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The Comparison of Lower Extremity Muscle Activities according to Different Longitudinal arch and Treadmill Inclination

세로발활 높이와 트레드밀 경사도 차이에 따른 하지의 근활성도 비교

  • 김은영 (구미1대학 물리치료과) ;
  • 김연주 (대구대학교 물리치료학과) ;
  • 김근조 (김천대학교 물리치료학과)
  • Received : 2011.08.24
  • Accepted : 2011.10.06
  • Published : 2011.10.31

Abstract

The purpose of this study was to compare the lower extremity muscle activities according to the different longitudinal arch and treadmill inclination and to provide basic data on treadmill walking exercise. The selected 17 subjects who had not lower extremity injury and ROM limitation were recruited in this study. The longitudinal arch was divided into normal foot and flat foot. The inclinations of the treadmill were $0^{\circ}$, up hill $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, down hill $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$. The electromyography was used to analyze the muscle activity of rectus femoris, biceps femoris, tibialis anterior, gastrocnemius lateralis and medialis. There were significant differences between the inclination $0^{\circ}$ and down hill $15^{\circ}$. There was no interactive effect of treadmill inclination on the longitudinal arch. The activity difference of lower extremity muscle was not conspicious. There existed the interactive effect between the longitudinal arch and muscle activity. The contrast test within subjects showed positively in the rectus femoris and gastrocnemius medialis, biceps femoris and gastrocnemius medialis. The different longitudinal arch did not influence on the effect(p>.05). There was significant difference between the normal foot and the flat foot. So it is necessary to carry out the long term study.

본 연구는 세로발활 높이와 트레드밀 경사도 차이에 따른 하지의 근활성도를 비교하여 효율적인 보행 운동에 관련 기초자료를 제시하고자 하였다. 하지에 정형외과적 및 관절가동범위에 제한이 없는 학생 17명을 대상으로 세로발활 높이를 정상발과 편평발로 나누어 경사도 $0^{\circ}$, 오르막 $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, 내리막 $5^{\circ}$, $10^{\circ}$, $15^{\circ}$에서 넙다리 곧은근, 넙다리 두갈래근, 앞정강이근, 장딴지근 가쪽과 안쪽 5개 근육의 근활성도를 측정하였다. 경사도 비교 결과 통계학적으로 유의하였고(p<.05), $0^{\circ}$과 내림 $15^{\circ}$에서 유의한 차이가 있었다(p<.05). 경사도와 세로발활높이 차이에 대한 상호작용 효과는 없었다. 근활성도 비교결과 통계학적으로 유의하였고, 근육과 세로발활 높이 차이에 대한 상호작용 효과가 있었다(p<.05). 개체 내 대비검정 결과 넙다리 곧은근과 장딴지근 안쪽근, 넙다리 두갈래근과 장딴지근 안쪽근에서 유의한 차이가 있었고, 장딴지근 가쪽과 안쪽근에서 상호작용 효과가 있음을 알 수 있었다. 세로발활 높이 차이 간에는 통계학적으로 유의하지 않았다(p>.05). 이러한 결과로 미루어 볼 때 정상발과 편평발은 하지 근활성도에서 차이를 나타냄을 알 수 있었다. 따라서 앞으로는 본 연구의 제한점을 보완하여 좀 더 많은 연구가 이루어져야 할 것이다.

