Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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The effects of pulsed ultrasound and continued ultrasound intervention before an exercise on PPT, CK and LDH of EIMD

운동 전 적용된 지속초음파와 맥동초음파가 운동 유발성 근육 손상의 통증과 근피로대사산물에 미치는 효과

  • Kim, Ha Neul (Dept. of physical therapy, Leadheals Hospital) ;
  • Jeon, Jae Geun (Dept. of physical therapy, Hanlyo University) ;
  • Shin, Sung Phil (Dept. of physical therapy, Graduate School, Hanlyo University)
  • 김하늘 (서울 응암 리드힐병원) ;
  • 전재근 (한려대학교 물리치료학과) ;
  • 신성필 (한려대학교 보건대학원 물리치료학과)
  • Received : 2020.10.23
  • Accepted : 2020.12.10
  • Published : 2020.12.31
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Abstract

Background: The purpose of this study was to investigate the effects of pulsed-ultrasound intervention and continued-ultrasound on the PPT (pressure pain threshold), CK (creatine kinase) and LDH (lactate dehydrogenase) recovery of before EIMD (exercise-induced muscle damage). Design: Randomized Controlled Trial. Methods: Thirty subjects who are student in their 20s at a university participated in this study, these subjects were assigned into three groups, a control group (n=10), experiment group I (n=10), and experiment group II (n=10). The subjects in experimental group were intervened by pulsed-ultrasound and continued-ultrasound, while ones on control group weren't by any intervention after induced EIMD. Results: First, In the comparison of the PPT, there were significant variations with the lapse the time in three groups (p<.001) and there was a significant interaction of time and group (p<.001). In the among group comparison, the PPT of experimental group II was significantly larger than those of other groups (p<.01). Second, In the comparison of the CK, there were significant variations with the lapse the time in three groups (p<.001) and there was a significant interaction of time and group (p<.001). In the among group comparison, the CK of experimental group II was significantly smaller than those of other groups (p<.001). Third, In the comparison of the LDH, there were significant variations with the lapse the time in three groups (p<.001) and there was a significant interaction of time and group (p<.001). In the among group comparison, the LDH of experimental group II was significantly smaller than those of other groups (p<.001). Conclusion: The above results revealed that the continued-ultrasound intervention before an exercise had a positive effect of muscle function after EIMD. Therefore we can consider the continued ultrasound as a considerable intervention method to prevent or reduce an exercise injury.

