OY, et al.: Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther, 2007, 37: 320-324.
15) O’Sullivan PB, Dankaerts W, Burnett AF, et al.: Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine, 2006, 31: 707-712.
4) White LC, Dolphin P, Dixon J: Hamstring length in patellofemoral pain syndrome. Physiotherapy, 2009, 95: 24-28.
13) Suni J, Rinne M, Natri A, et al.: Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability: A 12-month randomized controlled study. Spine, 2006, 31: E611-E620.
24) Kendall FP, McCreary EK, Provance PG: Muscles: Testing and function with posture and pain. 5th ed. Maryland: Williams & Wilkins, 2005, pp 39-41.
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References_xml – reference: 3) Tagesson S, Oberg B, Good L, et al.: A comprehensive rehabilitation program with quadriceps strengthening in closed versus open kinetic chain exercise in patients with anterior cruciate ligament deficiency: A randomized clinical trial evaluating dynamic tibial translation and muscle function. Am J Sports Med, 2008, 36: 298-307.
– reference: 20) Hsu YH, Chen WY, Lin HC, et al.: The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol, 2009,19:1092-1099.
– reference: 25) Kisner C, Colby LA: Therapeutic exercise: foundations and techniques. 4th ed. Pennsylvania: F.A. Davis, 2002, pp 171-175.
– reference: 1) Marques AP, Vasconcelos AA, Cabral CM, et al.: Effect of frequency of static stretching on flexibility, hamstring tightness and electromyographic activity. Braz J Med Biol Res, 2009, 42: 949-953.
– reference: 4) White LC, Dolphin P, Dixon J: Hamstring length in patellofemoral pain syndrome. Physiotherapy, 2009, 95: 24-28.
– reference: 24) Kendall FP, McCreary EK, Provance PG: Muscles: Testing and function with posture and pain. 5th ed. Maryland: Williams & Wilkins, 2005, pp 39-41.
– reference: 6) Luomajoki H, Kool J, de Bruin ED, et al.: Movement control tests of the low back; Evaluation of the difference between patients with low back pain and healthy controls. BMC Musculoskelet Disord, 2008, 24: 170-181.
– reference: 7) Maluf KS, Sahrmann SA, Van Dillen LR: Use of a classification system to guide nonsurgical management of a patient with chronic low back pain. Phys Ther, 2000, 80: 1097-1111.
– reference: 26) Krishnan C, Williams GN: Sex differences in quadriceps and hamstrings EMG-moment relationships. Med Sci Sports Exerc, 2009, 41: 1652-1660.
– reference: 22) Roussel N, Nijs J, Truijen S, et al.: Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case-control study. Eur Spine J, 2009,18:1066-1073.
– reference: 27) Keir PJ, Wells RP, Ranney DA: Passive properties of the forearm musculature with reference to hand and finger postures. Clin Biomech, 1996, 11: 401-409.
– reference: 8) Van Dillen LR, Sahrmann SA, Wagner JM: Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome. Phys Ther, 2005, 85: 336-351.
– reference: 21) Van Dillen LR, Sahrmann SA, Norton BJ, et al.: Reliability of physical examination items used for classification of patients with low back pain. Phys Ther ,1998, 78: 979-988.
– reference: 23) Neumann DA: Kinesiology of the musculoskeletal system. 1st ed. Philadelphia: Mosby, 2002,pp 418-420.
– reference: 17) Richardson CA, Hodges PW, Hides JA: Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of lowback pain. 2nd ed. Edinburgh: Churchill Livingstone, 2004, pp 153-154.
– reference: 28) Cesarelli M, Bifulco P, Bracale M: Quadriceps muscles activation in anterior knee pain during isokinetic exercise. Med Eng Phys, 1999, 21: 469-478.
– reference: 5) Williams GN, Snyder-Mackler L, Barrance PJ, et al.: Quadriceps femoris muscle morphology and function after ACL injury: A differential response in copers versus non-copers. Biomech, 2005, 38: 685-693.
– reference: 13) Suni J, Rinne M, Natri A, et al.: Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability: A 12-month randomized controlled study. Spine, 2006, 31: E611-E620.
– reference: 12) McGill SM, Kippers V: Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon. Spine, 1994, 19: 2190-2196.
– reference: 11) Dolan P, Adams MD: Effects of lumbar and hip mobility on the bending stresses acting on the lumbar spine. Clin Biomech, 1993, 8: 185-192.
– reference: 16) O’Sullivan PB, Grahamslaw KM, Kendell M, et al.: The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine, 2002, 27: 1238-1244.
– reference: 15) O’Sullivan PB, Dankaerts W, Burnett AF, et al.: Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine, 2006, 31: 707-712.
– reference: 18) Rolls A, George K: The relationship between hamstring muscle injuries and hamstring muscle length in young elite footballers. Phys Ther Sport, 2004, 5: 179-187.
– reference: 10) Oh JS, Cynn HS, Won JH, Kwon OY, et al.: Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther, 2007, 37: 320-324.
– reference: 2) Sahrmann SA: Diagnosis and Treatment of Movement Impairment Syndrome. 1st ed. Missouri: Mosby, 2002,pp 103-111.
– reference: 29) Van Dillen LR, Sahrmann SA, Norton BJ: Movement system impairment-based categories for low back pain: stage 1 validation. J Orthop Sports Phys Ther, 2003, 33: 126-142.
– reference: 19) Cram JR, Kasman GS, Holtz J: Introduction to Surface Electromyography. 1st ed. Maryland: Aspen Publishers Inc, 1998, pp 365-370.
– reference: 9) Cynn HS, Oh JS, Kwon OY, et al.: Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Arch Phys Med Rehabil, 2006, 87: 1454-1458.
– reference: 14) Harris-Hayes M, Van Dillen LR, Sahrmann SA: Classification, treatment and outcomes of a patient with lumbar extension syndrome. Physiother Theory Pract, 2005, 21: 181-196.
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SubjectTerms Analysis
Electromyography
Feedback
Hamstring shortness
Knee extension
Knees
Lumbopelvic neutralization
Measurement
Movement
Muscles
Muscles (exercise effects)
Stress
Title Effects of Lumbopelvic Neutralization on the Electromyographic Activity, Lumbopelvic and Knee Motion during Seated Knee Extension in Subjects with Hamstring Shortness
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