한국전문물리치료학회지 (Physical Therapy Korea)

  • 제25권3호
  • /
  • Pages.1-11
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  • 2018
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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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푸쉬업플러스와 데드리프트 운동 시 골반압박이 견관절과 요골반부 주위근의 근활성도와 체간 신전근 근력에 미치는 영향

The Effect of External Pelvic Compression on Shoulder and Lumbopelvic Muscle sEMG and Strength of Trunk Extensor During Push Up Plus and Deadlift Exercise

  • 황천종 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Huang, Tian-zong (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Suhn-yeop (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2018.08.13
  • 심사 : 2018.09.10
  • 발행 : 2018.09.17
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초록

Background: Lumbopelvic stability is highly important for exercise therapy for patients with low back pain and shoulder dysfunction. It can be attained using a pelvic compression belt. Previous studies showed that external pelvic compression (EPC) enhances form closure by reducing sacroiliac joint laxity and selectively strengthens force closure and motor control by reducing the compensatory activity of the stabilizer. In addition, when the pelvic compression belt was placed directly on the anterior superior iliac spine, the laxity of the sacroiliac cephalic joint could be significantly reduced. Objects: This study aimed to compare the effects of EPC on lumbopelvic and shoulder muscle surface electromyography (EMG) activities during push-up plus (PUP) and deadlift (DL) exercise, trunk extensor strength during DL exercise. Methods: Thirty-eight subjects (21 men and 17 women) volunteered to participate in this study. The subjects were instructed to perform PUP and DL with and without the EPC. EMG data were collect from serratus anterior (SA), pectoralis major (PM), erector spinae (ES), and multifidus (MF). Trunk extensor strength were tested in DL exercise. The data were collected during 3 repetitions of all exercise and the mean of root mean square was used for analysis. Results: The EMG activities of the SA and PM were significantly increased in PUP with pelvic compression as compared with PUP without pelvic compression (p<.05). In DL exercise, a significant improvement in trunk extensor strength was observed during DL exercise with pelvic compression (p<.05). Conclusion: The results of this study indicate that lumbopelvic stabilization reinforced with external pelvic compression may be propitious to strengthen PUP in more-active SA and PM muscles. Applying EPC can improve the trunk extensor strength during DL exercise. Our study shows that EPC was beneficial to improve the PUP and DL exercise efficiency.

