팔 내리기 동작 시 시각적 바이오피드백 훈련이 전거근과 상부 승모근의 근활성도에 미치는 영향
Visual Biofeedback to Monitor Serratus Anterior and Upper Trapezius Muscle Activities During Arm Lowering
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초록
To reduce winging scapula, various exercise protocols have been widely used by clinicians. Selective serratus anterior strengthening, and restoring balanced function, are especially recommended to reduce winging scapula. The purpose of this study was to investigate visual biofeedback using a real time video camera display system for monitoring scapular winging during arm lowering. For this study, 13 males with winging scapular were recruited during arm lowering. Electromyography (EMG) activity was recorded from the serratus anterior (SA) and upper trapezius (UT) of the right side and compared with normal EMG activity using a paired t-test. The study showed, through visual biofeedback, that EMG activity significantly increased in the SA and significantly decreased in the UT (p<.05). These results suggest that visual biofeedback can be recommended as an effective method for scapular eccentric control, to prevent scapular winging during arm lowering.
Abstract
To reduce winging scapula, various exercise protocols have been widely used by clinicians. Selective serratus anterior strengthening, and restoring balanced function, are especially recommended to reduce winging scapula. The purpose of this study was to investigate visual biofeedback using a real time video camera display system for monitoring scapular winging during arm lowering. For this study, 13 males with winging scapular were recruited during arm lowering. Electromyography (EMG) activity was recorded from the serratus anterior (SA) and upper trapezius (UT) of the right side and compared with normal EMG activity using a paired t-test. The study showed, through visual biofeedback, that EMG activity significantly increased in the SA and significantly decreased in the UT (p<.05). These results suggest that visual biofeedback can be recommended as an effective method for scapular eccentric control, to prevent scapular winging during arm lowering.
참고문헌 (27)
- 박준상\, "푸시업플러스(Push-up plus) 운동 시 견갑골 익상 유무에 따른 어깨안정근의 근활성도 비교", 한국전문물리치료학회지, 14(2), pp.44~52 (2007), 한국전문물리치료학회
- 차용호, "네발 기기 자세의 유형에 따른 견흉관절 근육의 근활성도 비교", 석사, pp.2007
- "1995", 209(4)
- Bizot P, "Scapulothoracic fusion for serratus anterior paralysis", J Shoulder Elbow Surg, 12(6), pp.561~565 (2003)
- Cools AM, "Declercq GA, et al. Scapular muscle recruitment pattern: Trapezius muscle latency with and without impingement symptoms", Am J Sports Med, 31(4), pp.542~549 (2003)
- Cram JR, "Introduction to Surface Electromyography" (1998), Aspen Pub
- Decker MJ, "Serratus anterior muscle activity during selected rehabilitation exercise", AM J Sports Med, 27(6), pp.784~791 (1999)
- Dursun N, "Electromyographic biofeedback-controlled exercise versus conservative care for patellofemoral pain syndrome", Arch Phys Med Rehabil, 82(12), pp.1692~1695 (2001)
- 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)
- Ellenbecker TS, "Closed Kinetic Chain Excercise: A comprehensive guide to multiple joint exercise" (2001), Human Kinetics
- Gregg JR, "Serratus anterior paralysis in the young athlete", J Bone Joint Surg Am, 61(6A), pp.825~832 (1979)
- Ingersoll CD, "Patellar location changes following EMG biofeedback or progressive resistance exercise", Med Sci Sport Exerc, 23(10), pp.1122~1127 (1991)
- Jobe FW, "Classification and treatment of shoulder dysfunction in the overhead athlete", J Orthop Sports Phys Ther, 18(2), pp.427~432 (1993)
- Lear LJ, "An electromyographical analysis of the scapular stabilizing synergists during a push-up progression", J Orthop Sports Phys Ther, 28(3), pp.146~157 (1998)
- Lee SG, "Winged scapular caused by rhomboideus and trapezius muscles rupture associated with repetitive minor trauma: A case report", J Korean Med Sci, 21(3), pp.581~584 (2006)
- Ludewig PM, "Alteration in shoulder kinematics and associated muscle activity in people with syndrome of shoulder impingement", Phys Ther, 80(3), pp.276~291 (2000)
- Ludewig PM, "Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercise", J Sports Med, 32(2), pp.484~493 (2004)
- McConnell J, "Management of patellofemoral problems", Man Ther, 1(2), pp.60~66 (1996)
- Neumann D, "Kinesiology of the Musculoskeletal System: Foundation for physical rehabilitation" (2002), Mosby
- Ng GYF, "Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome", J Electromyogr Kinesiol, 18(1), pp.128~133 (2008)
- Novak CB, "Surgical treatment of a long thoracic nerve palsy", Ann Thorac Surg, 73(5), pp.1643~1645 (2002)
- Paine RM, "The role of the scapular", J Orthop Sports Phys Ther, 18(1), pp.386~391 (1993)
- Diagnosis and Treatment of Movement Impairment Syndromes, "Sahrmann S", ~ (2002)
- Tomaino MM, "Neurophysiologic and clinical outcome following medial pectoral to long thoracic nerve transfer for scapular winging: A case report", Microsurgery, 22(6), pp.254~257 (2002)
- Voight ML, "The role of the scapular in the rehabilitation of shoulder injuries", J Athl Train, 35(3), pp.364~372 (2000)
- Wood VE, "Winging of the scapular as a complication of first rib resection: A report of six cases", Clin Orthop Relat Res, 149, pp.160~163 (1980)
- Yip SL, "Biofeedback supplementation to physiotherapy exercise programme for rehabilitation of patellofemoral pain syndrome: A randomized controlled pilot study", Clin Rehabil, 20(12), pp.1050~1057 (2006)
