한국전문물리치료학회지 (Physical Therapy Korea)

  • 제20권3호
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  • Pages.27-35
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  • 2013
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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아래등세모근 근력강화 운동방법들 사이의 어깨뼈 위쪽 돌림근과 다른 어깨 근육들의 근활성도 비교

Comparison of the EMG Activities of Scapular Upward Rotators and Other Scapular Muscles Among Three Lower Trapezius Strengthening Exercises

  • 용준형 (한림성심대학교 물리치료과) ;
  • 원종혁 (중부대학교 관광보건대학 물리치료학과)
  • Yong, Joon-Hyoung (Dept. of Physical Therapy, Hallym Polytechnic University) ;
  • Weon, Jong-Hyuck (Dept. of Physical Therapy, College of Tourism & Health Science, Joongbu University)
  • 투고 : 2013.07.26
  • 심사 : 2013.09.03
  • 발행 : 2013.09.17
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초록

The aim of this study was to compare the electromyographic (EMG) activity levels of the scapular upward rotators [upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA)] and other scapular muscles [posterior deltoid (PD), levator scapulae (LS), and infraspinatus (IS)] during isometric lower trapezius exercises. Twenty males with no medical history of shoulder pain or upper extremity disorders were recruited for this study. EMG activity was recorded from the UT, LT, SA, PD, LS, and IS while subjects performed three different exercises: Prone arm lift (PAL), Backward rocking diagonal arm lift (BRDAL), Modified Prone Cobra (MPC). One-way analysis of variance (ANOVA) was used to determine any significant differences among the three exercises. A lower relative activation of UT, LT, and SA was seen with the MPC than with the other exercises (p<.05). The relatively lower activation of the UT identified, the MPC exercise as the preferred choice for preferential strengthening the LT (p<.05). However, a higher activation in the PD, LS, and IS occurred with the MPC than with the other exercises (p>.05). The recruitment pattern of synergist varied depending on the exercise posture. These findings suggest that exercise posture is an important factor in the selection of strengthening exercise for weak muscle.

