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비대칭적 입식자세에서 상지 조립 작업 시 체간 및 둔부 근육의 좌우 근활성도 비교

Comparison Between Right and Left Muscle Activities of Hip and Trunk During Manual Task in Asymmetric Weight-Bearing Posture

  • 정지윤 (자생한방병원 척추건강센터) ;
  • 전혜선 (연세대학교 보건환경대학원 인간공학치료학과) ;
  • 이충휘 (연세대학교 보건환경대학원 인간공학치료학과) ;
  • 이정원 (여주대학 작업치료과)
  • Choung, Ji-Yun (Department of Physical Therapy, Jaseng Hospital of Oriental Medicine) ;
  • Jeon, Hye-Seon (Department of Ergonomic Therapy The Graduate School of Health and Environment, Yonsei University) ;
  • Lee, Chung-Hwi (Department of Ergonomic Therapy The Graduate School of Health and Environment, Yonsei University) ;
  • Lee, Jeon-Won (Department of Occupational Therapy Yeojoo Institute of Technology)
  • 투고 : 2007.12.14
  • 심사 : 2010.01.21
  • 발행 : 2010.06.30

초록

The purpose of this study was to compare the electromyographic(EMG) activities of trunk and hip muscles between right and left sides while subjects performed prolonged manual task in asymmetric and symmetric weight-bearing posture. Fifteen healthy male college students were recruited for this study. The subjects were asked to perform bimanual upper extremity task for 6 minutes in two different standing postures. In the symmetric weight-bearing posture, the subjects were standing with evenly distributed body weights to both legs. In the asymmetric weight-bearing posture, the subjects distributed about 90% of their body weight onto their preferred(supporting) leg and 10% of their body weight onto the opposite leg while they were standing. EMG activities of the right and left internal oblique, erector spinae, gluteus maximus, and gluteus medius were measured and normalized as % MVIC. Then the EMG data were statistically analyzed using paired t-tests. The EMG activities of all measured muscles were not significantly different between the right and left side in the symmetrical weight-bearing posture(p>0.05). However, the EMG of the supporting side internal oblique was significantly lower than the opposite side(p<0.05), and the EMG of the erector spinae, gluteus maximus, and gluteus medius were significantly greater on the supporting side(p<0.05). The results of this study support that unbalanced use of right and left muscle possibly causes the changes in muscle length which results in asymmetry of trunk and hip muscles. Furthermore, the uneven weight support onto right and left legs will cause a distortion of viscoelastic ligaments around hip and sacroiliac joints in the long run. Further studies to determine the effect of various manual tasks on the trunk and hip muscles as well as the effect of asymmetrical weight-bearing standing posture on hip and back muscle fatigue may be required.

