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척추 안정화 운동 방법들에 따른 배근육의 근 활성도 비교

EMG Activity of Abdominal Muscles During Lumbopelvic Stabilization Exercises

  • 이규완 (강남세브란스병원 물리치료실) ;
  • 윤태림 (연세대학교 대학원 물리치료학과) ;
  • 김기송 (호서대학교 자연과학대학 물리치료학과) ;
  • 이지현 (연세대학교 대학원 물리치료학과) ;
  • 이충휘 (연세대학교 보건과학대학 물리치료학과)
  • Lee, Gyu-Wan (Dept. of Physical Therapy, Gang-nam Severance Hospital) ;
  • Yoon, Tae-Lim (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kim, Ki-Song (Dept. of Physical Therapy, College of Natural Science, Hoseo University) ;
  • Lee, Ji-Hyun (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Yi, Chung-Hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • 투고 : 2014.01.20
  • 심사 : 2014.02.26
  • 발행 : 2014.05.21

초록

Lumbopelvic stabilization exercise has become the most popular treatment method in lumbar rehabilitation since its effectiveness was shown in some aspects of pain and disability. The abdominal drawing-in maneuver (ADIM) has been extensively implemented to promote lumbopelvic stability. However, performing ADIM correctly is difficult even for healthy subjects, and it is time consuming to train people in ADIM. Thus, the purpose of this study was to compare abdominal muscle [rectus abdominalis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO)] activity during lumbopelvic stabilization exercises (ADIM only, ADIM with a ball, maximum exhalation only, and maximum exhalation with a ball) performed in a supine position with feet against a wall. Fifteen healthy subjects were recruited for this study. Surface electromyography was used to measure abdominal muscle activity during lumbopelvic stabilization exercises. A one-way repeated-measures analysis of variance was used to determine the statistical significance of RA, EO, and TrA/IO muscle activity during four lumbopelvic stabilization exercises. Both-side TrA/IO muscle activity was significantly greater with maximum exhalation with a ball than with ADIM only or ADIM with a ball (p<.008). The results of this study suggest that maximum exhalation with a ball can be used as an effective lumbopelvic stabilization exercise to increase TrA/IO muscle activity in healthy subjects.

키워드

참고문헌

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피인용 문헌

  1. 요추부 불안정성을 가진 요통환자의 복부 드로우-인 기법과 복부 확장 기법을 이용한 체간안정화운동의 효과 비교 vol.22, pp.1, 2014, https://doi.org/10.12674/ptk.2015.22.1.037