Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지

The Effects of MET and ICT in Patients with Lumbago by Meridian Muscle Electrography

근에너지기법과 경근간섭파요법이 요통환자의 요방형근 경근전도에 미치는 영향

  • Cho, Dong-In (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University) ;
  • Park, Dong-Su (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University) ;
  • Jeong, Su-Hyeon (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University) ;
  • Kim, Soon-Joong (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University)
  • 조동인 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 박동수 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 정수현 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 김순중 (세명대학교 한의과대학 한방재활의학과교실)
  • Received : 2014.06.16
  • Accepted : 2014.07.08
  • Published : 2014.07.31
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Abstract

Objectives The purpose of this study is to compare the effects of MET (muscle energy technique) and ICT (interferential current therapy) on lumbago by meridian muscle electrography (MMEG). We performed MET and ICT on quadratus lumborum muscle. Methods This study was carried out on 30 lumbago patients. 30 patients were randomly divided into MET group and ICT group. MET group take treatment 10 minutes. ICT group take treatment 15 minutes. After performing MET and ICT twice, we compared both in terms of root mean square (RMS), special edge frequency (SEF), VAS and ODI. Results 1. Both MET group and ICT group showed significant improvement in VAS and ODI after treatment. 2. Both MET group and ICT group showed significant improvement in special edge frequency (SEF) of the left side after treatment. But SEF of the right side showed insignificant improvement. 3. Both MET group and ICT group showed insignificant improvement in root mean square (RMS) for both sides. 4. There are no significant differences between both groups. Conclusions According to above results, we found out that performing MET or ICT on quadratus lumborum muscle has effect in terms of VAS and ODI. But, in terms of SEF, we found out different result for both side. And we can't found out effect in terms of RMS.

