Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Closed Kinetic and Open Kinetic Exercise on Thickness of Low Back Stabilization Exercise Using an Ultrasonography Imaging

닫힌사슬운동과 열린사슬운동이 요부안정화근의 두께에 미치는 영향

  • Bae, Wonsik (Dept. of Physical Therapy, Kyungnam College of Information & Technology) ;
  • Kim, Chihyok (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
  • 배원식 (경남정보대학교 물리치료과) ;
  • 김지혁 (경남정보대학교 물리치료과)
  • Received : 2013.05.28
  • Accepted : 2013.06.24
  • Published : 2013.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : This study was to investigate effects of closed kinetic chain and open kinetic chain exercise on the lumbar stabilizarion. Methods : A total of 30 healthy over 20 years old college students(men = 14, women = 16) who were participated in this. We selected randomly people of CKC, OKC, and control group. For the past four weeks, CKC and OKC group worked out 3 times per week and then we compared within group and between groups on muscle width. Results : 1. The width of internal oblique, transverse abdominis, and multifidus were all significantly increased after four weeks exercise in the CKC group(P<.05). 2. The width of internal oblique, transverse abdominis, and multifidus were all increased after four weeks exercise in the OKC group but transverse abdominis musule only showed significant difference. 3. Difference values between pre-exercise and post-exercise of transverse abdominis and multifidus in the CKC group was significantly high and difference among the groups were significant. Conclusion : Accordingly, lumbar stabilizing exercise was more effective to increase a width of abdominal deep muscles through CKC exercise.

