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Immediate Effects of High-frequency Diathermy on Muscle Architecture and Flexibility in Subjects With Gastrocnemius Tightness

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주제분류물리치료학

초록

Background: The gastrocnemius (GCM) is one of the lower extremity muscles that tend to tighten easily. GCM tightness results in limited ankle dorsi-flexion (DF), especially when the knee joint is fully extended. Joint flexibility is determined by the morphological and physiologi-cal characteristics of joints, muscles, tendons, and ligaments. Impaired joint flexibility can be attributed to increased susceptibility to muscle injury. High-frequency diathermy is clinically used to reduce pain and muscle tightness and to improve limited range of motion.Objects: This study aimed to investigate the immediate effects of high-frequency therapy in subjects with GCM tightness.Methods: The study was designed as a one-group before–after trial. The subjects included 28 volunteers with GCM tightness (an active ankle DF angle of less than 12°) without any known neurological and musculoskeletal pathologies in the ankle and calf areas. WINBACK Transfer Electrode Capacitive and Resistive Therapy equipment was used to apply high-frequency ther-apy to the subjects’ GCMs for 10–15 minutes. The pennation angle and the fascicle length of the GCM were measured using ultrasonography. The flexibility of the ankle joint, peak torque to the passive ankle DF (Biodex), and soft tissue stiffness (MyotonPRO) were also measured.Results: The pennation angle was significantly decreased following the treatment; however, no significant difference in the fascicle length was found (p < 0.05). The flexibility was sig-nificantly increased and both the passive peak torque to passive ankle DF and the soft tissue stiffness significantly decreased (p < 0.05).Conclusion: High-frequency therapy is immediately effective for improving the muscle’s ar-chitectural properties and functional factors in subjects with GCM tightness. Further longitudi-nal clinical studies are required to investigate the long-term effects of high-frequency therapy on subjects with GCM tightness from various causes.

Abstract

Background: The gastrocnemius (GCM) is one of the lower extremity muscles that tend to tighten easily. GCM tightness results in limited ankle dorsi-flexion (DF), especially when the knee joint is fully extended. Joint flexibility is determined by the morphological and physiologi-cal characteristics of joints, muscles, tendons, and ligaments. Impaired joint flexibility can be attributed to increased susceptibility to muscle injury. High-frequency diathermy is clinically used to reduce pain and muscle tightness and to improve limited range of motion.Objects: This study aimed to investigate the immediate effects of high-frequency therapy in subjects with GCM tightness.Methods: The study was designed as a one-group before–after trial. The subjects included 28 volunteers with GCM tightness (an active ankle DF angle of less than 12°) without any known neurological and musculoskeletal pathologies in the ankle and calf areas. WINBACK Transfer Electrode Capacitive and Resistive Therapy equipment was used to apply high-frequency ther-apy to the subjects’ GCMs for 10–15 minutes. The pennation angle and the fascicle length of the GCM were measured using ultrasonography. The flexibility of the ankle joint, peak torque to the passive ankle DF (Biodex), and soft tissue stiffness (MyotonPRO) were also measured.Results: The pennation angle was significantly decreased following the treatment; however, no significant difference in the fascicle length was found (p < 0.05). The flexibility was sig-nificantly increased and both the passive peak torque to passive ankle DF and the soft tissue stiffness significantly decreased (p < 0.05).Conclusion: High-frequency therapy is immediately effective for improving the muscle’s ar-chitectural properties and functional factors in subjects with GCM tightness. Further longitudi-nal clinical studies are required to investigate the long-term effects of high-frequency therapy on subjects with GCM tightness from various causes.

참고문헌 (57)

