• 제목/요약/키워드: Muscle imbalance

검색결과 144건 처리시간 0.029초

Effect of Neck Rotating Directions on the Muscle Activity of Upper and Lower Trapezius during Shoulder External Rotation

  • Shin, Yong Wook;Kim, Chi Hwan;Han, Jin Tae
    • The Journal of Korean Physical Therapy
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    • 제32권2호
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    • pp.101-106
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    • 2020
  • Purpose: This study examined the effects of the directions of neck rotation on the muscle activity of the upper trapezius and lower trapezius while rotating a shoulder externally. Methods: Twenty-five healthy males participated in this study. The subjects were asked to rotate their shoulder externally with 90° shoulder abduction and 90° elbow flexion in three different neck rotations (neutral, ipsilateral, and contralateral) in the prone position. The muscle activities of the upper and lower trapezius were measured using surface electromyography. One way repeated measures ANOVA was used to compare the muscle activity of the upper and lower trapezius depending on the different neck turning directions. Results: In the upper trapezius, turning the neck in the ipsilateral direction while turning a shoulder externally decreased the muscle activity significantly, but the muscle activity was increased significantly by turning the neck in the contralateral direction. On the other hand, in the lower trapezius, turning the neck in the ipsilateral direction increased the muscle activity significantly, but the muscle activity was decreased significantly by turning the neck in the contralateral direction decreased it significantly. Conclusion: When someone has an imbalance of shoulder function, turning the neck in the ipsilateral direction while turning the shoulder externally in the prone position is effective in decreasing the activity of the upper trapezius and increasing the activity of the lower trapezius. Therefore, these results could be used as basic evidence for researching patients with shoulder problems.

골반변위에 따른 신체 불균형에 대한 톰슨터미널테크닉과 운동요법의 교정 효과비교분석을 통한 임상치료프로토콜의 구성 (Building practical treatment protocol by comparing the effect of adjustment between Thompson Terminal Technique and Exercise in malpositioned pelvic which induces imbalance of body)

  • 박준기;최은석;김민정;이만수;이민선
    • 디지털융복합연구
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    • 제14권5호
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    • pp.445-457
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    • 2016
  • 본 연구는 골반변위에 따른 신체 불균형에 대한 톰슨터미널테크닉과 근에너지기법의 교정 효과의 비교분석을 하는 것을 주목적으로 하고 이에 가능하면 효율적인 치료의 방법을 제시하고자 하였다. 연구대상자는 톰슨실험군, 근에너지실험군 및 정상군으로 구성되었으며 각 집단별 남녀 각 5명씩 총 10명이 무작위로 배정되었으며 톰슨실험군은 카이로프랙틱의 톰슨터미널테크닉을 사용하여 교정효과와 교정 후 유지효과를 측정하였다. 톰슨터미널테크닉과 근에너지기법의 경우 43.01%p 정도의 효과 차이가 있다. 골반변위의 교정에는 톰슨터미널테크닉을 활용한 경우가 근에너지기법 및 정상군에 비해 효과가 크다 할 수 있다. 결과적으로 톰슨터미널테크닉과 근에너지기법을 신체 불균형 교정에 사용하는 것은 효과적이며 톰슨터미널테크닉만으로도 효과가 있지만 최대의 효과를 내기 위해 톰슨터미널테크닉 교정 후 근에너지기법을 적용하는 것이 바람직할 것으로 사료된다.

A case of dystrophic calcification in the masseter muscle

  • Kim, Heon-Young;Park, Jung-Hyun;Lee, Jun-Bum;Kim, Sun-Jong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.31.1-31.5
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    • 2017
  • Background: Dystrophic calcification can occur in any soft tissue with the absence of a systemic mineral imbalance and is often associated with trauma, infection, or inflammation. It is easily found in the site of the heart and skeletal muscles and rarely appears in the head and neck area. Case report: We present a rare case of multiple calcified masses in the left masseter muscle of a 26-year-old female with a history of trauma in the area. In computed tomography, multiple radiopaque masses were observed inside the left masseter muscle and blood test results were normal. The calcified masses were diagnosed as dystrophic calcification and removed by surgery without any complications. Conclusion: Different types of calcifications may occur in the cheek area, and they need to be distinguished from dystrophic calcification. Thorough clinical examination and history taking is required together with blood testing and radiographic examinations.

