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A Comparison of Change in Thickness for Lower Trapezius Muscle During Lower Trapezius Muscle Isometric Exercise and Reliability of Ultrasound Imaging

하승모근 등척성 운동방법에 따른 근두께 변화량 비교 및 초음파 영상의 신뢰도 연구

  • Song, Woo-Ri (Dept. of Physical Therapy, The Graduate School of Health Sports, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Jang, Hyun-Jeong (Dept. of Physical Therapy, The Graduate School, Daejeon University)
  • 송우리 (대전대학교 보건스포츠대학원 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 장현정 (대전대학교 대학원 물리치료학과)
  • Received : 2012.05.07
  • Accepted : 2012.05.21
  • Published : 2012.09.17

Abstract

The lower trapezius muscle is an important stabilizer and primary mover of the scapula. The potential use of ultrasound imaging to evaluate scapular muscle function warrants investigation. The purpose of this study is to use ultrasound imaging for determining the effectiveness of 4 different isometric exercises for maximally activating the lower trapezius muscles in healthy subjects. Twenty-eight (14 men and 14 women) volunteers were recruited for this study. Thickness measurements of the lower trapezius muscles were recorded during 4 exercises: latissimus pulldown (LP), prone V-raise (PV), prone row (PR), and modified prone cobra (MP). Lower trapezius muscle thickness was measured 3 times by 2 investigators at a point 3 cm lateral to the lateral edge of the T8 spinous process. The order of 4 exercise execution was randomized for each participant. To identify statistical significance, one-way ANOVA with repeated measures was used with the significance level of .05. Intraclass correlation coefficient (ICC) for intra-reliability was .86~.98 and inter-rater reliability .83~.96 for the lower trapezius, respectively (p<.01). Thickness changes in the lower trapezius muscles between the relaxed and contracted states in men were as follows: LP ($7.37{\pm}2.68mm$, 182%), MP ($4.69{\pm}1.74mm$, 167%), PV ($4.52{\pm}1.47mm$, 149%), and PR ($3.84{\pm}1.72mm$, 133%). In women the values were as follows: LP ($4.64{\pm}1.24mm$, 163%), MP ($2.79{\pm}.81mm$, 131%), PV ($2.78{\pm}.85mm$, 129%), and PR ($2.21{\pm}1.26$ mm, 100%). Thickness of the lower trapezius muscles significantly differed between exercises in both the gender (p<.01). The LP was the most effective exercise for increasing the activation of the lower trapezius muscle in both the gender. We recommend performing the LP exercise for strengthening the lower trapezius muscles.

