한국전문물리치료학회지 (Physical Therapy Korea)

  • 제20권1호
  • /
  • Pages.1-9
  • /
  • 2013
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

골반압박벨트가 앉아서 일어서기와 일어서서 앉기 동작 시 체간근육 근활성도에 미치는 영향

Effects of the Pelvic Compression Belt on Trunk Muscles Activities During Sit-to-Stand, and Stand-to-Sit Tasks

  • 장현정 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 박현주 (대전대학교 대학원 물리치료학과)
  • Jang, Hyun-Jeong (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Park, Hyun-Ju (Dept. of Physical Therapy, The Graduate School, Daejeon University)
  • 투고 : 2012.08.20
  • 심사 : 2012.11.05
  • 발행 : 2013.02.19
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study was to determine the effect of the pelvic compression belt (PCB) on the electromyography (EMG) activities of trunk muscles during sit-to-stand (SitTS), and stand-to-sit (StandTS) tasks. Twenty healthy subjects (7 men and 13 women) were recruited for this study. The subjects performed SitTS, and StandTS tasks, with and without a PCB. Surface EMG was used to record activity of the internal oblique (IO), external oblique (EO), rectus abdominis (RA), erector spinae (ES), and multifidus (MF) of the dominant limb. EMG activity significantly decreased in the RA (without the PCB, $8.34{\pm}6.04$ %maximal voluntary isometric contraction [%MVIC]; with the PCB, $7.64{\pm}5.11$ %MVIC), EO (without the PCB, $14.83{\pm}11.82$ %MVIC; with the PCB, $11.98{\pm}7.60$ %MVIC), MF (without the PCB, $21.74{\pm}7.76$ %MVIC; with the PCB, $18.50{\pm}8.04$ %MVIC), and ES (without the PCB, $18.39{\pm}7.16$ %MVIC; with the PCB, $16.63{\pm}6.31$ %MVIC) during the SitTS task and in the IO (without the PCB, $20.58{\pm}15.60$ %MVIC; with the PCB, $17.27{\pm}12.32$ %MVIlC), RA (without the PCB, $8.04{\pm}5.68$ %MVIC; with the PCB, $7.40{\pm}4.71$ %MVIC), EO (without the PCB, $13.29{\pm}8.80$ %MVIC; with the PCB, $11.24{\pm}6.14$ %MVIC), MF (without the PCB, $18.59{\pm}7.64$ %MVIC; with the PCB, $15.86{\pm}6.48$ %MVIC), and ES (without the PCB, $17.14{\pm}6.44$ %MVIC; with the PCB, $15.46{\pm}5.62$ %MVIC) during the StandTS task when a PCB was used (p<.05). In men the EMG activity of the MF significantly decreased during the SitTS task when a PCB was used (p<.05): in women, the EMG activity of the RA, EO, MF, and ES during the SitTS task and that of the EO, MF, and ES during the SitTS task significantly decreased when a PCB was used (p<.05). In addition, the rates of change in the EMG activity of each muscle differed significantly during the SitTS and StandTS tasks before and after the use of the PCB. However, the EMG activity did not significantly differ between the male and female subjects. These findings suggest that the PCB may contribute to the modification of activation patterns of the trunk muscles during SitTS, and StandTS tasks.