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참고문헌

  1. Arumugam A, Milosavljevic S, Woodley S, et al. Effects of external pelvic compression on form closure, force closure, and neuromotor control of the lumbopelvic spine-A systematic review. Man Ther. 2012;17(4):275-284. https://doi.org/10.1016/j.math.2012.01.010
  2. Arumugam A, Milosavljevic S, Woodley S, et al. Effects of external pelvic compression on isokinetic strength of the thigh muscles in sportsmen with and without hamstring injuries. J Sci Med Sport. 2015;18(3):283-288. https://doi.org/10.1016/j.jsams.2014.05.009
  3. Baechle TR, Earle RW, Wathen D. Resistance Training. In: Baechle TR, Earle RW, eds. Essentials of Strength Training and Conditioning. 2nd ed. Champaign, IL, Human Kinetics, 2000:395-425.
  4. Bergmark A. Stability of the lumbar spine: A study in mechanical engineering. Acta Orthop Scand Suppl. 1989;230:1-54.
  5. Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sport Phys Ther. 2005;35(4):227-238. https://doi.org/10.2519/jospt.2005.35.4.227
  6. Borstad JD. Resting position variables at the shoulder: Evidence to support a posture-impairment association. Phys Ther. 2006;86(4):549-557.
  7. Caldwell JS, McNair PJ, Williams M. The effects of repetitive motion on lumbar flexion and erector spinae muscle activity in rowers. Clinical Biomechanics. 2003;18(8):704-711. https://doi.org/10.1016/S0268-0033(03)00117-7
  8. Chansirinukor W, Wilson D, Grimmer K, et al. Effects of backpacks on students: Measurement of cervical and shoulder posture. Aust J Physiother. 2001;47(2):110-116. https://doi.org/10.1016/S0004-9514(14)60302-0
  9. Choi WJ, Yoon TL, Choi SA, et al. Different weight bearing push-up plus exercises with and without isometric horizontal abduction in subjects with scapular winging: A randomized trial. J Bodyw Mov Ther. 2017;21(3):582-588. https://doi.org/10.1016/j.jbmt.2016.08.018
  10. Cogill L, Fitz-Ritson D. The effect of trochanteric support on low back strength: A pilot study. J Can Chiropr Assoc. 1996;40(2):104-107.
  11. Damen L, Spoor CW, Snijders CJ, et al. Does a pelvic belt influence sacroiliac joint laxity? Clin Biomech (Bristol, Avon). 2002;17(7):495-498. https://doi.org/10.1016/S0268-0033(02)00045-1
  12. Ekstrom RA, Soderberg GL, Donatelli RA. Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface EMG analysis. J Electromyogr Kinesiol. 2005;15(4): 418-428. https://doi.org/10.1016/j.jelekin.2004.09.006
  13. Freeman MD, Woodham MA, Woodham AW. The role of the lumbar multifidus in chronic low back pain: A review. PM R. 2010;2(2):142-146. https://doi.org/10.1016/j.pmrj.2009.11.006
  14. Ghanbari A, Ghaffarinejad F, Mohammadi F, et al. Effect of forward shoulder posture on pulmonary capacities of women. Br J Sports Med. 2008; 42(12):622-623. https://doi.org/10.1136/bjsm.2007.040915corr1
  15. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21:2763-2769. https://doi.org/10.1097/00007632-199612010-00011
  16. Holmberg D, Crantz H, Michaelson P. Treating persistent low back pain with deadlift training- A single subject experimental design with a 15-month follow-up. Adv Physiother. 2012;14(2):61-70. https://doi.org/10.3109/14038196.2012.674973
  17. Moseley JB Jr, Jobe FW, Pink M, et al. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med. 1992; 20(2):128-134. https://doi.org/10.1177/036354659202000206
  18. Jang HJ, Kim SY, Oh DW. Effects of augmented trunk stabilization with external compression support on shoulder and scapular muscle activity and maximum strength during isometric shoulder abduction. J Electromyogr Kinesiol. 2015;25(2): 387-391. https://doi.org/10.1016/j.jelekin.2014.12.005
  19. Jang HJ, Kim SY, Park HJ. Effects of the pelvic compression belt on trunk muscles activities during sit-to-stand, and stand-to-sit tasks. Phys Ther Korea. 2013;20(1):1-9. https://doi.org/10.12674/ptk.2013.20.1.001
  20. Kamkar A, Irrgang JJ, Whitney SL. Nonoperative management of secondary shoulder impingement syndrome. J Orthop Sport Phys Ther. 1993;17(5): 212-224. https://doi.org/10.2519/jospt.1993.17.5.212
  21. Kelley MJ, Clark WA. Orthopedic Therapy of the Shoulder. Philadelphia, JB. Lippincott, 1995.
  22. Kendall FP, McCreary EK, Provance P, et al. Muscles Testing and Function With Posture and Pain. 5th ed. Baltimore, Williams & Wilkins, 2005.
  23. Kim JS, Lee DY. A effect of the shoulder stabilizer muscle activity during a push-up-plus on a different condition surface. Journal of Digital Convergence. 2012;10(1):399-405 https://doi.org/10.14400/JDPM.2012.10.1.399
  24. Kim SH, Kwon OY, Park KN, et al. Comparison of erector spinae and hamstring muscle activities and lumbar motion during standing knee flexion in subjects with and without lumbar extension rotation syndrome. J Electromyogr Kinesiol. 2013; 23(6):1311-1316. https://doi.org/doi:10.1016/j.jelekin.2013.07.004
  25. Kim SH, Pak MH, Sim JA, et al. Effects of pelvic compression belt on the thickness of transversus abdominis during active straight leg raising in healthy subjects. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2011;17(1):15-23.
