본문 바로가기
KERD
논문KCI 등재

다른 앉은 자세가 뇌성마비 환자의 복횡근 두께와 앉기 균형에 미치는 영향

Effects of Different Sitting Postures on Transverse Abdominis Muscle Thickness and Sitting Balance in Children With Cerebral Palsy

윤창교|김원복
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2014.09|한국전문물리치료학회지 (Physical Therapy Korea)|제21권 제3호|pp. 11-19|DOI http://dx.doi.org/10.12674/ptk.2014.21.3.011

1

조회

0

다운로드

8

인용

0

참고문헌

키워드

Cerebral palsySitting postureTransverse abdominis
주제분류물리치료학

초록

The purpose of this study was to investigate the activity of the transverse abdominal muscle resulting from changed posture by measuring the thickness of the transverse abdominal muscle in a supine posture, a slouched sitting posture, and an erect sitting posture. The subjects of the study were 28 patients with cerebral palsy. All their transverse abdominal muscles at the end of inhalation were measured at supine, slouched sitting (S sitting) and erect sitting (E sitting) postures by using ultrasonography, and then their dynamic sitting balance was measured at S sitting and E sitting postures by using BioRescue. For the statistical analysis, the Kruskal-Wallis test and the Wilcoxon signed-rank test were used to compare the differences among each the postures. The results were as follows. Thethickness of the transverse abdominal muscle when comparing the supine posture and the S sitting posture showed no statistically significant difference. But the E sitting posture showed a statistically significant difference as compared with the others. In addition, the dynamic sitting balance in comparing the S sitting and E sitting postures showed a significant difference. In conclusion, the E sitting posture has a more positive effect on postural control and balance than generally taking the S sitting posture, for the sitting posture of a patient with cerebral palsy. It is suggested that patients with cerebral palsy mainly experiencing a sedentary life or being in a wheelchair should be seated in the E sitting posture during their daily life, and it may be necessary to continue to monitor and manage the proper E sitting posture.

Abstract

The purpose of this study was to investigate the activity of the transverse abdominal muscle resulting from changed posture by measuring the thickness of the transverse abdominal muscle in a supine posture, a slouched sitting posture, and an erect sitting posture. The subjects of the study were 28 patients with cerebral palsy. All their transverse abdominal muscles at the end of inhalation were measured at supine, slouched sitting (S sitting) and erect sitting (E sitting) postures by using ultrasonography, and then their dynamic sitting balance was measured at S sitting and E sitting postures by using BioRescue. For the statistical analysis, the Kruskal-Wallis test and the Wilcoxon signed-rank test were used to compare the differences among each the postures. The results were as follows. Thethickness of the transverse abdominal muscle when comparing the supine posture and the S sitting posture showed no statistically significant difference. But the E sitting posture showed a statistically significant difference as compared with the others. In addition, the dynamic sitting balance in comparing the S sitting and E sitting postures showed a significant difference. In conclusion, the E sitting posture has a more positive effect on postural control and balance than generally taking the S sitting posture, for the sitting posture of a patient with cerebral palsy. It is suggested that patients with cerebral palsy mainly experiencing a sedentary life or being in a wheelchair should be seated in the E sitting posture during their daily life, and it may be necessary to continue to monitor and manage the proper E sitting posture.

참고문헌 (35)