Keywords

References

  1. 강정현, 심재훈, 천승철(2012). 정상인에서 5가지 체간 안정화 운동자세가 초음파 영상을 이용한 복부근 두께에 미치는 영향. 한국전문물리치료학회지, 19(3), 1-10. https://doi.org/10.12674/ptk.2012.19.3.001
  2. 고대식, 김권영, 이철갑 등(2009). 8주간의 요부안정화운동 시 여성노인의 균형능력 및 복횡.다열근 두께의 변화. 한국운동역학회지, 19(4), 689-96.
  3. 김선엽, 백인협(2003). 복횡근 강화운동이 체간 신전-굴곡시 척추 분절 운동에 미치는 영향. 한국전문물리치료학회지, 10(1), 63-76.
  4. 김성호, 유병규, 이완희(2010). 척추안정화 운동이 요통 환자의 요추부 심부근육의 근단면적, 요부근력, 주관적 통증지수에 미치는 영향. 한국사회체육학회지, 40, 527-536.
  5. 김수정, 하성민, 박규남 등(2012). 다열근심부 및 표면 근섬유 두께에 대한 세 가지 요추안정화 운동의 효과. 한국전문물리치료학회지, 19(2), 20-28.
  6. 김종순(2001). 동적 요부 안정화 운동치료법이 요통 환자에 미치는 영향. 대구대학교 재활과학대학원, 석사학위 논문.
  7. 김형수, 이근희, 배성수(2008). 체간안정화 운동이 만성 요통환자의 요통장애지수에 미치는 영향. 대한물리의학회지, 3(3), 193-202.
  8. 김연주(2007). 닫힌 사슬운동이 전십자인대 재건술 환자의 슬관절 안정성에 미치는 영향. 대구대학교 대학원, 석사학위 논문.
  9. 문상은(2004). 전신조정술. 서울, 정담미디어, 128-311.
  10. 이병기, 김영욱, 김태수(2012). 요부 안정화와 걷기 운동이 남성 만성요통환자의 복횡근, 다열근의 근활성도와 복횡근의 근수축시간, 통증에 미치는 영향. 한국사회체육학회지, 49, 887-898.
  11. 이재문, 이충휘, 권오윤 등(2011). 요부안정화 운동프로그램이 요양보호사의 만성요통에 미치는 영향. 한국전문물리치료학회지, 18(2), 9-17.
  12. 정낙수(2009). 임상운동학. 서울, 영문출판사, 115-116.
  13. 최상준(2008). 코칭(훈련)의 New Paradigm-통합기능훈련. 코칭능력개발지, 10(3), 66-78.
  14. 최희수, 권오윤, 이충휘 등(2005). 요부 안정화 운동에 따른 몸통 근육들의 근활성도 비교. 한국전문물리치료학회지, 12(1), 1-10.
  15. Akuthota V, Nadler SF(2004). Core strengthening. A Phys Med Rehabil, 85 (3/1), 86-92.
  16. Bjerkefors A, Ekblom MM, Josefsson K, et al(2010). Deep and superficial abdominal muscle activation during trunk stabili zation exercises with and without instr uction to hollow. Man Ther, 15(5), 502 -507. https://doi.org/10.1016/j.math.2010.05.006
  17. Frymoyer JW(1998). Back pain and sciatica N. Engl J Med, 318(5), 291-300.
  18. Fritz JM, Whitman JM, Childs JD(2005). Lumbar spine segmental mobility assess ment: An examination of validity for determining intervention strategies in patients with low back pain. Arch Phys Med Rehabil, 86(9), 1745-1752. https://doi.org/10.1016/j.apmr.2005.03.028
  19. Hagood S, Solomonow M, Zhou BH, et al(1990). The effect of joint velocity on the contribution of the antagonist muscu lature to knee stiffiness and laxity. Am J Sports Med, 18(2), 182-187. https://doi.org/10.1177/036354659001800212
  20. Hides JA, Richardson CA, Jull GA (1996). Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine, 21, 2763-2769. https://doi.org/10.1097/00007632-199612010-00011
  21. Hodges PW, Pengal LH, Herbert RD, et al(2003). Measurement of muscle contraction with ultrasound imaging. Muscle Nerve, 27(6), 682-692. https://doi.org/10.1002/mus.10375
  22. Hodges PW, Richardson CA(1999). Transversus abdominis and the superficial abdominal muscles are controlled independently in a post ural task. Neurosci lett, 265(2), 91-94. https://doi.org/10.1016/S0304-3940(99)00216-5
  23. Kiesel KB, Uhl TL, Underwood FB, et al(2007). Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Man Ther, 12(2), 161-166. https://doi.org/10.1016/j.math.2006.06.011
  24. Koumantakis GA, Watson PJ, Oldham JA(2005). Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther, 85(3), 209-225.
  25. Lieber RL(1992). Skeletal muscle structure and function. Baltimore, Williams & Wilkins.
  26. Marshall PW, Murphy BA(2005). Core stability exercises on and off a swiss ball. Arch Phys Med Rehabil, 86(2), 242-249. https://doi.org/10.1016/j.apmr.2004.05.004
  27. Misuri G, Colagrande S, Gorini M, et al (1997). In vivo ultrasound asses sment of respiratory function of abdominal muscles in normal sub jects. Eur Respir J, 10(12), 2861-1867. https://doi.org/10.1183/09031936.97.10122861
  28. Prince WE(1999). Rehabilitation tech nique in sports medicine. 3rd ed. USA, McGraw-Hill.
  29. Rankin G, Strokes M, Newham DJ(2006). Abdominal muscle size and symmetry in normal subjects. Muscle Nerve, 34(3), 320-326. https://doi.org/10.1002/mus.20589
  30. Richardson C(1999). Therapeutic exer cise for the spinal segmental sta bilization in low back pain: scientific basis and clinical approach. Edinburgh, Churchill Living stone.
  31. Richardson CA(2004). Therapeutic exe rcise for lumbopelvic stabilization. 2nd ed. London, Churchill Livingston.
  32. Rogol IM, Ernst G, Perrin DH(1998). Open and closed kinetic chain exercises improve shoulder joint reposition sense equally in healthy subjects. J Athl Train, 33(4), 315-318.
  33. Sahrmann SA(2002). Diagnosis and treatment of movement impairment syndromes. New York, Elsevier Inc.
  34. Standaert CJ Weinstein SM, Rumpeltes J(2008). Evidence-informed manage ment of chronic low back pain with lumbar stabilization exercises. Spine, 8(1), 114-120. https://doi.org/10.1016/j.spinee.2007.10.015
  35. Vera-Garcia FJ, Grenier SG, McGill SM(2000). Abdominal muscle res ponse during curl-ups on both stable and labile surfaces. Phys Ther, 80(6), 564-569.
  36. Whittaker JL(2008). Ultrasound imaging of the lateral abdominal wall muscle in individuals with lumbopelvic pain and signs concurrent hypocapnia. Man Ther, 13(5), 404-410. https://doi.org/10.1016/j.math.2007.03.008
  37. Wilke HJ, Wolf S, Claes LE, et al(1995). Wiesend A. Stability incr ease of the lumbar spine with different muscle groups. Spine, 20(2), 192-198. https://doi.org/10.1097/00007632-199501150-00011

Cited by

  1. 열린사슬운동과 닫힌사슬운동이 넙다리네갈래근의 근 활성도에 미치는 영향 vol.3, pp.1, 2013, https://doi.org/10.15268/ksim.2015.3.1.071
  2. 열린사슬운동과 닫힌사슬운동에서 어깨 굽힘 각도에 따른 어깨안정화 근육의 근활성도 비교 vol.3, pp.1, 2013, https://doi.org/10.15268/ksim.2015.3.1.081
  3. 열린사슬운동과 닫힌사슬운동이 큰가슴근과 위팔세갈래근의 근활성도에 미치는 영향 vol.25, pp.1, 2018, https://doi.org/10.26862/jkpts.2018.06.25.1.52
  4. 슬링을 이용한 열린사슬운동과 닫힌 사슬 운동의 턱당기기 동작 시 목굽힘근 두께 비교 vol.18, pp.3, 2013, https://doi.org/10.21598/jkpnfa.2020.18.3.333