Académique Documents
Professionnel Documents
Culture Documents
Arab
Arab
! " # $
%&
5
9( : ,4 7 '& ,3 1 2 34 %5 ,2. / % -( ,1 '( & )*
! " #$ %& -1
! " #$ -2
% ! " #$ %& -3
Downloaded from http://journals.tums.ac.ir/ on Thursday, September 13, 2012
*$ !+ %, -4
./ $ , -5
% !<
^2" /^ ^ RL^ +S ^ + ^ / "$ Y . `%& N %& i % + / ?RL + < D EF M @ G :=%
RL +S + / j H &$ W * 1F2 E D V . $ G" / Y $ , O5 * X % " G U $ $ " `% ? $ #
. 4 %/, " # 1I 3 $ , d/ %IJV ?RL 4 l M $ Y F Hold " k P3 ?$ Q
" ^# + ^ . \ I3 (n=15) 4 %/, " (n=15) ! " #" 1 A $ l1 d/ %IJV V , $ f 1, 12 & 25 20 30 : 7 ?@
o ^V 4 ^%/, " ^# . ^ G 1 H 10 Hold " + $ C % " \J , ?$ Q %50 RL +S C / $ 3 1I G V $ 1%`V 4 l !
1J B " % $ " ! " #$ $ 1I G V F " OPQ Passive knee extension @I $ Y /%I, 1/ . @ $ $
. + # 4 %/, " # $ 1I G 10 4 F
" #$ 1 2 * $ .(P< 0/001) . J T Y /%I, / $ +$ /F ? h @& 1%I RL +S C / 1, G" t ! :A
.(P< 0/001) 4 %/, " # 1I 3 $ RL +S C / H " # " 1I 3 .(P< 0/001) V +$ /F ? h 4 %/,
. H d/ %IJV ?RL 4 l M $ g ?A RL +S C / 1F2 E Y + V 1% : B 3C
d/ %IJV RL +S C / + < D EF : % D D
3(%4(
a E 1L %, M , / @U $ JV " ? , * $ ; $ @ 5 AB C + < D EF
.(9 8 7 6 5) / J + # G 1 H ? 5 +$ I " " # "$
M , C / " ? H (1994) $ JV" Worrell " %, ?$ 5 1 + F% + "$ 1 1 L M ,. J
1 L^ + <^ D ^EF +"$ $ C %& M ,"(PNF)4 F C %I 2 N %& C %& N %& O PQ &
$ ^ C^ % / ," $" % # c, * $ F &$ d/ %IJV Proprioceptive Neuromuscular )PNF+ /
M ^ 1f # 1F2 E Y $ .(10) $ Q &$ " e 3U (Muscle RL +S + / " (Facilitation
?" ^` 2" % g ` M , C / " V $ + < D EF ?RL + < D EF M @ GEnergy Techniques)
$ ^ JV " Davis. ^ V ^ ;"$ " Y ^ +$ ^ /F H +"$ 1% T ? 3 3U .(4 3 2 1) < T
M ^, " ^# ^ / J V B 1F2 E $ (2005) .@& 1% JV 1 L 3 " W X % "$ Y C V
D ^EF $ +$ ^/F ? ^ h 4 %/, " # 1 @PI C %& 1 JG 1, RL +S + / $ $ 1 ZI Y
$ ^ ! @^& 1^ ? h 1 2 *$ @& 1% 1 L + < " [ U2 1 \V / 1 L M , %, + "$
.(11) P $ /F %, M , " # . % C / + G + #] " [ U2 1 \V
? H &$ 1 (1982) $ JV " Saddy O 3 $ Y B ? F2 E $ Y 33U ^B ^ _ ^& ^& 1 / YJW
?RL + < D EF +"$ d/ f %& i % + / O Q " ` RL +S + VC / " PNF + VC /
61 / ' () %&
" Y 2 1* $ * G %I " 13 & G" -2 Feland " Spernoga " Funk ^pJV / 33U
$ J, " C J%I & + V +$ J Y /pJV " %U V ^ , q^ $ $ ^ %, M ^, + ^ / ^ H
. B 4&C $ .(16 15 14) $ 1 ?RL
$J + -3 j ) RL +S + / + G U $ $
