어깨뼈 뒤 당김 운동 방법에 따른 큰마름근과 중간등세모근의 근두께 비의 비교
Comparison of the Ratio of Thicknesses of the Rhomboid Major and Middle Trapezius Muscles While Performing Scapular Retraction Exercises
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Background: Shoulder impingement syndrome, a major cause of shoulder pain, involves weakness of the scapular retractor muscles. The major scapular retractor muscles are the middle trapezius and rhomboid major muscles; however, the latter is excluded in most studies. Objects: We aimed to measure the thickness of the middle trapezius and rhomboid major muscles using an ultrasonic diagnostic imaging system while performing four different shoul-der retraction exercises and comparing the thicknesses and ratio of the thicknesses of these muscles. Methods: The thickness of the middle trapezius and rhomboid major muscles was measured in 24 healthy adults using ultrasound. Muscle thickness was measured three times in the Ref-erence posture and four times while performing four different exercises that involved scapular retraction. The averages and standard deviations of the measured muscle thicknesses were obtained and compared. The ratio of muscle thickness and rate of changes in muscle thickness between the reference posture and the four exercises were compared. Results: For both, male (n = 10) and female (n = 14), there was a significant difference in the thickness of the middle trapezius muscle between the reference posture and the four exercises (p < 0.05) and in the thickness of the middle trapezius and rhomboid major muscles between male and female (p < 0.05); however, there was no significant difference in the ratio of the thicknesses of these muscles. Although a significant difference in the rate of change in muscle thickness during the four exercises was noted, there was no significant difference in the ratio of change in muscle thickness. Conclusion: This study demonstrates the ratio of the thicknesses of the middle trapezius and rhomboid major muscles and the rate of change in their thickness during exercises involving scapular retraction in healthy people in their 20s–30s.
Abstract
Background: Shoulder impingement syndrome, a major cause of shoulder pain, involves weakness of the scapular retractor muscles. The major scapular retractor muscles are the middle trapezius and rhomboid major muscles; however, the latter is excluded in most studies. Objects: We aimed to measure the thickness of the middle trapezius and rhomboid major muscles using an ultrasonic diagnostic imaging system while performing four different shoul-der retraction exercises and comparing the thicknesses and ratio of the thicknesses of these muscles. Methods: The thickness of the middle trapezius and rhomboid major muscles was measured in 24 healthy adults using ultrasound. Muscle thickness was measured three times in the Ref-erence posture and four times while performing four different exercises that involved scapular retraction. The averages and standard deviations of the measured muscle thicknesses were obtained and compared. The ratio of muscle thickness and rate of changes in muscle thickness between the reference posture and the four exercises were compared. Results: For both, male (n = 10) and female (n = 14), there was a significant difference in the thickness of the middle trapezius muscle between the reference posture and the four exercises (p < 0.05) and in the thickness of the middle trapezius and rhomboid major muscles between male and female (p < 0.05); however, there was no significant difference in the ratio of the thicknesses of these muscles. Although a significant difference in the rate of change in muscle thickness during the four exercises was noted, there was no significant difference in the ratio of change in muscle thickness. Conclusion: This study demonstrates the ratio of the thicknesses of the middle trapezius and rhomboid major muscles and the rate of change in their thickness during exercises involving scapular retraction in healthy people in their 20s–30s.