Keywords

References

  1. 고현윤, 김경수. 초음파 적용방법에 따른 조직 온도 변화 연구. 대활의학학회지 1993;14(1):76-80.
  2. 고형우. 진동자극이 지연성 근육통의 근 기능 회복에 미치는 영향[석사학위논문]. 동신대학교; 2011.
  3. 권영은, 이수종, 윤채식, 등. 근근막 통증 증후군에서 Pressure Algometer를 이용한 골격근 압통 역치에 관한 연구. Korean J Pain 2001;14(1):32-6.
  4. 김근조, 이규리, 정병옥, 등. 자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두갈래근의 통증과 근력 및 근활성도에 미치는 영향. 한국산학기술학회 논문지 2009;10(12):3902-9.
  5. 김덕조, 최원재, 손경현. 고압산소치료가 지연성근육통의 통증, 관절운동범위 및 근피로 회복에 미치는 영향. 대한물리치료과학회지 2019;26(2):51-60. https://doi.org/10.26862/jkpts.2019.09.26.2.51
  6. 김승균. 상완 이두근 지연성 근육통에 대한 봉독액을 이용한 초음파 치료의 효과[석사학위논문]. 을지대학교; 2011.
  7. 김종호. 준비운동 형태가 DOMS와 근력 회복에 미치는 영향[석사학위논문]. 대구대학교; 2004.
  8. 김지윤, 전재근, 오세민. 테라테인먼트적 진동 자극이 위팔두갈래근의 최대등척성근력과 관절가동범위에 미치는 영향. 한국엔터테인먼트산업학회지 2018;12(4):295-304.
  9. 문현주, 서현규, 공원태. 측두하악관절장애 환자에서 연속초음파와 맥동초음파 적용이 통증과 관절가동범위에 미치는 효과. 대한정형도수치료학회지 2007;13(2):1-11.
  10. 박래준. 기구를 이용한 물리치료학. 서울: 영문출판사;2001.
  11. 백수정, 이미애, 김진상, 등. 경피신경전기자극과 초음파가 전기생리학적 반응에 미치는 영향. 대한물리치료학회지(JKPT) 2000;12(1):49-56.
  12. 송현호, 김주영, 이철현, 등. 운동유발성 근육 손상 후 진동운동 적용이 근육 손상 지표에 미치는 영향. 코칭능력개발지 2011;13(1):179-188.
  13. 엄기매, 임인혁, 백종석, 등. 모달리티와 운동치료가 지연성 근육통에 미치는 효과. 대한건강과학학회 2014;11(1):1-10.
  14. 연창호, 정석희, 지연성 근육통의 근복부와 근건이행부 자침효능 비교. 한방재활의학과학회지 2012;22(2):219-228.
  15. 오민영. 초음파가 혈류량 및 피부온도에 미치는 영향[석사학위논문]. 대구대학교; 2004.
  16. 윤정권. 이주형. 신장성 운동 후 초음파 치료가 지연성 근육통증에 미치는 영향. 체육과학연구 2006;17(3):58-66.
  17. 이수영. 유지-이완 주동근 수축기법과 경피신경전기자극의 지연성 근육통 치료 효과[박사학위논문]. 연세대학교; 2006.
  18. 장현정, 남형천. 주관절 외상과염 주부에서 미세전류에 의한 신경근 자극 치료가 손목 신전근력에 미치는 영향. 정형스포츠물리치료학회지 2005;1(1):101-105.
  19. 조남정, 송승혁, 지연성 근육통에 대한 미세전류자극치료가 통증과 CK에 미치는 영향. 대한통합의학지 2014;2(3):31-37.
  20. 최효정, 김성수. 미세전류치료기 전극 종류에 따른 효능 비교. 한방재활의학과학회지 2013;23(3):107-116.
  21. 한종만. 초음파와 근막 이완술이 긴장형 두통환자의 뇌혈류 속도에 미치는 영향[석사학위논문]. 대구대학교; 2002.
  22. Bolton P, Young S, Dyson M. Macrophage responsiveness to light therapy with varying power and energy densities. Laser Ther 1991;3(3):105-111. https://doi.org/10.5978/islsm.91-OR-15
  23. Brock Symons T, Clasey JL, Gater DR, et al. Effects of deep heat as a preventative mechanism on delayed onset muscle soreness. J Strength Cond Res 2004;18(1):155-61. https://doi.org/10.1519/1533-4287(2004)018<0155:EODHAA>2.0.CO;2
  24. Cheung K, Hume P, Maxwell L. Delayed onset muscle soreness : treatment strategies and performance factors. Sports Med 2003;33(2):145-64. https://doi.org/10.2165/00007256-200333020-00005
  25. Clarkson PM, Hubal MJ. Exercise-induced muscle damage in humans. Am J Phys Med Rehabil 2002;81(11):S52-69.
  26. Cleary MA, Sweeney LA, Kendrick ZV, et al. Dehydration and symptoms of delayed-onset muscle soreness in hyperthermic males. J Athl Train 2005;40(4):288-97.
  27. Close GL, Ashton T, McArdle A, et al. The emerging role of free radicals in delayed onset muscle soreness and contraction-induced muscle injury. Comp Biochem Physiol A Mol Integr Physiol 2005;142(3):257-66. https://doi.org/10.1016/j.cbpa.2005.08.005
  28. Connolly DA, Sayers SP, McHugh MP. Treatment and prevention of delayed onset muscle soreness. J Strength Cond Res 2003;17(1):197-208. https://doi.org/10.1519/1533-4287(2003)017<0197:TAPODO>2.0.CO;2
  29. Draper DO, Castel JC, Castel D. Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J Orthop Sports Phys Ther 1995;22(4):142-50. https://doi.org/10.2519/jospt.1995.22.4.142
