Effects of Proprioceptive Neuromuscular Facilitation Stretching and Kinesiology Taping on Pelvic Compensation During Double-Knee Extension

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Shortened hamstrings are likely to restrict the anterior pelvic tilt and induce a slumped posture due to the posterior pelvic tilt. This study was conducted to compare the effects of proprioceptive neuromuscular facilitation (PNF) stretching and modified anterior pelvic tilt taping (APTT) on hamstring shortness-associated pelvic compensation while executing seated double-knee extension. Male college students (28 healthy young adults; mean age: 21.4 ± 2.1 years) with hamstring shortness were recruited as study subjects and randomly assigned to either the PNF stretching group (control group) or the APTT group (experimental group). In all the subjects, changes in the movement distance of the centre of gluteal pressure (COGP) as well as rectus abdominis (RA) and semitendinosus (SEM) muscle activities were measured during seated double-knee extension while the respective intervention method was applied. Both groups showed significant decreases in COGP distance and RA muscle activity compared with their respective baseline values (p < 0.05), however, no significant changes were observed in SEM muscle activity. We can infer that not only a direct intervention on the hamstring, such as PNF stretching, but also a modified APTT-mediated pelvic intervention may be used as a method for reducing pelvic compensation induced by hamstring shortness.

Chen C, Huang T, Chai H, Jan M, Lin J. Two stretching treatments on hamstring: Proprioceptive neuromuscular facilitation versus kinesiotaping application. J Sport Rehabil, 2012; 22(1): 59-66

Comerford M, Mottram S. Kinetic control: the management of uncontrolled movement. Australia: Elsevier, 113-114; 2012

Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. 1 st ed. Aspen, 358; 1998

Decoster LC, Cleland J, Altieri C, Russell P. The effects of hamstring stretchingon range of motion: a systematic literature review. J Orthop Sports Phys Ther, 2005; 35(6): 377-387

Funk DC, Swank AM, Mikla BM, Fagan TA, Farr BK. Impact of prior exercise on hamstring flexibility: a comparison of proprioceptive neuromuscular facilitation and static stretching. J Strength Cond Res, 2003; 17(3): 489-492

Handel M, Horstmann T, Dickhuth H-H, Gülch R. Effects of contract-relax stretching training on muscle performance in athletes. Eur J Appl Physiol Occup Physiol, 1997; 76(5): 400-408

Kingston B. Understanding muscles: a practical guide to muscle function. 2nd ed. Cheltenham: Stanley Thornes, 93; 2005

Kramer JF, Walsh R, Fowler P, Webster-Bogart S. Comparisons of sitting, prone and standing tests of knee flexion strength. Isokinet Exerc Sci, 1996; 6(1): 57-63

Kuo YL, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older adults. J Manipulative Physiol Ther, 2009; 32(3): 210-215

Lee JH, Yoo WG. The mechanical effect of anterior pelvic tilt taping on slump sitting by seated workers. Ind Health, 2011; 49(4): 403-409

Lee JH, Yoo WG, Kim MH, Oh JS, Lee KS, Han JT. Effect of posterior pelvic tilt taping in women with sacroiliac joint pain during active straight leg raising who habitually wore high-heeled shoes: a preliminary study. J Manipulative Physiol Ther, 2014; 37(4): 260-208

Li Y, McClure PW, Pratt N. The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending. Phys Ther, 1996; 76: 836-845

Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 2nd ed. St Louis: Mosby, 353; 2013

Norris C. Functional load abdominal training: part 1. Phys Ther Sport, 2001; 2(1): 29-39

Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance. The Janda approach. Chicago, IL: Human Kinetics, 28-29; 2010

Park KN, Yi CH, Jeon HS, Lee WH, Ha SM, Kim SJ, Kwon OY. Effects of Lumbopelvic Neutralization on the Electromyographic Activity, Lumbopelvic and Knee Motion during Seated Knee Extension in Subjects with Hamstring Shortness. J Phys Ther Sci, 2012; 24(1): 17-22

Rolls A, George K. The relationship between hamstring muscle injuries and hamstring muscle length in young elite footballers. Phys Ther Sport, 2004; 5(4): 179-187

Puranen J, Orava S. The hamstring syndrome A new diagnosis of gluteal sciatic pain. Am J sports Med, 1988; 16(5): 517-521

Rowlands AV, Marginson VF, Lee J. Chronic flexibility gains: effect of isometric contraction duration during proprioceptive neuromuscular facilitation stretching techniques. Res Q Exerc Sport, 2003; 74(1): 47-51

Sahrmann S. Diagnosis and treatment of movement impairment syndromes. 1st ed. St. Louis: Mosby, 30-31, 103-111; 2002

Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching. Sports Med, 2006; 36(11): 929-939

Yoo WG. Comparison of the Middle and Lower Serratus Anterior Muscle Activities during Various Wall Push-up Plus Exercises. J Phys Ther Sci, 2013; 25(2): 153-154

Youdas JW, Haeflinger KM, Kreun MK, Holloway AM, Kramer CM, Hollman JH. The efficacy of two modified proprioceptive neuromuscular facilitation stretching techniques in subjects with reduced hamstring muscle length. Physiother Theory Pract, 2010; 26(4): 240-250

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