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후두상승근력강화 보조도구를 사용한 저항성 턱 당기기 운동의 저항강도와 성별에 따른 목뿔위근 및 목빗근 활성의 차이

Differences of Suprahyoid and Sternocleidomastoid Muscles Activation According to Gender and Resistance Intensity of Chin Tuck Against Resistance Using Laryngeal Elevation Strengthening Device

문종훈|원영식
한국지식정보기술학회 (Korea Knowledge Information Technology Society)|2021.08|한국지식정보기술학회 논문지 (Journal of Knowledge Information Technology and Systems)|제16권 제4호|pp. 791-801|DOI 10.34163/jkits.2021.16.4.016

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참고문헌

키워드

DysphagiaChin tuck against resistanceLaryngeal elevation strengthening deviceSuprahyoidsternocleidomastoid
주제분류학제간연구

초록

본 연구의 목적은 저항성 턱 당기기 운동 동안 후두상승근력강화 보조도구의 저항강도와 성별에 따른 목뿔위근 및 목빗근의 활성을 비교하기 위함이다. 삼킴에 문제가 없는 건강한 성인남녀 24명이 본 연구에 참가하였다. 모든 대상자들은 저항강도가 서로 다른 3 mm, 5 mm, 7 mm 두께의 후두상승근력강화 보조도구를 사용하여 저항성 턱 당기기 운동을 각각 수행하였다. 후두상승근력강화 보조도구를 사용한 저항성 턱 당기기 운동은 머리 굽힘만을 수행하도록 지시하였다. 저항강도에 따른 저항성 턱 당기기 운동은 1분 간격으로 3회씩 등척성으로 수행하였으며, 운동의 순서는 무작위로 진행하였다. 운동 동안, 표면근전도를 이용하여 목뿔위근과 목빗근의 활성을 확인하였다. 연구 결과, 운동 동안 성별에 따른 목뿔위근과 목빗근의 유의한 차이는 없었다(p>.05). 후두상승근력강화 보조도구의 저항강도에 따른 유의한 차이가 있었다(p<.05). 사후분석에서 7 mm는 목뿔위근과 목빗근 활성에서 3 mm와 5 mm보다 유의하게 더 큰 활성을 보였으며(p<.05), 5 mm는 3 mm보다 유의하게 더 큰 활성을 보였다(p<.05). 본 연구의 결과를 통하여 7 mm 후두상승근력강화 보조도구의 저항성 턱 당기기 운동이 목뿔위근의 활성을 가장 크게 나타낼 수 있음을 확인하였다.

Abstract

The aim of this study was investigated to compared the activation for suprahyoid and sternocleidomastoid muscle according to gender and resistance intensity of the Laryngeal Elevation Strengthening(LES) device during the Chin Tuck Againist Resistance exercise(CTAR). Twenty four healthy men and women without swallowing problem was participated in our study. All subjects is performed to each the CTAR using the LES devices of three thickness of each others resistance, the 3 mm, the 5 mm, the 7 mm. The CTAR according to three resistance conducted one minute interval, each 3 times, isometric exercise. Order of exercises performed to randomize. During each exercises, suprahyoid and sternocleidomastoid muscle activity is identified by the electromyography. For statistical analysis according to difference of resistance intensity and gender, analyzed by two way ANOVA with repeated measure. Findings of this study, Interaction effects according to resistance intensity and gender was not significant(p>.05). In within subjects effects, resistance of the 7 mm LES devices, suprahyoid and sternocleidomastoid muscles activity was greater significantly than the 5 mm and the 3 mm(p<.05). From results of this study, the CTAR using the 7 mm LES device was demonstrated the highest activation of suprahyoid muscle. In next studies, we recommend that need to measurements for swallowing function in patients with dysphagia.

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