  30. Freitas LS, Freitas TP, Silveira PC, et al. Effect of therapeutic pulsed ultrasound on parameters of oxidative stress in skeletal muscle after injury. Cell Biol Int 2007;31(5):482-8. https://doi.org/10.1016/j.cellbi.2006.11.015
  31. Griffin JW, Tooms RE, Mendius RA, et al. Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. Phys Ther 1991;71(6):433-42;discussion 442-4. https://doi.org/10.1093/ptj/71.6.433
  32. Hennessey WJ, Falco FJ, Braddom RL. Median and ulnar nerve conduction studies: normative data for young adults. Arch Phys Med Rehabil 1994;75(3):259-64. https://doi.org/10.1016/0003-9993(94)90025-6
  33. Hubal MJ, Rubinstein SR, Clarkson PM. Mechanisms of variability in strength loss after muscle-lengthening actions. Med Sci Sports Exerc 2007;39(3):461-8. https://doi.org/10.1249/01.mss.0000247007.19127.da
  34. Hubscher M, Vogt L, Bernhörster M, et al. Effects of acupuncture on symptoms and muscle function in delayed-onset muscle soreness. J Altern Complement Med 2008;14(8):1011-6. https://doi.org/10.1089/acm.2008.0173
  35. Itoh H, Ohkuwa T, Yamazaki Y, et al. Vitamin E supplementation attenuates leakage of enzymes following 6 successive days of running training. Int J Sports Med 2000;21(5):369-74. https://doi.org/10.1055/s-2000-3777
  36. Jia XL, Chen WZ, Zhou K, et al. Effects of low-intensity pulsed ultrasound in repairing injured articular cartilage. Chin J Traumatol 2005;8(3):175-8.
  37. Pittenger MF, Mackay AM, Beck SC, et al. Multilineage potential of adult human mesenchymal stem cells. Science 1999;284(5411):143-7. https://doi.org/10.1126/science.284.5411.143
  38. Pizza FX, Cavender D, Stockard A, et al. Anti-inflammatory doses of ibuprofen: effect on neutrophils and exercise-induced muscle injury. Int J Sports Med 1999;20(2):98-102. https://doi.org/10.1055/s-2007-971100
  39. Proske U, Allen TJ. Damage to skeletal muscle from eccentric exercise. Exerc Sport Sci Rev 2005;33(2):98-104. https://doi.org/10.1097/00003677-200504000-00007
  40. Proske U, Morgan DL. Muscle damage from eccentric exercise: mechanism, mechanical signs, adaptation and clinical applications. J Physiol 2001;537(Pt 2):333-45. https://doi.org/10.1111/j.1469-7793.2001.00333.x
  41. Rowsell GJ, Coutts AJ, Reaburn P, et al. Effects of cold-water immersion on physical performance between successive matches in high-performance junior male soccer players. J Sports Sci 2009;27(6):565-73. https://doi.org/10.1080/02640410802603855
  42. Sacheck JM, Blumberg JB. Role of vitamin E and oxidative stress in exercise. Nutrition 2001;17(10):809-14. https://doi.org/10.1016/S0899-9007(01)00639-6
  43. Smith LL. Acute inflammation: the underlying mechanism in delayed onset muscle soreness? Med Sci Sports Exerc 1991;23(5):542-51.
  44. Tiidus PM, Cort J, Woodruff SJ, et al. Ultrasound treatment and recovery from eccentric-exercise-induced muscle damage. J Sport Rehabili 2002;11(4):305-314. https://doi.org/10.1123/jsr.11.4.305
  45. Warren GL, Summan M, Gao X, et al. Mechanisms of skeletal muscle injury and repair revealed by gene expression studies in mouse models. J Physiol 2007;582(Pt 2):825-41. https://doi.org/10.1113/jphysiol.2007.132373
  46. Zainuddin Z, Hope P, Newton M, et al. Effects of partial immobilization after eccentric exercise on recovery from muscle damage. J Athl Train 2005;40(3):197-202.