Physical Therapy Rehabilitation Science

  • 제5권2호
  • /
  • Pages.95-100
  • /
  • 2016
  • /
  • 2287-7576(pISSN)
  • /
  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
권호 표지
DOI QR코드

DOI QR Code

Effects of hand grip strength on shoulder muscle activity in breast cancer patients

  • Yun, Tae-Won (Department of Rehabilitation, Suwan Rehabilitation Hospital of Suwan Medical Center) ;
  • Lee, Byoung-Hee (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • 투고 : 2016.04.27
  • 심사 : 2016.06.13
  • 발행 : 2016.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this study was to investigate effects of hand grip strength on the muscle activation of shoulder joint in breast cancer patients. Design: Cross-sectional study. Methods: Ten breast cancer patients who agreed to active participation were included. These patients were operated with either conservative surgery or segmental mastectomy, and then were treated with radiation therapy and chemotherapy. The activity of the upper trapezius, lower trapezius, supraspinatus and serratus anterior muscle were measured using surface electrodes during 4 hand gripping tasks (lowered their arms in standing position, 0%, 30%, and 50% of maximum voluntary contraction) in the scapular abduction plane. Results: The results were analyzed using a one-way repeated measures ANOVA. There was a significant difference in the lower trapezius and supraspinatus muscles according to grip strength, lower trapezius and supraspinatus muscles showed significantly difference according to grip strength (p<0.05). The result of the muscle activation according to hand strength (0%, 30%, and 50%) it showed a significant difference between the upper trapezius and supraspinatus in 0% grip strength (p<0.05). In addition, it did not show a significant difference between muscles in 30%, 50% hand strength. Conclusions: This study showed an increase in shoulder muscle activation with increasing hand grip strength with the upper trapezius muscle being more activated than other muscles in 0% grip strength. The finding of this study suggests usefulness for development of preventative measures and rehabilitation strategies for increasing shoulder motor function in patients with breast cancer.