  1. 김원호, "비복근의 고유수용성 신경근육 촉진법과정적 신장에 대한 효과 벼교", 한국전문물리치료학회지, 2(2), pp.56~65 (1995), 한국전문물리치료학회
  2. Wang SS, "Lower extremity muscular flexibility in long distance runners", J Orthop Sports Phys Ther, 17(2), pp.102~107 (1993)
  3. Baddar A, "Ankle and knee coupling in patients with spastic diplegia : effects of gastrocnemius-soleus lengthening", J Bone Joint Surg Am, 84(5), pp.736~744 (2002)
  4. Ekstrand J, "The frequency of muscle tightness and injuries in soccer players", Am J Sports Med, 10(2), pp.75~78 (1982)
  5. Hertling D, "Management of common musculoskeletal disorders: physical therapy principles and methods" (2006), Lippincott Williams & Wilkins;
  6. Moseley AM, "High-and low-ankle flexibility and motor task performance", Gait Posture, 18(2), pp.73~80 (2003)
  7. Gans C, "The functional significance of muscle architecture--a theoretical analysis", Ergeb Anat Entwicklungsgesch, 38, pp.115~142 (1965)
  8. Kawakami Y, "Architectural and functional features of human triceps surae muscles during contraction", J Appl Physiol(1985), 85(2), pp.398~404 (1998)
  9. Fukunaga T, "Determination of fascicle length and pennation in a contracting human muscle in vivo", J Appl Physiol(1985), 82(1), pp.354~358 (1997)
  10. DiGiovanni CW, "Isolated gastrocnemius tightness", J Bone Joint Surg Am, 84(6), pp.962~970 (2002)
  11. Baumbach SF, "Ankle dorsiflexion: what is normal? Development of a decision pathway for diagnosing impaired ankle dorsiflexion and M. gastrocnemius tightness", Arch Orthop Trauma Surg, 136(9), pp.1203~1211 (2016)
  12. Kaufman KR, "The effect of foot structure and range of motion on musculoskeletal overuse injuries", Am J Sports Med, 27(5), pp.585~593 (1999)
  13. Lun V, "Relation between running injury and static lower limb alignment in recreational runners", Br J Sports Med, 38(5), pp.576~580 (2004)
  14. Neely FG, "Biomechanical risk factors for exercise-related lower limb injuries", Sports Med, 26(6), pp.395~413 (1998)
  15. Riddle DL, "Risk factors for Plantar fasciitis : a matched case-control study", J Bone Joint Surg Am, 85(5), pp.872~877 (2003)
  16. Kocabas H, "Comparison of phenol and alcohol neurolysis of tibial nerve motor branches to the gastrocnemius muscle for treatment of spastic foot after stroke : a randomized controlled pilot study", Eur J Phys Rehabil Med, 46(1), pp.5~10 (2010)
  17. Krivickas LS, "Lower extremity injuries in college athletes : relation between ligamentous laxity and lower extremity muscle tightness", Arch Phys Med Rehabil, 77(11), pp.1139~1143 (1996)
  18. Magnusson SP, "Determinants of musculoskeletal flexibility: viscoelastic properties, cross-sectional area, EMG and stretch tolerance", Scand J Med Sci Sports, 7(4), pp.195~202 (1997)
  19. Miyamoto N, "Effects of hamstring stretching on passive muscle stiffness vary between hip flexion and knee extension maneuvers", Scand J Med Sci Sports, 27(1), pp.99~106 (2017)
  20. Watsford ML, "A prospective study of the relationship between lower body stiffness and hamstring injury in professional Australian rules footballers", Am J Sports Med, 38(10), pp.2058~2064 (2010)
  21. Witvrouw E, "Muscle flexibility as a risk factor for developing muscle injuries in male professional soccer players. A prospective study", Am J Sports Med, 31(1), pp.41~46 (2003)
  22. Nakamura M, "Effects of a 4-week static stretch training program on passive stiffness of human gastrocnemius muscle-tendon unit in vivo", Eur J Appl Physiol, 112(7), pp.2749~2755 (2012)
  23. Park B, "The acute effects of static stretching and dynamic stretching with a moist heat pack in young healthy people with limited flexibility of the triceps surae", Master, pp.2018
  24. Skaria LA, "Effectiveness of post-isometric relaxation over passive stretching for gastrocemius tightness in unimpaired individuals–a comparative study", Master, pp.2005
  25. "Multicentre study on tecar® therapy in sports pathologies" (2009)[URL]
  26. "Tecar® therapy in the treatment of acute and chronic pathologies in sports" (2000)[URL]
  27. Akyürekli D, "Changes in muscle blood flow distribution during hyperthermia", Int J Hyperthermia, 13(5), pp.481~496 (1997)
