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어깨뼈 익상여부에 따른 재활운동 동작 시 근활성도 비교

Muscle Activity during Rehabilitation Exercise in Subjects with or without Scapular Winging

신윤아
대한운동학회 (Korean Acadaemy of Kinesiology)|2013.10|아시아 운동학 학술지 (The Asian Journal of Kinesiology)|제15권 제4호|pp. 141-153|DOI 10.15758/jkak.2013.15.4.141

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키워드

Muscle activity근활성도재활운동Rehabilitation exercise어깨뼈 익상Scapular wining

초록

[서론] 이 연구는 어깨뼈 익상을 가진 환자와 정상인을 비교하여 재활운동 동작 시 어깨근육의 활성도 차이를 분석하고 재활운동 동작에 따른 근활성도를 분석하고자 실시되었다. [방법] 대상자들은 20~30대의 남자대학생들로 총 40명이 참여하였으며, 정상군(24.70±1.38세) 20명과 어깨뼈 익상군(26.88±1.73세) 20명을 대상으로 실시하였다. 어깨뼈 비대칭정도를 확인하기 위해 SSUP, SSTP, LSST2, LSST3의 임상검사를 실시하였으며, 재활운동 7가지 동작에 대한 위등세모근, 아래등세모근, 앞톱니근의 활성도를 표면 근전도를 이용하여 분석하였다. [결과] 어깨뼈 위치 검사 결과는 SSUP, SSTP, LSST2, LSST3에서 모두 집단 간 유의한 차이가 나타났으며, 어깨뼈 익상군이 정상군에 비하여 유의하게 높은 값을 나타내었다. 재활동작에 따른 근활성도는 standing dynamic hug, external rotation과 press-up with scapular retraction에서 아래등세모근 활성도와 UT/LT비율이 집단 간 유의한 차이가 나타났으며, push-up plus 동작에서는 앞톱니근 활성도가 집단 간 차이를 나타내고, push-up on the ball에서는 UT/SA비율이 집단 간 유의한 차이가 나타났다. UT/LT비율이 가장 좋은 동작으로는 standing dynamic hug, external rotation, press-up with scapular retraction 동작으로 나타났으며, UT/SA비율이 가장 좋은 동작으로는 standing dynamic hug, push-up plus, push-up on the ball동작으로 나타났다. [결론] 전반적으로 어깨뼈 익상군은 어깨 재활운동 동작에서 위등세모근의 과발현과 아래등세모근 및 앞톱니근의 활성도가 감소되어 있는 것으로 나타났으며, 어깨 재활운동 동작 시 이러한 불균형을 개선시킬 수 있는 동작들을 선별하는 것이 필요할 것으로 제시하는 바이다.

Abstract

[INTRODUCTION] The purpose of this study is to investigate muscle activity during rehabilitation exercise in subjects with or without scapular winging. [METHODS] 40 male college students in their 20s to 30s, were divided into normal group(24.70±1.38years) and scapular winging group(26.88±1.73years). The subjects performed SSUP, SSTP, LSST2, LSST3 of clinical test for determine the asymmetry. Muscle activity of the upper trapezius, lower trapezius, and anterior serratus during 6 rehabilitation exercise were measured using surface electromyography. [RESULTS] There were significant differences between groups on SSUP, SSTP, LSST2, LSST3. Lower trapezius activity and UT/LT showed significant differences between groups on standing dynamic hug, external rotation, press-up with scapular retraction. Anterior serratus activity showed significant differences between group on push-up plus and UT/SA showed significant differences between groups on push-up on the ball. The exercises of standing dynamic hug, external rotation, press-up with scapular retraction were found to be the effective on UT/LT ratio and dynamic hug, push-up plus, push-up on the ball were found to be the effective on UT/SA ratio. [CONCLUSION] The subjects with scapular winging showed higher muscle activity in the upper trapezius and lower in the lower trapezius and anterior serratus. Therefore, we suggested that rehabilitation exercise is needed to improve for muscle balance and trainer should have a preference for exercise with high activation of the LT and SA and low activity of the UT.

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관련 논문AI추천

날개 어깨뼈 대상자들에게 어깨 내밈 운동시 벌림 각도와 외부 무게에 따른 앞톱니근, 큰가슴근, 위 등세모근의 활성도 및 비율에 미치는 영향김태호, 박한규, 야담바담허럴한국전문물리치료학회 · 한국전문물리치료학회지2019 · 제26권 제3호어깨뼈 내밈 운동 시 어깨관절 수평 벌림과 수평모음 저항과 외부 무게에 따른 앞톱니근, 위등세모근, 그리고 큰가슴근 근활성도 비교김규령, 김명권, 박수형, 배창환, 추이저대한정형도수물리치료학회 · 대한정형도수물리치료학회지2021 · 제27권 제3호아래등세모근 근력강화 운동방법들 사이의 어깨뼈 위쪽 돌림근과 다른 어깨 근육들의 근활성도 비교용준형, 원종혁한국전문물리치료학회 · 한국전문물리치료학회지2013 · 제20권 제3호앉은 자세에서 불안정한 접촉면을 이용한 어깨뼈 내밈 운동이 위 그리고 아래 앞톱니근 활성화에 미치는 영향장태진, 전인철, 황병훈한국전문물리치료학회 · 한국전문물리치료학회지2021 · 제28권 제3호견관절 외전 각도에 따른 중간 및 하부 승모근의 근 활성도 비교김수정, 박규남, 원종혁, 이원휘, 최흥식, 하성민한국전문물리치료학회 · 한국전문물리치료학회지2011 · 제18권 제1호팔 내리기 동작 시 시각적 바이오피드백 훈련이 전거근과 상부 승모근의 근활성도에 미치는 영향민경진, 최흥식, 하성민한국전문물리치료학회 · 한국전문물리치료학회지2008 · 제15권 제2호

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