대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제15권3호
  • /
  • Pages.11-20
  • /
  • 2020
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

Effects of Reciprocal Inhibition Using Thera-band on Scapular Muscle Activities During Arm-lifting Exercises in Subjects with Rounded Shoulder Posture

  • Lee, Chi-Hun (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Cynn, Heon-Seock (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Shin, A-Reum (Department of Physical Therapy, Graduate School, Yonsei University) ;
  • Lee, Ji-Hyun (Department of Physical Therapy, Baekseok University)
  • 투고 : 2020.05.19
  • 심사 : 2020.06.24
  • 발행 : 2020.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: Excessive activity of the upper trapezius (UT) muscle contributes to a rounded shoulder posture (RSP) through abnormal rotation of the scapula that weakens the lower trapezius (LT) and serratus anterior (SA) muscles. This study compared the effects of two arm-lifting exercises with and without the use of a Thera-band on the activities of LT, SA, and UT muscles, and the LT/UT and SA/UT activity ratio in subjects with a rounded shoulder posture. METHODS: Sixteen subjects with RSP participated in this study. All subjects performed arm-lifting (AL), diagonal arm-lifting (DAL), arm lifting with isometric adduction (ALIA), and diagonal arm-lifting with isometric adduction (DALIA) exercises. The surface electromyography data, LT, SA, UT, and the LT/UT and SA/UT activity ratios were measured. A paired t-test was used to compare the differences between two arm-lifting exercises and two arm lifting with isometric adduction exercises. RESULTS: In ALIA and DALIA exercises, the UT muscle activity decreased significantly, whereas the LT/UT, SA/UT activity ratio increased significantly. The activity of SA muscle increased significantly more with DALIA than that with DAL. CONCLUSION: Arm-lifting exercises using a Thera-band can be implemented as an effective way to reduce the UT overactivity and increase the SA activity and LT/UT, SA/UT activity ratio in subjects with RSP.

