젊은 성인의 교각운동 시 고관절 내전근 동시수축이 체간근육의 활성도에 미치는 영향 = Effect of Hip Adductor Co-contraction on Trunk Muscle Activation during Bridge Exercise in Healthy Young Individuals

다국어 초록 (Multilingual Abstract)

Purpose Bridge exercise has been commonly used in clinical rehabilitation settings to improve trunk control, and hip adductor muscles were a related muscle that may affect trunk muscle activation. The aim of this study was to investigate whether the co-contraction of hip adductor muscles may affect trunk muscle activation during bridge exercises. Methods Thirty-eight healthy young subjects (19 men and 19 women) performed bridge exercises (with and without hip adduction movement). Surface electromyography (EMG) data were collected from the dominant-side internal oblique (IO), rectus abdominis (RA), multifidus (MF) and erect spine (ES) during bridge exercises to compare trunk muscles activation patterns. Result The EMG activities of IO and RA appeared to be significantly higher during bridge exercise with hip adductor co-contraction than during bridge exercise alone (p<.01), but there were no significant differences in those of MF and ES. Furthermore, there were significant differences in the IO:RA EMG ratio during bridge exercise with hip adductor co-contraction (p<.05). Conclusion These findings suggest that integration of hip adduction during bridge exercise may be beneficial in increasing deep muscles` activity for trunk stabilization.

참고문헌 (Reference)

1 김경환, "슬관절 각도에 따른 교각운동이 체간 근 활성도에 미치는 영향" 대한물리의학회 5 (5): 405-412, 2010

2 전호영, "교각운동이 체형의 변화와 족압분포에 미치는 영향" 대구대학교 대학원 2010

3 Lehman GJ, "Trunk muscle activity during bridging exercises on and off a swiss ball" 13 : 14-, 2005

4 Kisner C, "Therapeutic Exercise: Foundations and Techniques. 4th ed" FA Davis 2002

5 Barnett F, "The use of lumbar spinal stabilization techniques during the performance of abdominal strengthening exercise variations" 45 (45): 38-43, 2005

6 Wattanaprakornkul D, "The rotator cuff muscle have a direction specific recruitment pattern during shoulder flexion and extension exercises" 14 (14): 376-382, 2011

7 Kapandji IA, "The physiology of the joints volume 2. 6th ed" Churchill Livingstone 2005

8 Stevens VK, "The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises" (3) : 271-279, 2007

9 Cholewicki J, "Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture" 22 (22): 2207-2212, 1997

10 Janssen I, "Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr" 89 (89): 81-88, 2000

11 Springer BA, "Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance" 36 (36): 289-297, 2006

12 O’Sullivan SB, "Physical Rehabilitation: Assesment and treatment. 4th ed" David company 2001

13 Hodges PW, "Pain and motor control of the lumbopelvic region: effect and possible mechanisms" 13 (13): 361-370, 2003

14 Bo K, "Needle EMG registration of striated urethral wall pelvic floor muscle activity patterns during cough, Valsalva, abdominal, hip adductor, and gluteal muscle contractions in nulliparous health females" 13 (13): 35-41, 1994

15 Kendall FP, "Muscles Testing and Function with Posture and Pain. 5th ed" Lippincott Williams & Wilkins 2005

16 Cholewicki J, "Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain" 11 (11): 1-15, 1996

17 Neumann DA, "Kinesiology of the musculoskeletal system: foundations for physical rehabilitation" Mosby 2002

18 Cram JR, "Introduction to surface electromyography" Aspen publishers 1998

19 Homborg B, "Intraabdominal pressure and trunk muscle activity during lifting- effect of abdominal muscle training in healthy subjects" 15 (15): 183-196, 1983

20 Cholewicki J, "Intra-abdominal pressure mechanism for stabilizing the lumbar spine" 32 (32): 13-17, 1999

21 Marras WS, "Female and male trunk geometry: size and prediction of the spine loading trunk muscles derived from MRI" 16 (16): 38-46, 2001

22 김선엽, "Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction" Elsevier BV 20 (20): 1141-1145, 201012

23 홍영주, "Effects of the Support Surface Condition on Muscle Activity of Abdominalis and Erector Spinae During Bridging Exercises" 한국전문물리치료학회 17 (17): 16-25, 2010

24 Akima H, "Effect of unloading on muscle volume with and without resistance training" 60 : 728-736, 2007

25 Kim MH, "Effect of a visual feedback device for hip adduction on trunk muscles and sitting posture in visual display terminal workers" 23 (23): 378-385, 2011

26 Bjerkefors A, "Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow" 15 (15): 502-507, 2010

27 Cresswell AG, "Changes in intraabdominal pressure, trunk muscle activation and force during isokinetic lifting and lowering" 68 (68): 315-321, 1994

28 Fukunaga M, "Bone metabolic markers and diagnosis of abnormal bone and calcium metabolism" 11 (11): 856-862, 2001

29 Clay JH, "Basic clinical massage therapy. 2nd ed" Wolters Kluwer and Lippincott Williams & Wilkins 2008

30 Arokoski JP, "Back and abdominal muscle function during stabilization exercises" 82 (82): 1089-9108, 2001

31 Arokoski JP, "Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients" 85 (85): 823-832, 2004