  1. Ainscough-Potts AM, "The response of the transverse abdominis and internal oblique muscles to different postures", Man Ther, 11(1), pp.54~60 (2006)
  2. Bertenthal B, "Eye, head and trunk control : The foundation for manual development", Neurosci Biobehav Rev, 22(4), pp.515~520 (1998)
  3. Brogren E, "Postural control in children with spastic diplegia : Muscle activity during perturbations in sitting", Dev Med Child Neurol, 38(5), pp.379~388 (1996)
  4. Brogren E, "Postural control in sitting children with cerebral palsy", Neurosci Biobehav Rev, 22(4), pp.591~596 (1998)
  5. Brogren E, "Influence of two different sitting positions on postural adjustments in children with spastic diplegia", Dev Med Child Neurol, 43(8), pp.534~546 (2001)
  6. Burtner PA, "Muscle activation characteristics of stance balance control in children with spastic cerebral palsy", Gait Posture, 8(3), pp.163~174 (1998)
  7. Cho YJ, "Effects of head control training using virtual reality programs on standing balance in children with spastic hemiplegia", 석사, pp.2011
  8. Cresswell AG, "Observationson on intra-abdominal pressure and patterns of abdominal intramuscular activity in man", Acta Physiol Scand, 144(4), pp.409~418 (1992)
  9. Diener HC, "Quantification of postural sway in normals and patients with cerebellar diseases", Electroencephalogr Clin Neurophysiol, 57(2), pp.134~142 (1984)
  10. Fogel A, "Effect of postural position and reaching on gaze during mother-infant face-to-face interaction", Infant Behav Dev, 15(2), pp.231~244 (1992)
  11. Hides JA, "Multifidus muscle recovery is not automatic after resolution of acute, first-episode lowback pain", Spine (Phila Pa 1976), 21(23), pp.2763~2769 (1996)
  12. Hodges PW, "Contraction of the abdominal muscles associated with movement of the lower limb", Phys Ther, 77(2), pp.132~142 (1997)
  13. Hodges PW, "Pain and motor control of the lumbopelvic region : Effect and possible mechanisms", J Electromyogr Kinesiol, 13(4), pp.361~370 (2003)
  14. Hodges PW, "Measurement of muscle contraction with ultrasound imaging", Muscle Nerve, 27(6), pp.682~692 (2003)
  15. Hopkins B, "Facilitating postural control : Effects on the reaching behavior of 6-month-old infants", Dev Psychobiol, 40(2), pp.168~182 (2002)
  16. Hwang YB, "The effect of stabilization exercise in children with spastic diplegia", 석사, pp.2006
  17. 정지운, "뇌성마비 아동의 체간 전기 자극이 대동작운동기능과 체간근 활성화에 미치는 영향", 재활복지, 16(1), pp.293~314 (2012), 한국장애인재활협회
  18. Kim JS, "Posture guidance of children with cerebral palsy", pp.87~120 (2000), Daegu University Press
  19. 김선희, "체간 조절을 통한 앉기 자세 교정이 경직형 뇌성마비 아동들의 호흡근과 음향학적 측정치들의 변화에 미치는 효과", 한국전문물리치료학회지, 16(2), pp.16~23 (2009), 한국전문물리치료학회
  20. Kim SJ, "The effects of optimal seated positioning on the upper limb function in 7 to 9 years old children with cerebral palsy", 석사, pp.2005
  21. Liao SF, "Differences in seated postural control in children with spastic cerebral palsy and children who are typically developing", Am J Phys Med Rehabil, 82(8), pp.622~626 (2003)
  22. McMeeken JM, "The relationship between EMG and change in thickness of transversus abdominis", Clin Biomech(Bristol Avon), 19(4), pp.337~342 (2004)
  23. Means KM, "Modifying a functional obstacle course to test balance and mobility in the community", J Rehabil Res Dev, 37(5), pp.621~632 (2000)
  24. Morris ME, "Current status of the motor program", Phys Ther, 74(8), pp.738~752 (1994)
  25. Nwaobi OM, "Effect of adaptive seating on pulmonary function of children with cerebral palsy", Dev Med Child Neurol, 28(3), pp.351~354 (1986)
  26. O’Sullivan PB, "Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population", Spine (Phila Pa 1976), 31(19), pp.E707~E712 (2006)
  27. Reeve A, "Effects of posture on the thickness of transversus abdominis in pain-free subjects", Man Ther, 14(6), pp.679~684 (2009)[DOI]
  28. Richardson CA, "Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain: Scientific basis and clinical approach", pp.43~70 (1999), Churchill Livingstone
  29. Richman J, "Research methodology and applied statistics. Part 3: Measurement procedures in research", Physiother Can, 32(4), pp.253~257 (1980)
  30. Rosenbaum P, "A report : The definition and classification of cerebral palsy april 2006", Dev Med Child Neurol Suppl, 109, pp.8~14 (2007)
  31. Seo HW, "The effects of chronic stroke patents weight movement training according to supporting ground to proprioception of legs", 석사, pp.2012
  32. Strohl KP, "Regional differences in abdominal muscle activity during various maneuvers in humans", J Appl Physiol Respir Environ Exerc Physiol, 51(6), pp.1471~1476 (1981)
  33. Szopa A, "Physiotherapy: Pressing issues of everyday practice" (2012), Lulu
  34. Tecklin JS, "Pediatric Physical Therapy", pp.1~27 (2008), Lippincott Williams & Wilkins
  35. Watanabe S, "Influence of trunk muscle co-contraction on spinal curvature during sitting", J Back Musculoskelet Rehabil, 27(1), pp.55~61 (2014)[DOI]

관련 논문AI추천

Comparison of muscle contraction patterns in a sitting position in children with muscle tone problems성윤희, 하선영한국운동재활복지협회 · 운동재활·복지2023 · 제4권 제2호체간 조절을 통한 앉기 자세 교정이 경직형 뇌성마비 아동들의 호흡근과 음향학적 측정치들의 변화에 미치는 효과권도하, 김선희, 서혜정, 안종복한국전문물리치료학회 · 한국전문물리치료학회지2009 · 제16권 제2호머리-목 굽힘 기반 체간 안정화 운동이 경직성 뇌성마비 아동의 근 긴장도와 앉은 자세의 균형에 미치는 효과이병희, 정은정, 한상진특수교육재활과학연구소 · 특수교육재활과학연구2018 · 제57권 제3호승마치료가 조산아로 태어난 경직형 뇌성마비 아동의 체간근 활성도에 미치는 영향오병환, 조성현, 황보각특수교육재활과학연구소 · 특수교육재활과학연구2012 · 제51권 제1호Trunk Stabilization Exercise Using a Both Sides Utilized Ball in Children With Spastic Diplegia: Case Study김정수, 신헌석, 심연주, 이충휘한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제4호정상 아동과 뇌성마비 아동의 감소된 횡격막움직임 및 호흡 기능의 비교강민수, 강선영, 심재훈한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제1호

이 간행물의 다른 논문 (9건)

엎드린 자세에서 고관절 신전 시 고관절 외회전 각도가 골반과 하지 근활성도에 미치는 영향윤태림, 전혜선, 신헌석, 오윤찬, 이충휘pp. 1-10엉덩정강근막띠의 길이 평가를 위한 세 가지 측정방법들의 신뢰도 비교김문환, 윤성준, 원종혁pp. 20-27목 주위 근육 통증 여부에 따른 스마트폰 사용이 근 피로도와 통증, 목뼈운동범위에 미치는 영향우영근, 소윤지pp. 28-37도수적 자세교정이 슬링을 이용한 교각운동 시 체간과 하지 근육의 근활성도에 미치는 영향김소영, 김선엽, 장현정pp. 38-44노인 낙상군과 노인 비낙상군의 비교: 균형능력과 우울감 및 삶의 질전혜선, 이충휘, 전민재, 신헌석pp. 45-54
원문 보기