키워드

참고문헌

  1. Chansirinukor W, Wilson D, Grimmer K, et al. Effects of backpacks on students: Measurement of cervical and shoulder posture. Australian Journal of Physiotherapy. 2001;47(2):110-6. https://doi.org/10.1016/S0004-9514(14)60302-0
  2. Wong CK, Coleman D, diPersia V, et al. The effects of manual treatment on rounded-shoulder posture, and associated muscle strength. J Bodyw Mov Ther. 2010;14(4):326-33. https://doi.org/10.1016/j.jbmt.2009.05.001
  3. Magee DJ. Orthopedic physical assessment. Elsevier Health Sciences. 2013.
  4. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Physical therapy. 2000;80(3):276-91. https://doi.org/10.1093/ptj/80.3.276
  5. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. Elsevier Health Sciences. 2002.
  6. Lee JH, Cynn HS, Yoon TL, et al. The effect of scapular posterior tilt exercise, pectoralis minor stretching, and shoulder brace on scapular alignment and muscles activity in subjects with round-shoulder posture. J Electromyogr Kinesiol. 2015;25(1):107-14. https://doi.org/10.1016/j.jelekin.2014.10.010
  7. Glousman R, Jobe F, Tibone J, et al. Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability. J Bone Joint Surg Am. 1988;70(2):220-6. https://doi.org/10.2106/00004623-198870020-00009
  8. McQuade KJ, Dawson J, Smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther. 1998;28(2):74-80. https://doi.org/10.2519/jospt.1998.28.2.74
  9. Cools AM, Witvrouw EE, Declercq GA, et al. 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
  10. Smith J, Kotajarvi BR, Padgett DJ, et al. Effect of scapular protraction and retraction on isometric shoulder elevation strength. Archives of Physical Medicine and Rehabilitation. 2002;83(3):367-70. https://doi.org/10.1053/apmr.2002.29666
  11. Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. Journal of Orthopaedic & Sports Physical Therapy. 2003;33(5):247-58. https://doi.org/10.2519/jospt.2003.33.5.247
  12. Ludewig PM, Hoff MS, Osowski EE, et al. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. The American Journal of Sports Medicine. 2004;32(2):484-93. https://doi.org/10.1177/0363546503258911
  13. Hall CM, Brody LT. Therapeutic exercise: moving toward function. Lippincott Williams & Wilkins. 2005.
  14. Ha S-m, Kwon O-y, Cynn H-s, et al. Comparison of electromyographic activity of the lower trapezius and serratus anterior muscle in different arm-lifting scapular posterior tilt exercises. Physical Therapy in Sport. 2012;13(4):227-32. https://doi.org/10.1016/j.ptsp.2011.11.002
  15. McClure PW, Bialker J, Neff N, et al. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Physical Therapy. 2004;84(9):832-48. https://doi.org/10.1093/ptj/84.9.832
  16. 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):462-8. https://doi.org/10.1016/j.jelekin.2012.11.013
  17. Choi S-a, Cynn H-s, Shin A-r, et al. Effects of Verbal Cue for Scapular Depression During Scapular Posterior Tilt Exercise on Scapular Muscle Activities and Clavicular Tilt Angle in Subjects With Rounded Shoulder Posture and Upper Trapezius Myofascial Pain. Physical Therapy Korea. 2017;24(3):30-9. https://doi.org/10.12674/ptk.2017.24.3.030
  18. Cram J, Jantos M, Durie M, et al. Cram's Introduction to Surface Electromyography. 2nd. Sudbury, Massachusetts: Jones & Bartlett Publishers. 2011.
  19. Lehman GJ, Gilas D, Patel U. An unstable support surface does not increase scapulothoracic stabilizing muscle activity during push up and push up plus exercises. Manual Therapy. 2008;13(6):500-6. https://doi.org/10.1016/j.math.2007.05.016
  20. Cram J, Kasman G, Holtz J. Introduction to surface electromyography, Aspen, 1998. ISBN 0-8342-0751-6. 1998.
  21. Ekstrom RA, Soderberg GL, Donatelli RA. Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface EMG analysis. Journal of Electromyography and Kinesiology. 2005;15(4):418-28. https://doi.org/10.1016/j.jelekin.2004.09.006
  22. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and Function, with Posture and Pain (Kendall, Muscles). Philadelphia: Lippincott Williams & Wilkins. 2005.
  23. Schuldt K, Harms-Ringdahl K. Activity levels during isometric test contractions of neck and shoulder muscles. Scandinavian Journal of Rehabilitation Medicine. 1988;20(3):117-27.
  24. Vera-Garcia FJ, Moreside JM, McGill SM. MVC techniques to normalize trunk muscle EMG in healthy women. Journal of Electromyography and Kinesiology. 2010;20(1):10-6. https://doi.org/10.1016/j.jelekin.2009.03.010
  25. Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve trunk stability. Archives of Physical Medicine and Rehabilitation. 2000;81(10):1370-9. https://doi.org/10.1053/apmr.2000.16349
  26. de Oliveira AS, de Morais Carvalho M, de Brum DPC. Activation of the shoulder and arm muscles during axial load exercises on a stable base of support and on a medicine ball. Journal of Electromyography and Kinesiology. 2008;18(3):472-9. https://doi.org/10.1016/j.jelekin.2006.09.009
  27. Decker MJ, Hintermeister RA, Faber KJ, et al. Serratus anterior muscle activity during selected rehabilitation exercises. The American Journal of Sports Medicine. 1999;27(6):784-91. https://doi.org/10.1177/03635465990270061601
  28. Hardwick DH, Beebe JA, McDonnell MK, et al. A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(12):903-10. https://doi.org/10.2519/jospt.2006.2306
  29. Escamilla RF, Yamashiro K, Paulos L, et al. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Medicine. 2009;39(8):663-85. https://doi.org/10.2165/00007256-200939080-00004
  30. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. Elsevier Health Sciences. 2013.
  31. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques. Fa Davis. 2017.
  32. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. Journal of Orthopedic & Sports Physical Therapy. 2011;41(10):799-800.
  33. Ludewig PM, Braman JP. Shoulder impingement: biomechanical considerations in rehabilitation. Man Ther. 2011;16(1):33-9. https://doi.org/10.1016/j.math.2010.08.004