$ d/ %IJV V , G" Y F @ G % Y ^ ^ (1 L^ k ^P3 " Hold ? C/
Passive ?RL Y V , @I y l" 150 C V ? ^F2 E " q / $ . $ G" r e i % r/P* 5
T (1983) Dellitto ;"$ 1 Knee Extension Test + ^F% + ^ k ^P3 +$ $ $ i%
.(23 22) ^ ^^^# ^ ^^^ V ^ ^^^ 1^^^^^ H 10 ^ ^^^ 3 Y ^ ^^^
1 ) Y & @2 * $ V1 J 1, ?$ 5 Y 1 ^ (2003) $ JV " Rowlands .(20 19 18 17)
$ Y d/ & Y%I 1, + U 1 B (@ ^ H M C % " k P3 ? 1p /f
90 M ! @J& $ uz& . + # G O 3 D l % 20 Y W P3 ? Y /pJV .(21) % M ,
\ 1 x /l " d/ & w& " Y 1 1G$ ^r 1^ Y / . # / \J , k P3 %100
?$ 5 1 JV + !. #@H & +{ ^ g ^ + ^V % $ 4 ^%/, e Q ? F2 E T &$
@ " 3 1E3 @, * Y . Extension 1 & D ^V . ^# ^ / , + #\ JA + V $ + *
Y /%I, 1G$ % # # ! .@ # T $ J 1 2" +^ / Y ^F j ^ C H &$ W * 1F2 E
4 l $ % # @ H $ U 1, ?$ 5 Y 1 @PH $ s ^ ^W P3 ?$ Q " Hold RL +S
? 1 ! | U% $ U " $ J %& 2 l $ U " ^ ^ , d/ %I^JV ?RL^ + <^ D ^EF M
+"$ % # .~$ " @ # $ Q %& } %& . 4 %/, " # ! 1I 3
@ " U 1p /f 1F2 E Y $ . $ J G$ B O ,
1 % 1G$ 30 % # `%& Y /%I, '&@ @ (
1F2 E $ " " x % d/ %IJV V , 1 J / 20-25 %B T D V 1F G 1F2 E Y $
.(1 O ) # 1, i% +V 4&
15 " # " 1 A $l1 V1 J Y F u Y . i F d/ %IJV V , $ f
$ "$ C ^ $ @U ! C " #. \ I3 ` " B1 $ 1FG e l " J B
10 ? 1 RL +S ^^ C^ ^/^ ^`%& ^ $l 1 P C/ , $ $ $ L*
r $ 4 %/, " # / 1 " " # " /% # $ Q 1I G V"] a l Y $ 1 /% W$ t L u " 1 P l"
. 1% # ` 30 //, 1FG ` 150 Y $ . , @,
Y 1 ( RL +S ) 4" " # + $ T U $ al$ s v" B " "$" w W + $ 1,
$ $ @J& $ " B @ 1 1, ?$ 5 4 `%& 1 J \T* Y F + . , x %
Y /%I, 1 I $ l 1 " @ HY 1G$ 90 ` 13 " # V $ F 1% <# ? F2 E " 1l
Y JV $ " & 1 2" @ " 3 1E3 1 ` 15 " # V $ % / Jl l B 1 1, Y F
k P3 %50?$ Q C % " k P3 $ J $ 1E3 . ` 30 1 J \T* j JT $ " x %
1386 3 2 1
01 23 4+5 6 . * 62
Downloaded from http://journals.tums.ac.ir/ on Thursday, September 13, 2012
@ B@ ! @ B@ 3 B ( H9I( -1 @%7
( ( #) - :% BMI ( ( #))%M (: B D ).)@ ( #)J# %1
1386 3 2 1
63 / ' () %&
. ( ) %1$ ) JI 3( . ( ) EPM ) JI 3(
1( = - JO ( 1( = - JO (
2/80 -13/8 4/42 - 35/86 ! "#
3/63 - 32/39 4/08 - 34/97 4 %/, " #
1386 3 2 1
01 23 4+5 6 . * 64
REFERENCES
1. Alte MJ. Science of Stretching. Champaign: Human Kinetics books; 1998, 114-122.
2. Kisner C, Colby LK. Therapeutic exercise, foundations and techniques. 2ed, Philadelphia: F.A Davis
Company; 1996.
