Median Frequency Analysis of Shoulder Muscles Using EMG Power Spectrum Analysis After Rotator Cuff Repair
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The purpose of this study was to analyze the changes in muscle fatigue by using electromyography (EMG) measurements of the median frequency of shoulder muscles of patients who underwent rotator cuff repair, and to provide basic data for efficient exercise methods during rehabilitation after the repair. In the study, 24 male and 8 female patients who underwent rotator cuff repair performed continuous passive shoulder joint motion for 3 weeks and the median frequency of their shoulder muscles before and after the repair were compared using measurements by EMG. The infraspinatus, supraspinatus, and serratus anterior muscles showed significant differences in the changes in the median frequency before and after the repair. Significant differences were also found in the median frequency of the three muscles both before and after the repair. Additionally, the middle deltoid muscle had a lower median frequency than the supraspinatus muscle before the repair and the infraspinatus muscle had a lower median frequency than the middle deltoid muscle after the repair. It is expected that these results will serve as important data in developing rehabilitation exercise programs for the infraspinatus, supraspinatus, and serratus anterior muscles by compensating the middle deltoid muscle with the lowest muscle fatigue after the rotator cuff repair erase.
Abstract
The purpose of this study was to analyze the changes in muscle fatigue by using electromyography (EMG) measurements of the median frequency of shoulder muscles of patients who underwent rotator cuff repair, and to provide basic data for efficient exercise methods during rehabilitation after the repair. In the study, 24 male and 8 female patients who underwent rotator cuff repair performed continuous passive shoulder joint motion for 3 weeks and the median frequency of their shoulder muscles before and after the repair were compared using measurements by EMG. The infraspinatus, supraspinatus, and serratus anterior muscles showed significant differences in the changes in the median frequency before and after the repair. Significant differences were also found in the median frequency of the three muscles both before and after the repair. Additionally, the middle deltoid muscle had a lower median frequency than the supraspinatus muscle before the repair and the infraspinatus muscle had a lower median frequency than the middle deltoid muscle after the repair. It is expected that these results will serve as important data in developing rehabilitation exercise programs for the infraspinatus, supraspinatus, and serratus anterior muscles by compensating the middle deltoid muscle with the lowest muscle fatigue after the rotator cuff repair erase.
참고문헌 (37)
- L. C. Hall, "Analysis of the influence of rotator cuff impingements on upper limb kinematics in an elderly population during activities of daily living", Clinical biomechanics, 26(6), pp.579~584 (2011)
- M. A. Smith, "Rotator cuff tears: an overview", Orthopaedic nursing, 29(5), pp.319~322 (2010)
- J. S. Abrams, "Arthroscopic approach to massive rotator cuff tears", Instructional course lectures, 55, pp.59~66 (2006)
- G. R. Williams, "Rotator cuff tears : why do we repair them?", The Journal of bone and joint surgery American volume, 86(12), pp.2764~2776 (2004)
- S. E. An, "The Effect of Rehabilitation exercise programs on Recoverability of muscle functions following the Arthroscopy surgery performed on Rotator cuff tear", Journal of sport sociology, 11(1), pp.301~309 (2013)
- R. F. Escamilla, "Shoulder muscle recruitment patterns and related biomechanics during upper extremity sports", Sports medicine, 39(7), pp.569~590 (2009)
- P. O. Zingg, "Clinical and structural outcomes of nonoperative management of massive rotator cuff tears", The Journal of bone and joint surgery, 89(9), pp.1928~1934 (2007)
- A. L. Seitz, "Mechanisms of rotator cuff tendinopathy : intrinsic, extrinsic, or both?", Clinical biomechanics, 26(1), pp.1~12 (2011)
- D. Celik, "The relationship of muscle strength and pain in subacromial impingement syndrome", Acta orthopaedica et traumatologica turcica, 45(2), pp.79~84 (2011)