키워드

참고문헌

  1. Baer GD, Ashburn AM. Trunk movements in older subjects during sit-to-stand. Arch Phys Med Rehabil. 1995;76(9):844-849. https://doi.org/10.1016/S0003-9993(95)80550-8
  2. Beales DJ, O'Sullivan PB, Briffa NK. The effects of manual pelvic compression on trunk motor control during an active straight leg raise in chronic pelvic girdle pain subjects. Man Ther. 2010;15(2):190-199. https://doi.org/10.1016/j.math.2009.10.008
  3. Brooke R. The sacro-iliac joint. J Anat. 1924;58(Pt 4):299-305.
  4. Damen L, Spoor CW, Snijders CJ, et al. Does a pelvic belt influence sacroiliac joint laxity? Clin Biomech (Bristol, Avon). 2002;17(7):495-498. https://doi.org/10.1016/S0268-0033(02)00045-1
  5. Dehail P, Bestaven E, Muller F, et al. Kinematic and electromyographic analysis of rising from a chair during a "Sit-to-walk" Task in elderly subjects: Role of strength. Clin Biomech (Bristol, Avon). 2007;22(10):1096-1103. https://doi.org/10.1016/j.clinbiomech.2007.07.015
  6. Ebraheim NA, Madsen TD, Xu R, et al. Dynamic changes in the contact area of the sacroiliac joint. Orthopedics. 2003;26(7):711-714.
  7. Haugland KS, Rasmussen S, Daltveit AK. Group intervention for women with pelvic girdle pain in pregnancy. A randomized controlled trial. Acta Obstet Gynecol Scand. 2006;85(11):1320-1326. https://doi.org/10.1080/00016340600780458
  8. Hickman DM, Cramer R. The effect of different condylar positions on masticatory muscle electromyographic activity in humans. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85(1):18-23. https://doi.org/10.1016/S1079-2104(98)90392-4
  9. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil. 1999;80(9):1005-1012. https://doi.org/10.1016/S0003-9993(99)90052-7
  10. Hossain M, Nokes LD. A model of dynamic sacro- iliac joint instability from malrecruitment of gluteus maximus and biceps femoris muscles resulting in low back pain. Med Hypotheses. 2005;65(2):278-281. https://doi.org/10.1016/j.mehy.2005.02.035
  11. Hu H, Meijer OG, van Dieёn JH, et al. Muscle activity during the active straight leg raise (ASLR), and the effects of a pelvic belt on the ASLR and on treadmill walking. J Biomech. 2010;43(3):532-539. https://doi.org/10.1016/j.jbiomech.2009.09.035
  12. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003;28(14):1593-1600.
  13. Kendall F, McCreary EK, Provance P, et al. Muscles Testing and Function with Posture and Pain. Philadelphia, Lippincott Williams & Wilkins, 2005:194-203.
  14. Lee D. The Pelvic Girdle. London, Churchill Livingstone, 2004:81-132.
  15. McGill SM, Brown S. Creep response of the lumbar spine to prolonged full flexion. Clin Biomech (Bristol, Avon). 1992;7(1):43-46. https://doi.org/10.1016/0268-0033(92)90007-Q
  16. Mens JM, Snijders CJ, Stam HJ. Diagonal trunk muscle exercises in peripartum pelvic pain: A randomized clinical trial. Phys Ther. 2000;80(12):1164-1173.
  17. Papa E, Cappozzo A. Sit-to-stand motor strategies investigated in able-bodied young and elderly subjects. J Biomech. 2000;33(9):1113-1122. https://doi.org/10.1016/S0021-9290(00)00046-4
  18. Park KM, Kim SY, Oh DW. Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction. J Electromyogr Kinesiol. 2010;20(6):1141-1145. https://doi.org/10.1016/j.jelekin.2010.05.009
  19. Pel JJ, Spoor CW, Goossens RH, et al. Biomechanical model study of pelvic belt influence on muscle and ligament forces. J Biomech. 2008;41(9): 1878-1884. https://doi.org/10.1016/j.jbiomech.2008.04.002
  20. Queiroz BC, Cagliari MF, Amorim CF, et al. Muscle activation during four pilates core stability exercises in quadruped position. Arch Phys Med Rehabil. 2010;91(1):86-92. https://doi.org/10.1016/j.apmr.2009.09.016
  21. Ramsey VK, Miszko TA, Horvat M. Muscle activation and force production in parkinson's patients during sit to stand transfers. Clin Biomech (Bristol, Avon). 2004;19(4):377-384. https://doi.org/10.1016/j.clinbiomech.2003.08.004
  22. Richardson CA, Snijders CJ, Hides JA, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine (Phila Pa 1976). 2002;27(4): 399-405. https://doi.org/10.1097/00007632-200202150-00015
  23. Shum GL, Crosbie J, Lee RY. Three-dimensional kinetics of the lumbar spine and hips in low back pain patients during sit-to-stand and stand-to-sit. Spine (Phila Pa 1976). 2007;32(7): E211-E219. https://doi.org/10.1097/01.brs.0000259204.05598.10
  24. Vleeming A, Buyruk HM, Stoeckart R, et al. An integrated therapy for peripartum pelvic instability: A study of the biomechanical effects of pelvic belts. Am J Obstet Gynecol. 1992;166(4):1243-1247. https://doi.org/10.1016/S0002-9378(11)90615-2
  25. Vleeming A, Pool-Goudzwaard AL, Stoeckart R, et al. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine (Phila Pa 1976). 1995;20(7):753-758. https://doi.org/10.1097/00007632-199504000-00001

피인용 문헌

  1. The Effect of External Pelvic Compression on Shoulder and Lumbopelvic Muscle sEMG and Strength of Trunk Extensor During Push Up Plus and Deadlift Exercise vol.25, pp.3, 2018, https://doi.org/10.12674/ptk.2018.25.3.001
  2. 골반압박벨트 착용에 유무에 따른 동적 균형과제 수행 시 균형과 체간근과 고관절 신전근의 근활성도 비교 vol.22, pp.1, 2015, https://doi.org/10.12674/ptk.2015.22.1.049
  3. Effects of Thorax Belt Application on the Spinal Stability in Subjects with Wide Infra-sternal Angle vol.26, pp.4, 2013, https://doi.org/10.9708/jksci.2021.26.04.143
  4. Comparison of Abdominal Muscle Activation During Lifting with Stabilization Method vol.16, pp.4, 2021, https://doi.org/10.13066/kspm.2021.16.4.95