  26. Lear LJ, Gross MT. An electromyographical analysis of the scapular stabilizing synergists during a push-up progression. J Orthop Sport Phys Ther. 1998;28(3):146-157. https://doi.org/10.2519/jospt.1998.28.3.146
  27. Lee KC, Bae WS. Effect of push-up plus exercise on serratus anterior and upper trapezius muscle activation based on the application method of Togu. Journal of The Korean Society of Integrative Medicine, 2016;4(2):29-36. https://doi.org/10.15268/ksim.2016.4.2.029
  28. Lehman GJ, MacMillan B, MacIntyre I, et al. Shoulder muscle EMG activity during push up variations on and off a Swiss ball. Dyn Med. 2006;5:7. https://doi.org/10.1186/1476-5918-5-7
  29. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sport Phys Ther. 1996;24(2):57-65. https://doi.org/10.2519/jospt.1996.24.2.57
  30. Magee DJ. Assessment of Posture. In: Magee DJ, ed. Orthopedic Physical Assessment. 2nd ed. Philadelphia, Saunders, 2002;579-608.
  31. Marques NR, Morcelli MH, Hallal CZ, et al. EMG activity of trunk stabilizer muscles during centering principle of Pilates method. J Bodyw Mov Ther. 2013;17(2):185-191. https://doi.org/10.1016/j.jbmt.2012.06.002
  32. Mens JM, Damen L, Snijders, CJ, et al. The mechanical effect of a pelvic belt in patients with pregnancy-related pelvic pain. Clin Biomech (Bristol, Avon). 2006;21(2):122-127. https://doi.org/10.1016/j.clinbiomech.2005.08.016
  33. Minning S, Eliot CA, Uhl TL, et al. EMG analysis of shoulder muscle fatigue during resisted isometric shoulder elevation. J Electromyogr Kinesiol, 2007;17(2):153-159. https://doi.org/10.1016/j.jelekin.2006.01.008
  34. Oh JS, Kang MH, Dvir Z. Reproducibility of isometric shoulder protraction and retraction strength measurements in normal subjects and individuals with winged scapula. J Shoulder Elbow Surg. 2016;25(11):1816-1823. https://doi.org/10.1016/j.jse.2016.03.001
  35. Park KM, Kim SY, Oh DW. Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction. J Electromyogr Kinesiol. 2010;20(6):1141-1145. https://doi.org/10.1016/j.jelekin.2010.05.009
  36. Park KM, Cynn HS, Kwon OY, et al. Comparison of pectoralis major and serratus anterior muscle activities during different push-up plus exercises in subjects with and without scapular winging. J Strength Cond Res. 2014;28(9);2546-2551. https://doi.org/10.1519/JSC.0000000000000443
  37. Park KM, Cynn HS, Yi CH, et al. Effect of isometric horizontal abduction on pectoralis major and serratus anterior EMG activity during three exercises in subjects with scapular winging. J Electromyogr Kinesiol. 2013;23(2):462-468. https://doi.org/10.1016/j.jelekin.2012.11.013
  38. Richardson CA, Snijders CJ, Hides JA, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine. 2002;27(4):399-405. https://doi.org/10.1097/00007632-200202150-00015
  39. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. St. Louis, Mosby, 2002: 193-245, 338-341, 382-383.
  40. Shin JW, Jeong HH, Kim SB, et al. Comparison of scapular stabilizer and external oblique abdominis muscle activity on push-up. Journal of Korea Society for Neurotherapy. 2015;19(3):17-22.
  41. Smith R Jr, Nyquist-Battie C, Clark M, et al. Anatomical characteristics of the upper serratus anterior: cadaver dissection. J Orthop Sport Phys Ther. 2003;33(8):449-454. https://doi.org/10.2519/jospt.2003.33.8.449
  42. Stuge B, Laerum E, Kirkesola G, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: A randomized controlled trial. Spine (Phila Pa 1976). 2004;29(4):351-359. https://doi.org/10.1097/01.BRS.0000090827.16926.1D
  43. Sung PS. Multifidi muscle median frequency before and after spinal stabilization exercises. Arch Phys Med Rehabil 2003;84(9):1313-1318. https://doi.org/10.1016/S0003-9993(03)00139-4
  44. Suprak DN, Dawes J, Stephenson MD. The effect of position on the percentage of body mass supported during traditional and modified push-up variants. J Strength Cond Res, 2011;25(2):497-503. https://doi.org/10.1519/JSC.0b013e3181bde2cf
  45. Vleeming A, Buyruk HM, Stoeckart R, et al. An integrated therapy for peripartum pelvic instability: A study of the biomechanical effects of pelvic belts. Am J Obstet Gynecol, 1992;166(4):12431247. https://doi.org/10.1016/S0002-9378(11)90615-2
  46. Wang CH, McClure P, Pratt NE, et al. Stretching and strengthening exercises: Their effect on three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):923-929. https://doi.org/10.1016/S0003-9993(99)90084-9
  47. Wang-Price S, Zafereo J, Brizzolara K, et al. Effects of tactile feedback on lumbar multifidus muscle activity in asymptomatic healthy adults and patients with low back pain. J Bodyw Mov Ther. 2017;25(1):22-29.
  48. Willardson JM. Core stability training for healthy athletes: A different paradigm for fitness professionals. Strength Cond J. 2007;29(6):42-49. https://doi.org/10.1519/1533-4295(2007)29[42:CSTFHA]2.0.CO;2
  49. Yang J, Lee J, Lee B, et al. The effects of active scapular protraction on the muscle activation and function of the upper extremity. J Phys Ther Sci. 2014;26(4):599-603. https://doi.org/10.1589/jpts.26.599

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