- S. K. Stackhouse, "Voluntary activation of the infraspinatus muscle in nonfatigued and fatigued states", Journal of shoulder and elbow surgery, 19(2), pp.224~229 (2010)
- M. A. Wirth, "Nonoperative management of full-thickness tears of the rotator cuff", The Orthopedic clinics of North America, 28(1), pp.59~67 (1997)
- N. S. Jo, "Physical Examination of the Elbow", Korean Shoulder and Elbow Society Training lecture, 46~57 (2009)
- G. M. Gartsman, "All arthroscopic rotator cuff repairs", The Orthopedic clinics of North America, 32(3), pp.501~510 (2001)
- J. Gondin, "Neural activation of the triceps surae is impaired following 2weeks of immobilization", European journal of applide physiology, 93(3), pp.359~365 (2004)
- B. K. Downie, "Treatment of rotator cuff tears in older individuals : a systematic review", Journal of shoulder and elbow surgery, 21(9), pp.1255~1261 (2012)
- L. A. Wojcik, "Age and gender moderate the effects of localized muscle fatigue on lower extremity joint torques used during quiet stance", Human movement science, 30(3), pp.574~583 (2011)
- T. S. Ellenbecker, "Shoulder rehabilitation: Non-operative treatment", pp.72~74 (2005), Thieme medical publishers
- J. C. Na, "Exercise physiology", pp.118~143 (2004), Daekyung
- V. A. Scholtes, "Clinical assessment of spasticity in children with cerebral palsy : a critical review of available instruments", Developmental medicine and child neurology, 48(1), pp.64~73 (2006)
- C. Gerber, "Effect of tendon release and delayed repair on the structure of the muscles of the rotator cuff : an experimental study in sheep", The Journal of bone and joint Surgery American volume, 86(9), pp.1973~1982 (2004)
- R. B. Salter, "The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. An experimental investigation in the rabbit", The Journal of bone and joint surgery American volume, 62(8), pp.1232~1251 (1980)
- C. A. Murphy, "Electromyographic analysis of the rotator cuff in postoperative shoulder patients during passive rehabilitation exercises", Journal of shoulder and elbow surgery, 22(1), pp.102~107 (2013)
- A. Gür, "Efficacy of low power laser therapy in fibromyalgia : a single-blind, placebo-controlled trial", Lasers in medical science, 17(1), pp.57~61 (2002)
- J. W. Lee, "The effect of neural adaptation and change of skeletal muscle architecture by electrical stimulation", 석사, pp.2007
- 김지현, "저출력 레이저의 치료 효과 규명을 위한 근전도 신호의 피로도 해석 연구", 의공학회지, 32(4), pp.319~327 (2011), 대한의용생체공학회
- P. J. Sparto, "Wavelet and short-time Fourier transform analysis of electromyography for detection of back muscle fatigue", IEEE Transactions on rehabilitation engineering, 8(3), pp.433~436 (2000)
- B. R. Neri, "Management of massive and irreparable rotator cuff tears", Journal of shoulder elbow surgery, 18(5), pp.808~818 (2009)
- S. J. Seok, "A study on the concerns of patient with the rotator cuff repair", 석사, pp.2011
- 강명학, "만성요통환자들의 연속 체간 운동 시 요부신전근의 피로도 분석", 한국체육과학회지, 20(1), pp.1085~1093 (2011), 한국체육과학회
- R. Casale, "Electromyographic signal frequency analysis in evaluating muscle fatigue of patients with peripheral arterial disease", Archives of physical medicine and rehabilitation, 75(10), pp.1118~1121 (1994)
- H. C. Kim, "study on muscle fatigue and activity and age related changes during static exercise of shoulder muscles using theraband", 석사, pp.2009
- J. K. Kim, "Comparison of knee myofuction according to rehabilitation exercise program participation period after anterior cruciate ligament reconstruction", 석사, pp.2009
- 남기석, "근전도 스펙트럼 분석을 이용한 만생 요통 환자의요부근육과 복부근육의 피로도 분석", 한국전문물리치료학회지, 6(2), pp.16~31 (1999), 한국전문물리치료학회
- 정이정, "초기 편마비 환자에서 손목 근수축 개시 및 종료의 특성: 중앙주파수 분석", 한국전문물리치료학회지, 13(1), pp.38~46 (2006), 한국전문물리치료학회
- M. Y. Lee, "Electromyographic Study on Lumbar Extensor Activity and Fatigue during Trunk Flexion and Extension Exercise", 박사, pp.2000
- E. J. Kupa, "Effects of muscle fiber type and size on EMG median frequency and conduction velocity", Journal of applied physiology, 79(1), pp.23~32 (1995)
- N. A. Riley, "Changes in upper limb joint torque patterns and EMG signals with fatigue following a stroke", Disability and rehabilitation, 24(18), pp.961~969 (2002)
