한국전문물리치료학회지 (Physical Therapy Korea)

  • 제27권2호
  • /
  • Pages.93-101
  • /
  • 2020
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

상지 부하감소 다이나믹 테이핑 기법이 정상인의 어깨 올림 시 어깨뼈 주위근의 근활성도에 미치는 영향

The Effectiveness of Upper Limb Offload Dynamic Taping Technique on Scapular Muscles Activation During Elevation in Healthy Subjects

  • 황천종 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Huang, Tian-zong (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Suhn-yeop (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2020.01.20
  • 심사 : 2020.03.11
  • 발행 : 2020.05.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: For performing various movements well, cooperation between the muscles around the scapula and shoulder has been emphasized. Taping has been widely used clinically as a helpful adjunct to other physiotherapy methods for shoulder pathology and dysfunction treatment. Previous studies have evaluated the effect of taping techniques using dynamic tapes on shoulder function and pain. However, no study investigated the electromyographic (EMG) changes in the shoulder muscles. Objects: This study aimed to investigate the effect of the upper limb offload taping technique using a dynamic tape on EMG activities of the upper trapezius (UT), lower trapezius, serratus anterior (SA), and middle deltoid (MD) muscles during scaption plane elevation. Methods: A total of 26 healthy subjects (19.85 ± 6.40 years, male = 20) volunteered to participate in this study. The subjects were instructed to perform scaption elevation with and without dynamic taping on the shoulder. Shoulder elevation strength tests were performed at 100%, 75%, 50%, and 25%, for the maximal isometric contraction force. Results: There were statistically significant interaction effects between the taping application and shoulder scaption elevation force in EMG activities in the UT (p < 0.05) and MD (p < 0.05). EMG activities in the UT showed significant increases in 50%RVC (reference voluntary contraction, p < 0.05) and 25%RVC (p < 0.01). Furthermore, the EMG activity of the SA significantly increased in 50%RVC (p < 0.01) and 25%RVC (p < 0.01) after dynamic taping. For the MD, the EMG activity level significantly decreased in 100%RVC (p < 0.05). Conclusion: These results indicated that upper limb offload dynamic taping application affects the muscle activities of some shoulder muscles depending on different scaption elevation strength levels. Therefore, we suggest that the upper limb offload dynamic taping can be applied to the shoulders when patients need middle deltoid inhibition or upper trapezius facilitation, such as patients with shoulder impingement syndrome.

