[논문]러시안 전류 자극이 하지 골절 후 회복기 환자의 넙다리네갈래근육의 근수행력과 근활성도에 미치는 영향

정병옥; 방현수

doi:10.14400/jdc.2014.12.7.365

러시안 전류 자극이 하지 골절 후 회복기 환자의 넙다리네갈래근육의 근수행력과 근활성도에 미치는 영향
Effect of Russian Current Stimulation on Muscular Performance and Muscle Activity of Quadriceps Femoris Muscle of Convalescent Patient after Leg Fracture 원문보기

디지털융복합연구 = Journal of digital convergence, v.12 no.7, 2014년, pp.365 - 370

초록
AI-Helper

본 연구에서는 하지 골절 후 회복기 환자에게 러시안전류 자극이 넙다리네갈래근의 근수행력과 활성도에 미치는 영향을 알아보기 위하여 실시하였다. 본 연구는 2013년 1월 9일에서 2013년 3월 16일까지 실시하였으며, 하지 골절 후 회복기에 있는 환자 20명을 대상으로 실험을 실시하였다. 러시아 전류자극기의 큰 도자를 넙다리네갈래근의 근위부에 위치하고, 작은 도자는 원위부에 부착시키고 한 주에 세 번, 6주 동안 적용하였다. 대상자의 넙다리네갈래근의 근활성도를 측정하기 위해 근전도가 이용되었고, 근수행력을 측정하기 위해 등속성기기가 이용되었다. 연구결과 기간별 넙다리네갈래근의 근수행력 차이는 러시안전류 치료 전과 비교하여 4주 후와 6주 후에서 유의한 근수행력의 증가를 나타내었다. 또한 넙다리곧은근, 안쪽넓은근, 가쪽넓은근의 근활성도는 치료 전과 비교하여 4주 후와 6주에서 유의한 증가를 나타내었다. 이와 같은 결과는 러시안 전류가 하지 골절 등과 같은 문제로 인해 약화된 하지 근육의 근력 강화를 위해 선택될 수 있는 효과적 치료 방법이라 할 수 있다.

Abstract ▼ AI-Helper

The present study was aimed to comprehend the effect of the Russian current stimulation on the muscular performance and activity of quadriceps femoris muscle of the convalescent patient after the leg fracture.This study conducted test based on 20 patients after leg fracture. Russian current was applied for six weeks as three times in a week, between January 9, 2013 and 15 March 16, 2013. The electromyogram was used to measure the muscle activity of the quadriceps femoris, and the isokinetic equipment was used to measure the muscular performance. The muscular performance difference by duration depending on the application of the Russian current showed the significant increase in all muscular performances. The activity of all muscles of the quadriceps femoris muscle by duration showed significant increase. These results showed that the Russian current can be the effective treatment method for enhancing the muscular strength of the weakened lower limbs muscle due to the problem such as the leg fracture.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

제안 방법

In the condition that the subjects are sitting, the round pillow was put under the knee joint to maintain the 30 degrees of knee flexion, and the big catheter was positioned in the proximal part of quadriceps femoris muscle by using the Russian current stimulator(ENRAF, ENDOMED 982, Netherlands) as the test tools, and the small catheter was attached in the distal part. The stimulated condition of Russian current was set as 2500 Hz pulsation frequency, unexpected ripple mark, pulsation duration 400 us, pulse rate 50 pps.
In this study, the test was conducted for six weeks to examine the effect of the application of Russian current on the muscular performance and activity of the quadriceps femoris muscle based on 20 convalescent patients after having leg fracture, and the following conclusion was obtained. The muscular performance difference by duration depending on the application of the Russian current showed the significant increase in all muscular performances from after four weeks.

대상 데이터

The participants of this study were total of 20 leg fracture patients, the gender was 14 males and 6 females, and the average age was 38.70±3.82 for the male and 41.70±3.11 for the female.
This study conducted test based on 20 convalescent patients after leg fracture in G areas in North Gyeongsang Province. Before the test, the purpose of this study was explained to the subjects and the agreement of participation was received, and the test was conducted from Jan.

데이터처리

0) for the statistical process. To examine the difference muscular strength change by the duration, the repeated measured ANOVA was conducted, in the significant case, the contrast test was conducted to examine the significance by duration and before the test. The level of significance α for the statistical verification was 0.

성능/효과

The muscular performance difference by duration depending on the application of the Russian current showed the significant increase in all muscular performances from after four weeks. In addition, the activity of all muscles of the quadriceps femoris muscle by duration showed significant increase from after four weeks. These results showed that the Russian current can be the effective treatment method for enhancing the muscular strength of the weakened lower limbs muscle due to the problem such as the leg fracture etc.
In this study, the test was conducted for six weeks to examine the effect of the application of Russian current on the muscular performance and activity of the quadriceps femoris muscle based on 20 convalescent patients after having leg fracture, and the following conclusion was obtained. The muscular performance difference by duration depending on the application of the Russian current showed the significant increase in all muscular performances from after four weeks. In addition, the activity of all muscles of the quadriceps femoris muscle by duration showed significant increase from after four weeks.
According to Hudlicka et al, the property of muscular contraction changes by long-term electric stimulation with low frequency in TypeⅡb type fiber, and these changes are related to the stimulus duration[17,18], so if the long-term low-frequency current is applied for more than two weeks in minimum, it will change physiologically into Ⅰtype fiber. This study conducted 18 times electric stimulation for six weeks to examine the effect of the Russian current stimulation on the change of the muscular performance and muscle activity of the quadriceps femoris muscle of the convalescent patient after having a leg fracture, it was confirmed that the muscular performance and activity significantly increased from after four weeks of treatment, and it can be judged as same results with the result by Romero et al[18] that the isometric strength increased with 31% in non-dominant leg(non-dominant leg) and 21% in dominant leg(dominant leg) by applying NMES to the quadriceps femoris muscle of the healthy subjects for five weeks and the result by Laughaman et al[19] that the muscular strength significantly increased by stimulating the quadriceps femoris muscle with the Russian current for five weeks. This study is one of the experiments conducted by the limitations of the target group has got the next wave of Russians and other electrical therapy research is needed to compare the treatment groups thought to be.

