근육 횡방향 테이핑에 의한 ${\alpha}$-운동 신경원 흥분 변화

Change of ${\alpha}$-motor Neuron Excitability by Taping Across a Muscle

  • 김종순 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 김난수 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 이현옥 (부산가톨릭대학교 보건과학대학 물리치료학과)
  • Kim, Jong-Soon (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Kim, Nan-Soo (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Lee, Hyun-Ok (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2010.09.28
  • 심사 : 2010.11.05
  • 발행 : 2010.11.30

초록

Purpose : The application of tape to modulation of pain and muscular excitability has become common clinical practice among musculoskeletal physical therapy. However, the techniques of the tape application has been relied on empirical evidence in preference to the neurophysiological evidence. Thus, the mechanism of taping has to be elucidated further. The aim of this study was to determine whether elastic and non-elastic taping across a muscle does indeed change ${\alpha}$-motor neuron excitability. Methods : The study was performed on 10 neurologically healthy adults. Two different types of tape were applied to skin overlying gastrocnemius. The elastic tape stretched up to 120% of its original length but non-elastic tape didn't stretched up of its original length. The tape applied across the direction on thickest part of the gastrocnemius. The ${\alpha}$-motor neuron excitability of the gastrocnemius was assessed using the gastrocnemius H-reflex. The amplitude of the M-wave and H-reflex were measured across three conditions: before tape application, with tape and with the tape removed. Results : No significant changes of the excitability of the ${\alpha}$-motor neuron were obtained across three condition, either in the elastic and non-elastic tape. Conclusion : From the results, I could come to the conclusion that further clinical work will be required.

