교각 자세 운동 시 지지면 불안정성을 통한 과제 난이도가 다열근의 선택적 근활성도 비에 미치는 영향
The Effects of Task Difficulty Controlled by Surface Condition During Bridging Exercise on Relative Multifidus Activation Ratio
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The purpose of this study is to examine the activity ratios of global trunk muscles and local trunk muscles in relation to adjustments in the level of task difficulty while performing stability exercises in easily applied bridging lumbar stabilization exercise. Twenty healthy subjects performed bridging lumbar stabilization exercise while the level of task difficulty was plate was used in the same posture for all the exercises. EMG was used to examine the activity ratios of the global muscles and multifidus in relation to the level of task difficulty. Moreover, the activity ratios of the multifidus muscle, the erector spinae and the gluteus maximus muscle were measured. A one-way ANOVA with repeated measures was used, and a Bonferroni correction was conducted (α=.05). When the bridging lumbar stabilization exercise were performed at different difficulty levels, the activity of the multifidus muscle, which is a local muscle, was high in all three exercises. Also, compared to low intensity and intermediate intensity exercises, high intensity exercises showed more significant differences (α=.05). Among all the muscles, the multifidus showed the highest activity at intermediate intensity. Based on these results, we suggest that in the case of bridging lumbar stabilization exercise, low intensity or intermediate intensity exercises are more suitable and efficient for local muscle stabilization.
Abstract
The purpose of this study is to examine the activity ratios of global trunk muscles and local trunk muscles in relation to adjustments in the level of task difficulty while performing stability exercises in easily applied bridging lumbar stabilization exercise. Twenty healthy subjects performed bridging lumbar stabilization exercise while the level of task difficulty was plate was used in the same posture for all the exercises. EMG was used to examine the activity ratios of the global muscles and multifidus in relation to the level of task difficulty. Moreover, the activity ratios of the multifidus muscle, the erector spinae and the gluteus maximus muscle were measured. A one-way ANOVA with repeated measures was used, and a Bonferroni correction was conducted (α=.05). When the bridging lumbar stabilization exercise were performed at different difficulty levels, the activity of the multifidus muscle, which is a local muscle, was high in all three exercises. Also, compared to low intensity and intermediate intensity exercises, high intensity exercises showed more significant differences (α=.05). Among all the muscles, the multifidus showed the highest activity at intermediate intensity. Based on these results, we suggest that in the case of bridging lumbar stabilization exercise, low intensity or intermediate intensity exercises are more suitable and efficient for local muscle stabilization.
참고문헌 (24)
- 김선엽, "복횡근 강화운동이 체간 신전-굴곡 시척추 분절 운동에 미치는 영향", 한국전문물리치료학회지, 10(1), pp.63~76 (2003), 한국전문물리치료학회
- 안승헌, "만성요통환자의 치료적 접근", 코칭능력개발지, 7(3), pp.3~13 (2005), 한국코칭능력개발원
- 이심철, "중심 안정성 운동을 적용한 교각운동 시 지지면 불안정이 체간 및 하지의 근 활성도에 미치는 영향", 한국전문물리치료학회지, 17(1), pp.17~25 (2010), 한국전문물리치료학회
- Akuthota V, "Core strengthening", Arch Phys Med Rehabil, 85, pp.86~92 (2004)
- Arokoski JP, "Back and abdominal muscle function during stabilization exercises", Arch Phys Med Rehabil, 82(8), pp.1089~1098 (2001)
- Champagne A, "Back and hip extensor muscles fatigue in healthy subjects: Task-dependency effect of two variants of the sorensen test", Eur Spine J, 17(12), pp.1721~1726 (2008)
- Drake JD, "Do exercise balls provide a training advantage for trunk extensor exercises? A biomechanical evaluation", J Manipulative Physiol Ther, 29(5), pp.354~362 (2006)
- Edgerton VR, "Theoretical basis for patterning EMG amplitudes to assess muscle dysfunction", Med Sci Sports Exerc, 28(6), pp.744~751 (1996)
- Hall CM, "Therapeutic Exercise: Moving toward function. 1st ed" (1999), Lippincott Williams & Wilkins
- Hanada EY, "The feasibility of measuring the activation of the trunk muscles in healthy older adults during trunk stability exercises", BMC Geriatr, 4(8), pp.33~ (2008)
- Hides JA, "Long-term effects of specific stabilizing exercises for first-episode low back pain", Spine, 26(11), pp.243~248 (2001)
- Hodges PW, "Is there a role for transversus abdominis in lumbo-pelvic stability", Man Ther, 4(2), pp.74~86 (1999)
- Kavcic N, "Determining the stabilizing role of individual torso muscles during rehabilitation exercises", Spine, 29(11), pp.1254~1265 (2004)
- Lehman GJ, "Trunk muscle activity during bridging exercises on and off a Swiss ball", Chiropr Osteopat, 13, pp.14~ (2005)
- Maffey-Ward L, "Toward a clinical test of lumbar spine kinesthesia", J Orthop Sports Phys Ther, 24(6), pp.354~358 (1996)
- Marshall PW, "Core stability exercises on and off a swiss ball", Arch Phys Med Rehabil, 86(2), pp.242~249 (2005)
- McGill SM, "Coordination of muscle activity to assure stability of the lumbar spine", J Electromyogr Kinesiol, 13(4), pp.353~359 (2003)
- Neumann DA, "Kinesiology of the Musculoskeletal System: Foundations for rehabilitation. 2nd ed" (2010), Mosby
- O'Sullivan PB, "Lumbar segmental 'instability': Clinical presentation and specific stabilizing exercise management", Man Ther, 5(1), pp.2~12 (2000)
- Richardson CA, "Therapeutic Exercise for Lumbopelvic Stabilization: A motor control approach for the treatment and prevention of low back pain. 2nd ed" (2004), Churchill Livingstone, Harcourt Brace and Company Limited
- Richardson CA, "Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain: Scientific basis and clinical approach" (1999), Churchill Livingstone
- Stevens VK, "Trunk muscle activity in healthy subjects during bridging stabilization exercises", BMC Musculoskelet Disord, 20, pp.75~ (2006)
- Stevens VK, "The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises", Man Ther, 12(3), pp.271~279 (2007)
- Wilke HJ, "Stability increase of the lumbar spine with different muscle groups. A biomechanical in vitro study", Spine, 20(2), pp.192~198 (1995)