테이핑에 의한 α - 운동 신경원 흥분도 변화

국문 초록 (Abstract)

테이핑은 근골격계 질환의 치료 및 부상 방지를 위해 재활과 스포츠 영역에서 흔하게 사용되는 방법으로 그 작용 기전에 관한 설명은 신경생리학적 측면보다는 경험에 의한 주관적인 설명이 주를 이루고 있다. 이에 본 연구는 테이핑의 적용이 신경생리학적으로 α-운동신경원의 흥분에 영향을 미치는지 여부를 알아 보고자 시도하였다. 본 연구는 20대 건강한 피검자를 대상으로 비복근의 주행 방향을 따라 탄력성 테이프와 비탄력성 테이프를 테이핑 적용 전, 적용 시 그리고 제거 후 M-파와 H-파의 진폭을 비교하여 테이핑이 α-운동신경원의 흥분에 변화를 일으키는지 여부를 알아보았다. 본 연구의 결과 탄력 테이프와 비탄력 테이프 모두는 α-운동신경원의 흥분도에 어떠한 변화도 일으키지 않는 것으로 나타났다. 그러나 이러한 연구 결과는 선행 연구들과 상이한 결과로서 차후 보다 심도 있고 광범위한 연구가 수행되어야 할 것으로 사료된다.

다국어 초록 (Multilingual Abstract)

The application of tape is being widely used for treatment of the musculoskeletal disorders and injury prevention. The techniques of the tape application has been relied on empirical evidence in preference to the neurophysiological evidence. Thus, the mechanism of taping has to be elucidated further. In this study, we assessed the effect of the elastic and non-elastic tape upon the gastrocnemius α-motor neuron excitability using the gastrocnemius H-reflex. The amplitude of the M-wave and H-reflex were measured across three conditions: before tape application, with tape and with the tape removed. No significant changes of the excitability of the α-motor neuron were obtained across three condition, either in the elastic and non-elastic tape. This results were quite different with other recent studies, which needs to be explored further.

목차 (Table of Contents)

• 요약
• Abstract
• Ⅰ. 서론
• Ⅱ. 연구방법
• Ⅲ. 결과
• Ⅳ. 논의 및 결론
• 참고문헌
• 저자소개

참고문헌 (Reference)

1 C. M. Alexander, "What is the effect of taping along or across a muscle on motorneuron excitability? A study using triceps surae" 13 (13): 57-62, 2008

2 P. Janwantanakul, "Vastus lateralis and vastus medialis obliquus muscle activity during the application of inhibition and facilitation taping technique" 19 (19): 12-19, 2005

3 P. J. McNair, "Trunk proprioception: enhancement through lumbar bracing" 80 (80): 96-99, 1999

4 C. T. Leonard, "The neuroscience of human movement" Mosby 1998

5 S. Tobin, "The effects of McConnell's vastus lateralis inhibition taping technique on vastus lateralis and vastus medialis obliquus activity" 86 (86): 173-183, 2000

6 P. Hardy, "The effect of transcutaneous electrical stimulation on spinal motor neuron excitability in people without known neuromuscular diseases: The role of stimulus intensity and location" 82 (82): 354-363, 2002

7 T. I. King, "The effect of neuromuscular electrical stimulation in reducing tone" 50 (50): 62-64, 1996

8 J. D. Dishman, "Spinal excitability changes after cervical and lumbar spinal manipulation: a comparative study" 3 (3): 204-212, 2003

9 H. H. Host, "Scapular taping in the treatment of anterior shoulder impingement" 75 (75): 803-812, 1995

10 D. Morrissey, "Proprioceptive shoulder taping" 4 (4): 189-194, 2000

11 E. R. Kendel, "Principles of neural science" McGraw-Hill 2000

12 G. Y. Ng, "Patellar taping does not affect the onset of activities of vastus medialis obliquus and vastus lateralis before and after muscle fatigue" 84 (84): 106-111, 2005

13 C. J. Frijins, "Normal values of patellar and ankle tendon reflex latencies" 99 (99): 31-36, 1997

14 I. S. Hwang, "Modulation of soleus reflex amplitude and variance during pretibia contraction-effects of joint position and effort level" 112 (112): 623-638, 2002

15 C. T. Leonard, "H-reflex modulations during voluntary and automatic movements following upper neuron damage" 109 (109): 475-483, 1998

16 M. J. Aminoff, "Electromyography in clinical practice" Churchill Livingstone 1987

17 C. M. Alexander, "Does tape facilitate or inhibit the lower fibres of trapezius?" 8 (8): 37-41, 2003

18 B. Lavoie, "Differential control of reciprocal inhibition during walking versus postural and volutary motor tasks in humans" 78 (78): 429-438, 1997

19 J. Cheng, "Crossed inhibition of the soleus H reflex during passive pedalling movement" 779 (779): 280-284, 1998

20 G. G. Simoneau, "Changes in ankle joint proprioception resulting from strips of athletic tape applied over the skin" 32 (32): 141-147, 1997