DOI QR코드

DOI QR Code

Effect of Neck Position on Muscle Fatigue during Shaker Exercise

  • Park, Eun-Jung (Occupational Therapy, Department of Rehabilitation Medicine, Seoul Asan Medical Center) ;
  • Koo, Jung-Wan (Department of Occupational and Environmental Medicine, Center for Occupational and Environmental Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea)
  • Received : 2013.12.03
  • Accepted : 2013.12.19
  • Published : 2013.12.31

Abstract

Objective: The aim of this study is to find the influence on muscle fatigue by changing an angle of neck while Shaker exercise. Background: Shaker exercise is commonly applied to dysphagia patients for strengthen suprahyoid muscle(SHM) and relaxing upper esophageal sphincter. Method: Experiments were conducted by measuring muscle fatigue with surface electromyography(SEMG) in case of neck $15^{\circ}$ and $50^{\circ}$ flexion, in addition to original method. For the study 30 undergraduate students were participated as subjects. Muscle fatigue was measured with variations of median frequency(MF) and median frequency slope(MFS) by attaching SEMG to 3 muscles. At the same time, perceived exertion was measured by using Borg's rating of perceived exertion(RPE). Results: A MF was increased when low angle in SHM, both male and female. It means that muscle fatigue was significantly decreased(p<.05). RPE was significantly increased when low angle(p<.01). Perceived exertion explained 15.2% of the variation of MF in SHM. And regression equation was, MF in SHM = 59.918 + (4,910 * RPE). Conclusion: The outcome shows that it is possible to use the efficient method which makes muscle fatigue decrease by reducing the angle of neck flexion. Application: The results might contribute to develop the effective Shaker exercise method.

