Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effectiveness of Transcutaneous Electrical Nerve Stimulation(TENS) on the Changes of Postural Balance and Muscle Contraction following Muscle Fatigue

경피신경전기자극이 근피로에 의한 자세균형과 근수축력의 변화에 미치는 효과

  • Cho, Hwi-Young (Dept. of Physical Therapy, Sahmyook University) ;
  • Lee, Sun-Hyun (Dept. of Physical Therapy, Sahmyook University) ;
  • In, Tae-Sung (Dept. of Physical Therapy, Sahmyook University) ;
  • Kang, Sun-Hee (Dept. of Medical Reocrd & Health Information Management, Kongju National University) ;
  • Lee, Dong-Yeop (Dept. of Physical Therapy, Sunmoon University) ;
  • Song, Chang-Ho (Dept. of Physical Therapy, Sahmyook University)
  • 조휘영 (삼육대학교 물리치료학과) ;
  • 이순현 (삼육대학교 물리치료학과) ;
  • 인태성 (삼육대학교 물리치료학과) ;
  • 강선희 (공주대학교 의무기록정보학과) ;
  • 이동엽 (선문대학교 물리치료학과) ;
  • 송창호 (삼육대학교 물리치료학과)
  • Received : 2010.08.16
  • Accepted : 2010.11.19
  • Published : 2010.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Muscle fatigue often induces deterioration of postural balance and muscle contraction, such as strength or maximal voluntary contraction(MVC). This study was to investigate the effects of transcutaneous electrical stimulation(TENS) applied to the fatigued muscles on postural imbalance and decline in muscle strength following fatigue of triceps surae. For the 4 months from March, 2010, twenty healthy subjects without vestibular disease and visual disturbance were recruited and induced muscle fatigue of triceps surea performed by repeated voluntary contraction. TENS was applied to gastocnemius immediately after development of muscle fatigue. Postural sway length, velocity and MVC were recorded under these conditions: pre-fatigue, post-fatigue, and TENS application to fatigued muscle during post-fatigue. Muscle fatigue increased postural imbalance as expressed by sway length and velocity and decreased muscle contraction(p<.05), while TENS improved the postural imbalance and MVC following muscle fatigue during stance(p<.05). The results suggested that fatigue on plantar flexor is associated with postural balance and muscle contraction, and TENS application to fatigued muscle was effective in improving postural imbalance and decline in muscle strength following muscle fatigue. TENS will be an effective method in exercise, working environment and daily life.

근피로는 자세균형과 근수축력의 악화를 유발하여 다양한 근골격계 손상을 초래한다. 본 연구는 하퇴삼두근에 근피로 유발에 의한 자세불균형과 근수축력 저하에 경피신경전기자극이 미치는 효과를 알아보고자 하였다. 2010년 3월부터 4개월간 전정계통과 시각계통에 문제가 없는 20명의 건강한 성인을 대상으로 반복운동 수행을 통하여 비복근에 근피로를 유발하였고, 유발 후 즉시 경피신경전기자극을 적용하였다. 근피로 및 경피신경전기자극에 의한 자세균형과 근수축력의 변화를 측정하기 위하여 자세동요 이동거리와 속도, 최대수의수축력을 사용하였다. 근피로 유발에 의하여 자세동요 이동거리 및 속도의 증가와 근수축력의 저하가 나타났다(p<.05). 근피로가 유발된 비복근에 경피신경 전기자극의 적용은 근피로에 의한 자세동요와 근수축력을 유의하게 개선하였다(p<.05). 이와 같은 연구결과를 통하여 족저굴곡근의 근피로는 자세균형과 근수축력에 관여되고, 경피신경전기자극은 근피로에 의한 자세불균형 및 근수축력 저하에 효과적임을 증명하였다. 경피신경전기자극은 일상생활에서 흔히 유발되는 근피로의 중재에 경피신경전기자극이 효과적인 중재 방법으로 사용될 수 있을 것으로 사료된다.

