Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
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Analysis of Muscular Activity of Tibialis Anterior Muscle and Gastrocnemius Muscle in Functional Reach Test of Elderly According to Different Surfaces

기능적 팔 뻗기 시 지면에 따른 앞정강근과 장딴지근의 근활성도 비교

  • Park, Jeong-Seo (Department of Physical Therapy, Yeongdong University) ;
  • Nam, Yeon-Kyeong (Department of Physical Therapy, Kwangju Women's University) ;
  • Kim, Moon-Jeong (Department of Physical Therapy, Graduate School, Kwangju Women's University) ;
  • Yoon, Se-Won (Department of Physical Therapy, Kwangju Women's University)
  • 박정서 (영동대학교 물리치료학과) ;
  • 남연경 (광주여자대학교 물리치료학과) ;
  • 김문정 (광주여자대학교 대학원 물리치료학과) ;
  • 윤세원 (광주여자대학교 물리치료학과)
  • Received : 2011.11.29
  • Accepted : 2011.12.15
  • Published : 2011.12.31
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Abstract

Purpose : This study aims to examine the changes of muscle activity of the tibialis anterior muscle and the gastrocnemius muscle on the ground and unstable ground for functional reach test. Methods : This study chose 24 elderly men and 24 elderly women who could walk independently, reach their arm over 25 cm, show shoulder joint $90^{\circ}$ flexion, had no operations on lower limb joints, and don't take medication affecting the ability to keep balance. Muscular activity of the tibialis anterior muscle and the gastrocnemius muscle was measured using functional reach test and electromyogram. Functional reach test was conducted at a total of four sections, 0cm, 15cm, 20cm, and 25cm. Results : It was known that the gastrocnemius muscle was used more than the tibialis anterior muscle to keep balance and the elderly with good balance ability showed no great change of muscular activity on both the stable and unstable ground. Conclusion : It was found that the subjects used their gastrocnemius muscle more and lower limbs of frequently used parts to keep their balance. As the elderly have good balance ability, they showed no great change of muscular activity on both the stable and unstable ground.

Keywords

References

  1. Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Phys Ther. 1993;73(6):346-51; discussion 51-4.
  2. O'Sullovan S, Thomas, J., & Schmitz. Physical rehabilitation assessment and treatment. FA DAVIS. 1994;3.
  3. Umphred DA. Neurological rehabilitation. 3rd ed. Missouri, St. Louis: Mosby, 1995;3.
  4. Woollacott MH, Tang PF. Balance control during walking in the older adult: Research and its implications. Phys Ther. 1997;77(6):646-60.
  5. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119-26.
  6. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7. https://doi.org/10.1056/NEJM198812293192604
  7. Sterling DA, O'Connor JA, Bonadies J. Geriatric falls: Injury severity is high and disproportionate to mechanism. J Trauma. 2001;50(1):116-9. https://doi.org/10.1097/00005373-200101000-00021
  8. Maki BE. Gait changes in older adults: Predictors of falls or indicators of fear. J Am Geriatr Soc. 1997;45(3):313-20.
  9. Frontera WR, Hughes VA, Fielding RA et al. Aging of skeletal muscle: A 12-yr longitudinal study. J Appl Physiol. 2000;88(4):1321-6
  10. Macaluso A, De Vito G. Muscle strength, power and adaptations to resistance training in older people. Eur J Appl Physiol. 2004;91(4):450-72. https://doi.org/10.1007/s00421-003-0991-3
  11. Hauer K, Rost B, Rutschle K et al. Exercise training for rehabilitation and secondary prevention of falls in geriatric patients with a history of injurious falls. J Am Geriatr Soc. 2001;49(1):10-20. https://doi.org/10.1046/j.1532-5415.2001.49004.x
  12. Wernick-Robinson M, Krebs DE, Giorgetti MM. Functional reach: Does it really measure dynamic balance? Arch Phys Med Rehabil. 1999;80(3):262-9. https://doi.org/10.1016/S0003-9993(99)90136-3
  13. Nashner LM. Fixed patterns of rapid postural responses among leg muscles during stance. Exp Brain Res. 1977;30(1):13-24.
  14. Nashner LM, Black FO, Wall C, 3rd. Adaptation to altered support and visual conditions during stance: Patients with vestibular deficits. J Neurosci. 1982;2(5):536-44.
  15. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction of balance. Suggestion from the field. Phys Ther. 1986;66(10):1548-50.
  16. Wolfson LI, Whipple R, Amerman P et al. Stressing the postural response. A quantitative method for testing balance. J Am Geriatr Soc. 1986;34(12):845-50.
  17. Murray MP, Seireg AA, SB S. Normal postural stability and stedadiness: Quantitative assessment. J Bone Joint Surg. 1975;57-A:510-6.
  18. Hageman PA, Leibowitz JM, Blanke D. Age and gender effects on postural control measures. Arch Phys Med Rehabil. 1995;76(10):961-5. https://doi.org/10.1016/S0003-9993(95)80075-1
  19. Wernick-Robinson M, Krebs DE, Giorgetti MM. Functional reach: Does it really measure dynamic balance? Arch Phys Med Rehabil. 1999;80(3):262-9. https://doi.org/10.1016/S0003-9993(99)90136-3
  20. Duncan PW, Weiner DK, Chandler J et al. Functional reach: A new clinical measure of balance. J Gerontol. 1990;45(6):M192-7. https://doi.org/10.1093/geronj/45.6.M192
  21. Duncan PW, Studenski S, Chandler J et al. Functional reach: Predictive validity in a sample of elderly male veterans. J Gerontol. 1992;47(3):M93-8. https://doi.org/10.1093/geronj/47.3.M93
  22. Gehlsen GM, Whaley MH. Falls in the elderly: Part i, gait. Arch Phys Med Rehabil. 1990;71(10):735-8.
  23. Park JS, Choi, EY, Hwang TY. The effects of strengthening leg muscular strength on the elderly's walking and balance ability. The Journal of Korean Society of Physical Therapy. 2002;14(2):71-9.
  24. Kim TH, Oh DS. Effects of exercise training on strength and balance for the elderly. Journal of the Korean Academy of University Trained Physical Therapists. 2000;7(1):32-7.
  25. Shumway-Cook A. Woollacott MH. Motor control: Theory and practical applications. 2nd ed. Pennsylvania, Philadeplhia: Lippincoott williams & Wikins, 2001;2.
  26. Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol. 2004;14(6):641-6. https://doi.org/10.1016/j.jelekin.2004.05.001
  27. Kim TY. Effect that get in ankle muscle by knee angle stability and the unstable floor. Journal of Korea Sport Research. 2006;2006(17):1.
  28. Kim EJ, Hwang-Bo G, Lee SY et al. The effects of gait component and muscular activity on unstable surface balance training in stroke patients. Journal of Rehabilitation Research. 2010;14(4):329-46.
  29. Woo YK, Park JW, Choi JD et al. Electromyographic activities of lower leg muscles during static balance control in normal adults. Journal of the Korean Academy of University Trained Physical Therapists. 2004;11(2):35-45.

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