앉은 자세에서 불안정한 접촉면을 이용한 어깨뼈 내밈 운동이 위 그리고 아래 앞톱니근 활성화에 미치는 영향
The Effects of Muscle Activation of Upper and Lower Serratus Anterior During Scapular Protraction Exercises With Unstable Surface in Sitting Position
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Background: The scapulo-thoracic musculatures including serratus anterior (SA), upper tra-pezius and lower trapezius can provide shoulder stability and functional shoulder movement. Objects: The muscle activities of upper and lower SA were compared during three different scapular protraction exercises in healthy individuals in sitting position. Methods: Twenty-five healthy subjects were participated. Electromyography device was used to measure muscle activity of upper and lower SA and trapezius muscles. Each subject was asked to perform three different scapular protraction exercises (scapular protraction [SP], SP with self-resistance [SPSR], SPSR with hand-exerciser [SPSRH]) in random order. One-way re-peated measures analysis of the variance and a Bonferroni post hoc test were used. Results: The muscle activity of lower SA muscle was significantly different among three con-ditions (SP vs. SPSR vs. SPSRH) (p < 0.01). The lower SA muscle activity was significantly greater during SPSRH compared to SP and SPSR, which required joint stability more than SP and SPSR (p < 0.01). Conclusion: SPSRH exercise can be recommended to facilitate the muscle activity of lower SA. In addition, the intramuscular variation in the upper and lower SA during scapular protrac-tion exercise is required to consider the effective rehabilitation.
Abstract
Background: The scapulo-thoracic musculatures including serratus anterior (SA), upper tra-pezius and lower trapezius can provide shoulder stability and functional shoulder movement. Objects: The muscle activities of upper and lower SA were compared during three different scapular protraction exercises in healthy individuals in sitting position. Methods: Twenty-five healthy subjects were participated. Electromyography device was used to measure muscle activity of upper and lower SA and trapezius muscles. Each subject was asked to perform three different scapular protraction exercises (scapular protraction [SP], SP with self-resistance [SPSR], SPSR with hand-exerciser [SPSRH]) in random order. One-way re-peated measures analysis of the variance and a Bonferroni post hoc test were used. Results: The muscle activity of lower SA muscle was significantly different among three con-ditions (SP vs. SPSR vs. SPSRH) (p < 0.01). The lower SA muscle activity was significantly greater during SPSRH compared to SP and SPSR, which required joint stability more than SP and SPSR (p < 0.01). Conclusion: SPSRH exercise can be recommended to facilitate the muscle activity of lower SA. In addition, the intramuscular variation in the upper and lower SA during scapular protrac-tion exercise is required to consider the effective rehabilitation.
참고문헌 (21)
- Kim SH, "Serratus anterior muscle activation during knee push-up plus exercise performed on static stable, static unstable, and oscillating unstable surfaces in healthy subjects", Phys Ther Sport, 15(1), pp.20~25 (2014)
- Thigpen CA, "Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks", J Electromyogr Kinesiol, 20(4), pp.701~709 (2010)
- Park SY, "Differential activation of parts of the serratus anterior muscle during push-up variations on stable and unstable bases of support", J Electromyogr Kinesiol, 21(5), pp.861~867 (2011)
- Ludewig PM, "Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement", Phys Ther, 80(3), pp.276~291 (2000)
- Ghanbari L, "Prediction of scapular dyskinesis through electromyographic indices of scapulothoracic muscles in female overhead athletes", J Rehabil Sci Res, 5(3), pp.74~80 (2018)
- Kibler WB, "Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'", Br J Sports Med, 47(14), pp.877~885 (2013)
- Torres RJB, "Shoulder muscle activation levels during the push-up-plus exercise on stable and unstable surfaces", J Sport Rehabil, 26(4), pp.281~286 (2017)
- Lehman GJ, "An unstable support surface does not increase scapulothoracic stabilizing muscle activity during push up and push up plus exercises", Man Ther, 13(6), pp.500~506 (2008)
- Cram JR, "Introduction to surface electromyography", pp.289~299 (1998), Aspen Publishers
- Hardwick DH, "A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises", J Orthop Sports Phys Ther, 36(12), pp.903~910 (2006)
- Ekstrom RA, "Normalization procedures using maximum voluntary isometric contractions for the serratus anterior and trapezius muscles during surface EMG analysis", J Electromyogr Kinesiol, 15(4), pp.418~428 (2005)
- Inman VT, "Observations on the function of the shoulder joint", J Bone Joint Surg, 26(1), pp.1~30 (1944)
- Ludewig PM, "The association of scapular kinematics and glenohumeral joint pathologies", J Orthop Sports Phys Ther, 39(2), pp.90~104 (2009)
- Seo SH, "Surface EMG during the push-up plus exercise on a stable support or Swiss ball: scapular stabilizer muscle exercise", J Phys Ther Sci, 25(7), pp.833~837 (2013)
- Hwang UJ, "Effect of humeral-elevation angle on electromyographic activity in the serratus anterior during the push-up-plus exercise", J Sport Rehabil, 26(1), pp.57~64 (2017)
- 정성훈, "The Effect of a Combination of Scapular Protraction With Resistance and Forward Flexion of the Shoulder on Serratus Anterior Muscle Activity", 한국전문물리치료학회지, 23(4), pp.55~62 (2016), 한국전문물리치료학회[DOI]
- Rainoldi A, "A method for positioning electrodes during surface EMG recordings in lower limb muscles", J Neurosci Methods, 134(1), pp.37~43 (2004)
- Kendall FP, "Muscles: testing and function with posture and pain", pp.560~ (2005), Lippincott Williams & Wilkins
- 전인철, "Comparison of Prone Hip Extension Exercise and Prone Hip Extension Exercise after Iliopsoas Stretching on Lumbopelvic Control and Gluteus Maximus Activity in Subjects with Short Iliopsoas", 근골격계과학기술학회, 1(1), pp.19~25 (2017), KEMA학회[DOI]
- 전인철, "Activation and Onset Time of the Gluteus Maximus Muscle during Three Different Prone Table Hip Extension Exercises", 대한물리치료학회지, 32(5), pp.295~301 (2020), 대한물리치료학회[DOI]
- Villafañe JH, "The effectiveness of a manual therapy and exercise protocol in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial", J Orthop Sports Phys Ther, 43(4), pp.204~213 (2013)