한국전문물리치료학회지 (Physical Therapy Korea)

  • 제24권2호
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  • Pages.1-8
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  • 2017
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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휠체어에서 엉덩이 들기 동작 동안 발위치가 척수손상환자의 어깨 근활성도, 최대 족저압, 무릎굽힘 각도, 운동자각도에 미치는 효과 비교

Comparison of the Effects of Different Foot Positions During Body-lifting in Wheelchair on Shoulder Muscle Activities, Peak Plantar Pressure, Knee Flexion Angle, and Rating Perceived Exertion in Individuals With Spinal Cord Injury

  • 이왕재 (국립재활원 재활병원 물리작업치료과) ;
  • 임원빈 (국립재활원 재활병원 물리작업치료과) ;
  • 윤병구 (국립재활원 재활병원 물리작업치료과) ;
  • 이범석 (국립재활원 재활병원 재활의학과) ;
  • 이충휘 (연세대학교 보건과학대학 물리치료학과)
  • Lee, Wang-jae (Dept. of Physical & Occupational Therapy, Rehabilitation Hospital, National Rehabilitation Center) ;
  • Lim, One-bin (Dept. of Physical & Occupational Therapy, Rehabilitation Hospital, National Rehabilitation Center) ;
  • Yoon, Byoung-gu (Dept. of Physical & Occupational Therapy, Rehabilitation Hospital, National Rehabilitation Center) ;
  • Lee, Bum-suk (Dept. of Rehabilitation Medicine, Rehabilitation Hospital, National Rehabilitation Center) ;
  • Yi, Chung-hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • 투고 : 2017.01.20
  • 심사 : 2017.03.16
  • 발행 : 2017.05.21
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초록

Background: Individuals with spinal cord injury (SCI) rely on their upper limbs for body-lifting activity (BLA). While studies have examined the electromyography (EMG) and kinematics of the shoulder joints during BLA, no studies have considered foot position during BLA. Objects: This study compared the effects of different foot positions during BLA on the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion in individuals with SCI. Methods: The study enrolled 13 mens with motor-complete paraplegic SCI, ASIA (American Spinal Injury Association) A or B. All subjects performed BLA with the feet positioned on the wheelchair footrest and on the floor independently. Surface EMG was used to collect data from the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii. The peak plantar pressure was measured using pedar-X and the knee flexion angle with Image J. Borg's rating perceived exertion scale was used to measure the physical activity intensity level. The paired t-test was used to compare the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion between the two feet positions during BLA. Results: The activity of the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii and rating perceived exertion decreased significantly and the peak plantar pressure and knee flexion angle increased significantly when performing BLA with the feet positioned on the wheelchair footrest compared with on the floor (p<.05). Conclusion: These findings suggest that individuals with SCI may perform BLA with the feet positioned on the wheelchair footrest for weight-relief lifting to decrease the shoulder muscle activities and the rating perceived exertion and to increase the peak plantar pressure and the knee flexion angle.

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참고문헌

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