본문 바로가기
KERD
논문KCI 등재

수동적 어깨뼈 정렬이 작은가슴근 단축된 사람의 등세모근 근활성도에 미치는 영향

Effects of Passive Scapular Alignment on Electromyographic Activity of Trapezius in People With Shortness of Pectoralis Minor Muscle

최지영|장준혁|오재섭
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2012.05|한국전문물리치료학회지 (Physical Therapy Korea)|제19권 제2호|pp. 12-19|DOI http://dx.doi.org/

2

조회

0

다운로드

8

인용

0

참고문헌

키워드

ElectromyographyPectoralis minorLower trapeziusScapular alignment
주제분류물리치료학

초록

The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

Abstract

The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

참고문헌 (38)

  1. 이원휘, "견관절 외전 각도에 따른 중간 및 하부 승모근의 근 활성도 비교", 한국전문물리치료학회지, 18(1), pp.47~56 (2011), 한국전문물리치료학회
  2. Arlotta M, "Selective recruitment of the lower fibers of the trapezius muscle", J Electromyogr Kinesiol, 21(3), pp.403~410 (2011)
  3. Ballantyne BT, "Electromyographic activity of selected shoulder muscles in commonly used therapeutic exercise", Phys Ther, 73(10), pp.668~677 (1993)
  4. Borstad JD, "The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals", J Orthop Sports Phys Ther, 35(4), pp.227~238 (2005)
  5. Buckle PW, "The nature of work－related neck and upper limb musculoskeletal disorders", Appl Ergon, 33(3), pp.207~217 (2002)
  6. Cools AM, "Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms", Scand J Med Sci sports, 17(1), pp.25~33 (2007)
  7. Cools AM, "Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms", Br J Sports Med, 38(1), pp.64~68 (2004)
  8. Ekstrom RA, "Surface electromyographic analysis of exercise for the trapezius and serratus anterior muscles", J Orthop Sports Phys Ther, 33(5), pp.247~258 (2003)
  9. Ettema GJ, "Effects of distribution of muscle fiber length on active length－force characteristics of rat gastrocnemius medialis", Anat Rec, 239(4), pp.414~420 (1994)
  10. Forte FC, "Scapular kinematics and scapulohumeral rhythm during resisted shoulder abduction－implications for clinical practice", Phys Ther Sport, 10(3), pp.105~111 (2009)
  11. Glousman R, "Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability", J Bone Joint Surg Am, 70(2), pp.220~226 (1988)
  12. Griegel－Morris P, "Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects", Phys Ther, 72(6), pp.425~431 (1992)
  13. Hébert LJ, "Scapular behavior in shoulder impingement syndrome", Arch Phys Med Rehabil, 83(1), pp.60~69 (2002)
  14. Hsu YH, "The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome", J Electromyogr Kinesiol, 19(6), pp.1092~1099 (2009)
  15. Janda V, "Muscles and cervicogenic pain syndromes, In Physical therapy of the cervical and thoracic spine", pp.153~166 (1988), Churchill Livingstone
  16. Jobe FW, "Classification and treatment of shoulder dysfunction in the overhead athlete", J Orthop Sports Phys Ther, 18(2), pp.427~432 (1993)
  17. Kamkar A, "Nonoperative management of secondary shoulder impingement syndrome", J Orthop Sports Phys Ther, 17(5), pp.212~224 (1993)
  18. Kendall FP, "Muscles: Testing and function with posture and pain. 5th ed", pp.303~330 (2005), Williams & Wilkins
  19. Kinney E, "Activation of the trapezius muscle during varied forms of Kendall exercises", Phys Ther Sport, 9(1), pp.3~8 (2008)
  20. Lötters F, "Model for the work－relatedness of low－back pain", Scand J Work Environ Health, 29(6), pp.431~440 (2003)
  21. Ludewig PM, "Three－dimensional scapular orientation and muscle activity at selected positions of humeral elevation", J Orthop Sports Phys Ther, 24(2), pp.57~65 (1996)
  22. Matsuki K, "In vivo 3－dimensional analysis of scapular kinematics: Comparison of dominant and nondominant shoulders", J Shoulder Elbow Surg, 20(4), pp.659~665 (2011)
  23. Mcmahon PJ, "Comparative electromyographic analysis of shoulder muscles during planar motions: Anterior glenohumeral instability versus normal", J Shoulder Elbow Surg, 5(2 Pt 1), pp.118~123 (1996)
  24. Morrissey D, "Proprioceptive shoulder taping", J Bodyw Mov Ther, 4(3), pp.189~194 (2000)
  25. Mottram SL, "Dynamic stability of the scapula", Man Ther, 2(3), pp.123~131 (1997)
  26. Norman R, "A comparison of peak vs cumulative physical work exposure risk factors for the reporting of low back pain in the automotive industry", Clin Biomech, 13(8), pp.561~573 (1998)
  27. Page P, "Assessment and Treatment of Muscle Imbalance: The Janda approach", pp.147~148 (2009), Human Kinetics
  28. Rundquist PJ, "Three－dimensional shoulder kinematics to complete activities of daily living", Am J Phys Med Rehabil, 88(8), pp.623~629 (2009)
  29. Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndromes", pp.251~310 (2002), Mosby Inc
  30. Schenkman M, "Kinesiology of the shoulder complex", J Orthop Sports Phys Ther, 8(9), pp.438~450 (1987)
  31. Sluiter JK, "Criteria document for evaluating the work－relatedness of upper－extremity musculoskeletal disorders", Scand J Work Environ Health, 27(1), pp.1~102 (2001)
  32. Tepper M, "The effect of an ergonomic computer device on muscle activity of the upper trapezius muscle during typing", Appl Ergon, 34(2), pp.125~130 (2003)
  33. Tucker WS, "Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercises", Arch Phys Med Rehabil, 91(4), pp.550~556 (2010)
  34. Wegner S, "The effect of a scapular postural correction strategy on trapezius activity in patient with neck pain", Man Ther, 15(6), pp.562~566 (2010)
  35. Wells R., "Why have we not solved the MSD problem", Work, 34(1), pp.117~121 (2009)
  36. Weon JH, "Real time visual feedback can be used to activate scapular upward rotators in people with scapular winging: Am experimental study", J Physiother, 57(2), pp.101~107 (2011)
  37. Wilk KE, "Current concepts in the rehabilitation of the athletic shoulder", J Orthop Sports Phys Ther, 18(1), pp.365~378 (1993)
  38. Wise MB, "The effect of limb support on muscle activation during shoulder exercises", J Shoulder Elbow Surg, 13(6), pp.614~620 (2004)

