본문 바로가기
KERD
논문KCI 등재

푸시업 플러스운동의 견갑골 안정화 효과에 대한 연구

A study on the effect of push-up plus exercise on the scapula stabilization

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류체육

초록

[목적] 본 연구는 푸시업 플러스운동의 견갑골 안정화 효과를 분석하여, 견관절 재활 프로그램에 유용한 기초자료로 사용할 목적으로 수행하였다. [방법] 본 연구는 ‘견갑골 안정화’, ‘푸시업플러스’, ‘견관절 손상 재활운동’, ‘견갑골 안정화운동’의 검색어로 RISS와 PMC를 이용해, 연구논문을 수집하였고 문헌조사의 기본자료로 활용하였다. 수집된 자료는 견갑골과 견관절의 구조와 움직임, 견갑골의 운동학적 역학관계 및 손상기전, 푸시업플러스의 효과로 분류하였다. [결과] 대표적 안정화 근육인 전거근은 상승모근, 하승모근과 함께 힘쌍을 이루어 견갑골의 움직임을 조절한다. 푸시업 플러스운동은 견갑골 안정화 근육인, 전거근을 선택적으로 강화하는데 효과적인 운동방법이며, 상승모근이 과 긴장되어 잘못된 자세 및 움직임을 교정하는데도 유용한 운동법이다. 또한, 푸시업 플러스운동 시, 적용자세, 팔의위치 및 지면의 불안정성 등 다양한 조건을 제안하였다. [결론] 본 연구의 결과는 견관절손상 및 부상을 입은 환자나, 선수들의 재활에, 푸시업 플러스운동이 견갑골 안정화에 효과적인 프로그램임을 검증하였다. 푸시업 플러스운동은 견관절 손상 재활이 필요한 환자나, 선수에게 유용한 재활운동 프로그램으로 활용될 것으로 판단한다.

Abstract

[Purpose] The purpose of this study was to analyze the effect of push-up plus exercise(PUPE) on stabilization of the scapula and to use it as basic data for shoulder rehabilitation program. [Methods] In this study, research papers were collected using Research Information Sharing Service(RISS) and Pub-Med Central.(PMC) as a search term for scapular stabilization, push - up plus, shoulder joint injury rehabilitation and scapular stabilization exercise. Also, it was used as basic data of literature analysis. The collected data were classified into the structure and movement of the scapula and shoulder, kinesiologic relation of the scapula and the mechanism of injury, and the effect of push-up plus [Results] Serratus anterior is a typical stabilizing muscle, and it forms a force couple with the upper and lower trapezius to control the movement of the scapula. The PUPE is an effective exercise method to selectively strengthen serratus anterior, which are the stabilizing muscles of the scapula, and is an exercise method that is also useful for correcting the wrong postures and movements because of hypertonus upper trapezius. In addition, various conditions such as application posture, arm position, and ground instability were suggested during PUPE. [Conclusion] The results of this study confirmed that PUPE is an effective program for scapula stabilization in the rehabilitation of shoulder injuries and injured patients and athletes. The PUPE will be used as a rehabilitation exercise program for patients and athletes who need rehabilitation of the shoulder joint.

참고문헌 (68)