  28. Brown M, "Effect of pulsed short wave diathermy on skeletal muscle injury in rabbits", Phys Ther, 67(2), pp.208~214 (1987)
  29. Strickler T, "The effects of passive warming on muscle injury", Am J Sports Med, 18(2), pp.141~145 (1990)
  30. Wilson DH, "Treatment of soft-tissue injuries by pulsed electrical energy", Br Med J, 2(5808), pp.269~270 (1972)
  31. Gao F, "Changes in passive mechanical properties of the gastrocnemius muscle at the muscle fascicle and joint levels in stroke survivors", Arch Phys Med Rehabil, 90(5), pp.819~826 (2009)
  32. Kwah LK, "Passive mechanical properties of gastrocnemius muscles of people with ankle contracture after stroke", Arch Phys Med Rehabil, 93(7), pp.1185~1190 (2012)
  33. Li L, "The effect of poststroke impairments on brachialis muscle architecture as measured by ultrasound", Arch Phys Med Rehabil, 88(2), pp.243~250 (2007)
  34. Johanson M, "Subtalar joint position during gastrocnemius stretching and ankle dorsiflexion range of motion", J Athl Train, 43(2), pp.172~178 (2008)
  35. Kawakami Y, "Skeletal muscle mechanics: from mechanisms to function", pp.327~341 (2000), Wiley
  36. Gao F, "Altered contractile properties of the gastrocnemius muscle poststroke", J Appl Physiol(1985), 105(6), pp.1802~1808 (2008)
  37. Liemohn W, "ACSM's resource manual for guidelines for exercise testing and prescription", pp.327~336 (1993), Lea and Febiger
  38. Pruyn EC, "Validity and reliability of three methods of stiffness assessment", J Sport Health Sci, 5(4), pp.476~483 (2016)
  39. Bressel E, "Biomechanical behavior of the plantar flexor muscle-tendon unit after an achilles tendon rupture", Am J Sports Med, 29(3), pp.321~326 (2001)
  40. Nordez A, "Acute effects of static stretching on passive stiffness of the hamstring muscles calculated using different mathematical models", Clin Biomech(Bristol, Avon), 21(7), pp.755~760 (2006)
  41. Lehmann JF, "Krusen's handbook of physical medicine and rehabilitation", pp.283~435 (1990), Saunders
  42. 정은주, "고주파요법이 비만 여성의 복부둘레 변화에 미치는 효과", 석사, 향장미용학, pp.2006
  43. Gutmann AZ, "Recientes avances en fisioterapia", Fisioterapia actual, 3, pp.321~332 (1993)
  44. Amis AA, "Muscle strengths and musculoskeletal geometry of the upper limb", Eng Med, 8(1), pp.41~48 (1979)
  45. An KN, "Muscles across the elbow joint : a biomechanical analysis", J Biomech, 14(10), pp.659~669 (1981)
  46. Brand RA, "The sensitivity of muscle force predictions to changes in physiologic cross-sectional area", J Biomech, 19(8), pp.589~596 (1986)
  47. Jacobson MD, "Architectural design of the human intrinsic hand muscles", J Hand Surg Am, 17(5), pp.804~809 (1992)
  48. Lieber RL, "Skeletal muscle structure and function: implications for rehabilitation and sports medicine" (1992), Williams & Wilkins
  49. Lieber RL, "Quantitative method for comparison of skeletal muscle architectural properties", J Biomech, 25(5), pp.557~560 (1992)
  50. Burkholder TJ, "Relationship between muscle fiber types and sizes and muscle architectural properties in the mouse hindlimb", J Morphol, 221(2), pp.177~190 (1994)
  51. Sacks RD, "Architecture of the hind limb muscles of cats : functional significance", J Morphol, 173(2), pp.185~195 (1982)
  52. Kawakami Y, "Muscle-fiber pennation angles are greater in hypertrophied than in normal muscles", J Appl Physiol(1985), 74(6), pp.2740~2744 (1993)
  53. Shellock FG, "Warming-up and stretching for improved physical performance and prevention of sportsrelated injuries", Sports Med, 2(4), pp.267~278 (1985)
  54. Smith CA, "The warm-up procedure: to stretch or not to stretch. A brief review", J Orthop Sports Phys Ther, 19(1), pp.12~17 (1994)
  55. Rooks DS, "Musculoskeletal assessment and training : the young athlete", Clin Sports Med, 7(3), pp.641~677 (1988)
  56. Safran MR, "Warm-up and muscular injury prevention", An update. Sports Med, 8(4), pp.239~249 (1989)
  57. Hartig DE, "Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees", Am J Sports Med, 27(2), pp.173~176 (1999)

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