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Effects of Exercise Program by Type on Balance Ability and Muscle Activity In A Standing Posture

유형별 운동프로그램이 선 자세에서의 균형능력과 근활성도에 미치는 영향

  • Kang, Jeong-Il (Dept. of Physical Therapy, Sehan University) ;
  • Park, Jun-Su (Dept. of Physical Therapy, Graduate School, Sehan University) ;
  • Park, Seung-Kyu (Dept. of Physical Therapy, Sehan University) ;
  • Yang, Dae-Jung (Dept. of Physical Therapy, Sehan University) ;
  • Choi, Hyun (Dept. of Physical Therapy, Graduate School, Sehan University) ;
  • Jeong, Dae-Keun (Dept. of Physical Therapy, Graduate School, Sehan University) ;
  • Kwon, Hye-Min (Dept. of Physical Therapy, Graduate School, Sehan University) ;
  • Moon, Young-Jun (Dept. of Physical Therapy, Graduate School, Sehan University)
  • Received : 2014.05.02
  • Accepted : 2014.07.20
  • Published : 2014.07.28

Abstract

This study, in order to establish the effect of three exercise groups on the static and dynamic balancing abilities and the muscular activity, targeting adult males aged 20-29, assigned 15 men to each aquatic exercise group, trunk stabilization exercise group, and balance exercise group. The study was conducted from June, 2013 to August, 2013, and measured and compared the balancing ability and the muscle activity(tibialis anterior and gastrocnemius muscle) of the participants after performing intervention for 30 minutes a day, 3 days a week, for 6 weeks. As a result, on the comparison between before and after the intervention, there were significant differences in changes of the surface area and the whole path length in all the three groups(p<.05)(p<.01), and also on the dynamic balance, there was a significant difference in change of limited of stability(p<.05)(p<.01). On change of the muscle activity of tibialis anterior, both left and right sides showed statistically significant differences in all the three groups(p<.05)(p<.01), and gastrocnemius muscle showed a statistically significant difference in all the three groups except for the left side of the trunk stabilization exercise group(p<.05)(p<.01). It could be established that aquatic exercise is effective for improvement of the balancing ability and increase of the muscular activity, and we intend to propose specific aquatic exercise program development by conducting a study to determine the objective effect of aquatic exercise on the elderly or patients who have a poor balancing ability.

본 연구는 20대 성인남성을 대상으로 세 운동군이 정적 및 동적 균형능력과 근활성도에 미치는 효과를 규명하기 위하여 수중 운동군, 체간 안정화 운동군, 균형 운동군으로 각각 15명씩 배치하였다. 2013년 6월부터 2013년 9월까지 연구가 진행되었으며, 6주 간 1주일에 3일, 1회 30분 동안 중재 후, 동일 대상자들의 균형능력 및 근활성도(앞정강근, 장딴지근)를 측정하여 비교하였다. 그 결과 집단 내 중재 전과 중재 후의 비교에서 세 운동군 모두 신체중심 이동면적과 총궤적길이의 변화는 유의한 차이가 있었고(p<.05)(p<.01), 동적 균형에서도 안정성 한계의 변화는 유의한 차이가 있었다(p<.05)(p<.01). 앞정간근의 근활성도의 변화에서 세 운동군의 좌 우측 모두 통계학적으로 유의한 차이가 있었고(p<.05)(p<.01), 장딴지근은 체간 안정화 운동군의 좌측을 제외한 모두 통계학적으로 유의한 차이가 있었다(p<.05)(p<.01). 수중 운동이 균형능력의 향상과 근활성도 증가에 효과적임을 규명하였고, 본 연구결과를 토대로 균형능력이 좋지 않은 노인이나 환자들에게 객관적인 수중 운동 효과를 밝힐 수 있는 연구가 진행되어 구체적인 수중 운동 프로그램 개발을 제안하고자 한다.