키워드

참고문헌

  1. Yasojima T, Kizuka T, Noguchi H, Shiraki H, Mukai N, Miyanaga Y. Differences in EMG activity in scapular plane abduction under variable arm positions and loading conditions. Med Sci Sports Exerc 2008;40(4):716-21. https://doi.org/10.1249/MSS.0b013e31816073fb
  2. Poppen NK, Walker PS. Forces at the glenohumeral joint in abduction. Clin Orthop Relat Res 1978;(135):165-70.
  3. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. St. Louis: Mosby; 2001;216-9.
  4. Clisby EF, Bitter NL, Sandow MJ, Jones MA, Magarey ME, Jaberzadeh S. Relative contributions of the infraspinatus and deltoid during external rotation in patients with symptomatic subacromial impingement. J Shoulder Elbow Surg 2008;17(1 Suppl):87S-92S. https://doi.org/10.1016/j.jse.2007.05.019
  5. Meister K. Injuries to the shoulder in the throwing athlete. Part one: biomechanics/pathophysiology/classification of injury. Am J Sports Med 2000;28(2):265-75. https://doi.org/10.1177/03635465000280022301
  6. Wang CH, McClure P, Pratt NE, Nobilini R. Stretching and strengthening exercises: their effect on three-dimensional scapular kinematics. Arch Phys Med Rehabil 1999;80(8):923-9. https://doi.org/10.1016/S0003-9993(99)90084-9
  7. Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med 1998;26(2):325-37. https://doi.org/10.1177/03635465980260022801
  8. Dvir Z, Berme N. The shoulder complex in elevation of the arm: a mechanism approach. J Biomech 1978;11(5):219-25. https://doi.org/10.1016/0021-9290(78)90047-7
  9. Moeller CR, Bliven KC, Valier AR. Scapular muscle-activation ratios in patients with shoulder injuries during functional shoulder exercises. J Athl Train 2014;49(3):345-55. https://doi.org/10.4085/1062-6050-49.3.10
  10. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 2000;80(3):276-91. https://doi.org/10.1093/ptj/80.3.276
  11. Cools AM, Witvrouw EE, Declercq GA, Danneels LA, Cambier DC. Scapular muscle recruitment patterns: trapezius muscle latency with and without impingement symptoms. Am J Sports Med 2003;31(4):542-9. https://doi.org/10.1177/03635465030310041101
  12. Cools AM, Witvrouw EE, Declercq GA, Vanderstraeten GG, Cambier DC. Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms. Br J Sports Med 2004;38(1):64-8. https://doi.org/10.1136/bjsm.2003.004952
  13. Kneeshaw D. Shoulder taping in the clinical setting. J Bodyw Mov Ther 2002;6(1):2-8. https://doi.org/10.1054/jbmt.2001.0233
  14. McNeill W, Pedersen C. Dynamic tape. Is it all about controlling load? J Bodyw Mov Ther 2016;20(1):179-88. https://doi.org/10.1016/j.jbmt.2015.12.009
  15. Selkowitz DM, Chaney C, Stuckey SJ, Vlad G. The effects of scapular taping on the surface electromyographic signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome. J Orthop Sports Phys Ther 2007;37(11):694-702. https://doi.org/10.2519/jospt.2007.2467
  16. Morin GE, Tiberio D, Austin G. The effect of upper trapezius taping on electromyographic activity in the upper and middle trapezius region. J Sport Rehabil 1997;6(4):309-18. https://doi.org/10.1123/jsr.6.4.309
  17. Kaya E, Zinnuroglu M, Tugcu I. Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome. Clin Rheumatol 2011;30(2):201-7. https://doi.org/10.1007/s10067-010-1475-6
  18. Parreira Pdo C, Costa Lda C, Hespanhol LC Jr, Lopes AD, Costa LO. Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J Physiother 2014;60(1):31-9. https://doi.org/10.1016/j.jphys.2013.12.008
  19. Bittencourt N, Leite M, Zuin A, Pereira M, Goncalves G, Signoretti S. Dynamic taping and high frontal plane knee projection angle in female volleyball athletes. Br J Sports Med 2017;51(4):297-8.
  20. Park SJ, Kim SY. The effect of scapular dynamic taping on pain, disability, upper body posture and range of motion in the postoperative shoulder. J Korean Soc Phys Med 2018;13(4):149-62. https://doi.org/10.13066/kspm.2018.13.4.149
  21. Robinson NA, Spratford W, Welvaert M, Gaida J, Fearon AM. Does Dynamic Tape change the walking biomechanics of women with greater trochanteric pain syndrome? A blinded randomised controlled crossover trial. Gait Posture 2019;70:275-83. https://doi.org/10.1016/j.gaitpost.2019.02.031
  22. Chen TL, Wong DW, Peng Y, Zhang M. Prediction on the plantar fascia strain offload upon Fascia taping and Low-Dye taping during running. J Orthop Translat 2019;20:113-21.
  23. Kendrick R. Upper limb offload. Dynamic Tape [Internet]. 2014 Jul [cited 2019 May 11]. Available from: https://www.youtube.com/watch?v=Hlt3j9-7kF0&t=384s.
  24. Kim SY, Oh DW, Kim TY, Nam SJ, Yoo HS. Effects of deltoid inhibition taping on the surface electromyographic activity of shoulder girdle muscles during upper limb elevation in healthy shoulders. Phys Ther Korea 2008;15(4):34-42.
  25. Cools AM, Witvrouw EE, Danneels LA, Cambier DC. Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders? Man Ther 2002;7(3):154-62. https://doi.org/10.1054/math.2002.0464
  26. Minning S, Eliot CA, Uhl TL, Malone TR. EMG analysis of shoulder muscle fatigue during resisted isometric shoulder elevation. J Electromyogr Kinesiol 2007;17(2):153-9. https://doi.org/10.1016/j.jelekin.2006.01.008
  27. Ha YI, Kang YT, Lee KS, Seo KW, Seo KE, Lee IG. Comparative analysis of the shoulder joint on agonists' EMG activities with and without taping during isometric flexion and extension. Korean J Sport Biomech 2008;18(1):85-95. https://doi.org/10.5103/KJSB.2008.18.1.085
  28. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003;(2):CD004258.
  29. Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports 2007;17(1):25-33.
  30. Saha AK. Dynamic stability of the glenohumeral joint. Acta Orthop Scand 1971;42(6):491-505. https://doi.org/10.3109/17453677108989066
  31. Sparkes V, Smith M, Busse M. Scapular taping in the therapeutic management of sub-acromial impingement symptoms - exploration of a clinical theory. Physiother Res Int 2007;12(4):203-4. https://doi.org/10.1002/pri.387
  32. Han GS, Kim SY. The initial effect of deltoid inhibition taping on shoulder pain, function, strength level and range of motion in patients with shoulder impingement syndrome. J Korean Soc Phys Med 2011;6(3):341-51.