Keywords

References

  1. 김수현, 박미희, 심진아 등. 골반압박벨트가 정상인의 능동 하지직거상 시 복횡근 굵기에 미치는 영향. 대한정형도수물리치료학회지. 2011;17(1):15-23.
  2. 김창용, 최종덕, 김선엽 등. 외복사근과 다열근에 대한 초음파 영상과 표면 근전도 측정방법의 신뢰도와 타당도. 한국전문물리치료학회지. 2011;18(1):37-46.
  3. 정진규, 김양호, 김태열. 골격근에서 최대 수의적 등척성 수축력과 근두께와의 관계. 대한임상전기생리학회지. 2004;2(2):25-37.
  4. Arlotta M, Lovasco G, McLean L. Selective recruitment of the lower fibers of the trapezius muscle. J Electromyogr Kinesiol. 2011;21(3): 403-410. https://doi.org/10.1016/j.jelekin.2010.11.006
  5. Bemben MG. Use of diagnostic ultrasound for assessing muscle size. J Strength Cond Res. 2002;16(1):103-108.
  6. Chang YW, Su FC, Wu HW, et al. Optimum length of muscle contraction. Clin Biomech (Bristol, Avon). 1999;14(8): 537-542. https://doi.org/10.1016/S0268-0033(99)00014-5
  7. Chester R, Smith TO, Hooper L, et al. The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex: A systematic review of electromyographic studies. BMC Musculoskelet Disord. 2010;11:45. https://doi.org/10.1186/1471-2474-11-45
  8. Cools AM, Declercq GA, Cambier DC, et al. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports. 2007a;17(1):25-33.
  9. Cools AM, Dewitte V, Lanszweert F, et al. Rehabilitation of scapular muscle balance: Which exercises to prescribe? Am J Sports Med. 2007b;35(10):1744-1751. https://doi.org/10.1177/0363546507303560
  10. Cools AM, Witvrouw EE, De Clercq GA, et al. Scapular muscle recruitment pattern: Electromyographic response of the trapezius muscle to sudden shoulder movement before and after a fatiguing exercise. J Orthop Sports Phys Ther. 2002;32(5):221-229. https://doi.org/10.2519/jospt.2002.32.5.221
  11. Cools AM, Witvrouw EE, Mahieu NN, et al. Isokinetic scapular muscle performance in overhead athletes with and without impingement symptoms. J Athl Train. 2005;40(2):104-110.
  12. Critchley D, Coutts F. Abdominal muscle function in chronic low back pain patients: Measurement with real-time ultrasound scanning. Physiotherapy. 2002;88(6):322-332. https://doi.org/10.1016/S0031-9406(05)60745-6
  13. De Mey K, Cagnie B, Danneels LA, et al. Trapezius muscle timing during selected shoulder rehabilitation exercises. J Orthop Sports Phys Ther. 2009;39(10):743-752. https://doi.org/10.2519/jospt.2009.3089
  14. Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin Biomech (Bristol, Avon). 2005;20(7):700-709. https://doi.org/10.1016/j.clinbiomech.2005.03.008
  15. Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phys Ther. 2003;33(5):247-258. https://doi.org/10.2519/jospt.2003.33.5.247
  16. Esformes JI, Narici MV, Maganaris CN. Measurement of human muscle volume using ultrasonography. Eur J Appl Physiol. 2002;87(1):90-92. https://doi.org/10.1007/s00421-002-0592-6
  17. Faria CD, Teixeira-Salmela LF, Gomes PF. Applicability of the coactivation method in assessing synergies of the scapular stabilizing muscles. J Shoulder Elbow Surg. 2009;18(5): 764-772. https://doi.org/10.1016/j.jse.2009.02.019
  18. Freilich RJ, Kirsner RL, Byrne E. Isometric strength and thickness relationships in human quadriceps muscle. Neuromuscul Disord. 1995;5(5):415-422. https://doi.org/10.1016/0960-8966(94)00078-N
  19. Hides JA, Richardson CA, Jull GA. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities. Spine (Phila Pa 1976). 1995;20 (1):54-58. https://doi.org/10.1097/00007632-199501000-00010
  20. Hislop HJ, Montgomery J. Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination, Philadelphia, W.B. Saunders, 2002:73-75.
  21. Hodges PW, Pengel LH, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27(6):682-692. https://doi.org/10.1002/mus.10375
  22. Kendall FP. McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and pain. 5th ed. Baltimore, MD, Lippincott Williams & Wilkins, 2005:339-341.
  23. Kibler WB. Shoulder rehabilitation: Principles and practice. Med Sci Sports Exerc. 1998;30(4 Suppl):(S)40-50.
  24. Lear LJ, Gross MT. An electromyographical analysis of the scapular stabilizing synergists during a push-up progression. J Orthop Sports Phys Ther. 1998;28(3):146-157. https://doi.org/10.2519/jospt.1998.28.3.146
  25. Lin JJ, Wu YT, Wang SF, et al. Trapezius muscle imbalance in individuals suffering from frozen shoulder syndrome. Clin Rheumatol. 2005;24(6): 569-575. https://doi.org/10.1007/s10067-005-1105-x
  26. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-291.
  27. Matias R, Pascoal AG. The unstable shoulder in arm elevation: A three-dimensional and electromyographic study in subjects with glenohumeral instability. Clin Biomech (Bristol, Avon). 2006;21 Suppl 1:S52-58. https://doi.org/10.1016/j.clinbiomech.2005.09.014
  28. McMeeken JM, Beith ID, Newham DJ, et al. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech (Bristol, Avon). 2004;19(4):337-342. https://doi.org/10.1016/j.clinbiomech.2004.01.007
  29. Miyatani M, Kanehisa H, Kuno S, et al. Validity of ultrasonograph muscle thickness measurements for estimating muscle volume of knee extensors in humans. Eur J Appl Physiol. 2002;86(3):203-208. https://doi.org/10.1007/s00421-001-0533-9
  30. Moseley JB Jr, Jobe FW, Pink M, et al. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med. 1992;20(2):128-134. https://doi.org/10.1177/036354659202000206
  31. Mottram SL. Dynamic stability of the scapula. Man Ther. 1997;2(3):123-131. https://doi.org/10.1054/math.1997.0292
  32. Nordgren B, Bäckström L. Correlations between muscular strength and industrial work performance in mentally retarded persons. Acta Paediatr Scand Suppl. 1971;217:122-126.
  33. O'Sullivan C, Bentman S, Bennett K, et al. Rehabilitative ultrasound imaging of the lower trapezius muscle: Technical description and reliability. J Orthop Sports Phys Ther. 2007;37(10):620-626. https://doi.org/10.2519/jospt.2007.2446
  34. O'Sullivan C, McCarthy Persson U, Blake C, et al. Rehabilitative ultrasound measurement of trapezius muscle contractile states in people with mild shoulder pain. Man Ther. 2012;17(2):139-144. https://doi.org/10.1016/j.math.2011.11.003
  35. Reeves ND, Maganaris CN, Narici MV. Ultrasonographic assessment of human skeletal muscle size. Eur J Appl Physiol. 2004;91(1): 116-118. https://doi.org/10.1007/s00421-003-0961-9
  36. Stokes M, Rankin G, Newham DJ. Ultrasound imaging of lumbar multifidus muscle: Normal reference ranges for measurements and practical guidance on the technique. Man Ther. 2005;10(2):116-126. https://doi.org/10.1016/j.math.2004.08.013
  37. Tucker WS, Armstrong CW, Gribble PA, et al. Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises. Arch Phys Med Rehabil. 2010;91(4):550-556. https://doi.org/10.1016/j.apmr.2009.12.021

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