상지 좌우 운동부하 편차방식이 근력 불균형 개선에 미치는 영향 (Effect on Improvement of Muscle Strength Imbalance according to Load Deviation Pattern of Left and Right Arms in Upper Limbs)

  • 강승록;서신배;정구영;배종진;유창호;유미;문동안;정장식;권대규
    • 한국정밀공학회지
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    • 제29권9호
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    • pp.1026-1034
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    • 2012
  • The purpose of this study was to verify the validation of effect on improvement of muscle strength unbalance according to exercise load deviation during rowing exercise. We performed evaluation of muscular activity and joint torque before the test. We recruited twenty subjects who one side's muscle strength is bigger in more 20% than other side. Subjects divided two groups. One is dominant left side and the other was dominant right side. Subjects performed rowing exercise in electric load deviation rowing equipment (Robo.gym, Humonic Co., Ltd., Daegu, Korea). Exercise performed four sets a day including 25 times a set, and three days a week. Measurements consist of evaluation of muscular activity and joint torque. Exercise load deviation adapted that different value of muscle strength in both arms multiplied 1RM% and added 1RM 50%. The results in adapted load deviation showed that the differences of maximal peak torque in 22.75% were getting increase significantly during exercise in 5.72%. This interpreted that rowing exercise with loading deviation types could provide muscle strength and muscular endurance exercise in same time for balance. Our study found out that loading deviation could provide muscle strength and muscular endurance exercise for improving muscle unbalance.

Comparative Effect of Modified Shrug Exercises With and Without Trunk Stabilization Exercise on Scapular Upward Rotator EMG and Thickness in Subjects With Scapular Downward Rotation Syndrome

  • Kim, Ji-hyun;Yoon, Hyeo-bin;Park, Joo-hee;Jeon, Hye-seon
    • 한국전문물리치료학회지
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    • 제24권4호
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    • pp.60-67
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    • 2017
  • Background: Scapular downward rotation syndrome (SDRS) is a common scapular alignment impairment that causes insufficient upward rotation and muscle imbalance, shortened levator scapulae (LS) and rhomboid, and lengthened serratus anterior (SA) and trapezius. A modified shrug exercise (MSE), performing a shrug exercise with the shoulders at $150^{\circ}$ abduction, is known as an effective exercise to increase scapular stabilizer muscle activation. Previous studies revealed that scapular exercise are more effective when combined with trunk stabilization exercises in decreasing scapular winging and increasing scapular stabilizer muscle activation. Objects: The purpose of our study was to clarify the effect of MSE with or without trunk stabilization exercises in subjects with SDRS. Methods: Eighteen volunteer subjects (male=10, female=8) with SDRS were recruited for this experiment. All subjects performed MSE under 3 different conditions: (1) MSE, (2) MSE with an abdominal draw-in maneuver (ADIM), and (3) MSE with an abdominal expansion maneuver (AEM). The muscle thickness of the lower trapezius (LT) and the SA were measured using an ultrasonography in each condition. Electromyography (EMG) data were collected from the LT, LS, SA, and upper trapezius (UT) muscle activities. Data were statistically analysed using one-way repeated analysis of variance at a significance level of .05. Results: The muscle thickness of the LT and the SA were the significant different in the MSE, MSE with ADIM (MSE+ADIM) and MSE with AEM (MSE+AEM) conditions (p<.05) In both LT and SA, the order of thick muscle thickness was MSE+AEM, MSE+ADIM, and MSE alone. No significant differences were found in the EMG activities of the SA, UT, LS, and LT in all condition. Conclusion: In conclusion, MSE is more beneficial to people with SDRS when combined with trunk stabilization exercises by increased thickness of scapular stabilizer muscles.

반대쪽 팔 들기 동작 시 만성요통환자와 정상인의 다열근 두께 변화 비교 (Comparison of Multifidus Thickness Change During Contralateral Arm Lift(CAL) in Patients with Chronic Low Back Pain and Normal Adults)

  • 송원빈;김지혁;정웅근;하예지;한성구;황보인
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.51-58
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    • 2018
  • Backdround: Using RUSI (Rehabilitation Ultra Sound Imiging) method, which showed high reliability in soft tissue measurements, we compared the muscle relax and contraction, sex, and physical characteristics of the activity of the multifidus muscle in patients with chronic low back pain and normal subjects. Methods: In this study, 16 patients (male: 8, female: 8) with chronic low back pain and 16 healthy adult (male: 8, female: 8) were participated. Subjects lied prone posture on the table with elbow flexed $90^{\circ}$ and shoulder abducted $120^{\circ}$ (starting position). Test was applied two types that muscle relax position and muscle contraction position. Muscle relax position is equal to starting position and muscle contraction position is that upper extremity lift up about 5cm from the table. We measured the thickness of the multifidus muscle in each position by ultrasound. Results: There was a statistically significant difference between the two groups in deviation of Both Side Difference of Activated resting-Arm Lifting Ratio according to posture change between the chronic low back pain patient group and the normal group. Conclusion: The result of this study support previous study showing that there is an imbalance in the activity of multifidus in patients with chronic low back pain.

