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운동 사슬 개념을 사용한 어깨 외회전 운동 시에 정적 및 동적 신체 자세에 따른 어깨 근육 활성도의 변화
신명호 ( Myung-ho Shin ),정석원 ( Seok-won Chung ),임제민 ( Je-min Im ),백사무엘 ( Samuel Baek ),김태민 ( Tae-min Kim ),오경수 ( Kyung-soo Oh ) 대한스포츠의학회 2020 대한스포츠의학회지 Vol.38 No.4
Purpose: We aimed to evaluate shoulder muscle activities during shoulder external rotation exercises using an elastic band with the arm at the side or at 90° of abduction in static and dynamic body positions. Methods: In 2017, a total of 19 right-handed male subjects were included in this study. Surface electromyography signals were recorded from the anterior deltoid, middle deltoid, upper trapezius, lower trapezius, serratus anterior, and infraspinatus muscles. The subjects underwent maximal voluntary isometric contraction testing of each muscle in the W position or 90/90 position. Subjects performed the exercise in the sitting, static squat, static rotational squat, dynamic squat to standing (DSS), and dynamic squat to standing and trunk rotation (DSSR) positions. Results: The main finding of this study was that shoulder external rotation exercises in the DSSR position were effective in reducing shoulder muscle activities except in the serratus anterior compared with static rotational squat position. Conclusion: DSSR enabled effective control of scapular motion with less shoulder muscle activation. Therefore, the kinetic chain exercises incorporated with lower extremity, hip, or trunk would be beneficial for shoulder muscle exercises, which is required for patients with weak periscapular muscles, in whom the lower trapezius activities were found to be frequently decreased.