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논문KCI 등재

수의적인 상ㆍ하지 움직임 동안의 체간의 선행적 자세조절 연구

The Study of Anticipatory Postural Adjustments in Voluntary Arm and Leg Movement

정이정|신원섭|정경심
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2008.05|한국전문물리치료학회지 (Physical Therapy Korea)|제15권 제2호|pp. 30-37

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참고문헌

주제분류물리치료학

초록

Anticipatory postural adjustments are pre-planned by the central nervous system (CNS) before the activation of agonist muscles in the limbs, and minimize postural sway. Most previous studies on this topic have focused on upper-limb movement, and little research has been conducted on lower-limb movement. The purpose of this study was to investigate the recruitment order of left and right trunk muscles during limb movement. Fifteen healthy subjects (10 male, 5 female) were enrolled. Electro- myographic signals were recorded on the muscles of: (1) deltoid, lumbar erector spinae, latissimus dorsi and internal oblique during shoulder flexion, (2) rectus femoris, rectus abdominis, external oblique and internal oblique during hip flexion. During right upper limb flexion, the onset of left erector spinae muscle and left internal oblique muscle activity preceded the onset of right deltoid by 8.09 ㎳ and 19.83 ㎳, respectively. But these differences were not significant (p>.05). A similar sequence of activation occurred with lower limb flexion. The onset of left internal oblique muscle activity preceded the onset of right rectus femoris muscle by 28.29 ㎳ (p<.05). The onset of right internal oblique muscle activity preceded the onset of left rectus femoris muscles by 23.24 ㎳ (p<.05). The internal oblique muscle was the first activated during limb movement. Our study established the recruitment order of trunk muscles during limb movement, and explained the postural control strategy of the trunk muscles in healthy people. We expect that this study will be used to evaluate patients with an asymmetric recruitment order of muscle activation due to impaired CNS.

Abstract

Anticipatory postural adjustments are pre-planned by the central nervous system (CNS) before the activation of agonist muscles in the limbs, and minimize postural sway. Most previous studies on this topic have focused on upper-limb movement, and little research has been conducted on lower-limb movement. The purpose of this study was to investigate the recruitment order of left and right trunk muscles during limb movement. Fifteen healthy subjects (10 male, 5 female) were enrolled. Electro- myographic signals were recorded on the muscles of: (1) deltoid, lumbar erector spinae, latissimus dorsi and internal oblique during shoulder flexion, (2) rectus femoris, rectus abdominis, external oblique and internal oblique during hip flexion. During right upper limb flexion, the onset of left erector spinae muscle and left internal oblique muscle activity preceded the onset of right deltoid by 8.09 ㎳ and 19.83 ㎳, respectively. But these differences were not significant (p>.05). A similar sequence of activation occurred with lower limb flexion. The onset of left internal oblique muscle activity preceded the onset of right rectus femoris muscle by 28.29 ㎳ (p<.05). The onset of right internal oblique muscle activity preceded the onset of left rectus femoris muscles by 23.24 ㎳ (p<.05). The internal oblique muscle was the first activated during limb movement. Our study established the recruitment order of trunk muscles during limb movement, and explained the postural control strategy of the trunk muscles in healthy people. We expect that this study will be used to evaluate patients with an asymmetric recruitment order of muscle activation due to impaired CNS.

참고문헌 (38)

