아래등세모근 근력강화 운동방법들 사이의 어깨뼈 위쪽 돌림근과 다른 어깨 근육들의 근활성도 비교
Comparison of the EMG Activities of Scapular Upward Rotators and Other Scapular Muscles Among Three Lower Trapezius Strengthening Exercises
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참고문헌
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초록
The aim of this study was to compare the electromyographic (EMG) activity levels of the scapular upward rotators [upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA)] and other scapular muscles [posterior deltoid (PD), levator scapulae (LS), and infraspinatus (IS)] during isometric lower trapezius exercises. Twenty males with no medical history of shoulder pain or upper extremity disorders were recruited for this study. EMG activity was recorded from the UT, LT, SA, PD, LS, and IS while subjects performed three different exercises: Prone arm lift (PAL), Backward rocking diagonal arm lift (BRDAL), Modified Prone Cobra (MPC). One-way analysis of variance (ANOVA) was used to determine any significant differences among the three exercises. A lower relative activation of UT, LT, and SA was seen with the MPC than with the other exercises (p<.05). The relatively lower activation of the UT identified, the MPC exercise as the preferred choice for preferential strengthening the LT (p<.05). However, a higher activation in the PD, LS, and IS occurred with the MPC than with the other exercises (p>.05). The recruitment pattern of synergist varied depending on the exercise posture. These findings suggest that exercise posture is an important factor in the selection of strengthening exercise for weak muscle.
Abstract
The aim of this study was to compare the electromyographic (EMG) activity levels of the scapular upward rotators [upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA)] and other scapular muscles [posterior deltoid (PD), levator scapulae (LS), and infraspinatus (IS)] during isometric lower trapezius exercises. Twenty males with no medical history of shoulder pain or upper extremity disorders were recruited for this study. EMG activity was recorded from the UT, LT, SA, PD, LS, and IS while subjects performed three different exercises: Prone arm lift (PAL), Backward rocking diagonal arm lift (BRDAL), Modified Prone Cobra (MPC). One-way analysis of variance (ANOVA) was used to determine any significant differences among the three exercises. A lower relative activation of UT, LT, and SA was seen with the MPC than with the other exercises (p<.05). The relatively lower activation of the UT identified, the MPC exercise as the preferred choice for preferential strengthening the LT (p<.05). However, a higher activation in the PD, LS, and IS occurred with the MPC than with the other exercises (p>.05). The recruitment pattern of synergist varied depending on the exercise posture. These findings suggest that exercise posture is an important factor in the selection of strengthening exercise for weak muscle.
참고문헌 (38)
- Arlotta M, "Selective recruitment of the lower fibers of the trapezius muscle", J Electromyogr Kinesiol, 21(3), pp.403~410 (2011)
- 최지영, "수동적 어깨뼈 정렬이 작은가슴근 단축된 사람의 등세모근 근활성도에 미치는 영향", 한국전문물리치료학회지, 19(2), pp.12~19 (2012), 한국전문물리치료학회
- 정성대, "운동면과 어깨 관절 굽힘 각도가 어깨뼈 내밈 운동 시 어깨뼈 위쪽 돌림근에 미치는 영향", 대한물리의학회지, 8(1), pp.41~48 (2013), 대한물리의학회
- Cools AM, "Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms", Br J Sports Med, 38(1), pp.64~68 (2004)
- Cools AM, "Isokinetic scapular muscle performance in overhead athletes with and without impingement symptoms", J Athl Train, 40(2), pp.104~110 (2005)
- Cools AM, "Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms", Scand J Med Sci Sports, 17(1), pp.25~33 (2007)
- Cools AM, "Rehabilitation of scapular muscle balance: Which exercises to prescribe?", Am J Sports Med, 35(10), pp.1744~1751 (2007)
- Criswell E, "Cram’s Introduction to Surface Electromyography", pp.289~306 (2011), Jones and Bartlett
- De Mey K, "Conscious correction of scapular orientation in overhead athletes performing selected shoulder rehabilitation exercises: The effect on trapezius muscle activation measured by surface electromyography", J Orthop Sports Phys Ther, 43(1), pp.3~10 (2013)
