Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지

The Effect of Trunk Muscle Activity on Bridging Exercise According to the Knee Joint Angle

슬관절 각도에 따른 교각운동이 체간근 활성도에 미치는 영향

  • Kim, Kyung-Hwan (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Park, Rae-Jun (Department of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Jang, Jun-Hyeok (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Lee, Woo-Hyung (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Ki, Kyong-Il (Rehabilitation Center, Bonifacio Hospital)
  • 김경환 (대구대학교 대학원 재활과학과) ;
  • 박래준 (대구대학교 재활과학대학 물리치료학과) ;
  • 장준혁 (대구대학교 대학원 재활과학과) ;
  • 이우형 (대구대학교 대학원 재활과학과) ;
  • 기경일 (보니파시오병원 재활센터)
  • Received : 2010.06.21
  • Accepted : 2010.08.30
  • Published : 2010.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The purpose of this study was to assess the effects of the trunk muscle activity on bridging exercise according to the knee joint angle. Methods : Twenty-five healthy adults volunteered to participate in this study. Subjects were required to complete following four bridging exercises; knee joint flexion $120^{\circ}$, $90^{\circ}$, $60^{\circ}$, $45^{\circ}$. Surface electromyography from selected trunk muscles was normalized to maximum voluntary isometric contraction. Muscle activity was measured by QEMG-4 system(LXM 3204, Laxtha Korea). A repeated measures of one-way ANOVA with post-hoc Bonferroni's correction was used to determine the influence of bridging exercise on muscle activity for each muscle and descriptive statistics was used to determine local/global muscle ratio. Results : The internal oblique of bridging exercises $120^{\circ}$, $90^{\circ}$ showed significantly(p<.05). The erctor spinae of all bridging exercises showed significant excepted between $60^{\circ}$ and $45^{\circ}$(p<.05). Median of internal oblique/rectus abdominis ratio of $120^{\circ}$ was 4.41, $90^{\circ}$ was 3.94, $60^{\circ}$ was 3.58, $45^{\circ}$ was 3.39. Median of internal oblique/external oblique ratio of $120^{\circ}$ was 2.66, $90^{\circ}$ was 2.43, $60^{\circ}$ was 2.87, $45^{\circ}$ was 2.64. Conclusion : Angular motion decreasing with knee joint flexion made erector spinae activation increase. on the other hand, as decreasing abdomen muscle activation, the more performing motor learning is required for abdomen muscle strength and co-contraction for the trunk stabilization.

Keywords

References

  1. 김명진. 교각안정화 운동 시 스케이트보드와 공 적용이 체간근육 활동에 미치는 영향. 연세대학교 대학원. 박사학위 논문. 2008.
  2. 김명진. 교각운동 시 공 적용이 체간근 활동에 미치는 영향. 한국전문물리치료학회지. 2009;16(1):18-24.
  3. 김선엽. 요통의 요골반부 안정화 접근법. 대한정형물리치료학회지. 1998;7-19
  4. 김은옥. 교각운동 시 복부 드로잉-인 방법이 요부전만과 체간 및 하지의 근 활성도에 미치는 영향. 한서대학교 대학원. 석사학위 논문.2008.
  5. 김택연. 내,외 복사근과 요방형근에 브리지 운동이 미치는 효과. 용인대학교 체육과학대학원. 석사학위 논문.2004.
  6. 이성철. 중신 안정성 운동을 적용한 교각운동 시 지지면 불안정성이 체간 및 하지의 근 활성도에 미치는 영향. 한서대학교 대학원 석사학위 논문; 2009.
  7. 조혜영. 치료용 볼과 고정된 지면에서의 중심안정성 운동에 따른 요통환자 요부근육의 근 활성도 비교. 단국대학교 특수교육대학원. 석사학위 논문.2006.
  8. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(1):86-92.
  9. Arokoski JP, Yalta T, Kankaanpaa M et al. Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch Phys Med Rehabil. 2004;85(5):823- 832. https://doi.org/10.1016/j.apmr.2003.06.013
  10. Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand suppl. 1989;230:1-54.
  11. Cram JR, Kasman GS, Holtz J. Introduction to Surface Electromyography. Maryland Aspe. 1998;360-374.
  12. Duncan M. Muscle activity of the upper and lower rectus abdominis during exercises performed on and off a Swiss ball. J Body Move Ther. 2009; 13(4):364-7. https://doi.org/10.1016/j.jbmt.2008.11.008
  13. Hodges PW. Is there a role for transversus abdominis in lumbo-pelvic stability? Man Ther. 1999;4(2): 74-86. https://doi.org/10.1054/math.1999.0169
  14. Hodges PW, Gandevia SC. Activation of the human diaphragm during a repetitive postural task. 2000; 522(1);165-175.
  15. Kendall FP, McCreary EK, Provance PG. Muscles: testing and function with posture and pain. 5th ed. Baltimore. Williams & Wilkins. 2005.
  16. Kisner C, Colby LA Therapeutic exercise foundations and techniques. 4th ed. Philadelphia (PA)F.A. Davis Company. 2002.
  17. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a swissball. Chiropa & Osteopat. 2005;13:14. https://doi.org/10.1186/1746-1340-13-14
  18. Marshall PW, Murphy BA. Core stability exercises on and off a swiss ball. Arch Phys Med Rehabil. 2005;86(2):242-9. https://doi.org/10.1016/j.apmr.2004.05.004
  19. Neumann DA. Kinesiology of the musculoskeletal system: Foundations for physical rehabilitation. Elisabeth E. Rowan. 2002.
  20. O'Sullivan SB. Lumbar segmental instability; clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12. https://doi.org/10.1054/math.1999.0213
  21. O'Sullivan SB, Schmitz TJ. Physical Rehabilitation: Assesment and treatment. 4th ed. Philadelphia FA Davis Company. 2001.
  22. Richardson CA, Jull GA. Muscle control-pain control: What exercises would you prescribe? Man Ther. 1995;1:2-10. https://doi.org/10.1054/math.1995.0243
  23. Shumway-Cook A, Woollacott MH. Motor control: Theory and practical approach. 2nd ed. Philadelphia. Lippincott Williams and Wilkins. 2001.
  24. Stevens VK, Bouche KG, Mabiru NN et aI. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7:75. https://doi.org/10.1186/1471-2474-7-75
  25. Stevens VK, Coorevits PL, Bouche KG et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther. 2007;12(3):271-9. https://doi.org/10.1016/j.math.2006.07.009