DOI QR코드

DOI QR Code

The Effects of Passive Stretching of the Iliopsoas Muscles on Pulmonary Function

엉덩허리근에 대한 수동 신장이 폐 기능에 미치는 영향

  • Received : 2022.07.24
  • Accepted : 2022.08.10
  • Published : 2022.08.31

Abstract

PURPOSE: By virtue of its location, the iliopsoas muscle has the potential to affect the function of the diaphragm. Therefore, the purpose of this study was to investigate the effects of passive stretching of the iliopsoas muscles on pulmonary function. METHODS: Twenty male university students participated in this study. Subjects with low back pain, negative results on the modified Thomas test, and chest breathing patterns not directly related to the function of the iliopsoas muscles were excluded from this study. A digital pulmonary function measuring device (Pony FX, COSMED Inc, Italy) was used to test pulmonary function. The test was performed three times: the first test before passive stretching, the second test 10 minutes after the first test, and the third after passive stretching. Passive stretching was performed 5 times for each of the left and right iliopsoas muscles. Passive stretching was carried out for 20 seconds followed by a 10-second break. The SPSSWIN (ver. 27.0) statistics program was used for data analysis, and the significance level was α =.05. RESULTS: Among slow vital capacity (SVC) parameters, tidal volume (VT), inspiratory reserve volume (IRV), inspiratory capacity (IC) and vital capacity (VC) improved significantly after passive stretching. Also, among the maximal effort vital capacity (MEVC) parameters, forced vital capacity(FVC) and forced expiratory volume in one second(FEV1) improved significantly after passive stretching. CONCLUSION: The results showed that among the various pulmonary function parameters measured, passive stretching of the iliopsoas muscles can improve the SVC and MEVC. Therefore, passive stretching of the iliopsoas muscles may be considered for use as a treatment method to improve pulmonary function.

Keywords

References

  1. McParland C, Mink J, Gallagher CG. Respiratory adaptation to dead space loading during maximal incremental exercise. J Appl physio. 1991;70(1):55-62. https://doi.org/10.1152/jappl.1991.70.1.55
  2. Kim HB, Kim KS, Kim NS, et al. Cardiovascular & pulmonary physical therapy. Panmuneducation. Seoul. 2019.
  3. Hodges P, Sapsford R, Penge lL. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 2007;26(3):362-71. https://doi.org/10.1002/nau.20232
  4. Kalpakcioglu B, AltinbilekT, Senel K. Determination of spondylolisthesis in low back pain by clinical evaluation. J Back Musculoskelet Rehabil. 2009;22(1):27-32. https://doi.org/10.3233/BMR-2009-0212
  5. Williams PL, Warwick R, Dyson M, et al. Gray's anatomy (37th ed). Edinburgh: Churchill Livingstone. 1989.
  6. Kim HG, Ma SC. Measurement of diaphragm in normal human. J Radiol Sci Techol. 2007;30(4):335-41.
  7. Skyrme AD, Cahill DJ, Marsh HP, et al. Psoas major and its controversial rotational action. Clin Anat. 1999;12(4):264-5. https://doi.org/10.1002/(SICI)1098-2353(1999)12:4<264::AID-CA4>3.0.CO;2-L
  8. Hansen L, de Zee M, Rasmussen J, et al. Anatomy and biomechanics of the back muscles in the lumbar spine with reference to biomechanical modeling. Spine. 2006;31(17):1888-9. https://doi.org/10.1097/01.brs.0000229232.66090.58
  9. Raper AJ, Thompson Jr WT, Shapiro W, et al. Scalene and sternomastoid muscle function. J Appl Physiol. 1966;21(2):497-502. https://doi.org/10.1152/jappl.1966.21.2.497
  10. De Troyer A, Estenne M. Coordination between rib cage muscles and diaphragm during quiet breathing in humans. J Appl Physiol. 1984;57(3):899-906. https://doi.org/10.1152/jappl.1984.57.3.899
  11. Gandevia SC, Leeper JB, McKenzie DK, et al. Discharge frequencies of parasternal intercostal and scalene motor units during breathing in normal and COPD subjects. Am J Respir Crit Care Med. 1996;153(2):622-8. https://doi.org/10.1164/ajrccm.153.2.8564108
  12. Saboisky JP, Gorman RB, De Troyer A, et al. Differential activation among five human inspiratory motoneuron pools during tidal breathing. J Appl Physiol. 2007;102(2):772-80. https://doi.org/10.1152/japplphysiol.00683.2006
  13. Hudson AL, Gandevia SC, Butler JE. The effect of lung volume on the co-ordinated recruitment of scalene and sternomastoid muscles in humans. J Physiol. 2007;584(Pt 1):261-70. https://doi.org/10.1113/jphysiol.2007.137240
  14. Kendall FP, McCreary EK, Provance PG. Muscle Testing and Function (4th ed). Lippincott Williams and Wilkins. Philadelphia. 1993.
  15. Lee JY, Yoon HI. The comparison of iliopsoas tightness between low back pain patients and healthy subjects. J Korean Acad Orthop Manu Phys Ther. 2006;12(2):11-20.
  16. Koo HM, Kwon Mj, Kim JH, et al. Functional soft tissue examination and treatment by manual methods. Yeongmunbook. Seoul. 2008.
  17. Ha MS, Han DW. The effects of passive stretching exercise for sternocleidomastoid (SCM) muscle on pulmonary functions. J Korean Acad Cardiorespir phys ther. 2021;9(2):27-32.
  18. Berg K. Prescriptive stretching. Human Kinetics. 2011.
  19. Kisner C, Collby LA. Therapeutic Exercise: Foundations and Techniques (5th ed). F. A. Davis Company. Philadelphia. 2007.
  20. Cameron MH, Monroe LG. Physical Rehabilitation: Evidence-Based Examination, Evaluation, and Intervention. SAUNDERS. Philadelphia. 2007.
  21. Hodges PW, Gandevia SC. Activation of the human diaphragm during a repetitive postural task. J Physiol. 2000;522(1):165-75. https://doi.org/10.1111/j.1469-7793.2000.t01-1-00165.xm
  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(7):1066-73. https://doi.org/10.1007/s00586-009-1020-y
  23. Dankaerts W, O'Sullivan P, Burnett A, et al. Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: importance of subclassification. Spine. 2006;31(17):2017-23. https://doi.org/10.1097/01.brs.0000228728.11076.82
  24. Kolar P, Sulc J, Kyncl M, et al. Postural function of the diaphragm in persons with and without chronic low back pain. J Orthop Sports Phys Ther. 2012;42(4):352-62. https://doi.org/10.2519/jospt.2012.3830
  25. Souchard PE. Reeducacao postural global: metodo do campo fechado. Sao Paulo: Icone. 1987.
  26. Shah SB, Peters D, Jordan KA, et al. Sarcomere number regulation maintained after immobilization in desmin-null mouse skeletal muscle. J Exp Biol. 2001;204(10):1703-10. https://doi.org/10.1242/jeb.204.10.1703
  27. Coutinho EL, Gomes A S, Franca CN, et al. Effect of passive stretching on the immobilized soleus muscle fiber morphology. Braz J Med Biol Res. 2004;37(12):1853-61. https://doi.org/10.1590/S0100-879X2004001200011
  28. Kim YS. The effects of iliopsoas myofascial release (MFR) on reducing low back pain and increasing hip flexion ROM. Master's degree. Chosun University. 2012.