[논문]세 가지 도수근력 검사 자세에서 상부 승모근의 독립적 수축 : 융합적 연구

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doi:10.15207/jkcs.2020.11.1.083

초록
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본 연구의 목적은 상부 승모근 근활성도에 대한 정규화를 하는 동안, 어떠한 도수 근력 검사 자세가 상부 승모근의 선택적 활성화에 최적화된 자세인지를 알아보고자 하였다. 28명의 성인 남.녀가 본 연구에 참여하였다. 상부 승모근과 견갑거근의 근활성도를 측정하기 위해 근전도를 이용하였다. 세 가지 도수근력 검사 자세에서 견갑거근에 대한 상부 승모근의 활성비를 측정하였다. 다른 측정 자세와 비교하여 S-MVIC 자세에서 유의하게 높은 상부 승모근/견갑거근 근활성비(S-MVIC: 80.25, T-MVIC: 76.50, C-MVIC: 60.95)를 보였다. 그리고 C-MVIC와 비교하여 T-MVIC가 유의하게 높은 상부 승모근/견갑거근 근활성비를 보였다. 실험 결과를 토대로 기존의 T-MVIC 검사 자세에서 S-MVIC로 상부 승모근 근전도 정규화 검사 자세를 바꾸는 것이 상부 승모근의 선택적 근활성도 수집의 정규화 신뢰도를 높이는데 도움이 될 것이다. 이전 측정방법과 비교하여 S-MVIC를 이용한 상부 승모근 근력 또는 근활성도 측정방법은 상부 승모근의 근력 또는 근활성도의 독립적 측정이 가능하다.

Abstract ▼ AI-Helper

The purpose of this study was to investigate the optimal position among three manual muscle tested positions for upper trapezius in which to obtain an isolated upper trapezius EMG signal for the normalization of upper trapezius muscle EMG activity. A total of 28 healthy adult men participated in the...

The purpose of this study was to investigate the optimal position among three manual muscle tested positions for upper trapezius in which to obtain an isolated upper trapezius EMG signal for the normalization of upper trapezius muscle EMG activity. A total of 28 healthy adult men participated in the experiment. The UT (upper trapezius) and LS (levator scapulae) muscle activities were measured using the TeleMyo 2400T and analyzed using MyoResearch software. The muscle activity of the US and LS was measured by performing three manual muscle test positions for the upper trapezius. The UT/LS ratio during the S-MVIC was 80.25 and was significantly higher than that during the T-MVIC (76.50; p = 0.011) and the C-MVIC (60.95; p < 0.001). And, the UT/LS ratio during the T-MVIC and was significantly higher than that during the C-MVIC (p < 0.001). Based on the results of present study, we suggest a switch from T-MVIC to S-MVIC for the independent normalization reliability of upper trapezius EMG activity. The UT muscle strength or normalization test using S-MVIC will be able to measure muscle strength or activity of UT compared to previous measurement methods.

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표/그림 (4)

표 Table 1. Subject characteristics
그림 Fig. 1. Test positions
표 Table 2. Ratio of upper trapezius to levator scapulae muscle activity for each test position
표 Table 3. Post hoc paired t-test analysis between test position

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문제 정의

Minimizing excessive activity of surrounding muscles is very important for independent UT muscle activity[7,18]. Based on the results of our study, we suggest a switch from T-MVIC to S-MVIC for the independent normalization reliability of UT EMG activity.
The purpose of this study was to investigate the optimal position among three manual muscle tested positions for upper trapezius in which to obtain an isolated upper trapezius EMG signal for the normalization of upper trapezius muscle EMG activity. Based on the results of present study, we suggest a switch from T-MVIC to S-MVIC for the independent normalization reliability of UT EMG activity.

제안 방법

In this study, it study was to determine the optimal position among three tested positions in which to obtain an isolated UT EMG signal for the normalization of UT muscle EMG activity. In addition, this study suggests a quantitative measurement posture that can be a new alternative (selective or independent activation of the UT muscle) by comparing with the traditional method of measuring the UT muscle activities quantification.
In this study, it study was to determine the optimal position among three tested positions in which to obtain an isolated UT EMG signal for the normalization of UT muscle EMG activity. In addition, this study suggests a quantitative measurement posture that can be a new alternative (selective or independent activation of the UT muscle) by comparing with the traditional method of measuring the UT muscle activities quantification.
In particular, it is necessary to find out how to independently measure the contraction of the UT muscle while minimizing the compensatory activity of surrounding muscles. The purpose of this stud was to investigate the optimal position among three tested positions in which to obtain an independent UT muscle activity.
The examiner placed the hand on the acromion of the subject’s shoulder and prepared to resist. The subjects performed the movement of elevating the acromion and the ends of the clavicle with the maximum force, and the examiner applied resistance inferiorly. At this time, the examiner fixed the subject's head by using the opposite hand to prevent excessive bending of the subject's neck in Fig.

대상 데이터

A total of 28 healthy adult men participated in the experiment. All 28 subjects were right-handed.

데이터처리

, Chicago, IL, USA). The EMG differences among three test positions were tested for statistical significance (p = .05) using a one-way repeated-measures analysis of variance (ANOVA) for each muscle. When we found a significant difference, we used post-hoc paired t-tests to determine which values were significantly different.

이론/모형

Variables were normally distributed, as determined by Kolmogorov-Smirnov tests; thus, parametric statistics were used. Data of this study were expressed as mean ± standard deviation.