Keywords

References

  1. Donatelli R., "The biomechanics of the foot and ankle" Philadelphia: F.A. Davice company, 1996.
  2. Wang W. J., & Crompton R. H., "Analysis of the human and ape foot during bipedal standing with implication for the evolution of the foot", J Biomech, Vol. 37, No. 12, pp. 1831-1836, 2004. https://doi.org/10.1016/j.jbiomech.2004.02.036
  3. Richie D. H., Jr., "Biomechanics and clinical analysis of the adult acquired flatfoot", Clin Podiatr Med Surg, Vol. 24, No. 4, pp. 617-644, 2007. https://doi.org/10.1016/j.cpm.2007.07.003
  4. Kim H. W., Park J., Kang E. S., Park H. W. "The pediatric flatfoot: It's differential diagnosis and management", J of Korean Society of Foot Surg, Vol. 5, No. 1, pp. 91-102, 2001.
  5. Arangio G. A., Reinert K. L., & Salathe E. P. "A biomechanical model of the effect of subtalar arthroereisis on the adult flexible flatfoot", Clin Biomech(Bristol, Avon), Vol. 19, No. 8, pp. 847-852, 2004. https://doi.org/10.1016/j.clinbiomech.2003.11.002
  6. Cailliet R. "Foot and ankle pain" F. A; Davis Co., Philadelphia, 1962.
  7. Sun S. K., Jung D. C. Ko K. J., Kim J. S., Lee K. G., Choi W. J. Lee H. S. Gu M. J., Cho S. H., Hwang J. H. "A comparison of physical fitness in people with normal foot and pes planus", J of Korea Sports Research, Vol. 17, No. 6, pp. 687-694, 2006.
  8. Dunn J. E., Link C. L., Felson D. T., Crincoli M. G., Keysor J. J., & Mckinlay J. B., "Prevalence of foot and ankle conditions in a multiethnic community sample of older adults", Am J Epidemiol, Vol. 159, No. 5, pp. 491-498, 2004. https://doi.org/10.1093/aje/kwh071
  9. Magee D. J., "Orthopedic physical assessment", Philadelphia: W.B. Saunders, 2008.
  10. Lauren E., Leslie L., Roger D., Joshua B., "Foot morphology and foot/ankle injury in indoor football", Journal of Science and Medicine in Sport, Vol. 10, No. 5, pp. 311-319, 2007. https://doi.org/10.1016/j.jsams.2006.07.012
  11. Ledoux W., Shfer J., Ahroni J., "Biomechanical differences among pes cavus, neutrally aligned, and pes planus feet in subjects with diabetes", Foot & Ankle, Vol. 24, No. 11, pp. 845-850, 2003. https://doi.org/10.1177/107110070302401107
  12. Stoquart G., Detrembleur C., Lejeune T., "Effect of speed on kinematic, kinetic, electromyographic and energetic reference values during treadmill walking", Neurophysiol Clin., Vol. 38, No. 2, pp. 105-116, 2008. https://doi.org/10.1016/j.neucli.2008.02.002
  13. Yoon N. S., Yi K. O., Kim J. Y. "The kinematic and kinetic analysis of treadmill gait with various inclination and speed", The Journal of Korean Society of Aerobic Exercise, Vol. 5, No. 1, pp. 49-68, 2001.
  14. Bergmann G., Graichen F., Rohlmann A., "Hip joint loading during walking and running measured in two patients", J Biomech, Vol. 26, No. 8, pp. 969-990, 1993. https://doi.org/10.1016/0021-9290(93)90058-M
  15. Buczek F. L., Cavanagh P. R., "Stance phase knee and ankle kinematics and kinetics during level and downhill running", Med Sci Sports Exerc, Vol. 22, No. 5, pp. 669-677, 1990. https://doi.org/10.1249/00005768-199010000-00019
  16. Williams KRA, "Biomechanical evaluation of distance running efficiency", Unpublished doctorial thesis, The Pennsylvania state University, University park. 1980.
  17. Cho K. K., Kim Y. S. "Analysis of kinematics in gait motions on different grades and speeds of treadmill gait", Korean Journal of Sport Biomechanics, Vol. 11, N0. 2, pp. 175-191.
  18. Yoon N. S., Yi K. O., Kim J. Y., Mun M. S., Yang G. T. "Comparison analysis of the angle vriation patterns and DRM on treadmill walking by slope", Korean Alliance of Health Physical Education Recreation and Dance, Vol. 39, No. 1, pp. 569-579, 2000.
  19. Kim Y. H., Yang G. T., Mun M. S. "Motion analysis of treadmill walking with various slopes at a normal speed", J of KOSOMBE, Vol. 18, No. 2, pp. 71-77, 1997.
  20. Kim T. H., Kim B. G. "The change of plantar pressure and range of motion of ankle joint according to treadmill gradients", Korean J Orthop Manu Ther, Vol. 14, No. 1, pp. 39-47, 2008.
  21. Warren G. L., Maher R. M., Higbie E. J., "Temporal patterns of plantar pressures and lower-leg muscle activity during walking: effect of speed", Gait Posture, Vol. 19, No. 1, pp. 91-100, 2004. https://doi.org/10.1016/S0966-6362(03)00031-6
  22. Segal A., Rohr E., Orendurff M., et al., "The effect of walking speed on peak plantar pressure", Foot Ankle Int, Vol. 25, No.12, pp. 926-933, 2004. https://doi.org/10.1177/107110070402501215
  23. Kernozek T. W., LaMott E. E., Dansisak M. J., "Reliability of an in-shoe pressure measurement system during treadmill walking", Foot Ankle Int, Vol. 17, No. 4, pp. 204-209, 1996. https://doi.org/10.1177/107110079601700404
  24. Shultz S. J., Carcia C. R., Gamseder B. M., Perrin D. H., "The independent and Interactive Effects of Navicular Drop and Quadriceps Angle on Neuromuscular Responses to a Weight-Bearing Perturbation", Journal of Athletic Training, Vol. 41, No. 3, pp. 251-259, 2006.
  25. Cote K. P., Brunet M. E., Gansneder B. M., & Shultz S. J., "Effects of Pronated and Supinated Foot Postures on Static and Dynamic Postureal Stability", J Athl Train, Vol. 40, No. 1, pp. 41-46, 2005.
  26. Hargrave M. D., Carcia C. R., Gansneder B, M., & Shultz S. J., "Subtalar Pronation Does Not Influence Impact Forces or Rate of Loading During a Single-Leg Landing", J Athl Train, Vol. 38, No. 1, pp. 18-23, 2003.
  27. Khamis S., & Yizhar Z., "Effect of feet hyperpronation on pelvic alignment in a standing position", Gait Posture, Vol. 25, No. 1, pp. 127-134, 2007. https://doi.org/10.1016/j.gaitpost.2006.02.005
  28. Han S. W. "The effect of forward walking and backward walking on quadriceps muscles with treadmill inclination: surface electromyographic analysis", Korean Academy of University Trained Physical Therapists, Vol. 12, No. 1, pp. 63-70, 2005.
  29. Kim B. G., Gong W. T., Jung Y. W. "The myoelectrical activities of trunk muscle and quardriceps femoris according to treadmill gait different inclination and speeds", Korean J Orthop Manu Ther, Vol. 13, No. 1, pp. 44-57, 2007.
  30. Na Y. M., Lim K. B., Kim H. S., Ji S. W. "The myoelectrical activities of quadriceps femoris according to hip joint angle by electromyographic analysis" The Korean Society of Sports Medicine, Vol. 20, No. 1, pp. 201-208, 2002.
  31. Mendler H. M., "Effect of stabilization of maximum isometric knee extensor force", Phys Ther, Vol. 47, No. 5, pp. 374-379, 1967.
  32. Yoon H. K. "Changes in dynamic pedobarography and 3-dimensional gait analysis subtalar arthrodesis in pes planovalgus", Department of Medicine The Graduate School Yonsi University A Doctoral Degree, 2005.