한국전문물리치료학회지 (Physical Therapy Korea)

  • 제27권2호
  • /
  • Pages.133-139
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  • 2020
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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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Immediate Effects of High-frequency Diathermy on Muscle Architecture and Flexibility in Subjects With Gastrocnemius Tightness

  • Kim, Ji-hyun (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Park, Joo-hee (Department of Physical Therapy, College of Health Science, Yonsei University) ;
  • Yoon, Hyeo-bin (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Lee, Jun-hyeok (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jeon, Hye-seon (Department of Physical Therapy, College of Health Science, Yonsei University)
  • 투고 : 2020.01.15
  • 심사 : 2020.03.02
  • 발행 : 2020.05.20
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초록

Background: The gastrocnemius (GCM) is one of the lower extremity muscles that tend to tighten easily. GCM tightness results in limited ankle dorsi-flexion (DF), especially when the knee joint is fully extended. Joint flexibility is determined by the morphological and physiological characteristics of joints, muscles, tendons, and ligaments. Impaired joint flexibility can be attributed to increased susceptibility to muscle injury. High-frequency diathermy is clinically used to reduce pain and muscle tightness and to improve limited range of motion. Objects: This study aimed to investigate the immediate effects of high-frequency therapy in subjects with GCM tightness. Methods: The study was designed as a one-group before-after trial. The subjects included 28 volunteers with GCM tightness (an active ankle DF angle of less than 12°) without any known neurological and musculoskeletal pathologies in the ankle and calf areas. WINBACK Transfer Electrode Capacitive and Resistive Therapy equipment was used to apply high-frequency therapy to the subjects' GCMs for 10-15 minutes. The pennation angle and the fascicle length of the GCM were measured using ultrasonography. The flexibility of the ankle joint, peak torque to the passive ankle DF (Biodex), and soft tissue stiffness (MyotonPRO) were also measured. Results: The pennation angle was significantly decreased following the treatment; however, no significant difference in the fascicle length was found (p < 0.05). The flexibility was significantly increased and both the passive peak torque to passive ankle DF and the soft tissue stiffness significantly decreased (p < 0.05). Conclusion: High-frequency therapy is immediately effective for improving the muscle's architectural properties and functional factors in subjects with GCM tightness. Further longitudinal clinical studies are required to investigate the long-term effects of high-frequency therapy on subjects with GCM tightness from various causes.