키워드

참고문헌

  1. Ackermann B, Adams R, Marshall E. The effect of scapula taping on electromyographic activity and musical performance in professional violinists. Aust J Physiother. 2002;48(3):197-203.
  2. Alexander CM, Stynes S, Thomas A et al. Does tape facilitate or inhibit the lower fibers of trapezius?. Man Ther. 2003;8(1):37-41. https://doi.org/10.1054/math.2002.0485
  3. Alexander CM, McMullan M, Harrison PJ. What is the effect of taping along or across a muscle on motorneuron excitability? A study using triceps surae. Man Ther. 2008;13(1):57-62. https://doi.org/10.1016/j.math.2006.08.003
  4. Cheng J, Brooke JD, Misiaszek JE et al. Crossed inhibition of the soleus H reflex during passive pedalling movement. Brain Res. 1998;779(1-2): 280-4. https://doi.org/10.1016/S0006-8993(97)01168-2
  5. Cools AM, Witvrouw EE, Danneels LA et al. Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders?. Man Ther. 2002;7(3):154-62. https://doi.org/10.1054/math.2002.0464
  6. Dishman JD, Burke J. Spinal excitability changes after cervical and lumbar spinal manipulation: a comparative study. Spine J. 2003;3(3):204-12. https://doi.org/10.1016/S1529-9430(02)00587-9
  7. Frijins CJ, Laman DM, van Duijn MA et al. Normal values of patellar and ankle tendon reflex latencies. Clin Neurol Neurosurg. 1997;99(1):31-6. https://doi.org/10.1016/S0303-8467(96)00593-8
  8. Garcia-Muro F, Rodriguez-Fernandez AL, Herrero- de-Lucas A. Treatment of myofascial pain in the shoulder with Kinesio taping. A case report. Man Ther. 2010;15(3):292-5. https://doi.org/10.1016/j.math.2009.09.002
  9. Greig AM, Bennell KL, Briggs AM et al. Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Man Ther. 2008;13(3):249-57. https://doi.org/10.1016/j.math.2007.01.011
  10. Hardy SG, Spalding TB, Liu H et al. The effect of transcutaneous electrical stimulation on spinal motor neuron excitability in people without known neuromuscular diseases: the roles of stimulus intensity and location. Phys Ther. 2002;82(4): 354-63.
  11. Host HH. Scapular taping in the treatment of anterior shoulder impingement. Phys Ther. 1995;75(9):803- 12.
  12. Janwantanakul P, Gaogasigam C. Vastus lateralis and vastus medialis obliquus muscle activity during the application of inhibition and facilitation taping technique. Clin Rehabil. 2005;19(1):12-9. https://doi.org/10.1191/0269215505cr834oa
  13. Jenner JR, Stephens JA. Cutaneous reflex responses and their central nervous pathways studied in man. J Physiol. 1982;333(1):405-19.
  14. Korr IM. Proprioceptors and somatic dysfunction. J Am Osteopath Assoc. 1975;74(7):638-50.
  15. Lagerquist O, Klakowicz PM, Baldwin ERL et al. M-wave and H-reflex amplitude increases during tetanic stimulation over triceps surae muscle. 10th Annual Conference of the International FES Society. 2005
  16. Leonard CT. The neuroscience of human movement. St. Louis. Mosby. 1998.
  17. Leonard CT, Diedrich PM, Matsumoto T et al. H- reflex modulations during voluntary and automatic movements following upper motor neuron damage. Electroencephalogr Clin Neurophysiol. 1998;109 (6):475-83. https://doi.org/10.1016/S0924-980X(98)00052-6
  18. Macgregor K, Gerlach S, Mellor R et al. Cutaneous stimulation from patella tape causes a differential increase in vasti muscle activity in people with patellofemoral pain. J Orthop Res. 2005;23(2): 351-8. https://doi.org/10.1016/j.orthres.2004.07.006
  19. McCarthy Persson U, Fleming HF, Caulfield B. The effect of a vastus lateralis tape on muscle activity during stair climbing. Man Ther. 2009;14(3):330-7. https://doi.org/10.1016/j.math.2008.05.002
  20. McConnell J. Recalcitrant chronic low back and leg pain-a new theory and different approach to management. Man Ther. 2002;7(4):183-92. https://doi.org/10.1054/math.2002.0478
  21. McNair PJ, Heine PJ. Trunk proprioception: enhance- ment through lumbar bracing. Arch Phys Med Rehabil. 1999;80(1):96-9. https://doi.org/10.1016/S0003-9993(99)90314-3
  22. Morrissey D. Proprioceptive shoulder taping. J Bodyw Mov Ther. 2000;4(3):189-94. https://doi.org/10.1054/jbmt.2000.0156
  23. Morelli M, Sullivan SJ, Chapman CE. Inhibitory influence of soleus massage onto the medial gastrocnemius H-reflex. Electromyogr Clin Neurophysiol. 1998;38(2):87-93.
  24. Ng GY. Patellar taping does not affect the onset of activities of vastus medialis obliquus and vastus lateralis before and after muscle fatigue. Am J Phys Med Rehabil. 2005;84(2):106-11. https://doi.org/10.1097/01.PHM.0000151938.49826.C9
  25. O'Leary S, Carroll M, Mellor R et al. The effect of soft tissue deloading tape on thoracic spine pressure pain thresholds in asymptomatic. Man Ther. 2002;7(3):150-3. https://doi.org/10.1054/math.2002.0459
  26. Pokett S. Spinal cord synaptic plasticity and chronic pain. Anesth Anag. 1995;80(1):173-9.
  27. Smith M, Sparkes V, Busse M, Enright S. Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: is there imbalance and can taping change it?. Phys Ther Sport. 2009;10(2):45-50. https://doi.org/10.1016/j.ptsp.2008.12.002
  28. Simoneau GG, Degner RM, Kramper CA et al. Changes in ankle joint proprioception resulting from strips of athletic tape applied over the skin. J Athl Train. 1997;32(2):141-7.
  29. Tobin S, Robinson G. The effects of McConnell's vastus lateralis inhibition taping technique on vastus lateralis and vastus medialis obliquus activity. Physiother. 2000;86(4):173-83. https://doi.org/10.1016/S0031-9406(05)60960-1
  30. Wood L, Nicol DJ, Thulin CE. The effects of skin brushing on H reflex amplitude in normal human subjects. Exp Physiol. 1998;83(2):175-83.
  31. Woolf CJ. Somatic pain-pathogenesis and prevention. Br J Anaesth. 1995;75(2):169-76. https://doi.org/10.1093/bja/75.2.169