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临床试验/NCT07123012
NCT07123012已完成不适用

RELATIONSHIP OF REDUCED HAMSTRING FLEXIBILITY WITH LUMBOPELVIC RHYTHM AND MUSCLE ACTIVATION: A CROSS-SECTIONAL BIOMECHANICAL ANALYSIS

Sahmyook University1 个研究点 分布在 1 个国家目标入组 38 人开始时间: 2025年4月14日最近更新:

试验速览

阶段
不适用
状态
已完成
入组人数
38
试验地点
1
主要终点
Lumbar Relative Contribution Index (RCI) During Partial Forward Bend

研究概览

简要总结

Key Findings (narrative form) The study examined how hamstring flexibility influences the way the lumbar spine and pelvis share movement during forward bending and how this affects muscle activity.

  1. Flexibility and lumbar contribution When participants had tighter hamstrings, their lower back took on a larger share of the bending motion. In the full forward-bend task this relationship was strong, while in the partial bend it was still clearly evident. In other words, limited hamstring length forces the spine to bend more to reach the same position.
  2. Meaningful flexibility thresholds

Participants were divided into three straight-leg-raise (SLR) groups:

  • ≤ 60 ° (short hamstrings)
  • 61-79 ° (moderate flexibility)
  • ≥ 80 ° (good flexibility) Those in the ≤ 60 ° group showed a significantly higher lumbar contribution in both bending tasks than their more flexible peers. Once SLR exceeded roughly 60 °, additional gains in flexibility produced only modest further improvement in spine-pelvis balance, suggesting that 60 ° is a clinically important threshold.
  1. When the differences appear The greatest gap between flexibility groups occurred during the first half of the bend-particularly as participants began to lean forward. As they returned to upright, the differences narrowed. This indicates that early-phase movement is the critical moment when tight hamstrings shift load onto the lumbar spine.
  2. Impact on muscle activity Better hamstring flexibility was linked to a more even distribution of work between the lumbar extensor muscles and the hamstrings themselves. Participants with looser hamstrings did not have to activate their spinal muscles as forcefully, whereas gluteus maximus activity remained low in all groups because the tasks were unloaded.

Practical Take-Aways

  • Hamstrings shorter than about 60 ° on the SLR "lock" the pelvis and make the lower back bend excessively, increasing spinal strain.
  • Improving hamstring length shifts motion back toward the pelvis, reducing demand on lumbar joints and muscles.
  • Even small everyday bends-such as reaching for an object on a chair-follow the same pattern, so stretching benefits daily life, not just sports performance.
  • Patients and families can adopt simple hamstring-stretch routines; clinicians should consider targeted flexibility training whenever SLR is 60 ° or below before progressing to heavy lifting or core-stability programs.

Limitations The study involved healthy young adults and measured only unloaded forward bending. Outcomes may differ in older individuals, manual laborers, or tasks that involve twisting or weight. Long-term research is needed to confirm that stretching actually prevents low-back pain.

Bottom Line Flexible hamstrings let the pelvis and lower back "share the job." If your hamstrings are tight, your spine must work harder, which may invite discomfort or injury over time. A regular stretching program that brings SLR above roughly 60 ° can restore a healthier, more balanced bending pattern and help protect the lower back.

详细描述

This cross-sectional biomechanical study investigates how reduced hamstring flexibility alters sagittal lumbopelvic rhythm and trunk-hip muscle activation during forward bending. All procedures are completed in a single laboratory visit and do not involve any clinical intervention or longitudinal follow-up.

Study setting and oversight Testing is conducted in a university motion-analysis laboratory equipped with force-isolated flooring, adjustable height fixtures, and electromagnetic shielding. The protocol was approved by the Institutional Review Board of Sahmyook University (IRB #SYU-2025-03-033-002). Written informed consent is obtained before any study-related activity, and the identity of participants is coded to protect confidentiality.

Participant allocation and sample size

A priori power analysis (one-way ANOVA, effect size f = 0.55, α = 0.05, power = 0.80) indicated that at least 36 participants were required; 38 healthy adults were enrolled to offset potential attrition, and 37 completed the protocol. Participants are not assigned to treatment arms but are retrospectively stratified into three flexibility categories based on their dominant-limb straight-leg-raise (SLR) angle:

(1) ≤ 60° (short group), (2) 61-79° (moderate group), (3) ≥ 80° (long group). Eligibility criteria-including absence of low-back pain in the preceding six months-are recorded in a separate module.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Cross Sectional

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Healthy adults without musculoskeletal or neurological impairments
  • Individuals without lumbar spine and lower limb disorders
  • Participants who provided voluntary written informed consent

排除标准

  • History of lumbar surgery or significant trauma
  • Presence of acute or chronic pain conditions in lumbar or hip regions
  • Neurological or orthopedic disorders affecting lumbar and hip functions
  • Pregnancy
  • Individuals unable to perform the required physical activities safely

结局指标

主要结局

Lumbar Relative Contribution Index (RCI) During Partial Forward Bend

时间窗: Single laboratory visit; data captured during a ~15-minute test session for each participant.

The sagittal-plane RCI is defined as the percentage of total trunk-flexion excursion attributable to lumbar-spine motion while the participant bends forward only until the fingertips touch the patella and then returns to upright. IMU data (T12, S2) are filtered at 6 Hz and processed to compute lumbar and pelvic angles; RCI is sampled at 10 % increments of the flexion and extension phases. Mean RCI values will be compared across three hamstring-flexibility groups (SLR ≤ 60°, 61-79°, ≥ 80°).

Lumbar Relative Contribution Index (RCI) During Full-Range Forward Bend

时间窗: Single assessment session (one day)

Sagittal-plane RCI is defined as the percentage of total trunk excursion attributable to lumbar-spine motion while participants bend forward from upright to maximal comfortable flexion and return. Higher values indicate greater lumbar dominance. Mean RCI will be compared across three hamstring-flexibility groups (SLR ≤ 60°, 61-79°, ≥ 80°).

次要结局

  • Mean Normalised RMS EMG Amplitude of Lumbar Erector Spinae During First Half of Full-Range Forward Bend(Single laboratory visit; data captured during a ~15-minute test session for each participant.)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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