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Jan P. K. Halbertsma, PhD, Ludwig N. H. Göeken, MD, PhD, At L

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Presentation on theme: "Jan P. K. Halbertsma, PhD, Ludwig N. H. Göeken, MD, PhD, At L"— Presentation transcript:

1 Extensibility and stiffness of the hamstrings in patients with nonspecific low back pain 
Jan P.K. Halbertsma, PhD, Ludwig N.H. Göeken, MD, PhD, At L. Hof, PhD, Johan W. Groothoff, PhD, Willem H. Eisma, MD  Archives of Physical Medicine and Rehabilitation  Volume 82, Issue 2, Pages (February 2001) DOI: /apmr Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig. 1 ISLR set-up: (1) sling, (2) force transducer, (3) lift-frame, (4) electrogoniometers on hip, (5) frame axis, (6) knee, (7) stretch tolerance indicator, and (8) electromyography amplifiers of hamstring muscles, and (9) lumbar lordosis potentiometer under the examination table. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig. 2 Model in a sagittal plane. The initial position, with the leg lying on the table, are given by RA0 and RP0. The angles are defined by: α = ∠A0RA, or the lift angle of the leg with respect to the horizontal, ø = ∠ORA, or the pelvic-femoral angle, Ψ = ∠P0RP or the tilting of the pelvis, and κ = ∠A′IA or the angle of knee flexion. Abbreviations: R, hip axis; A, malleolus; RA, leg; RP, pelvis; A0R, horizontal plane; O, origin of the hamstring muscles; I, insertion of hamstring muscles; Hm, hamstring muscles; Es, direction of the erector spinae; h, lumbar lordosis. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig. 3 Force Fp and electromyographic activity of the semimembranosus as a function of angle α in a subject during ISLR. The subject was asked to contract and then to relax the hamstring muscles. ROM was defined by αmax. The pulling force Fp acts perpendicularly to the length axis of the leg at the ankle joint. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 Fig. 4 The muscle moment (stiffness) Me, the electromyographic activity of the semimembranosus, and the first sensation (FS) of pain (P) as a function of the pelvic-femoral angle (ø) during ISLR. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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