Keywords

References

  1. Nichols D.S, Glenn T.M, Mutchinson K.J, Changes in the mean center of balance during balance testing in young adults. Physical Theraphy, Vol. 75, No. 8, pp. 699-706, 1995. https://doi.org/10.1093/ptj/75.8.699
  2. Carr J, Shepherd R Neurological Rehabilitation: Optimizing Motor Performance. Oxford;Butterworth Heinemann.
  3. Berger L, Klein C, Commandeur M, Evaluation of the immediate and midterm effects of mobilization in hot spa water on static and dynamic balance in elderly subjects. Annales de readaptation et de medecine physique, Vol. 51, No. 2, pp. 84-95, 2008. https://doi.org/10.1016/j.annrmp.2007.10.006
  4. E. Jung, K. H. Kim, The Effects of a Sensory Training Program on the Balance of Children with Down Syndrome. The Journal of Adapted Physical Activity & Exercise, Vol. 11, No. 3, pp. 13-26, 2003.
  5. Granata K.P, Lee P.E, Franklin T.C, Co-contraction recruitment and spinal load during isometric trunk flexion and extension. Clinical Biomechanics (Bristol, Avon), Vol. 20, No. 10, pp. 1029-37, 2005. https://doi.org/10.1016/j.clinbiomech.2005.07.006
  6. Nadler R.B, Bladder training biofeedback and pelvic floor myalgia. Urology, Vol. 60, No. 6, pp. 42-43, 2002.
  7. Barr K.P, Griggs M, Cadby T, Lumbar stabilization: core concepts and current literature, Part 1. American journal of physical medicine & rehabilitation, Vol. 84, No. 6, pp. 473-80, 2005. https://doi.org/10.1097/01.phm.0000163709.70471.42
  8. Gribble P.A, Hertel J, Effect of lower-extremity muscle fatigue on postural control. Archives of physical medicine and rehabilitation, Vol. 85, No. 4, pp. 589-92, 2004. https://doi.org/10.1016/j.apmr.2003.06.031
  9. S. H. Lee, The Differences between Aero step Exercises and Weight training on Posture, Physical Fitness, Balance, and Hormone Levels in the Elderly. Ehwa Womans University Graduate School. Dissertation of Master's Degree, 2007.
  10. Waller B, Lambeck J, Daly D, Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. Clinical Rehabilitation, Vol. 23, No. 1, pp. 3-14, 2009. https://doi.org/10.1177/0269215508097856
  11. Noh D.K, Lim J.Y, Shin H.I et al., The effect of aquatic therapy on postural balance and muscle strength in stroke survivors: a randomized controlled pilot trial. Clinical Rehabilitation, Vol. 22, No. 10-11, pp. 966-76, 2008. https://doi.org/10.1177/0269215508091434
  12. B. C. Choi, Y. H. Jo, H. Kim, The effect of Lumbar stabilization kinetic program using a swiss ball on Lumbar strength and muscle activity in ssireum players. The Journal of Korean Alliance for Health, Physical Education, Recreation, and Dance. Vol. 48, No. 4, pp. 503-12, 2009.
  13. J. Y. Lee, H. R. No, Comparison of Balance Ability between Stable and Unstable Surfaces for Chronic Stroke Patients. The Journal of Korea Academia-Industrial Cooperation Society. Vol. 12, No. 8, pp. 3587-93, 2011. https://doi.org/10.5762/KAIS.2011.12.8.3587
  14. I. G. Jun, The purpose of this study is to figure out how aquatic lower limb muscle strengthing program affects stroke hemiplegia patient's gait and lower limb function. Kyonggi University Graduate School. Dissertation of Master's Degree, 2011.
  15. E. S. Kim, H. G. Lee, R. J. Park, Effects of Aqua Exercise Program on the Improvement of Static Balance in Child with Mental Retardation. The Journal of Korean society of physical therapy, Vol. 16, No. 1, pp. 139-52, 2004.
  16. R. J. Park, S. S. Kim, Y. G. Kim et al., The Effects of Aqua-Exercise on the balance of one leg stance in the Elderly Women. The Journal of Korean society of physical therapy, Vol. 14, No. 1, pp. 89-98, 2002.
  17. B. H. Lee, Effects of Aquatic Exercise Types Static Balance, Pain, Range of Motion on Womens with Osteoarthritis. The Journal of Korea sport research, Vol. 18, No. 5, pp. 317-26, 2007.
  18. Carpes F.P, Reinehr F.B, Mota C.B, Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance: a pilot study. Journal of bodywork and movement therapies, Vol. 12, No. 1, pp. 22-30, 2008. https://doi.org/10.1016/j.jbmt.2007.05.001
  19. H. Y. Jun, The Effects of a Bridging Exercise on Body Shape Changes and Foot Pressure Distribution. Daegu University Graduate School. Dissertation of Doctorate Degree, 2011.
  20. J. S. Im, The Influence of Foot Pressure and Balance Core-stabilization Exercise in Stroke. Daegu University Graduate School. Dissertation of Master's Degree, 2009.
  21. S. H. Lee, The Differences between Aero step Exercises and Weight training on Posture, Physical Fitness, Balance, and Hormone Levels in the Elderly. Ehwa Womans University Graduate School. Dissertation of Master's Degree, 2007.
  22. E. K. Park, The Effects of A 12 weeks Walking Program on Balance and Physical Fitness in Stroke Patients According to Surface Type. The Journal of Korean Physical Education Association for Girls and Women, Vol. 21, No. 5, pp. 21-29, 2007.
  23. S. H. Oh, Comparing the Effects between Swiss Ball and Aero Step Exercise Program on Balance of Standing Posture of Elderly. Donnuk University Graduate School. Dissertation of Master's Degree, 2012.
  24. K. U. Kim, H. M Kim, S. Y. Woo et al., The Effect of the Aqua-Rehabilitation Program on the stroke Patient's Muscle Strength and ADL Performance. The Journal of Adapted Physical Activity & Exercise, Vol. 14, No. 2, pp. 99-115, 2006.
  25. I. G. Jun, The purpose of this study is to figure out how aquatic lower limb muscle strengthing program affects stroke hemiplegia patient's gait and lower limb function. Kyonggi University Graduate School. Dissertation of Master's Degree, 2011.