Keywords

References

  1. Ann, E.B., Anne, B.L., David, G., Nihatm, O. and Solomonw, Z., Test apparatus and experimental procedure for position specific normalization of electromyographic measurement of distal upper extremity, Clinical Biomechanics, 16(7), 576-585, 2001. https://doi.org/10.1016/S0268-0033(01)00046-8
  2. Antinoja, J., Easterling, C., Farquharson, J., Grande, B., Kelly, A., Kern, M. and Stangl, M.C., A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study, Dysphagia, 24(4), 403-411, 2009. https://doi.org/10.1007/s00455-009-9217-0
  3. Baijens, R.S., Iris, Z., Jolien, G.J., Kruis, V.D. and Laura, W.J., Biomechanical analysis of hyoid bone displacement in videofluoroscopy: A systematic review of intervention effects, Dysphagia, 17(2), 256-268, 2010.
  4. Beattie, B. and Eberstein, A., Simultaneous measurement of muscle conduction velocity and EMG power spectrum changes during fatigue, Muscle & Nerve, 8(9), 768-773, 1985. https://doi.org/10.1002/mus.880080905
  5. Beith, I.D. and John, E.K., Can activity within the external abdominal oblique be measured using real time ultrasound imaging? Clinical Biomechanics, 22(9), 927-979, 2007.
  6. Biedernamm, H.J., Forrest, W.J. and Shanks, F.L., Power spectrum analyses, of electromyographic activity discriminators in the differential assessment of patients with chronic low back pain, Journal of Spine, 16(10), 1179-1184, 1991. https://doi.org/10.1097/00007632-199110000-00009
  7. Born, G., Perceived exertion as an indicator of somatic stress, Scandinavian Journal of Rehabilitation Medicine, 2(7), 92-98, 1970.
  8. Caryn, E., Does an exercise aimed at improving swallow function have an effect on vocal function in the healthy elderly? Dysphagia, 23(3), 317 -326, 2008. https://doi.org/10.1007/s00455-008-9158-z
  9. Chen, M.J., Fan, X. and Moe, S.T., Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a metaanalysis, Journal of Sports Sciences, 20(11), 893-899, 2002.
  10. Cho, J.H., Lim, S.K. and Lee, K.E., Relationship between ratings of perceived exertion and cardiorespiratory function during graded exercise test, The Korean Journal of Exercise Nutrition, 4(2), 73-83, 2000.
  11. Daniels, S., Dikeman, K., Easterling, C., Grande, B., Kazandjian, M., Kern, M. and Shaker, R., Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening, Gastroenterology, 122(1), 1314-1321, 2003.
  12. Dodds, W.J., Logemann, J.A. and Stewart, E.T., Physiology and radiology of the normal oral and pharyngeal phases of swallowing. The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine, 154(2), 953-963, 1990. https://doi.org/10.2214/ajr.154.5.2108569
  13. Dolan, P. and Mannion, A.F., Relationship between myoelectric and mechanical manifestations of fatigue in the quadriceps femoris muscle group, European Journal of Applied Physiology and Occupational Physiology, 74(5), 411-419, 1996. https://doi.org/10.1007/BF02337721
  14. Eiichi, S., Jeffrey, B., Koichiro, M., Michio, Y., Mikoto, B., Ritsuko, S. and Palmer, J.B., What is the chin-down posture? A questionnaire survey of speech language pathologists in Japan and the United States, Dysphagia, 22(3), 204-209, 2007. https://doi.org/10.1007/s00455-006-9073-0
  15. Eviatar, E., Gabriel, C.H., Segal, S. and Vaiman, M., Rectified and filtered surface electromyography of continuous drinking in healthy adults, Laryngoscope, 115(1), 68-73, 2005. https://doi.org/10.1097/01.mlg.0000150673.53107.20
  16. Ferdjallah, M., Shaker, R. and Wertsch, J., Spectral analysis of surface EMG of upper esophageal sphincter opening muscles during head lift exercise, Journal of Rehabilitation Research and Development, 37(3), 335-340, 2000.
  17. Hagg, T., Kemp, B. and Kramer, C.G., Real time measurement of muscle fatigue related changes in surface EMG. Medical & Biological Engineering & Computing, 25(6), 627-630, 1987. https://doi.org/10.1007/BF02447329
  18. Han, S.W., The effect of forward walking and backward walking on quadriceps muscles with treadmill inclination: surface electromyographic analysis, Journal of the Korean Academy of University Trained Physical Therapists, 12(1), 63-70, 2005.
  19. Hurme, P., Laukkanen, A.M. and Sonninen A., The external frame function in control of pitch, register and singing mode: radiographic observation of a female singer, Journal of Voice, 13(3), 319-340, 1999. https://doi.org/10.1016/S0892-1997(99)80039-3
  20. Jang, W.S., Kim, S.M., Kang, S.H. and Kim, N.H., A Study of relationship between EMG activation of thigh muscle(rectus femoris, vastus lateralis muscles) and knee angle during bicycle exercise, The Institute of Electronics Engineers of Korea, 46(4), 315-321, 2009.
  21. Kim, H.Y., Shin, C.H., Jin, J.K., Validity of RPE-13 as optimal exercise intensity, Korean Journal of Exercise Physiology, 6(1), 33-44, 1997.
  22. Kim, T.Y., Yoo, K.S., Influence of the knee angles on the electromyographic activities and fatigue of the ankle muscles in healthy subjects, Korean Journal of Orthopedic Manual Therapy, 12(1), 16-26, 2006.
  23. Knaflitz, M., Luca, C.J. and Merletti, R., Myoelectric manifestations of fatigue in voluntary and electrically elicited contractions, Journal of Applied Physiology, 69(5), 1810-1820, 1990.
  24. Knutson, L.M. and Soderberg, G.L., A guide for use and interpretation of kinesiologic electromyographic data. Physical Therapy, 80(5), 485-498, 2000.
  25. Kuhlemeier, K.V., Lynch, C., Palmer J.B. and Tippett, D.C., A protocol for the videofluorographic swallowing study. Dysphagia, 8(3), 209-214, 1993. https://doi.org/10.1007/BF01354540
  26. Luca, C.J., The use of surface electromyography in biomechanics. Journal of Applied Biomechanics, 13(2), 135-163, 1997. https://doi.org/10.1123/jab.13.2.135
  27. Mirka, G., Psihogios, T. and Turville, K.J., The effects of video display terminal height on the operator: a comparison of the 15 and 40 recommendations. Applied Ergonomics, 29(4), 239-246, 1998. https://doi.org/10.1016/S0003-6870(97)00048-3
  28. Palmer, J.B., Electromyography of the muscles of oropharyngeal swallowing: basic concepts, Dysphagia, 3(4), 192-198, 1989. https://doi.org/10.1007/BF02407223
  29. Park, K.N., Won, J.H., Lee, W.H., Chung, S.D., Jung, D.H. and Oh, J.S., Effects of contraction of abdominal muscles on eletromyographic activities of superficial cervical flexors, rib cage elevation and angle of craniocervical flexion during deep cervical flexion exercise, Journal of the Korean Academy of University Trained Physical Therapists, 16(3), 9-16, 2009.
  30. Perlman, A.L., Electromyography and the study of oropharyngeal swallowing, Dysphagia, 8(4), 351-355, 1993. https://doi.org/10.1007/BF01321778
  31. Shrawan, K., Cervical strength of young adults in sagittal, coronal and intermedic planne, Clinical Biomechanics, 16(5), 308-388, 2001.
  32. Wylie, J.D., The physiology of swallowing, Dysphagia, 3(4), 171-178, 1989. https://doi.org/10.1007/BF02407219
  33. Yim, S.H., Park, H.S. and Kim, H.W., Assessing muscle tensions during VDT works with surface electromyography, Korean Journal of Occupational Environmental Medicine, 12(4), 524-536, 2000.
  34. Yoon, C.J., Chae, W.S. and Kang, N.J., Comparative analysis of fatigue on muscle activities and physiological variables during ergometer test, Korean Journal of Sport Biomechanics, 20(3), 303-310, 2010. https://doi.org/10.5103/KJSB.2010.20.3.303

Cited by

  1. An analysis of the activity and muscle fatigue of the muscles around the neck under the three most frequent postures while using a smartphone vol.28, pp.5, 2016, https://doi.org/10.1589/jpts.28.1660