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The Effect of Irradiation During Resistance Exercise Using a Diagonal Pattern on the Excitability of Nerves

대각선 패턴에서 저항운동 시 발생한 방산의 효과가 신경의 흥분성에 미치는 영향

  • Rhee, Min-Hyung (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Choi, Su-Hong (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Ha, Kyung-Jin (Department of Rehabilitation Therapy Center Dong-a University Hospital) ;
  • Lee, Sang-Yeol (Department of Physical Therapy, Kyungsung University)
  • 이민형 (부산대학교병원 재활의학팀) ;
  • 최수홍 (부산대학교병원 재활의학팀) ;
  • 하경진 (동아대학교병원 재활치료실) ;
  • 이상열 (경성대학교 물리치료학과)
  • Received : 2021.01.14
  • Accepted : 2021.02.02
  • Published : 2021.04.30

Abstract

Purpose: The human body can experience a variety of injuries. As a result, it may be difficult to directly treat the damaged area. In such a case, indirect treatment is required. Indirect treatment is typically PNF treatment. Morphological changes in muscle have been confirmed through several previous studies; however, few studies have analyzed neurological changes. Therefore, the purpose of this study was to determine how irradiation during resistance exercise using a diagonal pattern effects neurological excitability. Methods: Electromyography was performed on 13 healthy adults. A compound muscle action potential (CMAP) was obtained through a median motor nerve conduction velocity test, which was conducted before and after performing the irradiation exercise and general exercise. Results: Compared to baseline measurements, there was no significant difference in the latency of the irradiation exercise and general exercise. The amplitude of the CMAP measured after the irradiation exercise was significantly higher than after general exercise. Conclusion: Neurological excitability was high in irradiation during resistance exercise using a diagonal pattern. When clinically direct treatment is difficult, it is thought that irradiation can be used indirectly as a technique to induce nerve excitability.

Keywords

References

  1. Abreu R, Lopes AA, Sousa ASP, et al. Force irradiation effects during upper limb diagonal exercises on contralateral muscle activation. Journal of Electromyography and Kinesiology. 2015;25(2): 292-297. https://doi.org/10.1016/j.jelekin.2014.12.004
  2. Adler S, Beckers D, Buck M. PNF in practice: an illustrated guide. Berlin. Springer. 2007.
  3. Aminoff MJ. Electromyography in clinical practice: clinical and electrodiagnostic aspects of neuromuscular disease. London. Churchill Livingstone. 1998
  4. Bialosky JE, Bishop MD, Price Dd, et al. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Manual Therapy. 2009;14(5):531-538. https://doi.org/10.1016/j.math.2008.09.001
  5. Carr JH, Shepherd RB. Neurological Rehabilitation: optimizing motor performance. 2. utg. Edinburgh. Churchill Livingstone Elsevier. 2010.
  6. Carroll TJ, Herbert RD, Munn J, et al. Contralateral effects of unilateral strength training: evidence and possible mechanisms. Journal of Applied Physiology. 2006;101(5):1514-1522. https://doi.org/10.1152/japplphysiol.00531.2006
  7. Choi SH, Rhee MH, Ha KJ et al. Effects of irradiation on the muscle activity around an amputation site during proprioceptive neuromuscular facilitation pattern exercise for upper extremity and scapular exercise on the non-amputated part -a case study-. PNF and Movement. 2019;17(1):11-18
  8. Dietz B. Let's sprint, let's skate. Berlin. Springer Science & Business Media. 2009.
  9. Hortobagyi T, Scott K, Lambert J, et al. Cross-education of muscle strength is greater with stimulated than voluntary contractions. Motor Control. 1999;3(2):205-219. https://doi.org/10.1123/mcj.3.2.205
  10. Jonas C. Musculoskeletal therapies: osteopathic manipulative treatment. FP Essentials. 2018;470:11-15.
  11. Kim, JS. Changes in compound muscle action potential depending on pressure level of blood flow during KAATSU training. PNF and Movement. 2020;18(3):393-401.
  12. Kim LJ. Changes of compound muscle action potential after low-intensity exercise with transient restriction of blood flow: a randomized, placebo-controlled trial. Journal of Physical Therapy Science. 2009;21(4):361-366. https://doi.org/10.1589/jpts.21.361
  13. Kofotolis ND, Kellis E. Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature. Physical Therapy in Sport. 2007;8(3):109-116. https://doi.org/10.1016/j.ptsp.2007.02.004
  14. Lagerquist O, Paul Zehr E, Docherty D. Increased spinal reflex excitability is not associated with neural plasticity underlying the cross-education effect. Journal of Applied Physiology. 2006;100(1):83-90. https://doi.org/10.1152/japplphysiol.00533.2005
  15. Lee BK, Yun JH. Influence of body weight support and walking speed in the static posture of stroke patients using indirect PNF treatment: a case report. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2012;10(4):71-76.
  16. Lee SM, Lee SY. The effects of contralateral upper and lower limb and trunk muscle activation during ipsilateral upper limb D2 pattern exercise. PNF and Movement. 2018;16(1):151-159.
  17. Lee SY, Lee MH. The comparison of the cerebral motor area activation between diagonal and straight exercises of the lower extremity -a case study-. PNF and Movement. 2016;14(3):231-236. https://doi.org/10.21598/JKPNFA.2016.14.3.231
  18. Preston DC, Shapiro BE. Electromyography and neuromuscular disorders e-book: clinical-electrophysiologic correlations (Expert Consult-Online). Amsterdam. Elsevier Health Sciences. 2012.
  19. Shinohara M, Keenan KG, Enoka RM. Contralateral activity in a homologous hand muscle during voluntary contractions is greater in old adults. Journal of Applied Physiology. 2003;94(3):966-974. https://doi.org/10.1152/japplphysiol.00836.2002
  20. Yang JM, Lee JH, Kang SW. The effect of foot pressure on the irradiation of a PNF upper arm pattern on standing posture with an elastic band: a randomized control trial. PNF and Movement. 2018;16(3):425-432.
  21. Yang JM, Yeo GE, Kim DW, et al. The relationship of pelvic pressure and irradiation of the PNF upper arm pattern in the sitting position with an elastic band -a randomized control trial. PNF and Movement. 2019;17(3):421-429.
  22. Zhou S. Chronic neural adaptations to unilateral exercise: mechanisms of cross education. Exercise and Sport Sciences Reviews. 2000;28(4):177-184.