턱열기 운동과 저항성 턱 열기 운동 수행 시 목뿔위근과 목뿔아래근의 근 활성도 차이 비교
A Comparison Study on the Muscle Activation in Suprahyoid and Infrahyoid muscle during Jaw Opening Exercise and Jaw Opening Against Resistance Exercise
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본 연구에서는 턱 열기 운동과 저항성 턱 열기 운동 수행 시 목뿔위근과 목뿔아래근의 근 활성도를 확인하고 어느 운동 방법이 보다 많은 근 활성을 유도할 수 있는 지 알아보고자 하였다. D 광역시에 거주하고 있는 20세 이상의 건강한 성인 48명(남자 19명, 여자29명)을 대상으로 턱 열기 운동, 저항성 턱 열기 운동을 수행 시킨 후 표면 근전도를 통해 삼킴 근육의 근 활성도를 측정한 뒤 비교 분석 하였다. 연구결과 턱 열기 운동과 저항성 턱 열기 운동간 목뿔위근의 근 활성도에는 차이가 없었으며(p=1.00), 목뿔아래근의 경우 통계학적인 차이가 있었다(p<.01). 추가적으로 두 운동 모두 목뿔아래근 보다 목뿔위근의 근 활성도가 높았다. 본 연구를 통해 턱 열기 운동과 저항성 턱 열기운동 모두 유사한 수준의 목뿔위근과 목뿔아래근의 근 활성을 유도할 수 있으며 두 운동 모두 목뿔아래근보다 목뿔위근의 근 활성에 더 기여하는 것으로 확인되었다. 추후 삼킴장애를 가지고 있는 환자를 대상으로 일정기간동안 두 운동을 수행 시킨 후 그 차이를 비교한다면, 두 운동간의 효과차이를 비교하는데 있어 보다 명확한 이론적 근거가 될 것이다.
Abstract
This study aims to confirm the muscle activation of suprahyoid muscle and infrahyoid muscle during jaw opening exercise and jaw opening against resistance exercise, and which exercise method could induce muscle activation. jaw opening exercise and jaw opening against resistance Exercise were performed in 48 healthy adults (19 males, 29 females) who were over 20 years old and were living in D City And the muscle activity of swallowing muscle was measured and analyzed by surface electromyography. As the result, there was no significant difference in muscle activation of suprahyoid muscle between two exercises(p=1.00), and there was statistical difference for infrahyoid muscle(p<.01). Also, both induced better muscle activation of suprahyoid muscle than infrahyoid muscle. This study confirmed that both jaw opening exercise and jaw opening against resistance exercise induce similar muscle activation of suprahyoid muscle and infrahyoid muscle, and that both exercises contributes to higher muscle activation of suprahyoid muscle than infrahyoid muscle. In addition, if comparative research of two exercise effect progresses for patients in the future, it may be more clear grounds.
참고문헌 (40)
- 범재원, "뇌질환 환자에서의 연하곤란 치료법", 대한의사협회지, 56(1), pp.7~15 (2013), 대한의사협회
- M. Bülow, "Videomanometric analysis of supraglottic swallow maneuvers analyzed by videomanometriy", Acta Radiologica, 47, pp.628~633 (2006)
- K. Y. Chang, "Introduction of Dysp hagia Rehabilitation", Journal of Korean Academy of Dysphagia Rehabilitation, 1(1), pp.1~7 (2009)
- I. J. Cook, "Opening mechanisms of the human upper esophageal sphincter", American Journal of Physiology, 257(5), pp.G748~G759 (1989)
- Giselle D. Carnaby, "What is “Usual Care” in Dysphagia Rehabilitation: A Survey of USA Dysphagia Practice Patterns", Dysphagia, 28(4), pp.567~574 (2013), Springer Nature[DOI]
- Gerson Campos, "Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones", European Journal of Applied Physiology, 88(1-2), pp.50~60 (2002), Springer Nature[DOI]
- Stephanie K. Daniels, "Aspiration in patients with acute stroke", Archives of Physical Medicine and Rehabilitation, 79(1), pp.14~19 (1998), Elsevier BV[DOI]
- Ruiying Ding, "Surface Electromyographic and Electroglottographic Studies in Normal Subjects Under Two Swallow Conditions: Normal and During the Mendelsohn Manuever", Dysphagia, 17(1), pp.1~12 (2002), Springer Nature[DOI]
- Caryn Easterling, "Attaining and Maintaining Isometric and Isokinetic Goals of the Shaker Exercise", Dysphagia, 20(2), pp.133~138 (2005), Springer Nature[DOI]
- C. Ertekin, , Archives of Physical Medicine and Rehabilitation, 82(9), pp.1255~1260 (2001)[DOI]
- B. Essen-Gustavsson, "Histochemical and metabolic character istics of human skeletal muscle in relation to age", Acta Physiologica Scandinavica, 126(1), pp.107~114 (1986)
- D. Falla, "Further evaluation of an EMG technique for assessment of the deep cervical flexor muscles", Journal of Electromyography and Kinesiology, 16(6), pp.621~628 (2006), Elsevier BV[DOI]
- F. Faul, "G*Power 3: A flexible statistical po wer analysis program for the social, behavioral, and biomedical sciences", Research Methods, 39(2), pp.175~191 (2007)
- F. Faul, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