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참고문헌

  1. Kim WH, Park YT, Hwang SY, Kwon HC. Comparison of effects for application of proprioceptive neuromuscular facilitation technique and static stretching on the calf muscle. Phys Ther Korea 1995;2(2):56-65.
  2. Wang SS, Whitney SL, Burdett RG, Janosky JE. Lower extremity muscular flexibility in long distance runners. J Orthop Sports Phys Ther 1993;17(2):102-7. https://doi.org/10.2519/jospt.1993.17.2.102
  3. Baddar A, Granata K, Damiano DL, Carmines DV, Blanco JS, Abel MF. Ankle and knee coupling in patients with spastic diplegia: effects of gastrocnemius-soleus lengthening. J Bone Joint Surg Am 2002;84(5):736-44. https://doi.org/10.2106/00004623-200205000-00006
  4. Ekstrand J, Gillquist J. The frequency of muscle tightness and injuries in soccer players. Am J Sports Med 1982;10(2):75-8. https://doi.org/10.1177/036354658201000202
  5. Hertling D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods. Philadelphia: Lippincott Williams & Wilkins; 2006.
  6. Moseley AM, Crosbie J, Adams R. High- and low-ankle flexibility and motor task performance. Gait Posture 2003;18(2):73-80. https://doi.org/10.1016/S0966-6362(02)00196-0
  7. Gans C, Bock WJ. The functional significance of muscle architecture--a theoretical analysis. Ergeb Anat Entwicklungsgesch 1965;38:115-42.
  8. Kawakami Y, Ichinose Y, Fukunaga T. Architectural and functional features of human triceps surae muscles during contraction. J Appl Physiol (1985) 1998;85(2):398-404. https://doi.org/10.1152/jappl.1998.85.2.398
  9. Fukunaga T, Ichinose Y, Ito M, Kawakami Y, Fukashiro S. Determination of fascicle length and pennation in a contracting human muscle in vivo. J Appl Physiol (1985) 1997;82(1):354-8. https://doi.org/10.1152/jappl.1997.82.1.354
  10. DiGiovanni CW, Kuo R, Tejwani N, Price R, Hansen ST Jr, Cziernecki J, et al. Isolated gastrocnemius tightness. J Bone Joint Surg Am 2002;84(6):962-70. https://doi.org/10.2106/00004623-200206000-00010
  11. Baumbach SF, Braunstein M, Seeliger F, Borgmann L, Bocker W, Polzer H. Ankle dorsiflexion: what is normal? Development of a decision pathway for diagnosing impaired ankle dorsiflexion and M. gastrocnemius tightness. Arch Orthop Trauma Surg 2016;136(9):1203-11. https://doi.org/10.1007/s00402-016-2513-x
  12. Kaufman KR, Brodine SK, Shaffer RA, Johnson CW, Cullison TR. The effect of foot structure and range of motion on musculoskeletal overuse injuries. Am J Sports Med 1999;27(5):585-93. https://doi.org/10.1177/03635465990270050701
  13. Lun V, Meeuwisse WH, Stergiou P, Stefanyshyn D. Relation between running injury and static lower limb alignment in recreational runners. Br J Sports Med 2004;38(5):576-80. https://doi.org/10.1136/bjsm.2003.005488
  14. Neely FG. Biomechanical risk factors for exercise-related lower limb injuries. Sports Med 1998;26(6):395-413. https://doi.org/10.2165/00007256-199826060-00003
  15. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am 2003;85(5):872-7. https://doi.org/10.2106/00004623-200305000-00015
  16. Kocabas H, Salli A, Demir AH, Ozerbil OM. Comparison of phenol and alcohol neurolysis of tibial nerve motor branches to the gastrocnemius muscle for treatment of spastic foot after stroke: a randomized controlled pilot study. Eur J Phys Rehabil Med 2010;46(1):5-10.
  17. Krivickas LS, Feinberg JH. Lower extremity injuries in college athletes: relation between ligamentous laxity and lower extremity muscle tightness. Arch Phys Med Rehabil 1996;77(11):1139-43. https://doi.org/10.1016/S0003-9993(96)90137-9
  18. Magnusson SP, Simonsen EB, Aagaard P, Boesen J, Johannsen F, Kjaer M. Determinants of musculoskeletal flexibility: viscoelastic properties, cross-sectional area, EMG and stretch tolerance. Scand J Med Sci Sports 1997;7(4):195-202.
  19. Miyamoto N, Hirata K, Kanehisa H. Effects of hamstring stretching on passive muscle stiffness vary between hip flexion and knee extension maneuvers. Scand J Med Sci Sports 2017;27(1):99-106. https://doi.org/10.1111/sms.12620