  1. Belling Sorensen, A. K., "Secondary impingement in the shoulder. An improved terminology in impingement", Scand J Med Sci Sports, 10(5), pp.266~278 (2000)
  2. Chester, R., "The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex : A Systemic review of electromyographic studies", BMC Musculoskelet Disord, 11(1), pp.45~ (2010)
  3. Choi, J. D., "The effecis of 7-week serratus anterior strengthening exercises on shoulder pain with serratus anterior weakness", Master, pp.2008
  4. Comerford, M. J., "Functional stability re-training : principles and strategies for managing mechanical dysfunction", Man Ther, 6(1), pp.3~14 (2001)
  5. Cools, A. M., "Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms", Scand. J. Med. Sci. Sports, 17, pp.25~33 (2007)
  6. Cools, A. M., "Rehabilitation of scapular muscle balance : Which exercises to prescribe?", Am J Sports Med, 35(10), pp.1744~1751 (2007)
  7. Cools, A. M., "Scapular muscle recruitment patterns : Trapezius muscle latency with and without impingement symptoms", Am J Sports Med, 31(4), pp.542~549 (2003)
  8. Davies, G. J., "Neuromuscular testing and rehabilitation of the shoulder complex", JOSPT, 18(2) (1993)
  9. Decker, M. J., "Serratus anterior muscle activity during selected rehabilitation exercises", Am J Sports Med, 27(6), pp.784~791 (1999)
  10. Ekstrom, R. A., "Comparing the function ofthe upperand lowerparts of the serratus anterior muscle using surface electromyography", Journal of Orthopaedic &Sports Physical Therapy, 34(5), pp.235~243 (2004)
  11. Ellenbecker, T. S., "Closed Kinetic Chain Exercise: a comprehensive guide to multiple joint exercise" (2001), Human Kinetics
  12. Glousman, R., "Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability", J Bone Joint Surg Am, 70(2), pp.220~226 (1988)
  13. Han, K. J., "Effects of rehabilitative exercise program on range of motion, strength and scapulohumeral rhythm in baseball player with internal impingement", Ph. D., pp.2010
  14. Hardwick, D. H., "A comparison of serratus anterior muscle activation during wall slide exercise and other traditional exercises", J Orthop Sport Phys Ther, 36(12), pp.903~910 (2006)
  15. Hess, S. A., "Functional stability of the glenohumeral joint", Man Ther, 5(2), pp.63~71 (2000)
  16. Holtermann, A., "The use ofEMG biofeedback forlearning ofselective activation of intra-muscular parts within the serratus anterior muscle : a novel approach for rehabilitation of scapular muscle imbalance", Journal of Electromyography and Kinesiology, 20(2), pp.359~365 (2010)
  17. Hong, E. A., "Effects of Stability Exercise on Scapular Positioning and Muscle Activity in Baseball Players with Scapular Dyskinesis", Master, pp.2012
  18. Inman, V. T., "Observations of the function of the shoulder joint", Clin Orthop Relat Res, 330(9), pp.3~12 (1996)
  19. Iwasaki, T., "Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction", TohokuJ Exp Med, 209(1), pp.33~40 (2006)
  20. Jeong, D. C., "Preventive exercises for preventing shoulder injuries", The official journal of the korean association of certified exercise professionals, 8(2), pp.103~112 (2006)
  21. 전용진, "푸시업플러스 시 근전도 바이오피드백을 이용한 전거근의 선택적 강화", 한국전문물리치료학회지, 18(1), pp.1~8 (2011), 한국전문물리치료학회
  22. Johnson, G., "Anatomy and actions of trapezius muscle", Clinical biomechanics, 9(1), pp.44~50 (1994)
  23. Jo, Y. J., "Analytic comparison of trapezius and serratus anterior activities depending on shoulder complex movement", Master, pp.2014
  24. Juker, D., "Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks", Med Sci Sports Exerc, 30(2), pp.301~310 (1998)
  25. Jung, G. H., "The effects of taping with before and after scapula stability exercise on pain, function and muscle activation in patients with myofacial pain syndrome", Master, pp.2012
  26. Kamkar A., "Non-operative management of secondary impingement syndrome", J Orthop Sports Phys Ther, 17(5), pp.212~224 (1993)
  27. Kebaetse, M., "Thoracic position effect on shoulder range of motoin, strength and three-dimensional scapular kinematics", Arch Phys Med Rehabil, 80(8), pp.945~950 (1999)
  28. Kelly, M. J., "Anatomic and biomechanical rationale for rehabilitation of the athlete’s shoulder", J Sports Rehabil, 4(2), pp.122~154 (1995)
  29. Kibler, W. B., "The Role of the Scapular in Athletic shoulder Function", The American Journal of Sports Medicine, 26(2), pp.325~337 (1998)
  30. Kibler, W. B., "Scapular dyskinesis and its relation to shoulder pain", J Am Acad Orthop Surg, 11(2), pp.142~151 (2003)
  31. 기한상, "테이핑 적용이 승모근 통증 환자의 견갑골 상방 회전근 근 활성도와 통증에 미치는 영향", 한국전문물리치료학회지, 17(1), pp.77~85 (2010), 한국전문물리치료학회
  32. 김덕화, "척주 기립자세와 굽힌자세에서 어깨관절 외전각도 변화에 따른어깨뼈 주위 근 활성도 분석", 한국전문물리치료학회지, 11(1), pp.45~52 (2004), 한국전문물리치료학회
  33. Duck-hwa Kim, "The Effects of 4-Week Serratus Anterior Strengthening Exercise Program on the Scapular Position and Pain of the Neck and Interscapular Region", 한국전문물리치료학회지, 14(4), pp.58~65 (2007), 한국전문물리치료학회
  34. Kim, M. J., "A Comparison of Various Exercises for Scapular Stabilization", Journal of Korean Society of Integrative Medicine, 1(3), pp.51~62 (2013)
