EFFECT OF STATIC STRETCHING ON MUSCLE ACTIVATION DURING SIT TO STAND AMONG LOW BACK PAIN POPULATION

Authors

  • Nurul Syafiqah Baharam Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia
  • Melydia Yasri Hisham Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia
  • Vikram Mohan Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia
  • Norazlin Mohamad Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia

DOI:

https://doi.org/10.11113/jt.v78.9038

Keywords:

Static Stretching, muscle activation, low back pain population

Abstract

Differential muscle activation pattern following hamstring stretching among low back pain (LBP) is being reported. Reduce in hamstring extensibility can alter the lumbar lordosis during sitting thus put pressure on lumbar intervertebral discs and increase load on the lumbar spine. This can lead to changes in the pelvic motion and altered the functional movement especially during sit to stand (STS). Thus, the faulty motion and muscles will be used and further lead to the changes of muscle activation especially to the back and lower limb muscles. Previous study showed that static stretching can help to increase activation of muscle among LBP population. However, limited evidence exists regarding the effects of static hamstring stretching on muscle activation of gluteus maximus during STS among LBP population. The main objective is to determine the effect of static hamstring stretching on hamstring flexibility on muscle activation of gluteus maximus (GM) during STS among LBP population. Forty four subjects, 44 LBP populations were recruited based on the selected criteria as set by the study protocol. The results of the study showed, there were an improvement on hamstring flexibility and muscle activation when static stretching was applied to LBP population (p<0.05). This study suggested that static hamstring stretching exercise can help to improve the hamstring ability to lengthen and increase the activation of GM during STS especially for LBP population. 

References

Shum, G. L. K., Crosbie, J., & Lee, R. Y. W. 2007. Three-Dimensional Kinetics of the Lumbar Spine and Hips in Low Back Pain Patients during Sit-To-Stand and Stand-To-Sit. Spine. 32(7): E211-9. doi:10.1097/01.brs.0000259204.05598.10.

Knezevic, O., & Mirkov, D. 2013. Trunk Muscle Activation Patterns In Subjects With Low Back Pain. Vojnosanitetski Pregled. 70(3): 315-318. doi:10.2298/VSP1303315K.

M. Krismer, & M. van Tulder. 2007. Low Back Pain (Non-Specific). Best Practice & Research Clinical Rheumatology. 21(1): 77-91. doi: doi:10.1016/j.berh.2006.08.004.

Jacobs, J. V, Yaguchi, C., Kaida, C., Irei, M., Naka, M., Henry, S. M., & Fujiwara, K. 2011. Effects of Experimentally Induced Low Back Pain on the Sit-To-Stand Movement and Electroencephalographic Contingent Negative Variation. Experimental Brain Research. 215(2): 123-34. doi:10.1007/s00221-011-2880-z.

Fujii, T., & Matsudaira, K. 2013. Prevalence of Low Back Pain and Factors Associated with Chronic Disabling Back Pain in Japan. European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 22(2): 432-8. http://doi.org/10.1007/s00586-012-2439-0.

Muyor, J. M., López-Miñarro, P. a, & Casimiro, A. J. 2012. Effect of Stretching Program in an Industrial Workplace on Hamstring Flexibility and Sagittal Spinal Posture of Adult Women Workers: A Randomized Controlled Trial. Journal of Back and Musculoskeletal Rehabilitation. 25(3): 161-9. http://doi.org/10.3233/BMR-2012-0323.

Shadmehr, A., Hadian, M. R., Naiemi, S. S., & Jalaie, S. 2009. Hamstring Flexibility in Young Women Following Passive Stretch and Muscle Energy Technique. Journal of Back and Musculoskeletal Rehabilitation. 22(3): 143-8. Doi: 10.3233/BMR-2009-0227.

Hultman, G., Nordin, M., Saraste, H., & Ohlsèn, H. 1993. Body Composition, Endurance, Strength, Cross-sectional Area, and Density of MM Erector Spinae in Men with and Without Low Back Pain. Journal of Spinal Disorders & Techniques. 6(2): 114-123.

Chan, S. P., Hong, Y., & Robinson, P. D. 2001. Flexibility and Passive Resistance of the Hamstring of Young Adults Using Two Different Static Stretching. Scand J Med Sci Sports. 11: 81-86.

Koley, S., & Likhi, N. 2011. No Relationship between Low Back Pain and Hamstring Flexibility Anthropologist. 13(2): 117-120.

Akram, S. B., & McIlroy, W. E. 2011. Challenging Horizontal Movement of the Body during Sit-to-Stand: Impact on Stability in the Young and Elderly. Journal Of Motor Behavior. 43(2): 147-153. doi: 10.1080/00222895.2011.552077.

Ershad, N., Kahrizi, S., Abadi, M. F., & Zadeh, S. F. 2009. Evaluation of Trunk Muscle Activity in Chronic Low Back Pain Patients and Healthy Individuals during Holding Loads. Journal of Back and Musculoskeletal Rehabilitation. 22(3): 165-72. http://doi.org/10.3233/BMR-2009-0230.

Lewis, C. L., & Sahrmann, S. a. 2009. Muscle Activation and Movement Patterns during Prone Hip Extension Exercise in Women. Journal of Athletic Training. 44(3): 238-48. doi:10.4085/1062-6050-44.3.238.

Reiman, M. P., Bolgla, L. A., & Loudon, J. K. 2012. A Literature Review of Studies Evaluating Gluteus Maximus and Gluteus Medius Activation during Rehabilitation Exercises. Physiotherapy Theory and Practice. 28(4): 257-268.

Cheng P-T, Chen C-L, Wang C-M, Hong W-H. 2004. Leg Muscle Activation Patterns of Sit-To-Stand Movement in Stroke Patients. Am J Phys Med Rehabil. 83(1): 10-16.

Prudente, C., Rodrigues-de-Paula, F., & Faria, C. D. C. M. 2013. Lower Limb Muscle Activation During the Sit-to-Stand Task in Subjects Who Have Had a Stroke. American Journal of Physical Medicine & Rehabilitation. 92(8): 666-675. doi: 10.1097/PHM.0b013e318282c87a.

Harreby, M., Nygaard, B., Jessen, T., Larsen, E., Storr-Paulsen, A., Lindahl, A., Lægaard, E. 1999. Risk Factors for Low Back Pain in a Cohort of 1389 Danish School Children: An Epidemiologic Study. European Spine Journal. 8(6): 444-450. doi: 10.1007/s005860050203.

Ferguson, S. A., Marras, W. S., Burr, D. L., Davis, K. G., Gupta, P. 2004. Differences in Motor Recruitment and Resulting Kinematics between Low Back Pain Patients and Asymptomatic Participants during Lifting Exertions. Clin Biomech. 19(10): 992-9.

Newcomer, K. L., Jacobson, T. D., Gabriel, D. a., Larson, D. R., Brey, R. H., & An, K.-N. 2002. Muscle Activation Patterns in Subjects with and Without Low Back Pain. Archives of Physical Medicine and Rehabilitation. 83(6): 816-821. http://doi.org/10.1053/apmr.2002.32826.

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Published

2016-06-13

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Section

Science and Engineering

How to Cite

EFFECT OF STATIC STRETCHING ON MUSCLE ACTIVATION DURING SIT TO STAND AMONG LOW BACK PAIN POPULATION. (2016). Jurnal Teknologi (Sciences & Engineering), 78(6-8). https://doi.org/10.11113/jt.v78.9038