키워드

참고문헌

  1. Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat 2015;47:127-41. https://doi.org/10.4143/crt.2015.060
  2. Longman AJ, Braden CJ, Mishel MH. Pattern of association over time of side-effects burden, self-help, and self-care in women with breast cancer. Oncol Nurs Forum 1997;24:1555-60.
  3. McNeely ML, Campbell K, Ospina M, Rowe BH, Dabbs K, Klassen TP, et al. Exercise interventions for upper-limb dysfunction due to breast cancer treatment. Cochrane Database Syst Rev 2010;(6):CD005211.
  4. Ryttov N, Blichert-Toft M, Madsen EL, Weber J. Influence of adjuvant irradiation on shoulder joint function after mastectomy for breast carcinoma. Acta Radiol Oncol 1983;22:29-33. https://doi.org/10.3109/02841868309134336
  5. Ashikaga T, Krag DN, Land SR, Julian TB, Anderson SJ, Brown AM, et al. Morbidity results from the NSABP B-32 trial comparing sentinel lymph node dissection versus axillary dissection. J Surg Oncol 2010;102:111-8. https://doi.org/10.1002/jso.21535
  6. Sugden EM, Rezvani M, Harrison JM, Hughes LK. Shoulder movement after the treatment of early stage breast cancer. Clin Oncol (R Coll Radiol) 1998;10:173-81. https://doi.org/10.1016/S0936-6555(98)80063-0
  7. Gaskin TA, LoBuglio A, Kelly P, Doss M, Pizitz N. STRETCH: a rehabilitative program for patients with breast cancer. South Med J 1989;82:467-9. https://doi.org/10.1097/00007611-198904000-00015
  8. Park JY, Lhee SH, Oh JH, Kim HK. Scapular dyskinesis. J Korean Shoulder Elbow Soc 2009;12:271-7. https://doi.org/10.5397/CiSE.2009.12.2.271
  9. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. St. Louis: Mosby; 2002.
  10. Crosbie J, Kilbreath SL, Dylke E, Refshauge KM, Nicholson LL, Beith JM, et al. Effects of mastectomy on shoulder and spinal kinematics during bilateral upper-limb movement. Phys Ther 2010;90:679-92. https://doi.org/10.2522/ptj.20090104
  11. Ha HJ, Ahn SY, Kwon HY. The relationship between upper limb lymphedema after mastectomy and scapular dyskinesis. Korean J Sport Sci 2013;22:1103-12.
  12. Park JS, Jeon HS, Kwon OY. A comparison of the shoulder stabilizer muscle activities during push-up plus between persons with and without winging scapular. Korean Res Soc Phys Ther 2007;14:44-52.
  13. Heinrichs K. Introduction to surface electromyography. J Athl Train 1999;34:69.
  14. Jang HJ, Kim JS, Choi JD, Kim SY. The effects of hand grip force on shoulder muscle activity in two arm posture. J Korea Acad-Ind Coop Soc 2012;13:1229-37.
  15. Pontillo M, Orishimo KF, Kremenic IJ, McHugh MP, Mullaney MJ, Tyler TF. Shoulder musculature activity and stabilization during upper extremity weight-bearing activities. N Am J Sports Phys Ther 2007;2:90-6.
  16. Peat M, Grahame RE. Electromyographic analysis of soft tissue lesions affecting shoulder function. Am J Phys Med 1977;56:223-40.
  17. Lukasiewicz AC, McClure P, Michener L, Pratt N, Sennett B. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther 1999;29:574-83; discussion 584-6. https://doi.org/10.2519/jospt.1999.29.10.574
  18. McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther 2006;86:1075-90.
  19. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy 2003;19:641-61. https://doi.org/10.1016/S0749-8063(03)00389-X
  20. Sporrong H, Palmerud G, Herberts P. Hand grip increases shoulder muscle activity, an EMG analysis with static hand contractions in 9 subjects. Acta Orthop Scand 1996;67:485-90. https://doi.org/10.3109/17453679608996674
  21. Sharkey NA, Marder RA, Hanson PB. The entire rotator cuff contributes to elevation of the arm. J Orthop Res 1994;12:699-708. https://doi.org/10.1002/jor.1100120513
  22. Michiels I, Bodem F. The deltoid muscle: an electromyographical analysis of its activity in arm abduction in various body postures. Int Orthop 1992;16:268-71.
  23. Jensen C. The surface electromyographic (EMG) amplitude as an estimate of upper trapezius muscle activity. Trondheim: University of Trondheim, Department of Zoology; 1995.
  24. Kadaba MP, Cole A, Wootten ME, McCann P, Reid M, Mulford G, et al. Intramuscular wire electromyography of the subscapularis. J Orthop Res 1992;10:394-7. https://doi.org/10.1002/jor.1100100312
  25. Mandalidis D, O'Brien M. Relationship between hand-grip isometric strength and isokinetic moment data of the shoulder stabilisers. J Bodyw Mov Ther 2010;14:19-26. https://doi.org/10.1016/j.jbmt.2008.05.001
  26. Huijing PA. Muscular force transmission necessitates a multilevel integrative approach to the analysis of function of skeletal muscle. Exerc Sport Sci Rev 2003;31:167-75. https://doi.org/10.1097/00003677-200310000-00003
  27. Huijing PA, Baan GC. Myofascial force transmission: muscle relative position and length determine agonist and synergist muscle force. J Appl Physiol (1985) 2003;94:1092-107. https://doi.org/10.1152/japplphysiol.00173.2002
  28. Cools AM, Geerooms E, Van den Berghe DF, Cambier DC, Witvrouw EE. Isokinetic scapular muscle performance in young elite gymnasts. J Athl Train 2007;42:458-63.
  29. Moraes GF, Faria CD, Teixeira-Salmela LF. Scapular muscle recruitment patterns and isokinetic strength ratios of the shoulder rotator muscles in individuals with and without impingement syndrome. J Shoulder Elbow Surg 2008;17(1 Suppl):48S-53S. https://doi.org/10.1016/j.jse.2007.08.007
  30. Cools AM, Witvrouw EE, Danneels LA, Vanderstraeten GG, Cambier DC. Test-retest reproducibility of concentric strength values for shoulder girdle protraction and retraction using the Biodex isokinetic dynamometer. Isokinet Exerc Sci 2002;10:129-36.
  31. Phadke V, Camargo P, Ludewig P. Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement. Rev Bras Fisioter 2009;13:1-9. https://doi.org/10.1590/S1413-35552009005000012

피인용 문헌

  1. Effectiveness of therapeutic inflatable ball self-exercises for improving shoulder function and quality of life in breast cancer survivors after sentinel lymph node dissection vol.27, pp.7, 2016, https://doi.org/10.1007/s00520-019-4656-0