키워드

참고문헌

  1. 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
  2. Choi JY, Jang JH, Oh JS. Effects of passive sapular alignment on electromyographic activity of trapezius in people with shortness of pectoralis minor muscle. Phys Ther Kor. 2012;19(2):12-19. https://doi.org/10.12674/ptk.2012.19.2.012
  3. Choung SD, Weon JH, Jung DY. Effect of movement plane and shoulder flexion angle on scapular upward rotator during scapular protraction exercise. J Korean Soc Phys Med. 2013;8(1):41-48. https://doi.org/10.13066/kspm.2013.8.1.041
  4. Cools AM, Witvrouw EE, Declercq GA, et al. Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms. Br J Sports Med. 2004;38(1):64-68. https://doi.org/10.1136/bjsm.2003.004952
  5. 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.
  6. 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.
  7. 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
  8. Criswell E. Cram's Introduction to Surface Electromyography. 2nd ed. Sudbury, MA, Jones and Bartlett, 2011:289-306.
  9. De Mey K, Danneels LA, Cagnie B, et al. Conscious correction of scapular orientation in overhead athletes performing selected shoulder rehabilitation exercises: The effect on trapezius muscle activation measured by surface electromyography. J Orthop Sports Phys Ther. 2013;43(1):3-10. https://doi.org/10.2519/jospt.2013.4283
  10. Decker MJ, Hintermeister RA, Faber KJ, et al. Serratus anterior muscle activity during selected rehabilitation exercises. Am J Sports Med. 1999;27(6):784-791. https://doi.org/10.1177/03635465990270061601
  11. 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
  12. Eliot DJ. Electromyography of levator scapulae: New findings allow tests of a head stabilization model. J Manipulative Physiol Ther. 1996;19(1):19-25.
  13. Escamilla RF, Yamashiro K, Paulos L, et al. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med. 2009;39(8):663-685. https://doi.org/10.2165/00007256-200939080-00004
  14. Ha SM, Kwon OY, Cynn HS, et al. Comparison of electromyographic activity of the lower trapezius and serratus anterior muscle in different arm-lifting scapular posterior tilt exercises. Phys Ther Sport. 2012;13(4):227-232. https://doi.org/10.1016/j.ptsp.2011.11.002
  15. Hardwick DH, Beebe JA, McDonnell MK, et al. A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises. J Orthop Sports Phys Ther. 2006;36(12):903-910. https://doi.org/10.2519/jospt.2006.2306
  16. Huang HY, Lin JJ, Guo YL, et al. EMG biofeedback effectiveness to alter muscle activity pattern and scapular kinematics in subjects with and without shoulder impingement. J Electromyogr Kinesiol. 2013;23(1):267-274. https://doi.org/10.1016/j.jelekin.2012.09.007
  17. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function, with posture and pain. 5th ed. Baltimore, MD, Lippincott Williams and Wilkins, 2005:17-330.
  18. Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003;11(2):142-151. https://doi.org/10.5435/00124635-200303000-00008
  19. Lehman GJ, MacMillan B, MacIntyre I, et al. Shoulder muscle EMG activity during push up variations on and off a swiss ball. Dyn Med. 2006;5:7. https://doi.org/10.1186/1476-5918-5-7
  20. Lin H, Chie W, Lien H. Epidemiological analysis of factors influencing an episode of exertional rhabdomyolysis in high school students. Am J Sports Med. 2006;34(3):481-486. https://doi.org/10.1177/0363546505281243
  21. Ludewig PM, Braman JP. Shoulder impingement: Biomechanical considerations in rehabilitation. Man Ther. 2011; 16(1):33-39. https://doi.org/10.1016/j.math.2010.08.004
  22. 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.
  23. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996;24(2):57-65. https://doi.org/10.2519/jospt.1996.24.2.57
  24. Ludewig PM, Hoff MS, Osowski EE, et al. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. Am J Sports Med. 2004;32(2):484-493. https://doi.org/10.1177/0363546503258911
  25. MacDonell CW, Keir PJ. Interfering effects of the task demands of grip force and mental processing on isometric shoulder strength and muscle activity. Ergonomics. 2005;48(15):1749-1769. https://doi.org/10.1080/00140130500319757
  26. McQuade KJ, Dawson J, Smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther. 1998;28(2):74-80. https://doi.org/10.2519/jospt.1998.28.2.74
  27. 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
  28. Neumann DA. Kinesiology of the Musculoskeletal System. 1st ed. St Louis, MO, Mosby, 2002:118-132.
  29. Pontillo M, Orishimo KF, Kremenic IJ, et al. Shoulder musculature activity and stabilization during upper extremity weight-bearing activities. N Am J Sports Phys Ther. 2007;2(2):90-96.
  30. Queisser F, Bluthner R, Brauer D, et al. The relationship between the electromyogram-amplitude and isometric extension torques of neck muscles at different positions of the cervical spine. Eur J Appl Physiol Occup Physiol. 1994;68(1):92-101. https://doi.org/10.1007/BF00599248
  31. Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndrome. St Louis, MO, Mosby, 2002:206-212.
  32. Smith J, Dahm DL, Kaufman KR, et al. Electromyographic activity in the immobilized shoulder girdle musculature during scapulothoracic exercises. Arch Phys Med Rehabil. 2006;87(7):923-927. https://doi.org/10.1016/j.apmr.2006.03.013
  33. Solem-Bertoft E, Thuomas KA, Westerberg CE. The influence of scapular retraction and protraction on the width of the subacromial space: An MRI study. Clin Orthop Relat Res. 1993;(296):99-103.
  34. 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
  35. Warner JJ, Micheli LJ, Arslanian LE, et al. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moire topographic analysis. Clin Orthop Relat Res. 1992;(285):191-199.
  36. Weon JH, Oh JS, Cynn HS, et al. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther. 2010;(14):367-374.
  37. Wilk KE, Arrigo C. Current concepts in the rehabilitation of the athletic shoulder. J Orthop Sports Phys Ther. 1993;18(1):365-378. https://doi.org/10.2519/jospt.1993.18.1.365
  38. Witt D, Talbott N, Kotowski S. Electromyographic activity of scapular muscles during diagonal patterns using elastic resistance and free weights. Int J Sports Phys Ther. 2011;6(4):322-332.

피인용 문헌

  1. Comparison of the Electromyographic Activity in the Lower Trapezius Muscle According to Four Different Types of Exercises in Healthy Adults vol.31, pp.2, 2013, https://doi.org/10.18857/jkpt.2019.31.2.134
  2. Effect of Neck Rotating Directions on the Muscle Activity of Upper and Lower Trapezius during Shoulder External Rotation vol.32, pp.2, 2013, https://doi.org/10.18857/jkpt.2020.32.2.101