후속연구

The application pattern of the nerve root electric stimulation changes depending on the purpose of treatment, and it can be applied for the muscular strength promotion or promotion of endurance[9]. So in this study, it is aimed to comprehend the effect of the Russian current stimulation on the muscular performance and activity of quadriceps femoris muscle of the convalescent patient after the leg fracture, and it is expected to be used as the necessary data to determine the best muscular contraction condition by the applied stimulated condition in this study.

참고문헌 (19)

O. M. Rutherford, D. A. Jones, J. M. Round, Long lasting unilateral muscle wasting and weakness following injury and immobilization. Scandinavian Journal of Rehabilitation Medicine, Vol. 22, No. 1, pp. 33-37, 1990.
N. A. Maffiuletti, G. Cometti, I. G. Amiridis, A. Martin, M. Pousson, J. C. Chatard, The effects of electromyostimulation training and basketball practice on muscle strength and jumping ability. International Journal of Sports Medicine, Vol. 21, No. 6, pp. 437-443, 2000.

상세보기
J. S. Petrofsky, M. Laymon, The effect of previous weight training and concurrent weight training on endurance for functional electrical stimulation cycle ergometry. European Journal of Applied Physiology, Vol. 91, No. 4, pp. 392-398, 2004.

상세보기
A. Delitto, L. Snyder-Mackler, A. J. Robinson, In clinical electrophysiology. Philadelphia: Wolters Kluwer, 1995.
D. H. Johnson, P. Thurston, P. J. Ashcroft, The Russian technique of faradism in the treatment of chondromalacia patella. Physiotherapy Canada, Vol. 29, No. 4, pp. 266-268, 1997.
Y. M. Kots, Electrostimulation: Notes from Dr YMKots'(USSR) lectures and laboratory periods. In proceeding of the Canadian-Soviet Exchange Symposium on electrostimulation of skeletal muscle, pp. 6-15, 1977.
A. R. Ward, N. Shkuratova, Russian electrical stimulation: The early experiments. Physical Therapy, Vol. 82, No. 10, pp. 1019-1030, 2002.

상세보기
M. R. Gersh, Electrotherapy in rehabilitation. Philadelphia: FA Davis Company, 1993.
J. L. Durigan, G. B. Delfino, S. M Peviani, T. L. Russo, C. Ramrez, A. D. Silva Gomes, T. F. Salvini. Neuromuscular electrical stimulation alters gene expression and delays quadriceps muscle atrophy of rats after anterior cruciate ligament transection. Muscle & nerve, Vol. 49, No. 1, pp. 120-128, 2014.

상세보기
A. Delitto, M. Brown, M. J. Strube, S. J. Rose, Electrical Stimulation of quadriceps femoris. American Journal of Sports Medicine, Vol. 3, No. 10, pp. 187-191, 1989.
J. V. Basmajian, Muscle alive. Baltimore: Lippincott Williams and Wilkins, 1985.
Y. Laufer, J. D. Ries, P. M. Leininger, G. Alon, Quadriceps femoris muscle torques and fatigue generated by neuromuscular electrical stimulation with three different waveforms. Physical Therapy, Vol. 81, No. 7, pp. 1307-1316, 2001.

상세보기
L. L. Baker, D. R. McNeal, L. A. Benton, B. R. Bowman, R. L. Waters, Neuromuscular Electrical Stimulation-A Practical Guide. California: The Rehabilitation Engineering Program, 1993.
A. J. Robinson, L. Snyder-Mackler, Clinical Electrophysiology: Electrotherapy and Electrophysiologic Testing. Baltimore: Lippincott Williams and Wilkins, 2008.
A. R. Ward, Electrical stimulation using kilohertz-frequency alternating current. Physical Therapy, Vol. 89, No. 2, pp. 181-190, 2009.

상세보기
D. A. Lake, Neuromuscular electrical stimulation. An over view and its application in the treatment of sports injuries. Sports Medicine, Vol. 13, No. 5, pp. 320-336, 1992.

상세보기
O. Hudlicka, K. R. Tylar, T. Srihari, A. Heilig, D. Pette, The effect of different patterns of long-term stimulation on contractile properties and myosin light chains in rabbin fast muscles. Pflugers Arch, Vol. 393, No. 2, pp. 164-170, 1982.

상세보기
J. A. Romero, T. L. Sanford, R. V. Schroeder, T. D. Fahey, The effects of electrical stimulation of normal quadriceps on strength and girth. Medicine and Science in Sports and Exercise, Vol. 14, No. 3, pp. 194-197, 1982.

상세보기
G. Deley, D. Laroche, N. Babault. Effects of electrical stimulation pattern on quadriceps force production and fatigue. Muscle & Nerve, Vol. 49, No. 5, pp. 760-763. 2014.

상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format