  1. Agid Y, "From posture to initiation of movement", Rev Neurol (Paris), 146(10), pp.536~542 (1990)
  2. Akuthota V, "Core strengthening", Arch Phys Med Rehabil, 85(3 suppl 1), pp.S86~S92 (2004)
  3. Alexander NB, "Postural control in older adults", J Am Geriatr Soc, 42(1), pp.93~108 (1994)
  4. Aruin AS, "Directional specificity of postural muscles in feed-forward postural reactions during fast voluntary arm movements", Exp Brain Res, 103(2), pp.323~332 (1995)
  5. Belen'kiĭ VE, "Control elements of voluntary movements", Biofizika, 12(1), pp.135~141 (1967)
  6. Berg K, "Balance and its measure in the elderly: A review", Physiother Can, 41(5), pp.240~246 (1989)
  7. Bouisset S, "Biomechanical study of the programming of anticipatory postural adjustments associated with voluntary movement", J Biomech, 20(8), pp.735~742 (1987)
  8. Brown JE, "Influences of event anticipation on postural actions accompanying voluntary movement", Exp Brain Res, 67(3), pp.645~650 (1987)
  9. Cresswell AG, "Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man", Acta Physiol Scand, 144(4), pp.409~418 (1992)
  10. Cresswell AG, "The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing", Exp Brain Res, 98(2), pp.336~341 (1994)
  11. Dickstein R, "Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients", Arch Phys Med Rehabil, 85(2), pp.261~267 (2004)
  12. Diener HC, "Early stabilization of human posture after a sudden disturbance: Influence of rate and amplitude of displacement", Exp Brain Res, 56(1), pp.126~134 (1984)
  13. Frank JS, "Coordination of posture and movement", Phys Ther, 70(12), pp.855~863 (1990)
  14. Friedli WG, "Postural adjustments associated with rapid voluntary arm movements. II. Biomechanical analysis", J Neurol Neurosurg Psychiatry, 51(2), pp.232~243 (1988)
  15. Friedli WG, "Postural adjustments associated with rapid voluntary arm movements 1. Electromyographic data", J Neurol Neurosurg Psychiatry, 47(6), pp.611~622 (1984)
  16. Hodges P, "Preparatory trunk motion accompanies rapid upper limb movement", Exp Brain Res, 124(1), pp.69~79 (1999)
  17. Hodges PW, "Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement", Gait Posture, 11(2), pp.92~101 (2000)
  18. Hodges PW, "Contraction of the abdominal muscles associated with movement of the lower limb", Phys Ther, 77(2), pp.132~142 (1997)
  19. Hodges PW, "Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement", Exp Brain Res, 114(2), pp.362~370 (1997)
  20. Horak FB, "Influence of central set on human postural responses", J Neurophysiol, 62(4), pp.841~853 (1989)
  21. Horak FB, "The effects of movement velocity, mass displaced, and task certainty on associated postural adjustments made by normal and hemiplegic individuals", J Neurol Neurosurg Psychiatry, 47(9), pp.1020~1028 (1984)
  22. Horak FB, "Postural strategies associated with somatosensory and vestibular loss", Exp Brain Res, 82(1), pp.167~177 (1990)
  23. Hugon M, "Anticipatory postural changes induced by active unloading and comparison with passive unloading in man", Pflugers Arch, 393(4), pp.292~296 (1982)
  24. Keshner EA, "Neck, trunk and limb muscle responses during postural perturbations in humans", Exp Brain Res, 71(3), pp.455~466 (1988)
  25. Le Bozec S, "A sequence of postural muscle excitations precedes and accompanies isometric ramp efforts performed while sitting in human subjects", Neurosci Lett, 303(1), pp.72~76 (2001)
  26. Marshall PW, "Core stability exercises on and off a Swiss ball", Arch Phys Med Rehabil, 86(2), pp.242~249 (2005)
  27. Massion J, "posture and equilibrium: Interaction and coordination", Prog Neurobiol, 38(1), pp.35~56 (1992)
  28. Massion J, "Postural control system", Curr Opin Neurobiol, 4(6), pp.877~887 (1994)
  29. Massion J, "Acquisition of anticipatory postural adjustments in a bimanual load-lifting task: Normal and pathological aspects", Exp Brain Res, 218(1-2), pp.229~235 (1999)
  30. Nashner LM, "Fixed patterns of rapid postural responses among leg muscles during stance", Exp Brain Res, 30(1), pp.13~24 (1977)
  31. Panjabi MM, "The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement", J Spinal Disord, 5(4), pp.383~389 (1992)
  32. Patla AE, "Balance control in the elderly: Implications for clinical assessment and rehabilitation", Can J Public Health, 83 Suppl 2, pp.S29~S33 (1992)
  33. Ramos CF, "Postural maintenance during movement: Simulations of a two joint model", Biol Cybern, 63(5), pp.363~375 (1990)
  34. Rogers MW, "Dynamic transitions in stance support accompanying leg flexion movements in man", Exp Brain Res, 81(2), pp.398~402 (1990)
  35. Tyler AE, "Qualitative discrepancies between trunk muscle activity and dynamic postural requirements at the initiation of reaching movements performed while sitting", Exp Brain Res, 107(1), pp.87~95 (1995)
  36. Wilke HJ, "Stability increase of the lumbar spine with different muscle groups. A biomechanical in vitro study", Spine, 20(2), pp.192~198 (1995)
  37. Wolfson L, "A dynamic posturography study of balance in healthy elderly", Neurology, 42(11), pp.2069~2075 (1992)
  38. Zattara M, "Posturo-kinetic organisation during the early phase of voluntary upper limb movement. 1. Normal subjects", J Neurol Neurosurg Psychiatry, 51(7), pp.956~965 (1988)

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