한국체육학회지자연과학편

Korean Alliance for Health: Physical Education: Recreation:and Dance (한국체육학회)
권호 표지

Analysis of lower extremity muscle activity in parkinson's patients forimproving sit to stand movement

파킨슨 환자의 일어서기 동작 향상을 위한 근육활동 분석

Yu, Yeon-Joo;Lim , Bee-Oh
유연주;임비오

  • Published : 20080000
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Abstract

The purpose of this study was to investigate the muscle activities of adductor longus, gluteus maximus, biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior using Noraxon 8 channels EMG system during sit-to-stand transfer in patients with Parkinson's disease. Five parkinson's patients and five healthy subjects were participated in the study. Four muscles (adductor longus, biceps femoris, rectus femoris, & tibialis anterior) activated in the beginning of the trunk flexion phase. The ratio of trunk flexion and transfer phase in the parkinson's patients during sit-to-stand showed higher value than that in the healthy subjects. The gastrocnemius occurred later activation in the parkinson's patients than that in the healthy subjects. The strength of the muscles (adductor longus, biceps femoris, rectus femoris, tibialis anterior, & gastrocnemius) may help to improve sit-to-stand movement and to prevent falling in parkinson's patients.

본 연구의 목적은 파킨슨 환자의 일어서기 동작의 향상을 위한 근육활동을 규명하는 것이다. 파킨슨 환자(5명)와 건강한 피험자(5명)가 실험에 참여하였고, 파킨슨 환자의 환측과 건강한 피험자의 우측 하지의 장내전근, 대둔근, 대퇴이두근, 대퇴직근, 비복근, 전경골근에 전극을 부착하였다. 일어서기 동작이 시작되는 굴곡 구간에서 장내전근, 대퇴이두근, 대퇴직근 및 전경골근이 활동을 시작하였다. 파킨슨 환자의 일어서기 전체 동작에서 몸통을 구부리는 굴곡 및 전환구간의 비율이 건강한 피험자에 비해 높게 나타났다. 파킨슨 환자의 비복근은 건강한 피험자의 비복근 보다 늦게 활동을 시작하였다. 파킨슨 환자의 재활 운동 구성 시 움직임 초기 시 발현되는 장내전근, 대퇴이두근, 대퇴직근 및 전경골근, 자세의 안정화를 돕는 비복근의 강화는 일어서기 동작의 향상뿐만 아니라 일어서기 동작 수행 시 발생하는 낙상 방지에 큰 도움을 줄 것이다.

Keywords

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