관련 논문AI추천

견관절 외전 각도에 따른 중간 및 하부 승모근의 근 활성도 비교김수정, 박규남, 원종혁, 이원휘, 최흥식, 하성민한국전문물리치료학회 · 한국전문물리치료학회지2011 · 제18권 제1호엎드린 자세에서 어깨 폄 운동 시 목과 어깨 돌림 위치에 따른 등세모근 근활성도 비교김상현, 배창환, 송성인대한정형도수물리치료학회 · 대한정형도수물리치료학회지2025 · 제31권 제1호작은가슴근 스트레칭, 아래등세모근 강화 운동과 함께 적용한 앞톱니근 강화운동이 둥근 어깨 대상자의 어깨뼈 정렬, 관절가동범위, 근육불균형에 미치는 영향김종우, 임준영대한정형도수물리치료학회 · 대한정형도수물리치료학회지2024 · 제30권 제2호아래등세모근 근력강화 운동방법들 사이의 어깨뼈 위쪽 돌림근과 다른 어깨 근육들의 근활성도 비교용준형, 원종혁한국전문물리치료학회 · 한국전문물리치료학회지2013 · 제20권 제3호어깨뼈 내밈 운동 시 어깨관절 수평 벌림과 수평모음 저항과 외부 무게에 따른 앞톱니근, 위등세모근, 그리고 큰가슴근 근활성도 비교김규령, 김명권, 박수형, 배창환, 추이저대한정형도수물리치료학회 · 대한정형도수물리치료학회지2021 · 제27권 제3호척주 기립자세와 굽힌자세에서 어깨관절 외전각도 변화에 따른어깨뼈 주위 근 활성도 분석김덕화, 오재섭, 최종덕한국전문물리치료학회 · 한국전문물리치료학회지2004 · 제11권 제1호

이 간행물의 다른 논문 (8건)

골반압박벨트 착용이 한발서기 시 여성 천장관절통증 환자의 체간과 고관절 신전근 활성 양상에 미치는 영향정희석, 전혜선, 권오윤, 이충휘pp. 1-11다열근 심부 및 표면 근섬유 두께에 대한 세 가지 요추안정화 운동의 효과하성민, 김수정, 박규남, 신헌석, 권오윤, 김태진, 정도헌pp. 20-28일어서기 동작시 편마비 환자의 보행 속도에 따른 체간과 하지 근 활성 형태의 비대칭성에 관한 연구조혁신, 최성진, 장현정, 심선미, 오덕원, 박현주pp. 29-38승마시뮬레이터 훈련과 평류안뜰자극이 자세균형능력과 고유수용성감각에 미치는 영향조운수, 진희경, 박장성, 김용남pp. 39-47거울치료가 뇌졸중 환자의 운동기능 회복에 미치는 영향: 메타분석이희원, 전혜선pp. 48-58
원문 보기