- M. Ferdjallah, "Spectral an alysis of surface EMG of upper esophageal sphincter opening muscles during head lift exercises", Journal of Rehabilitation Research & Development, 37(3), pp.335~340 (2000)
- C. M. Forsberg, "A EMG activity in neck and masticatory muscles in relation to extension and flexion of the head", European Journal of Orthodontics, 7(3), pp.177~184 (1985)
- A. S. T. Franks, "Geriatric dentistry" (1973), Blackwell Scientific
- K. Hara, "Jaw-opening force test to screen for dysphagia: Preliminary result", Archives of Physical Medicine and Reha bilitation, 95(5), pp.867~874 (2014)[DOI]
- 황나경, "저항성 고개 숙이기 운동이 연하장애를 동반한 뇌졸중 환자의 연하기능에 미치는 영향", 대한작업치료학회지, 23(2), pp.73~84 (2015), 대한작업치료학회[DOI]
- Frederick M. Ivey, "Exercise rehabilitation after stroke", NeuroRX, 3(4), pp.439~450 (2006), Springer Nature[DOI]
- C. Kisner, "Therapeutic Exercise: Foundations and techniques" (2007), F.A. Davis
- J. Lexell, "What is the cause of the ageing atr ophy? total number, size and proportion of different fiber types studied in whole vastus lateralis muscle fro m 15-to83-year-old men", Journal of Neurological Science, 84(2-3), pp.274~294 (1988)
- 박미진, "음식물의 점도와 양에 따른 삼킴근육의 근활성도 비교", 대한작업치료학회지, 20(4), pp.69~80 (2012), 대한작업치료학회
- 박지수, "호기근 강화 훈련이 인두기 삼킴장애 환자의 목뿔위근 활성화와 삼킴기능에 미치는 영향", 대한작업치료학회지, 23(3), pp.97~109 (2015), 대한작업치료학회[DOI]
- Reza Shaker, "Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening", Gastroenterology, 122(5), pp.1314~1321 (2002), Elsevier BV[DOI]
- N. Scherbakov, "Sarcopenia in stroke-facts and num bers on muscle loss accounting for disability after stroke", Journal of Cahexia Sarcopenia Muscle, 2(1), pp.5~8 (2011)[DOI]
- Debra M. Suiter, "Effects of Neuromuscular Electrical Stimulation on Submental Muscle Activity", Dysphagia, 21(1), pp.56~60 (2006), Springer Nature[DOI]
- C. M. Steel, "Exercise-based approaches to dysphagia rehabilitation", Nestle Nutrition Institute Workshop Series, 72, pp.109~117 (2012)[DOI]
- 우희순, "8주간의 혀-유지 메뉴버 프로그램이 삼킴 근육 활성도에 미치는 영향", 대한작업치료학회지, 22(1), pp.53~64 (2014), 대한작업치료학회[DOI]
- 우희순, "머리 각도가 목뿔위근육의 근활성에 미치는 영향", 대한작업치료학회지, 17(4), pp.71~79 (2009), 대한작업치료학회
- Satoko Wada, "Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter", Archives of Physical Medicine and Rehabilitation, 93(11), pp.1995~1999 (2012), Elsevier BV[DOI]
- Christopher R. Watts, "Measurement of Hyolaryngeal Muscle Activation Using Surface Electromyography for Comparison of Two Rehabilitative Dysphagia Exercises", Archives of Physical Medicine and Rehabilitation, 94(12), pp.2542~2548 (2013), Elsevier BV[DOI]
- Kevin T. White, "Fatigue Analysis Before and After Shaker Exercise: Physiologic Tool for Exercise Design", Dysphagia, 23(4), pp.385~391 (2008), Springer Nature[DOI]
- T. M. Van Eijen, "Architecture of the human jaw-closin g and jaw-opening muscles", Anatomical Record, 248(3), pp.464~474 (1997)[DOI]
- Mitsuyoshi Yoshida, "Comparison of surface electromyographic (sEMG) activity of submental muscles between the head lift and tongue press exercises as a therapeutic exercise for pharyngeal dysphagia", Gerodontology, 24(2), pp.111~116 (2007), Wiley[DOI]
- Wai Lam Yoon, "Chin Tuck Against Resistance (CTAR): New Method for Enhancing Suprahyoid Muscle Activity Using a Shaker-type Exercise", Dysphagia, 29(2), pp.243~248 (2014), Springer Nature[DOI]
- Jeri A. Logemann, "A Randomized Study Comparing the Shaker Exercise with Traditional Therapy: A Preliminary Study", Dysphagia, 24(4), pp.403~411 (2009), Springer Nature[DOI]
- R. Shaker, "Augmentation of deglutitive upper esophageal sp hincter opening in the elderly by exercise", American Journal of Physiology, 272(6 Pt 1), pp.G1518~G1522 (1997)
- Maggie Lee Huckabee, "Outcomes of Swallowing Rehabilitation in Chronic Brainstem Dysphagia: A Retrospective Evaluation", Dysphagia, 14(2), pp.93~109 (1999), Springer Nature[DOI]
- Maggie-Lee Huckabee, "Submental Surface Electromyographic Measurement and Pharyngeal Pressures During Normal and Effortful Swallowing", Archives of Physical Medicine and Rehabilitation, 86(11), pp.2144~2149 (2005), Elsevier BV[DOI]