- Decker MJ, "Serratus anterior muscle activity during selected rehabilitation exercises", Am J Sports Med, 27(6), pp.784~791 (1999)
- Ekstrom RA, "Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles", J Orthop Sports Phys Ther, 33(5), pp.247~258 (2003)
- Eliot DJ, "Electromyography of levator scapulae: New findings allow tests of a head stabilization model", J Manipulative Physiol Ther, 19(1), pp.19~25 (1996)
- Escamilla RF, "Shoulder muscle activity and function in common shoulder rehabilitation exercises", Sports Med, 39(8), pp.663~685 (2009)
- Ha SM, "Comparison of electromyographic activity of the lower trapezius and serratus anterior muscle in different arm-lifting scapular posterior tilt exercises", Phys Ther Sport, 13(4), pp.227~232 (2012)
- 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)
- Huang HY, "EMG biofeedback effectiveness to alter muscle activity pattern and scapular kinematics in subjects with and without shoulder impingement", J Electromyogr Kinesiol, 23(1), pp.267~274 (2013)
- Kendall FP, "Muscles: Testing and function, with posture and pain", pp.17~330 (2005), Lippincott Williams and Wilkins
- Kibler WB, "Scapular dyskinesis and its relation to shoulder pain", J Am Acad Orthop Surg, 11(2), pp.142~151 (2003)
- Lehman GJ, "Shoulder muscle EMG activity during push up variations on and off a swiss ball", Dyn Med, 5, pp.7~ (2006)
- Lin H, "Epidemiological analysis of factors influencing an episode of exertional rhabdomyolysis in high school students", Am J Sports Med, 34(3), pp.481~486 (2006)
- Ludewig PM, "Shoulder impingement: Biomechanical considerations in rehabilitation", Man Ther, 16(1), pp.33~39 (2011)
- Ludewig PM, "Alterations in shoulder kinematics and associated muscle activity in peoplewith symptoms of shoulder impingement", Phys Ther, 80(3), pp.276~291 (2000)
- Ludewig PM, "Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation", J Orthop Sports Phys Ther, 24(2), pp.57~65 (1996)
- Ludewig PM, "Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises", Am J Sports Med, 32(2), pp.484~493 (2004)
- MacDonell CW, "Interfering effects of the task demands of grip force and mental processing on isometric shoulder strength and muscle activity", Ergonomics, 48(15), pp.1749~1769 (2005)
- McQuade KJ, "Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation", J Orthop Sports Phys Ther, 28(2), pp.74~80 (1998)
- Moseley JB Jr, "Emg analysis of the scapular muscles during a shoulder rehabilitation program", Am J Sports Med, 20(2), pp.128~134 (1992)
- Neumann DA, "Kinesiology of the Musculoskeletal System", pp.118~132 (2002), Mosby
- Pontillo M, "Shoulder musculature activity and stabilization during upper extremity weight-bearing activities", N Am J Sports Phys Ther, 2(2), pp.90~96 (2007)
- Queisser F, "The relationship between the electromyogram-amplitude and isometric extension torques of neck muscles at different positions of the cervical spine", Eur J Appl Physiol Occup Physiol, 68(1), pp.92~101 (1994)
- Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndrome", pp.206~212 (2002), Mosby
- Smith J, "Electromyographic activity in the immobilized shoulder girdle musculature during scapulothoracic exercises", Arch Phys Med Rehabil, 87(7), pp.923~927 (2006)
- 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)
- Tucker WS, "Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises", Arch Phys Med Rehabil, 91(4), pp.550~556 (2010)
- Warner JJ, "Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moiré topographic analysis", Clin Orthop Relat Res, (285), pp.191~199 (1992)
- Weon JH, "Influence of forward head posture on scapular upward rotators during isometric shoulder flexion", J Bodyw Mov Ther, (14), pp.367~374 (2010)
- Wilk KE, "Current concepts in the rehabilitation of the athletic shoulder", J Orthop Sports Phys Ther, 18(1), pp.365~378 (1993)
- Witt D, "Electromyographic activity of scapular muscles during diagonal patterns using elastic resistance and free weights", Int J Sports Phys Ther, 6(4), pp.322~332 (2011)
