Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

The immediate effect of electrical muscle stimulation on rectus femoris thickness during resisted knee extension exercise

전기근육자극을 적용한 무릎 폄 저항운동 시 넙다리곧은근의 두께 변화에 미치는 즉각적 효과

  • Kim, Kang-hoon (Department of physical therapy, Dongeui institute of technology)
  • 김강훈 (동의과학대학교 물리치료과)
  • Received : 2021.05.11
  • Accepted : 2021.06.20
  • Published : 2021.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to compare the immediate effect of EMS (electrical muscle stimulation) on rectus femoris thickness during resisted knee extension exercise in healthy adults. This experiment was conducted on 20 healthy adults as pretest-posttest nonequivalent one group design. The subject's 1RM of both knee extension was measured indirectly using an elastic band, and the knee extension resistance exercise using an elastic band was applied to high intensity (80% of 1RM) on the right leg and low intensity (50% of 1RM with EMS) on the left leg, which were applied with 5 sets. Muscle measurements were performed on the rectus femoris (1/2 site, 1/4 site) using ultrasonography before and after exercise. There was a statistically significant difference on the thickness of the rectus femoris in low intensity exercise of the elastic band applied with EMS between pre-test and post-test (p<.05). The results of this study showed that elastic band low intensity exercise combined with EMS had an immediate effective in increasing the thickness of rectus femoris. Based on this result, it is also necessary to verify the effectiveness of intervention methods incorporating low-intensity resistance exercises applying EMS to elderly who cannot exercise high-intensity resistance training in the future, and to develop exercise programs for various body parts.

본 연구의 목적은 전기근육자극을 적용한 무릎 폄 저항운동 시 넙다리곧은근의 두께 변화에 미치는 즉각적 효과를 알아보고자 하였다. 20명의 건강한 성인을 대상으로 유사실험 단일집단 검사전-검사후 설계로 진행하였다. 대상자의 양쪽 넙다리 폄의 1RM을 탄력밴드를 이용해 간접적으로 측정하고, 탄력밴드를 이용한 무릎 폄 저항운동은 오른쪽 다리에 고강도(1RM의 80%)로, 왼쪽 다리에는 저강도(1RM의 50%로 전기근육자극을 같이 적용)로 5세트를 적용하였다. 근육 두께 측정은 초음파로 운동 전후에 넙다리곧은근(1/2 부위, 1/4 부위)에 측정하였다. 사전 테스트와 사후 테스트 사이에 전기근육자극을 적용한 탄력밴드 저강도 운동에 넙다리곧은근 두께가 통계적으로 유의한 차이가 있었다(p<.05). 본 연구의 결과는 전기근육자극을 결합한 탄력밴드 저강도 저항운동이 넙다리곧은근 두께를 증가시키는 데 즉각적인 효과가 있었다. 이 결과를 바탕으로 앞으로 고강도 저항운동을 할 수 없는 노령층에 전기근육자극을 적용한 저강도 저항운동을 접목하는 중재 방법의 효과에 대한 검증과 다양한 신체 부위별 운동프로그램 개발도 필요하다 여겨진다.