키워드

참고문헌

  1. 김현욱, 우리나라에서 근골격계 질환의 발생 현황 및 증가 요인, 한국산업의학, 41(4), 155-163, 2002.
  2. 김해진, 근육 피로도 측면에서의 입식 작업과 좌식 작업 비교, 충북대학교 석사학위 논문. 2000.
  3. 노동부, 근골격계 부담작업 범위, 노동부 고시 제 2003-24호, 2003.
  4. 노동부, 산업재해 현황 분석, 2007.
  5. 배지혜, 나진경, 유지연, 박영옥, 요통 환자의 다열근 위축에 대한 관찰, 대한재활의학회지, 25(4), 684-691, 2001.
  6. 산업안전공단. 근골격계 예방지침, 2006.
  7. 임창준, 모 전자 사업장 작업자들의 작업 관련성 근골격계 질환 자각증상과 작업특성에 관한 연구, 홍익대학교 석사학위 논문. 2003.
  8. 정연길, 컴퓨터 작업 시 다리 꼬기가 체간 근육의 근활성도에 미치는 효과, 연세대학교 석사학위논문. 2005.
  9. Bergmark A., Stability of the lumbar spine. A study in mechanical engeering, Acta Orthop Scand Suppl, 23(6), 20-24, 1989.
  10. Chen, W. P., Tai, C. L., Tan, C. F., Sin, C. H., Hou, S. H. and M. S., The degrees to which transtrochanteric rotational osteotomy moves the region of osteonecrotic femoral head out of the weight-bearing areas as evaluated by computer simulation, Clinical Biomechanics, 20, 63-69, 2005. https://doi.org/10.1016/j.clinbiomech.2004.08.001
  11. Cram, J. R., Kasman, G. S. and Holtz J., Introduction to surface electromyography. Gaithersburg: Aspen Publisher. 1998.
  12. Genthon, N. and Rougier, P., Influence of an asymmetrical body weight distribution on the control of undisturbed upright stance, Journal of Applied Biomechanics, 38, 2037-2049, 2004.
  13. Grandjean, E. and Hunting, W., Ergonomics of posture review of various problem of standing and sitting postures, Applied Ergonomics, 8(3), 135-140, 1977. https://doi.org/10.1016/0003-6870(77)90002-3
  14. Granata, K. P. and Wilson, S. E., Trunk posture and spinal stability, Clinical Biomechanics, 16(8), 650-659, 2001. https://doi.org/10.1016/S0268-0033(01)00064-X
  15. Kirbly, R. L. and Price, N. A. and MacLeod, D. A., The influence of foot position on standing balance, Journal of Biomechanics, 20(4), 423-442, 1987. https://doi.org/10.1016/0021-9290(87)90049-2
  16. Kothiyal, K. and Kaysis, B., Workplace layout for seated manual handling tasks; an electromyography study, Journal of Ergonomics, 27(1), 19-32, 2001. https://doi.org/10.1016/S0169-8141(00)00039-1
  17. Luoto, S., Aalto, H., Taimela, S., Hurri, H., Pyykko, I. and Alaranta, H., Onefooted and externally disturbed two footed posture control in patients with chronic low back pain and healthy control subjects, A controlled study with follow up, Spine, 23(19), 2081-2089, 1998. https://doi.org/10.1097/00007632-199810010-00008
  18. Madeleine. P., Lundager, B., Voigt, M. and Arendt-Nielsen, L., Sensory manifestations in experimental and work-related chronic neck-shoulder pain, Euroopean Journal of Pain, 2, 251-260, 1998. https://doi.org/10.1016/S1090-3801(98)90021-0
  19. NIOSH., Musculoskeletal Disorders and Workplace Factors., US. Department of Health and Human Service Center for Disease Control and Prevention, 1997.
  20. Neumann, D. A, Kinesiology of the musculoskeletal system. St. Louis: Mosby, 2002.
  21. Panjabi, M. M., Clinical spinal instability and low back pain, Journal of Electromyography and Kinesiol, 13(4), 371-379, 2003. https://doi.org/10.1016/S1050-6411(03)00044-0
  22. P. van Wely., Design and disease, Appl Ergon, 1(5), 262-269, 1970. https://doi.org/10.1016/0003-6870(70)90075-X
  23. Phyllis, M. K., A comparison of the effects of floor mats and shoe in-soles on standing fatigue, Applied Ergonomics, 33(5), 477-478. 2002. https://doi.org/10.1016/S0003-6870(02)00027-3
  24. Richardson, C. A., Snijders, C. J., Hides, J. A., Damen, L., Pas, M. S. and Storm., The relationship between the transversely oriented abdominal muscles, sacroiliac joint mechanics and low back pain, Spine, 27, 399-405, 2002. https://doi.org/10.1097/00007632-200202150-00015
  25. Ryan, G. A., The prevalence of musculo-skeletal symptoms in supermarket workers, Ergonomics, 32(4), 359-371, 1989. https://doi.org/10.1080/00140138908966103
  26. Snijders, C. J., Ribbers, M. T. L. M., de Bakker, J. V., Stoeckart, R. and Stam, H. J., EMG recording of abdominal and back muscles in various standing postures, validation of a biomechanical model on sacroiliac joint stability, Journal of Electromyography and Kinesiology, 8, 205-214, 1998. https://doi.org/10.1016/S1050-6411(98)00005-4
  27. Souza, G. M., Baker, L. L. and Powers, C. M., Electromyographic activity of selected trunk muscles during spine stabilization exercises, Archives of Physical Medicine Rehabilitation, 82(11), 1551-1557, 2001. https://doi.org/10.1053/apmr.2001.26082
  28. Winkle, J., Evaluation of foot swelling and lower-limb temperatures in relation to leg activity during long-term seated office work, Ergonomics, 29(2), 313-328, 1986. https://doi.org/10.1080/00140138608968267