  20. Watsford ML, Murphy AJ, McLachlan KA, Bryant AL, Cameron ML, Crossley KM, et al. A prospective study of the relationship between lower body stiffness and hamstring injury in professional Australian rules footballers. Am J Sports Med 2010;38(10):2058-64. https://doi.org/10.1177/0363546510370197
  21. Witvrouw E, Danneels L, Asselman P, D'Have T, Cambier D. Muscle flexibility as a risk factor for developing muscle injuries in male professional soccer players. A prospective study. Am J Sports Med 2003;31(1):41-6. https://doi.org/10.1177/03635465030310011801
  22. Nakamura M, Ikezoe T, Takeno Y, Ichihashi N. Effects of a 4-week static stretch training program on passive stiffness of human gastrocnemius muscle-tendon unit in vivo. Eur J Appl Physiol 2012;112(7):2749-55. https://doi.org/10.1007/s00421-011-2250-3
  23. Park B. The acute effects of static stretching and dynamic stretching with a moist heat pack in young healthy people with limited flexibility of the triceps surae. Omaha, University of Nebraska at Omaha, Master's thesis. 2018.
  24. Skaria LA. Effectiveness of post-isometric relaxation over passive stretching for gastrocemius tightness in unimpaired individuals-a comparative study. Bangalore, Rajiv Gandhi University of Health Sciences, Master's thesis. 2005.
  25. Tranquilli C, Ganzit GP, Ciufetti A, Bergamo P, F. Combi Italian Football Federation. Multicentre study on $tecar^{(R)}$ therapy in sports pathologies. Tecar UK [internet]. 2009 [cited 2019 Apr]. Available from: https://pdfs.semanticscholar.org/225c/9dacfff20e9b3218aa1074343a2dba02b831.pdf?_ga=2.208975889.2034982032.1586147148-1347939954.1538136160.
  26. Ganzit GP, Stefanini L, Stesina G. $Tecar^{(R)}$ therapy in the treatment of acute and chronic pathologies in sports. Tecar UK [internet]. 2000 [cited 2019 Apr]. Available from: https://docplayer.net/59319138-Tecar-therapy-in-the-treatment-ofacute-and-chronic-pathologies-in-sports.html.
  27. Akyurekli D, Gerig LH, Raaphorst GP. Changes in muscle blood flow distribution during hyperthermia. Int J Hyperthermia 1997;13(5):481-96. https://doi.org/10.3109/02656739709023547
  28. Brown M, Baker RD. Effect of pulsed short wave diathermy on skeletal muscle injury in rabbits. Phys Ther 1987;67(2):208-14. https://doi.org/10.1093/ptj/67.2.208
  29. Strickler T, Malone T, Garrett WE. The effects of passive warming on muscle injury. Am J Sports Med 1990;18(2):141-5. https://doi.org/10.1177/036354659001800206
  30. Wilson DH. Treatment of soft-tissue injuries by pulsed electrical energy. Br Med J 1972;2(5808):269-70. https://doi.org/10.1136/bmj.2.5808.269
  31. Gao F, Grant TH, Roth EJ, Zhang LQ. Changes in passive mechanical properties of the gastrocnemius muscle at the muscle fascicle and joint levels in stroke survivors. Arch Phys Med Rehabil 2009;90(5):819-26. https://doi.org/10.1016/j.apmr.2008.11.004
  32. Kwah LK, Herbert RD, Harvey LA, Diong J, Clarke JL, Martin JH, et al. Passive mechanical properties of gastrocnemius muscles of people with ankle contracture after stroke. Arch Phys Med Rehabil 2012;93(7):1185-90. https://doi.org/10.1016/j.apmr.2012.02.009
  33. Li L, Tong KY, Hu X. The effect of poststroke impairments on brachialis muscle architecture as measured by ultrasound. Arch Phys Med Rehabil 2007;88(2):243-50. https://doi.org/10.1016/j.apmr.2006.11.013
  34. Johanson M, Baer J, Hovermale H, Phouthavong P. Subtalar joint position during gastrocnemius stretching and ankle dorsiflexion range of motion. J Athl Train 2008;43(2):172-8. https://doi.org/10.4085/1062-6050-43.2.172
  35. Kawakami Y, Kumagai K, Huijing PAJBM, Hijikata T, Fukunaga T. The length-force characteristics of human gastrocnemius and soleus in vivo. In: Herzog W, editor. Skeletal muscle mechanics: from mechanisms to function. New York: Wiley; 2000;327-41.
  36. Gao F, Zhang LQ. Altered contractile properties of the gastrocnemius muscle poststroke. J Appl Physiol (1985) 2008;105(6):1802-8. https://doi.org/10.1152/japplphysiol.90930.2008