엎침 스쿼트 운동이 안굽이와 무릎 주위 근육에 미치는 즉각적 효과 (Immediate Effects of the Pronation Squat on the Genu Varum and the Muscles Around the Knee)

  • 김현수;김경돈
    • 대한통합의학회지
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    • 제9권4호
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    • pp.299-309
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    • 2021
  • Purpose : The purpose of this study was to compare the ankle pronation squat with the general squat and investigate the effect on the geun varum and the muscles around the knee. Methods : Subjects were chosen as the target for squat exercise with the distance between the knees more than 5 cm. The selected 30 students were randomly divided into 15 pronation squat group and 15 general squat group, and performed five sets movements 20 times. Global postural system (GPS) and digital goniometer were used to check the distance between the knees and the Q angle, and muscle activity was measured with EMG during squat exercise. Results: The result is as follows. First, as a result of analyzing the change in the distance between the knees, the distance between the knees decreased and the Q angle increased in the pronation squat group after exercise. Second, as a result of analyzing the change in muscle activity of the peroneus longus, the muscle activity increased in the pronation squat group after exercise, and it was more effective than the general squat group. Third, as a result of analyzing the change in the VMO (vastus medialis oblique) and VL (vastus lateralis) muscle activity ratio, the activity ratio of the pronation squat group increased after exercise, and the imbalance in the VMO/VL muscle activity was decreased. Conclusion: The pronation squat exercise applied to the ankle will greatly affect what is made into a balanced leg as decreased of the distance between knees, increased of Q angle, increased of the muscle activity of the peroneus longus and the ratio of VMO/VL.

The role of peroxidases in the pathogenesis of atherosclerosis

  • Park, Jong-Gil;Oh, Goo-Taeg
    • BMB Reports
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    • 제44권8호
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    • pp.497-505
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    • 2011
  • Reactive oxygen species (ROS), which include superoxide anions and peroxides, induce oxidative stress, contributing to the initiation and progression of cardiovascular diseases involving atherosclerosis. The endogenous and exogenous factors hypercholesterolemia, hyperglycemia, hypertension, and shear stress induce various enzyme systems such as nicotinamide adenine dinucleotide (phosphate) oxidase, xanthine oxidase, and lipoxygenase in vascular and immune cells, which generate ROS. Besides inducing oxidative stress, ROS mediate signaling pathways involved in monocyte adhesion and infiltration, platelet activation, and smooth muscle cell migration. A number of antioxidant enzymes (e.g., superoxide dismutases, catalase, glutathione peroxidases, and peroxiredoxins) regulate ROS in vascular and immune cells. Atherosclerosis results from a local imbalance between ROS production and these antioxidant enzymes. In this review, we will discuss 1) oxidative stress and atherosclerosis, 2) ROS-dependent atherogenic signaling in endothelial cells, macrophages, and vascular smooth muscle cells, 3) roles of peroxidases in atherosclerosis, and 4) antioxidant drugs and therapeutic perspectives.

Pain medication and long QT syndrome

  • Klivinyi, Christoph;Bornemann-Cimenti, Helmar
    • The Korean Journal of Pain
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    • 제31권1호
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    • pp.3-9
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    • 2018
  • Long QT syndrome is a cardiac repolarization disorder and is associated with an increased risk of torsades de pointes. The acquired form is most often attributable to administration of specific medications and/or electrolyte imbalance. This review provides insights into the risk for QT prolongation associated with drugs frequently used in the treatment of chronic pain. In the field of pain medicine all the major drug classes (i.e. NSAIDs, opioids, anticonvulsive and antidepressant drugs, cannabinoids, muscle relaxants) contain agents that increase the risk of QT prolongation. Other substances, not used in the treatment of pain, such as proton pump inhibitors, antiemetics, and diuretics are also associated with long QT syndrome. When the possible benefits of therapy outweigh the associated risks, slow dose titration and electrocardiography monitoring are recommended.