한국운동역학회지 (Korean Journal of Applied Biomechanics)

  • 제21권4호
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  • Pages.467-477
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  • 2011
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  • 1226-2226(pISSN)
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  • 2093-9752(eISSN)
한국운동역학회 (Korean Society of Applied Biomechanics)
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계단 오르기 시 정강이뼈 돌림이 하지의 역학과 근 활성도에 미치는 영향

Tibial Rotation Influences Muscle Activity and Motion of Lower Extremity during The Stair Ascent

  • 강정일 (대불대학교 보건대학 물리치료학과) ;
  • 이유경 (대불대학교 대학원 물리치료학과) ;
  • 박승규 (대불대학교 보건대학 물리치료학과) ;
  • 이준희 (대불대학교 보건대학 물리치료학과) ;
  • 양대중 (대불대학교 보건대학 물리치료학과) ;
  • 최현 (대불대학교 대학원 물리치료학과)
  • Kang, Jeong-Il (Department of Physical Therapy, College of Health, Daebul University) ;
  • Lee, Yu-Kyung (Department of Physical Therapy, Graduate School of Daebul University) ;
  • Park, Seung-Kyu (Department of Physical Therapy, College of Health, Daebul University) ;
  • Lee, Joon-Hee (Department of Physical Therapy, College of Health, Daebul University) ;
  • Yang, Dae-Jung (Department of Physical Therapy, College of Health, Daebul University) ;
  • Choi, Hyun (Department of Physical Therapy, Graduate School of Daebul University)
  • 투고 : 2011.10.31
  • 심사 : 2011.12.16
  • 발행 : 2011.12.31
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초록

This study was performed to investigate the effects of tibial rotation while going up stair on muscle activity of vastus medialis oblique and vastus lateralis, and on patellar displacement. The subjects included 30 people (male: 15; female: 15) who were randomly assigned to the tibial internal-rotation, neutral-rotation, and external-rotation groups. The subjects went up the stair while performing the assigned rotations, and the rotation of the hip and the displacement of the patella were measured using a 3D motion analyzer. In addition, the maximum voluntary isometric contraction (MVIC) of the vastus medialis oblique and vastus lateralis were measured using surface electromyogram. On the tibial internal rotation, the hip rotation significantly appeared in the same direction and so did on the tibial neutral and external rotations(p<.001). Although the MVIC of the vastus medialis oblique and vastus lateralis did not significantly differ by tibial rotation during the stair ascent, the MVIC of the vastus medialis oblique was higher than that of the vastus lateralis during the internal and neutral rotations (p<.05). In addition, during the stair ascent, the displacement of the patella was more significant during the tibial external rotation than during the tibial internal and neutral rotations(p<.001). Thus, patients with patellofemoral pain are required to be considered the effects of tibial rotation for their rehabilitation.

키워드

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