PNF and Movement

  • 제20권2호
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  • Pages.215-222
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  • 2022
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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수동적 어깨뼈 자세 교정 전략과 능동적 어깨뼈 뒤쪽 기울임 전략이 어깨뼈 주변근육 활성도에 미치는 영향

Effects of Passive Scapular Postural Correction and Active Scapular Posterior Tilt Strategies on Peri-scapular Muscle Activation

  • 강민혁 (부산가톨릭대학교 물리치료학과)
  • Kang, Min-Hyeok (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2022.07.14
  • 심사 : 2022.07.26
  • 발행 : 2022.08.31
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초록

Purpose: The purpose of this study was to compare the effects of passive scapular upward rotation and posterior tilt and active scapular posterior tilt on the muscle activity of the upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA). Methods: Fifteen healthy subjects performed general arm elevation, arm elevation with passive scapular upward rotation and posterior tilt, and arm elevation with active scapular posterior tilt. For active scapular posterior tilt, the subjects were trained in this movement using visual biofeedback and a motion sensor. During each arm elevation condition, electromyography was used to measure the muscle activity of the UT, LT, and SA. The measured data were analyzed using a one-way repeated ANOVA. Results: LT muscle activity was significantly increased during arm elevation with active scapular posterior tilt compared to both general arm elevation and arm elevation with passive scapular upward rotation and posterior tilt (p < 0.05). SA muscle activity was greater during arm elevation with passive scapular upward rotation and posterior tilt than during general arm elevation (p < 0.05). There was no significant change in UT muscle activity among the tested arm elevation conditions (p > 0.05). Conclusion: Performing arm elevation with active scapular posterior tilt and performing arm elevation with passive scapular upward rotation and posterior tilt may be useful strategies for increasing muscle activation of the LT and SA, respectively.

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과제정보

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. 2021R1F1A1047329)

참고문헌

  1. Cole AK, McGrath ML, Harrington SE, et al. Scapular bracing and alteration of posture and muscle activity in overhead athletes with poor posture. Journal of Athletic Training. 2013;48(1):12-24. https://doi.org/10.4085/1062-6050-48.1.13
  2. Cools AM, Declercq GA, Cambier DC, et al. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scandinavian Journal of Medicine & Science in Sports. 2007;17(1):25-33.
  3. Cools AM, Witvrouw EE, Declercq GA, et al. Scapular muscle recruitment patterns: trapezius muscle latency with and without impingement symptoms. The American Journal of Sports Medicine. 2003;31(4):542-549. https://doi.org/10.1177/03635465030310041101
  4. Criswell E. Cram's introduction to surface electromyography, 2nd ed. Sudbury. Jones and Bartlett Publishers. 2010.
  5. Hislop HJ, Avers D, Brown M. Daniels and Worthingham's muscle testing: Techniques of manual examination and performance testing, 9th ed. St. Louis. Elsevier. 2013.
  6. Huang TS, Du WY, Wang TG, et al. Progressive conscious control of scapular orientation with video feedback has improvement in muscle balance ratio in patients with scapular dyskinesis: a randomized controlled trial. Journal of Shoulder and Elbow Surgery. 2018;27(8):1407-1414. https://doi.org/10.1016/j.jse.2018.04.006
  7. Huang TS, Ou HL, Huang CY, et al. Specific kinematics and associated muscle activation in individuals with scapular dyskinesis. Journal of Shoulder and Elbow Surgery. 2015;24(8):1227-1234. https://doi.org/10.1016/j.jse.2014.12.022
  8. Kang MH. Arm lifting exercises for lower trapezius muscle activation. Journal of International Academy of Physical Therapy Research. 2019;10(4):1868-1872. https://doi.org/10.20540/JIAPTR.2019.10.4.1868
  9. Kim MJ, Weon JH. What humeral position is better to prevent shoulder impingement during arm elevation? Journal of Musculoskeletal Science and Technology. 2020;4(1):30-39. https://doi.org/10.29273/jmst.2020.4.1.30
  10. Kim SJ, Kang MH. Influence of pre-emptive scapular posterior tilt on scapular muscle activation and scapulohumeral movements during shoulder horizontal abduction in the prone position. Journal of International Academy of Physical Therapy Research. 2020;11(4):2173-2177. https://doi.org/10.20540/jiaptr.2020.11.4.2173
  11. Kim SY, Yu IY, Oh JS, et al. Effects of intended scapular posterior tilt motion on trapezius muscle electromyography activity. International Journal of Environmental Research and Public Health. 2021;18(17):9147. https://doi.org/10.3390/ijerph18179147
  12. Kim SY, Weon JH, Jung DY, et al. Effect of the scapula-setting exercise on acromio-humeral distance and scapula muscle activity in patients with subacromial impingement syndrome. Physical Therapy in Sport. 2019;37:99-104. https://doi.org/10.1016/j.ptsp.2019.03.006
  13. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Physical Therapy. 2000;80(3):276-291. https://doi.org/10.1093/ptj/80.3.276
  14. McGalliard MK, Dedrick GS, Brismee JM, et al. Changes in transversus abdominis thickness with use of the abdominal drawing-in maneuver during a functional task. PM&R. 2010;2(3):187-194. https://doi.org/10.1016/j.pmrj.2010.01.015
  15. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Manual Therapy. 2009;14(6):690-695. https://doi.org/10.1016/j.math.2009.05.003
  16. Selkowitz DM, Chaney C, Stuckey SJ, et al. 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. Journal of Orthopaedic and Sports Physical Therapy. 2007;37(11):694-702. https://doi.org/10.2519/jospt.2007.2467
  17. Smith M, Sparkes V, Busse M, et al. Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: is there imbalance and can taping change it? Physical Therapy in Sport. 2009;10(2):45-50. https://doi.org/10.1016/j.ptsp.2008.12.002
  18. Su KP, Johnson MP, Gracely EJ, et al. Scapular rotation in swimmers with and without impingement syndrome: practice effects. Medicine and Science in Sports and Exercise. 2004;36(7):1117-1123. https://doi.org/10.1249/01.MSS.0000131955.55786.1A
  19. Van Herzeele M, van Cingel R, Maenhout A, et al. Does the application of kinesiotape change scapular kinematics in healthy female handball players? International Journal of Sports Medicine. 2013;34(11):950-955. https://doi.org/10.1055/s-0033-1334911