성능/효과

Our study showed that the UT/LS EMG ratio was significantly higher in the S-MVIC position than in all other test positions, following the order S-MVIC > T-MVIC > C-MVIC.

후속연구

This study has some limitations. First, the generalization of the results of this study is limited because subjects were young; further studies should determine whether our findings can be generalized to subjects beyond this age range. We also did not measure force or torque for UT muscle during normalization procedure.
We also did not measure force or torque for UT muscle during normalization procedure. Further study is need to examine force or torque for UT muscle.

참고문헌 (18)

G. A. Mirka. (1991). The quantification of EMG normalization error. Ergonomics, 34, 343-352. DOI:10.1080/00140139108967318

상세보기
S. Bao, S. E. Mathiassen & J. Winkel. (1995). Normalizing upper trapezius EMG amplitude: Comparison of different procedures. Journal of Electromyogrphy & Kinesiology, 5(4), 251-257.

상세보기
S. M. Ha, H. S. Cynn, O. Y. Kwon, K. N. Park & G. M. Kim. (2013). A reliability of electromyographic normalization methods for the infraspinatus muscle in healthy subjects. Journal of Human Kinetics. 28(36), 69-76. DOI: 10.2478/hukin-2013-0007
J. Sinclair, P. J. Taylor, J. Hebron, D. Brooks, H. T. Hurst & S. Atkins. (2015). The Reliability of Electromyographic Normalization Methods for Cycling Analyses. Journal of Human Kinetics, 10(46), 19-27. DOI: 10.1515/hukin-2015-0030
K. J. Netto & A. F. Burnett. (2006). Reliability of normalisation methods for EMG analysis of neck muscles. Work, 26(2), 123-130.

상세보기
I. Jeon, S. M. Ha & S. H. Jung. (2018). Isolated Activation of the Infraspinatus Muscle in Four Manual Muscle Testing Positions. Journal of Musculoskeletal Science Technology, 2(2), 38-42. DOI: 10.29273/jmst.2018.2.2.38
T. Alenabi, R. Whittaker, S. Y. Kim & C. R. Dickerson. (2018). Maximal voluntary isometric contraction tests for normalizing electromyographic data from different regions of supraspinatus and infraspinatus muscles: Identifying reliable combinations. Journal of Electromyogrphy & Kinesiology, 41, 19-26. DOI: 10.1016/j.jelekin.2018.04.007

상세보기
M. H. Kang, J. S. Oh & J. H. Jang. (2014). Differences in muscle activities of the infraspinatus and posterior deltoid during shoulder external rotation in open kinetic chain and closed kinetic chain exercises. Journal of Physical Therapy Science, 26(6), 895-897.

상세보기
J. W. Kim, J. Y. Yoon, M. H. Kang & J. S. Oh. (2012). Selective activation of the infraspinatus during various shoulder external rotation exercises. Journal of Physical Therapy Science, 24(7), 581-584.

상세보기
F. P. Kendall & E. K. McCreary. (2005). Muscles: Testing and Function. 5th ed. Baltimore, MD : Williams & Wilkins.
S. A. Sharmann. (2002). Diagnosis and treatment of movement impairment syndromes. St. Louis : Mosby.
J. R. Cram, S. G. S. Kasman & J. Holtz. (1998). Introduction to surface electromyography. Maryland: Aspen Publishers.
K. Schuldt. (1988). On neck muscle activity and load reduction in sitting postures. An electromyographic and biomechanical study with applications in ergonomics and rehabilitation. Scandinavian journal of rehabilitation medicine. 19, 1-49.
G. Sundelin & M. Hagberg. (1989). The effects of different pause types on neck and shoulder EMG activity during VDU work. Ergonomics, 32(5), 527-537. DOI: 10.1080/00140138908966123

상세보기
D. H. Hardwick, J. A. Beebe, M. K. McDonnell & C. E. Lang. (2006). A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises. Journal of Orthopaedic & Sports Physical Therapy, 36(12), 903-910. DOI: 10.2519/jospt.2006.2306

상세보기
K. T. Patton & G. A. Thibodeau. (2016). Anatomy & Physiology (9th ed.), Elsevier.
D. J. Eliot. (1996). Electromyography of levator scapulae: new findings allow tests of a head stabilization model. Journal of Manipulative Physiol Ther, 19(1), 19-25.
H. A. Kim, U. J. Hwang, S. H. Jung, S. H. Ahn, J. H. Kim & O. Y. Kwon. (2017). Effect of horizontal adduction force on infraspinatus and deltoid activities during the side-lying wiper exercise using pressure biofeedback. Journal of Human kinetics, 24(4), 77-83. DOI: 10.2478/hukin-2014-0113

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세 가지 도수근력 검사 자세에서 상부 승모근의 독립적 수축 : 융합적 연구
Isolated Activation of the Upper Trapezius in Three Manual Muscle Testing Position : Convergence Study 원문보기

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세 가지 도수근력 검사 자세에서 상부 승모근의 독립적 수축 : 융합적 연구 Isolated Activation of the Upper Trapezius in Three Manual Muscle Testing Position : Convergence Study 원문보기

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세 가지 도수근력 검사 자세에서 상부 승모근의 독립적 수축 : 융합적 연구
Isolated Activation of the Upper Trapezius in Three Manual Muscle Testing Position : Convergence Study 원문보기

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