3. Bandy WD, Irion JM, Brigger 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.
4. Magnusson SP. Passive properties of human skeletal muscle during stretch maneuvers. A review. Scand J
Med Sci Sports 1998; 8: 65-77.
5. Kessler RM. Management of musculoskeletal disorders, Physical therapy principle and methods. Philadelphia:
Lippincott;1996.
6. Halbertsma JP, Van Bolhuis AI, Goeken LN. Sport stretching: effect on passive muscle stiffness of short
hamstrings. Arch Phys Med Rehabil 1996; 77: 688-692.
7. Chaitow L, Liebenson C. Muscles Energy Techniques. Edinburg: Churchil Livingstone; 2001.
8. Lewit K, Simson D.Myofascial Pain Relief by Post Isometric Relaxation. Arch Phy Med Rehabil 1984; 65:
452-426.
9. Tanigawa MC. Comparison of the Hold-relax procedure and passive mobilization on increasing muscle
length. Phys Ther 1972; 52: 725-735.
10. Worrell TW, Smith TL, Winegardner J. Effect of hamstring stretching on hamstring muscle performance.
J Orthop Sports Phys Ther 1994; 20: 154-159.
11. Davis DS, Ashby PE, McCale Kl, McQuain JA, Wine JM. The effectiveness of 3 stretching techniques on
1386 3 2 1
61 / ' () %&
hamstring flexibility using consistent stretching parameters.J Strength Cond Res 2005; 19: 27-32.
12. Sady SP, Wortman M, Blanke D. Flexibility training: ballistic, static or proprioceptive neuromuscular
facilitation? Arch Phys Med Rehabil 1982; 63: 261-263.
13. Lucas RC, Koslow R. Comparaive study of static, dynamic, and proprioceptive neuromuscular facilitation
stretching techniques on flexibility. Percept Mot Skills 1984; 58: 615-618.
14. 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:
489-92.
15. Spernoga SG, Uhl TL, Arnold BL, Gansneder BM. Duration of maintained hamstring flexibility after a one-
time, modified hold-relax stretching protocol. J Athl Train 2001; 36: 44-48.
16. Feland JB, Marin HN.Effect of submaximal contraction intensity in contract-relax proprioceptive
Downloaded from http://journals.tums.ac.ir/ on Thursday, September 13, 2012
1386 3 2 1
The effect of Muscle Energy Techniques on Flexibility of the
Short Hamstring Muscles
Abstract
Background and Aim: Several stretching methods have been shown to increase flexibility of
the short muscles. Previous research suggests muscle energy techniques produce increments in
range of motion, but there are many variations of muscle energy techniques. The purpose of our
study was to determine the efficacy of muscle energy techniques with 50% of maximal voluntary
isometric contraction and 10 second hold in compared to control group.
Materials and methods: A sample of 30 female subjects (aged 20 -25 years) participated in this
study. All subjects had limited hamstrings flexibility in degrees of passive knee extension. The
subjects in experimental group (n=15) received 3 muscle energy techniques (50% MVIC, hold
time=10 sec) for 4 weeks, whereas the control group (n=15) remained without treatment. Before
and after range of knee extension was measured for all subjects.
Results: The paired t test revealed a significant differences in flexibility for experimental group
(P<0.001). There was no significant difference in flexibility gains in control group (P<0.001).
Treatment group had significant greater flexibility than the control group (P<0.001).
Conclusion: Muscle energy techniques with above protocol produce an increase of hamstring
flexibility.
*Corresponding author:
Dr Azadeh Shadmehr , Assistant professor, Rehabilitation faculty, Tehran University of Medical
Sciences Tel: +98-21-77533939
E-mail: shadmehr@tums.ac.ir