Keywords

References

  1. Enoka, R. M., & Stuart, D. G., "Neurobiology of muscle fatigue", Journal of Applied Physiology, vol 72(5), pp. 1631-1648, 1992. https://doi.org/10.1063/1.351680
  2. Giannesini, B., Cozzone, P. J., & Bendahan, D., "Non-invasive investigations of muscular fatigue: metabolic and electromyographic components", Biochimie, vol 85(9), pp. 873-883, 2003. https://doi.org/10.1016/S0300-9084(03)00124-X
  3. Guyton, A. C., & Hall, J. E., Medical Physiology 11th Edition, Chapter 6 & 67, Philadelphia: Saunders Company, 2006.
  4. Pline, K. M., Madigan, M. L., & Nussbaum, M. A., "Influence of fatigue time and level on increases in postural sway", Ergonomics, vol 49(15), pp. 1639-1648, 2006. https://doi.org/10.1080/00140130600901678
  5. Hawkins, R. D., & Fuller, C. W., "An examination of the frequency and severity of injuries and incidents at three levels of professional football", British Journal of Sports Medicine, vol 32(4), pp. 326-331, 1998. https://doi.org/10.1136/bjsm.32.4.326
  6. Keshner, E. A., Allum, J. H., & Pfaltz, C. R., "Postural coactivation and adaptation in the sway stabilizing responses of normals and patients with bilateral vestibular deficit", Exp Brain Res, vol 69(1), pp. 77-92, 1987.
  7. Hiemstra, L. A., Lo, I. K., & Fowler, P. J., "Effect of fatigue on knee proprioception: implications for dynamic stabilization", J Orthop Sports Phys Ther, vol 31(10), pp. 598-605, 2001. https://doi.org/10.2519/jospt.2001.31.10.598
  8. Ledin, T., Fransson, P. A., & Magnusson, M., "Effects of postural disturbances with fatigued triceps surae muscles or with 20% additional body weight", Gait&Posture, vol 19(2), pp. 184-193, 2004.
  9. Onambele, G. L., Narici, M. V., & Maganaris, C. N., "Calf muscle-tendon properties and postural balance in old age", Journal of Applied Physiology, vol 100(6), pp. 2048-2056, 2006. https://doi.org/10.1152/japplphysiol.01442.2005
  10. Paillard, T., Maitre, J., Chaubet, V., & Borel, L., "Stimulated and voluntary fatiguing contractions of quadriceps femoris differently disturb postural control", Neuroscience Letters, 477(1), pp. 48-51, 2010. https://doi.org/10.1016/j.neulet.2010.04.034
  11. 이승원, 김남조, 박대성, 이동엽, 이상숙, 이해현, 김성렬, 송창호, "정상성인군과 노인군의 TENS 적용을 통한 자세동요 비교", 한국스포츠리서치, 제18권, 제5 호, pp. 659-668, 2007.
  12. Watanabe S, Kobara K, & Ishida H. "Influence of fingertip contact with a wall on postural sway and electromyographyic activity of the soleus muscle", Electromyography and clinical neurophysiology, vol 50(5), pp. 229-33, 2010.
  13. Ross, S. E., "Noise-enhanced postural stability in subjects with functional ankle instability", British journal of sports medicine, vol 41, pp. 656-59, 2007. https://doi.org/10.1136/bjsm.2006.032912
  14. Dickstein, R., Laufer, Y., & Katz, M., "TENS to the posterior aspect of the legs decreases postural sway during stance", Neuroscience Letters, vol 393(1), pp. 51-55, 2006. https://doi.org/10.1016/j.neulet.2005.09.039
  15. Cramp, F. L., McCullough, G. R., Lowe, A. S., & Walsh, D. M., "Transcutaneous electric nerve stimulation: The effect of intensity on local and distal cutaneous blood flow and skin temperature in healthy subjects", Archives of Physical Medicine and Rehabilitation, vol 83(1), pp. 5-9, 2002. https://doi.org/10.1053/apmr.2002.27478
  16. Ng, S. S. & Hui-Chan, C. W. "Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke", Stroke, vol 38(11), pp. 2953-59, 2007. https://doi.org/10.1161/STROKEAHA.107.490318
  17. Mulvey, M. R., Fawkner, H. J., Radford, H., & Johnson, M. I., "The use of transcutaneous electrical nerve stimulation (TENS) to aid perceptual embodiment of prosthetic limbs", Medical Hypothesis, vol 72(2), pp. 140-142, 2009. https://doi.org/10.1016/j.mehy.2008.08.028
  18. Vuillerme, N., Burdet, C., Isableu, B., & Demetz, S., "The magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing with vision depends on the eye-visual target distance", Gait & Posture, vol 24(2), pp. 169-172, 2006. https://doi.org/10.1016/j.gaitpost.2005.07.011
