본문 바로가기
KERD
논문KCI 등재

Thoracic Hyperkyphosis affects Scapular Orientation and Trunk Motion During Unconstrained Arm Elevation

한송이|최종덕|박재만
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2019.11|한국전문물리치료학회지 (Physical Therapy Korea)|제26권 제4호|pp. 53-62|DOI https://doi.org/10.12674/ptk.2019.26.4.053

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

Scapular orientationShoulder abductionThoracic hyperkyphosisTrunk.
주제분류물리치료학

초록

Background: Shoulder function is achieved by the coordinated movements of the scapula, humerus, and thoracic spine, and shoulder disorders can be associated with altered scapular kinematics. The trunk plays an important role as the kinematic chain during arm elevation. Objects: The purpose of this study was to determine the effects of thoracic hyperkyphosis on scapular orientation and trunk motion. Methods: Thirty-one subjects (15 in the ideal thorax group and 16 in the thoracic hyperkyphosis group) performed right-arm abduction and adduction movements in an unconstrained plane. The scapular orientation and trunk motion were recorded using a motion analysis system. Results: Those subjects with thoracic hyperkyphosis displayed greater scapular posterior tilting at a 120˚ shoulder elevation, greater scapular internal rotation throughout the arm raising phase, and greater trunk axial rotation at the upper ranges of the shoulder elevation, compared to those subjects with an ideal thorax (p<.05). Conclusion: Thoracic hyperkyphosis can cause scapular instability, greater trunk rotation and greater scapular posterior tilting, and may contribute to preventing the achievement of a full range of humeral abductions in an unconstrained plane.

Abstract

Background: Shoulder function is achieved by the coordinated movements of the scapula, humerus, and thoracic spine, and shoulder disorders can be associated with altered scapular kinematics. The trunk plays an important role as the kinematic chain during arm elevation. Objects: The purpose of this study was to determine the effects of thoracic hyperkyphosis on scapular orientation and trunk motion. Methods: Thirty-one subjects (15 in the ideal thorax group and 16 in the thoracic hyperkyphosis group) performed right-arm abduction and adduction movements in an unconstrained plane. The scapular orientation and trunk motion were recorded using a motion analysis system. Results: Those subjects with thoracic hyperkyphosis displayed greater scapular posterior tilting at a 120˚ shoulder elevation, greater scapular internal rotation throughout the arm raising phase, and greater trunk axial rotation at the upper ranges of the shoulder elevation, compared to those subjects with an ideal thorax (p<.05). Conclusion: Thoracic hyperkyphosis can cause scapular instability, greater trunk rotation and greater scapular posterior tilting, and may contribute to preventing the achievement of a full range of humeral abductions in an unconstrained plane.

참고문헌 (38)