참고문헌 (34)
- Hariharasudhan Ravichandran, "Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review", Journal of exercise rehabilitation, 16(3), pp.216~226 (2020), 한국운동재활학회[DOI]
- Luime JJ, "Prevalence and incidence of shoulder pain in the general population; a systematic review", Scand J Rheumatol, 33(2), pp.73~81 (2004)
- Greving K, "Incidence, prevalence, and consultation rates of shoulder complaints in general practice", Scand J Rheumatol, 41(2), pp.150~155 (2012)
- Rockwood CA Jr, "The shoulder" (1990), Saunders
- Fennell J, "Shoulder retractor strengthening exercise to minimize rhomboid muscle activity and subacromial impingement", Physiother Can, 68(1), pp.24~28 (2016)
- Reinold MM, "Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature", J Orthop Sports Phys Ther, 39(2), pp.105~117 (2009)
- Kibler WB, "Current concepts : scapular dyskinesis", Br J Sports Med, 44(5), pp.300~305 (2010)
- Bogduk N, "Low back pain handbook: a guide for the practicing clinician", pp.9~26 (2003), Hanley & Belfus
- Chester R, "The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex : a systematic review of electromyographic studies", BMC Musculoskelet Disord, 11, pp.45~ (2010)
- Jeong JR, "Reliability of rehabilitative ultrasonographic imaging for muscle thickness measurement of the rhomboid major", Clin Physiol Funct Imaging, 36(2), pp.134~138 (2016)
- Smith J, "Rhomboid muscle electromyography activity during 3 different manual muscle tests", Arch Phys Med Rehabil, 85(6), pp.987~992 (2004)
- Castelein B, "Optimal normalization tests for muscle activation of the levator scapulae, pectoralis minor, and rhomboid major: an electromyography study using maximum voluntary isometric contractions", Arch Phys Med Rehabil, 96(10), pp.1820~1827 (2015)
- Cools AM, "Rehabilitation of scapular dyskinesis : from the office worker to the elite overhead athlete", Br J Sports Med, 48(8), pp.692~697 (2014)
- Cagnie B, "The relevance of scapular dysfunction in neck pain : a brief commentary", J Orthop Sports Phys Ther, 44(6), pp.435~439 (2014)
- Whittaker JL, "Ultrasound imaging of the lateral abdominal wall muscles in individuals with lumbopelvic pain and signs of concurrent hypocapnia", Man Ther, 13(5), pp.404~410 (2008)
- Hides J, "An MRI investigation into the function of the transversus abdominis muscle during"drawing-in"of the abdominal wall", Spine(Phila Pa 1976), 31(6), pp.E175~8 (2006)
- Mendis MD, "Validity of realtime ultrasound imaging to measure anterior hip muscle size : a comparison with magnetic resonance imaging", J Orthop Sports Phys Ther, 40(9), pp.577~581 (2010)
- Hides JA, "Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities", Spine(Phila Pa 1976), 20(1), pp.54~58 (1995)
- Lee JP, "Measurement of segmental cervical multifidus contraction by ultrasonography in asymptomatic adults", Man Ther, 12(3), pp.286~294 (2007)
- Rahnama L, "The effects of isometric contraction of shoulder muscles on cervical multifidus muscle dimensions in healthy office workers", J Bodyw Mov Ther, 18(3), pp.383~389 (2014)
- Talbott NR, "Ultrasound examination of the serratus anterior during scapular protraction in asymptomatic individuals : reliability and changes with contraction", PM R, 6(3), pp.227~234 (2014)
- Adigozali H, "Ultrasonography for the assessment of the upper trapezius properties in healthy females : a reliability study", Muscles Ligaments Tendons J, 6(1), pp.167~172 (2016)
- Silkjær Bak S, "Neuromuscular ultrasound of the scapular stabilisers in healthy subjects", Clin Neurophysiol Pract, 6, pp.72~80 (2021)
- Bentman S, "Thickness of the middle trapezius muscle measured by rehabilitative ultrasound imaging : description of the technique and reliability study", Clin Physiol Funct Imaging, 30(6), pp.426~431 (2010)
- Solem-Bertoft E, "The influence of scapular retraction and protraction on the width of the subacromial space. An MRI study", Clin Orthop Relat Res, (296), pp.99~103 (1993)
- Kendall FP, "Provance PG. Muscles : testing and function with posture and pain" (2005), Lippincott Williams & Wilkins
- Ginn KA, "Revision of the shoulder normalization tests is required to include rhomboid major and teres major", J Orthop Res, 29(12), pp.1846~1849 (2011)
- Yang CS, "Sonographic measurements of the thickness of the soft tissues of the interscapular region in a population of normal young adults", J Clin Ultrasound, 39(2), pp.78~82 (2011)
- Javanshir K, "Ultrasonography of longus colli muscle : a reliability study on healthy subjects and patients with chronic neck pain", J Bodyw Mov Ther, 15(1), pp.50~56 (2011)
- O'Sullivan C, "Rehabilitative ultrasound measurement of trapezius muscle contractile states in people with mild shoulder pain", Man Ther, 17(2), pp.139~144 (2012)
- Ishikawa H, "Noninvasive assessment of the activity of the shoulder girdle muscles using ultrasound real-time tissue elastography", J Electromyogr Kinesiol, 25(5), pp.723~730 (2015)
- Kataoka T, "Evaluation of muscle elasticity and thickness in throwing shoulder using ultrasound", Asia-Pac J Sports Med Arthrosc Rehabil Technol, 9, pp.116~ (2017)
- Kiesel KB, "Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging", Man Ther, 12(2), pp.161~166 (2007)
- Wallwork TL, "Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging", J Orthop Sports Phys Ther, 37(10), pp.608~612 (2007)