The effects of three types of piriform muscle stretching on muscle thickness and the medial rotation angle of the coxal articulation

Jun Chul Park, Jae Hun Shim, Sin Ho Chung, Jun Chul Park, Jae Hun Shim, Sin Ho Chung

Abstract

[Purpose] The purpose of this study was three kinds of stretching methods and measured the change in the thickness of the piriform muscle in real time using ultrasound images and compared the medial rotation angle of the coxal articulation. [Subjects and Methods] Fourty-five subjects who attend B University in Cheonan, divided into three groups. The subjects in these three groups then underwent stretching with flexion of coxal articulation over 90°, stretching with flexion of coxal articulation under 90°, and muscle energy technique (MET) application. The main outcome measures were piriform muscle thickness and medial rotation angle of the coxal articulation. [Results] All groups showed decreased piriform muscle thickness and increased medial rotation angle of the coxal articulation. [Conclusion] Based on the above results, three kinds of piriform muscle stretching methods are effective of reduce muscle thickness and increase medial rotation angle of the coxal articulation.

Keywords: Medial rotation angle; Muscle thickness; Piriform muscle stretching.

References

    1. Miller TA, White KP, Ross DC: The diagnosis and management of Piriformis Syndrome: myths and facts. Can J Neurol Sci, 2012, 39: 577–583.
    1. Lee SU, Kim KT, Cho YJ, et al. : Sciatic pain caused by piriformis syndrome. J Korean Orthop Assoc, 2005, 40: 143–148.
    1. Parziale JR, Hudgins TH, Fishman LM: The piriformis syndrome. Am J Orthop, 1996, 25: 819–823.
    1. Sayson SC, Ducey JP, Maybrey JB, et al. : Sciatic entrapment neuropathy associated with an anomalous piriformis muscle. Pain, 1994, 59: 149–152.
    1. Chen WS: Sciatica due to piriformis pyomyositis. Report of a case. J Bone Joint Surg Am, 1992, 74: 1546–1548.
    1. Huguenin LK: Myofascial trigger points: the current evidence. Phys Ther Sport, 2004, 5: 2–12.
    1. Hashemirad F, Karimi N, Keshavarz R: The effect of Kinesio taping technique on trigger points of the piriformis muscle. J Bodyw Mov Ther, 2016, 20: 807–814.
    1. Kirschner JS, Foye PM, Cole JL: Piriformis syndrome, diagnosis and treatment. Muscle Nerve, 2009, 40: 10–18.
    1. Gluck N, Liebenson C: Clinical implications of paradoxical muscle function in muscle stretching or strengthening. J Bodyw Mov Ther, 1997, 1: 219–222.
    1. Chaitow L: Muscle energy techniques, 2nd ed. Edinburgh: Churchill Livingstone, 2001.
    1. Joo DY, Kim YB, Jeong DH, et al. : The effects of compound program of muscle energy technique and therapeutic massage on patient with chronic low back pain. Res On Phys Fit, 2007, 29: 87–98.
    1. Han TR, Kim JH, Chung SG, et al. : Correlation of ultrasonographic measure of lumbar multifidus muscles with isometric torque of low back. J Korean Acad Rehab Med, 1999, 23: 809–814.
    1. Hedrick WR, Hykes DL, Starchman DE: Ultrasound physics and instrumentation, 3rd ed. St Louis: Mosby, 1995.
    1. Walker B: The anatomy of stretching: your illustrated guide to flexibility and injury rehabilitation. North Atlantic Books, 2011.
    1. Fabregat G, Roselló M, Asensio-Samper JM, et al. : Computer-tomographic verification of ultrasound-guided piriformis muscle injection: a feasibility study. Pain Physician, 2014, 17: 507–513.
    1. Finnoff JT, Hurdle MF, Smith J: Accuracy of ultrasound-guided versus fluoroscopically guided contrast-controlled piriformis injections: a cadaveric study. J Ultrasound Med, 2008, 27: 1157–1163.
    1. Norkin CC, White DJ: Measurement of joint motion: a guide to goniometry, 4th ed. FA Davis, 2009.
    1. Bradley PS, Olsen PD, Portas MD: The effect of static, ballistic, and proprioceptive neuromuscular facilitation stretching on vertical jump performance. J Strength Cond Res, 2007, 21: 223–226.
    1. Murphy JR, Di Santo MC, Alkanani T, et al. : Aerobic activity before and following short-duration static stretching improves range of motion and performance vs. a traditional warm-up. Appl Physiol Nutr Metab, 2010, 35: 679–690.
    1. Avela J, Finni T, Liikavainio T, et al. : Neural and mechanical responses of the triceps surae muscle group after 1 h of repeated fast passive stretches. J Appl Physiol 1985, 2004, 96: 2325–2332.
    1. Donti O, Tsolakis C, Bogdanis GC: Effects of baseline levels of flexibility and vertical jump ability on performance following different volumes of static stretching and potentiating exercises in elite gymnasts. J Sports Sci Med, 2014, 13: 105–113.
    1. Bandy WD, Irion JM, Briggler M: The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. J Orthop Sports Phys Ther, 1998, 27: 295–300.
    1. Ogura Y, Miyahara Y, Naito H, et al. : Duration of static stretching influences muscle force production in hamstring muscles. J Strength Cond Res, 2007, 21: 788–792.
    1. Gulledge BM, Marcellin-Little DJ, Levine D, et al. : Comparison of two stretching methods and optimization of stretching protocol for the piriformis muscle. Med Eng Phys, 2014, 36: 212–218.
    1. Eom TW, Moon TW, Kang MJ, et al. : Three clinical cases study on idiopathic lumbar scoliosis with muscle energy techniques and acupuncture therapy. J Orient Rehab Med, 2008, 18: 173–185.
    1. Choi HC, Yoon IJ: A clinical case study on piriformis syndrome with oriental medical treatment and muscle energy techniques. J Orient Rehab Med, 2010, 20: 209–217.

Source: PubMed

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