  1. J. G. BROEKS, "The long-term outcome of arm function after stroke: results of a follow-up study", Disability and Rehabilitation, 21(8), pp.357~364 (2009), Informa UK Limited[DOI]
  2. John D Borstad, "Comparison of scapular kinematics between elevation and lowering of the arm in the scapular plane", Clinical Biomechanics, 17(9-10), pp.650~659 (2002), Elsevier BV[DOI]
  3. Douglas A. Bourne, "Three-dimensional rotation of the scapula during functional movements: An in vivo study in healthy volunteers", Journal of Shoulder and Elbow Surgery, 16(2), pp.150~162 (2007), Elsevier BV[DOI]
  4. Braman JP, "In vivo assessment of scapulohumeral rhythm during unconstrained over head reaching in asymptomatic subjects", J Shoulder Elbow Surg, 18(6), pp.960~967 (2009)
  5. Michael P. Bullock, "Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion", Manual Therapy, 10(1), pp.28~37 (2005), Elsevier BV[DOI]
  6. Jaclyn N. Chopp, "The specificity of fatiguing protocols affects scapular orientation: Implications for subacromial impingement", Clinical Biomechanics, 26(1), pp.40~45 (2011), Elsevier BV[DOI]
  7. Andrew P. Claus, "Is ‘ideal’ sitting posture real?: Measurement of spinal curves in four sitting postures", Manual Therapy, 14(4), pp.404~408 (2009), Elsevier BV[DOI]
  8. Jack Crosbie, "Scapulohumeral rhythm and associated spinal motion", Clinical Biomechanics, 23(2), pp.184~192 (2008), Elsevier BV[DOI]
  9. Stephen J. Edmondston, "Influence of Posture on the Range of Axial Rotation and Coupled Lateral Flexion of the Thoracic Spine", Journal of Manipulative and Physiological Therapeutics, 30(3), pp.193~199 (2007), Elsevier BV[DOI]
  10. Kim Emery, "The effects of a Pilates training program on arm–trunk posture and movement", Clinical Biomechanics, 25(2), pp.124~130 (2010), Elsevier BV[DOI]
  11. Fouad Fayad, "The trunk as a part of the kinematic chain for arm elevation in healthy subjects and in patients with frozen shoulder", Brain Research, 1191, pp.107~115 (2008), Elsevier BV[DOI]
  12. Margaret A. Finley, "Effect of sitting posture on 3-dimensional scapular kinematics measured by skin-mounted electromagnetic tracking sensors", Archives of Physical Medicine and Rehabilitation, 84(4), pp.563~568 (2003), Elsevier BV[DOI]
  13. Maikutlo Kebaetse, "Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics", Archives of Physical Medicine and Rehabilitation, 80(8), pp.945~950 (1999), Elsevier BV[DOI]
  14. Yi-Liang Kuo, "Video Analysis of Sagittal Spinal Posture in Healthy Young and Older Adults", Journal of Manipulative and Physiological Therapeutics, 32(3), pp.210~215 (2009), Elsevier BV[DOI]
  15. Kwok Tung Lau, "Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability", Manual Therapy, 15(5), pp.457~462 (2010), Elsevier BV[DOI]
  16. Jeremy S. Lewis, "Subacromial impingement syndrome: The role of posture and muscle imbalance", Journal of Shoulder and Elbow Surgery, 14(4), pp.385~392 (2005), Elsevier BV[DOI]
  17. Ludewig PM, "Shoulder impingement : biomechanical considerations in rehabilitation", Manual Ther, 16(1), pp.33~39 (2011)
  18. Ludewig PM, "Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement", Phys Ther, 80(3), pp.276~291 (2000)[DOI]
  19. Paula M. Ludewig, "The Association of Scapular Kinematics and Glenohumeral Joint Pathologies", Journal of Orthopaedic & Sports Physical Therapy, 39(2), pp.90~104 (2009), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  20. McClure PW, "Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome", Phys Ther, 86(8), pp.1075~1090 (2006)
  21. McClure PW, "Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo", J Shoulder Elbow Surg, 10(3), pp.269~277 (2001)
  22. Amy G. Mell, "Effect of rotator cuff pathology on shoulder rhythm", Journal of Shoulder and Elbow Surgery, 14(1), pp.S58~S64 (2005), Elsevier BV[DOI]
  23. Meumann DA, "Kinesiology of the Musculoskeletal System: foundations for rehabilitation" (2010), Mosby
  24. S.L. Mottram, "Dynamic stability of the scapula", Manual Therapy, 2(3), pp.123~131 (1997), Elsevier BV[DOI]
  25. Bryan R. Picco, "Quantifying scapula orientation and its influence on maximal hand force capability and shoulder muscle activity", Clinical Biomechanics, 25(1), pp.29~36 (2010), Elsevier BV[DOI]
  26. Mario Pribicevic, "An Epidemiologic Survey of Shoulder Pain in Chiropractic Practice in Australia", Journal of Manipulative and Physiological Therapeutics, 32(2), pp.107~117 (2009), Elsevier BV[DOI]
  27. Ali Sheikhzadeh, "Three-dimensional motion of the scapula and shoulder during activities of daily living", Journal of Shoulder and Elbow Surgery, 17(6), pp.936~942 (2008), Elsevier BV[DOI]
  28. Phillip S. Sizer, "Coupling Behavior of the Thoracic Spine: A Systematic Review of the Literature", Journal of Manipulative and Physiological Therapeutics, 30(5), pp.390~399 (2007), Elsevier BV[DOI]
  29. Jay Smith, "The effect of scapular protraction on isometric shoulder rotation strength in normal subjects", Journal of Shoulder and Elbow Surgery, 15(3), pp.339~343 (2006), Elsevier BV[DOI]
  30. Jay Smith, "Effect of scapular protraction and retraction on isometric shoulder elevation strength", Archives of Physical Medicine and Rehabilitation, 83(3), pp.367~370 (2002), Elsevier BV[DOI]
  31. Siegbert Tempelhof, "Age-related prevalence of rotator cuff tears in asymptomatic shoulders", Journal of Shoulder and Elbow Surgery, 8(4), pp.296~299 (1999), Elsevier BV[DOI]
  32. D Theodoridis, "The effect of shoulder movements on thoracic spine 3D motion", Clinical Biomechanics, 17(5), pp.418~421 (2002), Elsevier BV[DOI]
  33. Charles A. Thigpen, "Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks", Journal of Electromyography and Kinesiology, 20(4), pp.701~709 (2010), Elsevier BV[DOI]
  34. Van der Windt DA, "Shoulder disorders in general practice : prognostic indicators of outcome", Br J Gen Pract, 46(410), pp.519~523 (1996)
  35. Sally Wegner, "The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain", Manual Therapy, 15(6), pp.562~566 (2010), Elsevier BV[DOI]
  36. Ge Wu, "ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—Part II: shoulder, elbow, wrist and hand", Journal of Biomechanics, 38(5), pp.981~992 (2005), Elsevier BV[DOI]
  37. Jing-Lan Yang, "Secondary motions of the shoulder during arm elevation in patients with shoulder tightness", Journal of Electromyography and Kinesiology, 19(6), pp.1035~1042 (2009), Elsevier BV[DOI]
  38. Yuichiro Yano, "Different scapular kinematics in healthy subjects during arm elevation and lowering: Glenohumeral and scapulothoracic patterns", Journal of Shoulder and Elbow Surgery, 19(2), pp.209~215 (2010), Elsevier BV[DOI]