Keywords

References

  1. K. H. Chung et al. (2017). Ministry of Health and Welfare. 2017 National Survey of Older Koreans. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&page=1&CONT_SEQ=344953
  2. J. H. Jang. (2006). A Field Application of Exercise Program for Olders. Journal of Exercise Rehabilitation, 2(1), 33-40.
  3. D. Scott, K. M. Sanders, D. Aitken, A. Hayes, P. R. Ebeling & G. Jones. (2014). Sarcopenic obesity and dynapenic obesity:5-year associations with falls risk in middle-aged and older adults. Obesity, 22(6), 1568-1574. Doi: 10.1002/oby.20734
  4. C. Kisner, L. A. Colby & J. Borstad. (2017). Therapeutic exercise: foundations and techniques. Philadelphia : F.A Davis company.
  5. M. Y. Cortez-cooper et al. (2005). Effects of high intensity resistance training on arterial stiffness and wave reflection in women. American journal of hypertension., 18(7), 930-934. Doi: 10.1016/j.amjhyper.2005.01.008
  6. M. S. Oh & M. H. Jeong. (2020). Sex Differences in Cardiovascular Disease Risk Factors among Korean Adults. The Korean Journal of Medicine, 95(4), 266-275. Doi: https://doi.org/10.3904/kjm.2020.95.4.266
  7. Y. S. Jin & T. G. Jeong. (2012). Effects of Neuromuscular Electrical Stimulation of the Vastus Medialis on Pain and Muscle Function in Patients with Knee Osteoarthritis. The Korean Contents, 12(1), 329-337. Doi: https://doi.org/10.5392/JKCA.2012.12.01.329
  8. M. J. Wiest, A. J. Bergquist, H. L. Schimidt, K. E. Jones & D. F. Collins. (2017). Interleaved neuromuscular electrical stimulation: Motor unit recruitment overlap. Muscle & Nerve, 55(4), 490-499. Doi: 10.1002/mus.25249
  9. S. Tanaka et al. (2017). Effects of Acute Phase Intensive Electrical Muscle Stimulation in Frail Elderly Patients With Acute Heart Failure (ACTIVE-EMS): Rationale and protocol for a multicenter randomized controlled trial. Clinical Cardiology, 40(12), 1189-1196. Doi: 10.1002/clc.22845
  10. V. Gerovasili et al. (2009). Electrical muscle stimulation preserves the muscle mass of critically ill patients: a randomized study. Critical Care, 13(5), R161. Doi: 10.1186/cc8123
  11. C. B. Regard, G. V. Pares, D. Breuille & T. Moritani. (2020). Supplementation with Whey Protein, Omega-3 Fatty Acids and Polyphenols Combined with Electrical Muscle Stimulation Increases Muscle Strength in Elderly Adults with Limited Mobility: A Randomized Controlled Trial, Nutrients, 12(6), 1866 Doi: https://doi.org/10.3390/nu12061866
  12. S. Luo, H. Xu, Y. Zuo, X. Liu, A & H. All. (2020). Review of Functional Electrical Stimulation Treatment in Spinal Cord Injury. Neuromolecular Medicine, 22(4), 447-463. Doi: 10.1007/s12017-019-08589-9
  13. D. H. Kim & K. H. Kim. (2018). A Convergence Study on the Effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients. Journal of Korea Convergence Society, 9(10), 109-120. Doi: https://doi.org/10.15207/JKCS.2018.9.10.109
  14. M. Brzycki. (1993). Strength Testing-Predicting a One-Rep Max from Reps-to-Fatigue. Journal of Physical Education, Recreation & Dance, 64(1), 88-90. Doi: https://doi.org/10.1080/07303084.1993.10606684
  15. K. R. Vincent & R. W. Braith. (2002). Resistance exercise and bone turnover in elderly men and women. contributions to the hip flexion torque. Medicine and science in sports and exercise, 34(1), 17-23. Doi: 10.1097/00005768-200201000-00004
  16. K. Y. Woo et al. (2018). The Effect of Electrical Muscle Stimulation and In-bed Cycling on Muscle Strength and Mass of Mechanically Ventilated Patients: A Pilot Study. Acute & Critical Care, 33(1), 16-22. Doi: 10.4266/acc.2017.00542
  17. A. R. Ward & N. Shkuratova. (2002). Russian electrical stimulation: the early experiments. Physical Therapy, 82(10), 1019-1030. Doi: 10.1093/ptj/82.10.10192
  18. B. J Schoenfeld, J. Grgic, D. W. Van Every & D. L. Plotkin. (2021). Loading Recommendations for Muscle Strength, Hypertrophy, and Local Endurance: A Re-Examination of the Repetition Continuum. Sports(Basel), 9(2), 32. Doi: 10.3390/sports9020032
  19. A. Pedrelli, C. Stecco & J. A. Day. (2008). Treating patellar tendinopathy with Fascial Manipulation. Journal of Bodywork and Movement Therapies, 13(1), 73-80. Doi: 10.1016/j.jbmt.2008.06.002
  20. S. Hasegawa, M. Kobayashi, R. Arai, A. Tamaki, T. Nakamura & T. Moritani. (2011). Effect of early implementation of electrical muscle stimulation to prevent muscle atrophy and weakness in patients after anterior cruciate ligament reconstruction. Journal of Electomyography and Kinesiology, 21(4), 622-630. Doi: 10.1016/j.jelekin.2011.01.005
  21. A. I. Saito, T. Natsume, T. Inoue, K. Sasai & H. Naito. (2017). Effects of Electrical Muscle Stimulation Against Acute Adverse Effect and Cancer Cachexia During Non-small Cell Lung Cancer Chemo-Radiotherapy. Juntendo Medical Journal, 64(Suppl. 1), 160 Doi: 10.14789/jmj.2018.64.JMJ18-P517
  22. Y. Guo, B. E. Phillips, P. J. Atherton & M. Piasecki. (2021). Molecular and neural adaptations to neuromuscular electrical stimulation; Implications for ageing muscle. Mechanisms of ageing and development, 193(suppl 2), 111402. Doi: 10.1016/j.mad.2020.111402
  23. C. Starkey. (2013). Therapeutic modalities. Philadelphia : F.A Davis company