  37. Liemohn W. Flexibility/range of motion. In: Durstine JL, King AC, Painter PL, Roitman JL, Zwiren LD, Kenney WL, editors. ACSM's resource manual for guidelines for exercise testing and prescription. 2nd ed. Philadelphia: Lea and Febiger; 1993;327-36.
  38. Pruyn EC, Watsford ML, Murphy AJ. Validity and reliability of three methods of stiffness assessment. J Sport Health Sci 2016;5(4):476-83. https://doi.org/10.1016/j.jshs.2015.12.001
  39. Bressel E, McNair PJ. Biomechanical behavior of the plantar flexor muscle-tendon unit after an achilles tendon rupture. Am J Sports Med 2001;29(3):321-6. https://doi.org/10.1177/03635465010290031201
  40. Nordez A, Cornu C, McNair P. Acute effects of static stretching on passive stiffness of the hamstring muscles calculated using different mathematical models. Clin Biomech (Bristol, Avon) 2006;21(7):755-60. https://doi.org/10.1016/j.clinbiomech.2006.03.005
  41. Lehmann JF, DeLateur BJ. Diathermy and superficial heat, laser, cold therapy. In: Krusen FH, Kottke JF, Lehmann JF, editors. Krusen's handbook of physical medicine and rehabilitation. 4th ed. Philadelphia: Saunders; 1990;283-435.
  42. Chung E. The effects of high frequency therapy on abdomen circumfence changes of women obesity. Seoul, Chung-ang university, Master's thesis. 2006.
  43. Gutmann AZ. Recientes avances en fisioterapia. Fisioterapia actual. 1993;3:321-332.
  44. Amis AA, Dowson D, Wright V. Muscle strengths and musculoskeletal geometry of the upper limb. Eng Med 1979;8(1):41-8. https://doi.org/10.1243/EMED_JOUR_1979_008_010_02
  45. An KN, Hui FC, Morrey BF, Linscheid RL, Chao EY. Muscles across the elbow joint: a biomechanical analysis. J Biomech 1981;14(10):659-69. https://doi.org/10.1016/0021-9290(81)90048-8
  46. Brand RA, Pedersen DR, Friederich JA. The sensitivity of muscle force predictions to changes in physiologic cross-sectional area. J Biomech 1986;19(8):589-96. https://doi.org/10.1016/0021-9290(86)90164-8
  47. Jacobson MD, Raab R, Fazeli BM, Abrams RA, Botte MJ, Lieber RL. Architectural design of the human intrinsic hand muscles. J Hand Surg Am 1992;17(5):804-9. https://doi.org/10.1016/0363-5023(92)90446-V
  48. Lieber RL. Skeletal muscle structure and function: implications for rehabilitation and sports medicine. Baltimore: Williams & Wilkins; 1992.
  49. Lieber RL, Brown CC. Quantitative method for comparison of skeletal muscle architectural properties. J Biomech 1992;25(5):557-60. https://doi.org/10.1016/0021-9290(92)90096-J
  50. Burkholder TJ, Fingado B, Baron S, Lieber RL. Relationship between muscle fiber types and sizes and muscle architectural properties in the mouse hindlimb. J Morphol 1994;221(2):177-90. https://doi.org/10.1002/jmor.1052210207
  51. Sacks RD, Roy RR. Architecture of the hind limb muscles of cats: functional significance. J Morphol 1982;173(2):185-95. https://doi.org/10.1002/jmor.1051730206
  52. Kawakami Y, Abe T, Fukunaga T. Muscle-fiber pennation angles are greater in hypertrophied than in normal muscles. J Appl Physiol (1985) 1993;74(6):2740-4. https://doi.org/10.1152/jappl.1993.74.6.2740
  53. Shellock FG, Prentice WE. Warming-up and stretching for improved physical performance and prevention of sportsrelated injuries. Sports Med 1985;2(4):267-78. https://doi.org/10.2165/00007256-198502040-00004
  54. Smith CA. The warm-up procedure: to stretch or not to stretch. A brief review. J Orthop Sports Phys Ther 1994;19(1):12-7. https://doi.org/10.2519/jospt.1994.19.1.12
  55. Rooks DS, Micheli LJ. Musculoskeletal assessment and training: the young athlete. Clin Sports Med 1988;7(3):641-77. https://doi.org/10.1016/S0278-5919(20)30914-5
  56. Safran MR, Seaber AV, Garrett WE Jr. Warm-up and muscular injury prevention. An update. Sports Med 1989;8(4):239-49. https://doi.org/10.2165/00007256-198908040-00004
  57. Hartig DE, Henderson JM. Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees. Am J Sports Med 1999;27(2):173-6. https://doi.org/10.1177/03635465990270021001

피인용 문헌

  1. Effect of High-frequency Diathermy on Hamstring Tightness vol.28, pp.1, 2020, https://doi.org/10.12674/ptk.2021.28.1.65