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The Effect of PNF Arm Flexion Pattern on the Muscle Activation of Lower Extremity by Kinematic Chain Positions

사슬운동 자세에 따른 고유수용성신경근촉진법 팔 패턴이 다리의 근활성도에 미치는 효과

  • Kim, Hee-Gwon (Department of Physical Therapy, Mokpo Science University) ;
  • Seo, Yeon-Soon (Department of Physical Therapy, Mokpo Science University)
  • 김희권 (목포과학대학교 물리치료과) ;
  • 서연순 (목포과학대학교 물리치료과)
  • Received : 2015.05.20
  • Accepted : 2015.06.17
  • Published : 2015.06.30

Abstract

Purpose: The purpose of this study was to analyze the effect of arm flexion patterns of proprioceptive neuromuscular facilitation on muscle activation in the contralateral lower extremity. Open kinematic chain and closed kinematic chain positions were used. Methods: This study used an electromyogram (MP150, Biopac Systems, USA) to measure muscle activation in 20 healthy male students. Comparative analysis was completed on muscle activation of the vastus lateralis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremity. Open kinematic chain and closed kinematic chain positions were used with a unilateral arm flexion-abduction-external rotation pattern. Paired t-tests using the SPSS 12.0 for Windows analyzed the data produced by the electromyogram. Results: There was a statistically significant difference in muscle activation in the biceps femoris, gastrocnemius, and tibialis anterior when the open kinematic chain and closed kinematic chain positions were compared (p < 0.05). Conclusion: The biceps femoris, gastrocnemius, and tibialis anterior muscles showed greater muscle activation in the closed kinematic chain position when compared to the open kinematic chain position.

Keywords

References

  1. Alder SS, Beckers D, Buck M. PNF in Practice: An illustrated guide. 3rd ed. Berlin. Springer-Verlag. 2008.
  2. Canning CG, Ada L, Adams R, et al. Loss of strength contributes more to physical disability after stroke than loss of dexterity. Journal of Clinical Rehabilitation, 2004;18(3):300-308. https://doi.org/10.1191/0269215504cr715oa
  3. Carroll TJ, Herbert RD, Munn J, et al. Contralateral effects of unilateral strength training: evidence and possible mechanisms. Journal of Applied Physiology Published, 2006;101(5):1514-1522. https://doi.org/10.1152/japplphysiol.00531.2006
  4. Choi JW. The effects of task-oriented Training program on balance, activities of daily living performance and self-efficacy in stroke patients: a pilot study. Journal of the Korean Society of Integrative Medicine, 2013;1(4):15-24. https://doi.org/10.15268/ksim.2013.1.4.015
  5. Docherty CL, Arnold BL, Zinder SM, et al. Relationship between two proprioceptive measures and stiffness at the ankle. Journal of Electromyography and Kinesiology, 2004;14(3):317-324. https://doi.org/10.1016/S1050-6411(03)00035-X
  6. Duncan PW, Horner RD, Reker DM, et al. Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. journal of Stroke, 2002;33(1):167-177. https://doi.org/10.1161/hs0102.101014
  7. Feber R, Ostering LR, Gravelle DC. Effect of PNF stretch techniques on knee flexor muscle EMG activity in older adults. Journal of Electromyography and Kinesiology, 2002;12(5):391-397. https://doi.org/10.1016/S1050-6411(02)00047-0
  8. Han HW. Effect of close kinematic chain and open kinematic chain position on proprioceptive neuromuscular facilitation applied to the unilateral upper extremity on the muscle activation of lower extremity. Korea University. Dissertation of Master's Degree. 2009.
  9. Hortobagyi T, Scott k, Lambert J et al. Cross-education of muscle strength is greater with stimulated than voluntary contractions. Journal of Motor Control, 1999;3:205-219. https://doi.org/10.1123/mcj.3.2.205
  10. Iwasaki T, Shiba N, Masuse H, et al. Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. The Tohoku Journal of Experimental Medicine, 2006;209(1):33-40. https://doi.org/10.1620/tjem.209.33
  11. Jang JW. The change of muscle activation in quadriceps femoris muscle during taking open kinetic chain exercise and closed kinetic chain exercise. Korea University. Dissertation of Master's Degree. 2003.
  12. Kim WH. Effect of proprioceptive neuromuscular facilitation on muscle irradiation patterns of the affected side of in stroke patient: A preliminary study. Journal of Physical therapy Korea, 2009;16(2):59-66.
  13. Kim ER. The effect of closed and open kinetic chain exercises on the activation of hip abductors. Inje University. Dissertation of Master's Degree. 2006.
  14. Kim YJ. The effects of closed kinetic chain exercises on the stability of the knee joints of patients with anterior cruciate ligament reconstruction. Daegu University. Dissertation of Master's Degree. 2007.
  15. Kofotolis ND, Kellis E. Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature. Journal of Physical Therapy in Sport, 2007;8(3):109-116. https://doi.org/10.1016/j.ptsp.2007.02.004
  16. Ko HE, Lim JH, Lee MK, et al. The combination of PNF patterns for coordinative locomotor training. Journal of the korean Association of Proprioceptive Neuromuscular Facilitation. 2013;11(1):17-25.
  17. Kwon YJ. The effect of dynamic balance recovery and muscle activation by exercises on normal adults. Daegu University. Dissertation of Master's Degree. 2009.
  18. Lee MK, Kim JM, Kim WH. The effects of PNF leg patterns on activation of biceps and triceps in stroke patients. journal of Korean Society of Physical Therapy. 2009;21(1):1-7.
  19. Ma SY. The effects of FES and PNF on improvement of gait of stoke patients. Daegu University. Dissertation of Doctorate Degree. 2008.
  20. Munn J, Herbert RD, Gandevia SC. Contralateral effects of unilateral resistance training: a meta analysis. Journal Applied Physiology. 2004;96(5):1861-1866. https://doi.org/10.1152/japplphysiol.00541.2003
  21. Newham DJ, Hsiao SF. Knee muscle isometric strength, voluntary activation and antagonist co-contraction in the first six months after stroke. Journal of Disability and Rehabilitation, 2001;23(9):379-386. https://doi.org/10.1080/0963828001006656
  22. Park TJ. The effects of proprioceptive neuromuscular facilitation in upper extremity patterns on activation of leg muscles according to kinematic chain. Seonam University. Dissertation of Master's Degree. 2010.
  23. Park TJ, Park HK, Kim JM. The effects of PNF aem patterns on activation of leg muscles according to open and closed kinematic chains. Journal of the Korean Society of Physiacl Medicine, 2011;6(2):215-223.
  24. Patten C. Lexell J. Brown HE. Weakness and strength training in persons with post stroke hemiplegia:rationale, method and efficacy. Journal of Rehabilitation Research & Development, 2004;41(3A):293-312. https://doi.org/10.1682/JRRD.2004.03.0293
  25. Statistics Korea. Annual report on the causes of death. 2014.