Keywords

References

  1. 대한침구학회 교재편찬위원회. 침구학(하). 파주:집문당. 2008:72-80.
  2. 대한신경외과학회. 신경외과학. 제2판. 서울:중앙문화사. 2002:457, 467-82.
  3. Bifland-Ritchie B, Woods JJ. Changes in muscle contractile properties and neural control during human muscular fatigue. Muscle Nerve. 1984;7(9):691-9. https://doi.org/10.1002/mus.880070902
  4. Jeffrey EB. A preliminary study of modification of gait in real-time using surface electromyography. Appl Psychophysiol Biofeedback. 2003;28(2):129-38. https://doi.org/10.1023/A:1023810608949
  5. 서만욱. 추체외로계 질환에 대한 근전도분석(기저핵과 소뇌 이상에 대하여). 대한노인병학회. 1997;1(1):71-83.
  6. 김진상, 권영실, 정병옥. 뇌졸중 이후 편마비 환자의 보행에서 근전도 분석. 대한물리치료학회. 1999;11(1):129-36.
  7. Potisk KP, Gregoric M, Vodovnik L. Effects of transcutaneous electrical nerve stimulation (TENS) on spasticity in patients with hemiplegia. Scand J Rehabil Med. 1995;27(3):169-74.
  8. 조재흥, 정석희, 지종수, 김성수. 전침과 경근 저주파의 경직 완화 효과에 대한 경근전도 분석. 한방재활의학과학회지. 2006;16(2):131-43.
  9. 한방재활의학과학회. 한방재활의학. 제3판. 서울:군자출판사. 2011:304-22.
  10. Roberta CV, Stella P, Daiane QG, Eduardo YN, Richard EL. Effects of Carrier Frequency of Interferential Current on Pressure Pain Threshold and Sensory Comfort in Humans. Arch Phys Med Rehabil. 2013;94(1):95-102. https://doi.org/10.1016/j.apmr.2012.08.204
  11. Jorge FC, Susan AO, David JM, Douglas PG. A preliminary investigation into the effects of active interferential current therapy and placebo on pressure pain sensitivity: a random crossover placebo controlled study. Physiotherapy. 2011;97(4):291-301. https://doi.org/10.1016/j.physio.2011.01.001
  12. Funda CA, Berrin D, Meltem B, Ozlem YD, Ayse I, Banu K, Sema O, Omer FS. Comparison of the Efficacy of Transcutaneous Electrical Nerve Stimulation, Interferential Currents, and Shortwave Diathermy in Knee Osteoarthritis: A Double-Blind, Randomized, Controlled, Multicenter Study. Arch Phys Med Rehabil. 2012;93(5):748-56. https://doi.org/10.1016/j.apmr.2011.11.037
  13. Leon Chaitow. 대한정형도수치료학회 역. 최신 근에너지 기법 제 3판. 서울:군자출판사. 2008:1-20.
  14. 배준호, 한진태, 배성수. 골반견인과 근 에너지 기법이 편 마비 환자의 정적선자세에 미치는 영향. 대한물리치료학회지. 2005;17(4):537-57.
  15. 전태동, 이한길, 홍서영, 허동석, 윤일지. 교통사고로 유발된 경항통 환자의 근에너지기법(MET)의 효과에 대한 임상적 연구. 한방재활의학과학회지. 2009;19(1):125-34.
  16. Burns DK, Wells MR. Gross Range of Motion in the Cervical Spine:The Effects of Osteopathic Muscle Energy Techinique in Asymptomatic Subjects. J Am Osteopath Assoc. 2006;106(3):137-42.
  17. Blanco CR, Fernandez C, Xumet JEH, Algaba CP, Rabadan MF, Lillo MC. Changes in active mouth opening following a single treatment of latent myofascial trigger points in the masseter muscle involving post-isometric relaxation or strain/counterstrain. J Am Osteopath Assoc. 2006;10:197-205.
  18. 최진서, 안재민, 김주영, 이재훈, 박동수, 정수현, 김순중. 요통환자의 근에너지 기법 시술 전과 후의 척추기립근 변화: 경근전도를 통해. 한방재활의학과학회지. 2013;23(1): 15-23.
  19. 척추신경추나의학회. 추나의학. 서울:척추신경추나의학회. 2011:498-500.
  20. Wagner DR, Tatsugawa K, Parker D, Young TA. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  21. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.
  22. 유상민, 이종영, 권기록, 이향숙. 요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구. 대한침구학회지. 2006:23(5):39-54.
  23. Robert JC, Peter BP, Torn GM. The dominant role of psychosocial risk factors in the developent of chronic low back pain disability. Spine. 1995;20(24):2702-9. https://doi.org/10.1097/00007632-199512150-00011
  24. 박정율. 만성요통의 진단과 치료. 가정의학회지. 2001; 22(9):1349-62.
  25. 대한정형외과학회. 정형외과학. 서울:최신의학사. 1992:265-6.
  26. 정희원. 운동학총설. 제1판. 부산:KMFC출판사. 2002:507-28.
  27. 박희수, 정희원. 근육임상학 하. 제1판. 서울:일중사. 1999: 57-73.
  28. Andersson EA, Oddsson LI, Grundstrom H, Nilsson J, Thorstensson A. EMG activities of the quadratus lumborum and erector spinae muscles during flexion-relaxation and other motor tasks. Clin Biomech. 1996;11(7):392-400. https://doi.org/10.1016/0268-0033(96)00033-2
  29. McGill S, Juker D, Kropf P. Appropriately placed surface EMG electrodes reflect deep muscle activity(psoas, quadratus lumborum, abdominal wall) in the lumbar spine. J Biomech. 1996;29(11):1503-7. https://doi.org/10.1016/0021-9290(96)84547-7
  30. 김정룡, 정명철. 근전도의 정량적 분석시 사용되는 수리적 파라미터의 민감도 비교. 대한산업공학회지. 1999;25(3): 330-5.
  31. 윤신중, 백승현, 김형준, 신명희. 요가 수행이 중년여성의 요부 근활성도에 미치는 영향. 대한피부미용학회지. 2010; 8(1):21-9.
  32. 한국운동생리학회. 운동생리학. 서울:한미의학. 2010:23-138.
  33. Sung PS. Multifidi muscles median frequency before and after spinal stabilization exercises. Arch Phys Med Rehabil. 2003;84(9):1313-8. https://doi.org/10.1016/S0003-9993(03)00139-4
  34. 백승현. 일과성 운동 후 회복기 스포츠 마사지가 근 기능, 심혈관계 기능, 혈중 피로물질 및 전해질 농도에 미치는 영향. 전북대학교. 2009.
  35. Hou JC, Zheng TY, Li DY, Zhi MX. Sacrococcygeal gap injection for the treatment of failed back surgery syndrome. Zhongguo Gu Shang. 2014;27(3):229-31.
  36. 이재영, 박소현, 한상엽, 박재영, 이현종. 요추추간판탈출증 환자의 요통에 대한 신선구법 병행치료 효과의 대조군 연구. 대한침구학회지. 2011;28(4):77-83.
  37. 김경태, 송호섭. 좌섬요통(挫閃腰痛)에 있어 봉약침(蜂藥鍼)의 효과에 대한 연구 (A Randomized Controlled Trial: Double Blinding). 대한침구학회지. 2005;22(4):113-20.
  38. 조태성, 손인석, 권혜연, 서정철, 윤현민, 장경전, 송춘호, 안창범. 오스웨스트리 장애지수를 이용한 홍화약침(CF)의 효과. 대한약침학회지. 2002;4(3):15-21.
  39. 배영현. 실험적 허혈 통증 모델에서 경피신경전기자극과 간섭파전류의 진통 효과 비교: 주파수 50 Hz를 중심으로. 한국산학기술학회논문지. 2012;13(6):2617-24.
  40. Fuentes JP, Armijo OS, Magee DJ, Gross DP. Effectiveness of interferential current therapy in the management of musculoskeletal pain: a systematic review and metaanalysis. Phys Ther. 2010;90(9):1219-38. https://doi.org/10.2522/ptj.20090335
  41. Ganne JM. Stimulation of bone healing with interferential therapy. Aust J Physiother. 1988;34(1):9-20. https://doi.org/10.1016/S0004-9514(14)60597-3
  42. Ganne JM, Speculand B, Mayne LH, Goss AN. Interferential therapy to promote union of mandibular fractures. Aust N Z J Surg. 1979;49(1):81-3. https://doi.org/10.1111/j.1445-2197.1979.tb06442.x
  43. 권정주, 임형호, 송윤경. 정골의학적(Osteopathic) 수기요법 분석 및 경근추나와의 관련성 연구. 한방재활의학과학회지. 2011;21(2):171-88.
  44. 주동엽, 김수근, 정동혁. 편타손상(Whiplasy injury) 환자에게 적용된 재활마사지 프로그램의 유용성. 한국스포츠리서치. 2004;15(2):1613-26.
  45. Philip EG, 대한정형도수치료학회 역. Principles of Mannual Medicine, 3rd Edition. 서울:영문출판사. 2007:105-10.