관련 논문AI추천

Comparison of Scapular Kinematics During Active Shoulder Horizontal Adduction Between Subjects With and Without Limited Range of Motion of Shoulder Horizontal Adduction권오윤, 김문환, 전인철, 정하나, 황의재한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제3호Will Prone Trunk Extension Affect Scapular and Thoracic Kinematics and Muscle Activities During Scapular Posterior Tilting Exercise in Subjects With Round Shoulder and Flexed Posture?김다은, 신아름, 신헌석, 이지현한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제4호Changes in Activation of Serratus Anterior, Trapezius and Latissimus Dorsi With Slouched Posture김민영, Jinkyoo Moon, Kye Hee Cho, Kyunghoon Min, Sang Hee Im, Seok Tae Lee, Seung Hoon Lee대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제2호척주 기립자세와 굽힌자세에서 어깨관절 외전각도 변화에 따른어깨뼈 주위 근 활성도 분석김덕화, 오재섭, 최종덕한국전문물리치료학회 · 한국전문물리치료학회지2004 · 제11권 제1호Comparative Effect of Modified Shrug Exercises With and Without Trunk Stabilization Exercise on Scapular Upward Rotator EMG and Thickness in Subjects With Scapular Downward Rotation Syndrome김지현, 박주희, 윤혜빈, 전혜선한국전문물리치료학회 · 한국전문물리치료학회지2017 · 제24권 제4호Scapular Upward Rotation During Passive Humeral Abduction in Individuals With Hemiplegia Post-strokeJonjin Ratanapinunchai, Somporn Sungkarat, Witaya Mathiyakom대한재활의학회 · Annals of Rehabilitation Medicine2019 · 제43권 제2호

이 간행물의 다른 논문 (8건)

Comparative Immediate Effects of Isometric Chin-tuck and Dynamic Neuromuscular Stabilization on Neck Flexor Muscle Thickness and Upright Sitting Height Posture김하연, 유승현, 신지원, 윤현식, 박지호pp. 1-9Comparing the Immediate Effectiveness of Lumbar Flexion and Extension Exercise With Regards to Pain, Range of Motion, Pelvic Tilt, and Functional Gait Ability in Patients With Lumbar Spinal Stenosis도현호, 천승철pp. 10-19Relationship Between Lower Extremity Extensor Strength and Wall Squat Performance정성훈, 권오윤, 황의재, 전인철, 김준희pp. 20-28Changes in Muscle Activity of the Serratus Anterior According to Surface Tilt Angle During Push-up Plus Exercise in Subjects With Winged Scapula천정근, 김태호, Qian Gupp. 29-34Effects of Aquatic and Ground Obstacle Training on Balance and Muscle Activity in Patients With Chronic Stroke황현철, 김태호, 김소희pp. 35-41
원문 보기