  35. Kim, S. H., "Serratus anterior muscle activation during knee push-up plus exercise performed on static stable, static unstable, and oscillating unstable surfaces in healthy subjects", Physical Therapy in Sport, 15(1), pp.20~25 (2014)
  36. Kim, J. B., "A Comparison of the Shoulder and Trunk Muscle Activity According to the Various Resistance Condition during Push up plus in four pointing kneeling", Master, pp.2011
  37. Kirkesola F, "SET advanced level 2-U, The upper body course book", pp.3~17 (2004), SET- kompetance AS
  38. Lear, L. J., "An eletromyographical analysis of the scapular stabilizing synergists during a push-up progression", J Orthop Sports Phys Ther, 28(3), pp.146~157 (1998)
  39. 이건철, "Togu 적용 방법에 따른 푸쉬업 플러스 운동이 앞톱니근과 위등세모근활성도에 미치는 영향", 대한통합의학회지, 4(2), pp.29~36 (2016), 대한통합의학회
  40. Lee, S. Y., "The effects of changes in hand position on the electromyographic activities of the shoulder stabilizer muscles during push-up plus exercises on unstable surfaces", Journal of Physical Therapy Science, 25(1), pp.125~128 (2013)
  41. Lee, S. Y., "The Effect of Hand Position Changes on Electromyographic Activity of Shoulder Stabilizers during Push-up Plus Exercise on Stable and Unstable Surfaces", Journal of Physical Therapy Science, 25(8), pp.981~984 (2013)
  42. Lehman, G. J., "An unstable support surface does not increase scapulothoracic stabilizing muscle activity during push up and push up plus exercises", Manual therapy, 13(6), pp.500~506 (2008)
  43. Leinonen, V., "Back and hip extensor activities during trunk flexion", extension : Effects of low back pain and rehabilitation, 2000, pp.81(1), 32~37
  44. Lim, C. H., "The Effects of Elite Gymnasts' Shoulder Girdle Rehabilitative Exercise on Chronic Shoulder Joint Instability", Master, pp.2010
  45. Ludewig, P. M., "Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement", Phys Ther, 80(3), pp.276~291 (2000)
  46. Ludewig, P. M., "Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercise", Am J Sports Med, 32(2), pp.484~493 (2004)
  47. Magee, D. J., "Orthopedic physical assessment" (1998), W. B. Saunders
  48. McGill S. M., "Low back disorders: evidence-based prevention and rehabilitation" (2007), Human Kinetics
  49. McQuade, K. J., "Scapulothorasic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation", J Orthop Sports Phys Ther, 25(2), pp.74~80 (1998)
  50. MatsenIII, F. A., "Principles for the evaluation and management of shoulder instability", The Journal of Bone & Joint Surgery, 88, pp.647~659 (2006)
  51. Moon, S. J., "A Comparison of the Serratus anterior Muscle Activity according to the Shoulder Flexion Angles in a Closed Kinetic Chain Exercise and an Open Kinetic Chain Exercise", Master, pp.2010
  52. Moseley, J. B. Jr, "EMG analysis of the scapular muscle during a shoulder rehabilitation program", Am J Sports Med, 20(2), pp.128~134 (1992)
  53. Mottram, S. L., "Dynamic stability of the scapular", Manual Therapy, 2(3), pp.123~131 (1997)
  54. Myers, J. B., "Shoulder muscle reflex latencies under various levels of muscle contraction", Clinical orthopaedics and related research, 407, pp.92~101 (2003)
  55. Neumann, D. A., "Kinesiology of the musculoskeletal system: Foundation for physical rehabilitation" (2002), Mosby
  56. Neumann, D. A., "Kinesiology of the musculoskeletal system: foundations for rehabilitation" (2013), Elsevier Health Sciences
  57. Paine, R. M., "The role of the scapular", J Orthop Sports Phys Ther, 18(1), pp.386~391 (1993)
  58. Park, J. S., "A comparison of the shoulder stabilizer muscle activities during push-up plus between persons with and without winging scapular", Master, pp.2007
  59. Park, J. Y., "Scapular Dyskinesis", Clinics in Shoulder and Elbow, 12(2), pp.271~277 (2009)
  60. Park, S. K., "A Comparison of Muscle Activity in Periscapular Muscles during Push-up plus Exercise on Stable Support and Unstable Support", Journal of Korean academy of orthopaedic manual therapy, 11(2), pp.71~82 (2005)
  61. Phadke, V., "Scapular and rotatorcuff muscle activity during arm elevation : are view of normal function and alterations with shoulder impingement", Brazilian Journal of Physical Therapy, 13(1), pp.1~9 (2009)
  62. Prentice, W. E., "Techniques in musculoskeletal rehabilitation" (2005), McGraw-Hill
  63. Sahrmann, S. A., "Diagnosis of and Treatment of Movement Impairment Syndrome" (2002), Mosby
  64. Shin, J. W., "Comparison of Scapular Stabilizer and External Oblique Abdominis Muscle Activity on Push-up Plus in Various Posture", Neurotherapy, 19(3), pp.17~22 (2015)
  65. Smith, R. Jr., "Anatomical characteristics of the upper serratus anterior : cadaver dissection", J Orthop Sports Phys Ther, 33(8), pp.449~454 (2003)
  66. Tucker, W. S., "Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises", Arch Phys Med Rehabil, 91, pp.550~556 (2010)
  67. Warwick, R., "Gray’s anatomy" (1998), WB Sanders
  68. Yoon, H. K., "The Effect of push up plus exercise in sling by Forward Head Posture Muscle activity and function of lung function in adults with forward head posture", Master, pp.2016

관련 논문AI추천

이 간행물의 다른 논문 (17건)