  19. Moss, C. L. & Wright, P. T. "Comparison of three methods of assessing muscle strength and imbalance ratios of the knee", Journal of Athletic Training, vol 28(1), pp. 55-8, 1993.
  20. Yaggie, J. A., & McGregor, S. J., "Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits", Archives of Physical Medicine and Rehabilitation, vol 83(2), pp. 224-228, 2002. https://doi.org/10.1053/apmr.2002.28032
  21. Gribble, P. A., & Hertel, J., "Effect of hip and ankle muscle fatigue on unipedal postural control", Journal of Electromyography and Kinesiology, vol 14(6), pp. 641-646, 2004. https://doi.org/10.1016/j.jelekin.2004.05.001
  22. Forestier, N., Teasdale, N., & Nougier, V., "Alteration of the position sense at the ankle induced by muscular fatigue in humans", Med Sci Sports Exerc, vol 34(1), pp. 117-122, 2002. https://doi.org/10.1097/00005768-200201000-00018
  23. Brandt, T., Disorders of posture and gait. pp. 269-276, Georgia: Thieme Medical Pub, 1990.
  24. Bizid, R., Margnes, E., Francois, Y., Jully, J. L., Gonzalez, G., Dupui, P., "Effects of knee and ankle muscle fatigue on postural control in the unipedal stance", European Journal of Applied Physiology, vol 106(3), pp. 375-380, 2009. https://doi.org/10.1007/s00421-009-1029-2
  25. Harkins, K. M., Mattacola, C. G., Uhl, T. L., Malone, T. R., & McCrory, J. L., "Effects of 2 ankle fatigue models on the duration of postural stability dysfunction", Journal of Athletic Training, vol 40(3), pp. 191-194, 2005.
  26. Krause, D. A., Jacobs, R. S., Pilger, K. E., Sather, B. R., Sibunka, S. P., & Hollman, J. H., "Electromyographic Analysis of the Gluteus Medius in Five Weight-Bearing Exercises", Journal of Strength and Conditioning Research, vol 23(9), pp. 2689-2694, 2009. https://doi.org/10.1519/JSC.0b013e3181bbe861
  27. Perennou, D. A., Leblond, C., Amblard, B., Micallef, J. P., Herisson, C., & Pelissier, J. Y., "Transcutaneous electric nerve stimulation reduces neglect-related postural instability after stroke", Archives of Physical Medicine and Rehabilitation, vol 82(4), pp. 440-448, 2001. https://doi.org/10.1053/apmr.2001.21986
  28. Lord, S. R., Clark, R. D., & Webster, I. W., "Physiological Factors Associated with Falls in an Elderly Population", Journal of the American Geriatrics Society, vol 39(12), pp. 1194-1200, 1991. https://doi.org/10.1111/j.1532-5415.1991.tb03574.x
  29. Farkas, T., Kis, Z., Toldi, J., & Wolff, J. R., "Activation of the primary motor cortex by somatosensory stimulation in adult rats is mediated mainly by associational connections from the somatosensory cortex", Neuroscience, vol 90(2), pp. 353-361, 1999. https://doi.org/10.1016/S0306-4522(98)00451-5
  30. Levin, M. F., & Huichan, C. W. Y., "Relief of Hemiparetic Spasticity by Tens Is Associated with Improvement in Reflex and Voluntary Motor Functions", Electroencephalography and Clinical Neurophysiology, vol 85(2), pp. 131-142, 1992. https://doi.org/10.1016/0168-5597(92)90079-Q
  31. Hahm, T. S., "The effect of 2 Hz and 100 Hz electrical stimulation of acupoint on ankle sprain in rats", Journal of Korean Medical Science, vol 22(2), pp. 347-351, 2007. https://doi.org/10.3346/jkms.2007.22.2.347
  32. 박래준, "경피신경전기자극이 근피로에 미치는 영향", 대한물리치료학회지, 제11권, 제1호, pp.71-77, 1999.
  33. Hardy, S. G., Spalding, T. B., Liu, H., Nick, T. G., Pearson, R. H., Hayes, A. V., "The effect of transcutaneous electrical stimulation on spinal motor neuron excitability in people without known neuromuscular diseases: The roles of stimulus intensity and location", Physical Therapy, vol 82(4), pp. 354-363, 2002.
  34. Cramp, A. F. L., Gilsenan, C., Lowe, A. S., & Walsh, D. M., "The effect of high- and low-frequency transcutaneous electrical nerve stimulation upon cutaneous blood flow and skin temperature in healthy subjects", Clinical Physiology, vol 20(2), pp. 150-157, 2000. https://doi.org/10.1046/j.1365-2281.2000.00240.x