The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Lower Limb Muscle Activity on Balancing through Sprinter Patterns of PNF

PNF의 Sprinter Pattern을 통한 하지의 근 활성도가 균형능력에 미치는 영향

  • Received : 2010.07.29
  • Accepted : 2010.12.13
  • Published : 2011.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

In this study, for examining an effect of lower limbs' muscle activity on balance capability when applying sprinter pattern among the PNF, the experiment was conducted as followed. Under the object of 24 people diagnosed by hemiplegia, they were divided into control group and experimental group and the experiment was conducted on the experimental group, three times per a week for six weeks. Experimental group received Sprinter pattern of combined PNF upper extremity and lower extremity pattern. For the lower limbs' muscle activity, effective values of Vastus medialis laterails, medial lateral hamstrings, lateral gastrocnemius' action potential were analyzed. The balance ability tests was conducted with FICSIT-4, FSST and MTD-Balance system. For the significance test of control group and experimental group for measuring time by exercise application method, two-way repeated measure ANOVA was conducted and for the significance test among the groups by each measuring time, independent t-test was conducted. Also, for examining the correlation among the measuring item, pearson correlation was used for the analysis. As the result, the application of sprinter pattern increased muscle activity of lower limbs in paretic side and improve static and dynamic balance ability effectively. Therefore, it will be necessary to develop new intervention by combining active application of the therapeutic intervention program for lower limbs' effective muscle mobilizing in paretic side with various exercising patterns.

본 연구는 PNF 중 스프린터 패턴 적용 시 하지의 근 활성도가 균형 능력에 미치는 영향을 알아보고자 다음과 같이 실시하였다. 편마비 환자 24명을 대조군과 실험군으로 나누어 실험군에 주 3회, 6주 동안 PNF의 상 하지 패턴의 결합인 스프린터 패턴(Sprinter pattern)을 실시하였다. 하지 근활성도는 내 외측광근, 내 외측슬괵근, 외측비복근의 활동전위의 실효치 값을 분석하였다. 균형 능력 검사는 FICSIT-4, FSST, MTD-Balance system 이용하여 측정하였다. 운동 적용 방법에 따른 측정 시점에 대한 대조군과 실험군의 유의성 검정은 Two-way repeated measure ANOVA를 실시하였고, 각 측정 항목들 간의 상관관계를 알아보기 위하여 Pearson correlation으로 분석하였다. 그 결과, 스프린터 패턴의 적용은 마비측 하지의 근 활성도를 증가시켜 정적 및 동적 균형능력을 향상시키는데 효과가 있었음을 확인할 수 있었다. 따라서 마비측 하지의 효율적 근동원을 위한 치료적 중재프로그램으로 적극적인 활용과 함께 다양한 운동 패턴들과 결합시켜 새로운 중재를 개발할 필요가 있을 것으로 생각된다.

Keywords

References

  1. http://www.who.int/topics/cerebrovascular_accident/en/
  2. 강현숙, 강지순, 석소현, "뇌졸중 환자를 위한 환측 상지 경혈지압마사지와 손마사지의 효과 비교 연구", 대한기본간호학회지, 제14권, 제3호, pp.270-279, 2007.
  3. J. Liepert, H. Bauder, W. Miltner, E. Taub, and C. Weiller, "Treatment-induced cortical reorganization after stroke in humans," J of Stroke, Vol.31, No.6, p.1210, 2000. https://doi.org/10.1161/01.STR.31.6.1210
  4. H. Jorgensen, H. Nakayama, H. Raaschou, and T. Olsen, "Recovery of walking function in stroke patients: the Copenhagen Stroke Study," Archives of physical medicine and rehabilitation, Vol.76, No.1, pp.27-32, 1995. https://doi.org/10.1016/S0003-9993(95)80038-7
  5. S. Olney and C. Richards, "Hemiparetic gait following stroke. Part I: Characteristics," Gait & Posture, Vol.4, No.2, pp.136-148, 1996. https://doi.org/10.1016/0966-6362(96)01063-6
  6. M. Weightman, "Motor unit behavior following cerebrovascular accident," Neural Rep, Vol.18, No.1. pp.26-28, 1994.
  7. M. Nallegowda, U. Singh, G. Handa, M. Khanna S. Wadhwa, S. Yadav, G. Kumar, and M. Behari, "Role of sensory input and muscle strength in maintenance of balance, gait, and posture in Parkinson's disease: a pilot study," American Journal of Physical Medicine & Rehabilitation, Vol.83, No.12, p.898, 2004. https://doi.org/10.1097/01.PHM.0000146505.18244.43
  8. K. Ringsberg, P. Gerdhem, J. Johansson, and K. Obrant, "Is there a relationship between balance, gait performance and muscular strength in 75-year-old women?" Age and aging, Vol.28, No.3, p.289, 1999. https://doi.org/10.1093/ageing/28.3.289
  9. L. Wolfson, J. Judge, R. Whipple, and M. King, "Strength Is a Major Factor in Balance, Gait, and the Occurrence of Falls," The Journals of Gerontology, Vol.50, p.64, 1995.
  10. D. P. Laroche, K. A. Cremin, B. Greenleaf, and R. Croce, "Rapid torque development in older female fallers and nonfallers: A comparison across lower-extremity muscles," J Electromyogr Kinesiol, 2009.
  11. C. Laughton, M. Slavin, K. Katdare, L. Nolan, J. Bean, D. Kerrigan, E. Phillips, L. Lipsitz, and J. Collins, "Aging, muscle activity, and balance control: physiologic changes associated with balance impairment," Gait & Posture, Vol.18, No.2, pp.101-108, 2003. https://doi.org/10.1016/S0966-6362(02)00200-X
  12. S. Ryerson and K. Levit, Functional movement reedumtion, New York: Churchill Livingstone, 1997.
  13. P. Marshall and B. Murphy, "Core stability exercises on and off a Swiss ball," Archives of physical medicine and rehabilitation, Vol.86, No.2, pp.242-249, 2005. https://doi.org/10.1016/j.apmr.2004.05.004
  14. V. Akuthota and S. Nadler, "Core strengthening," Archives of physical medicine and rehabilitation, Vol.85, No.1, pp.86-92, 2004.
  15. M. Knott and D. Voss, Proprioceptive neuromuscular facilitation: pattern and technique 2nd, New York: Harper and Row, 1968.
  16. J. Munn, R. Herbert, and S. Gandevia, "Contralateral effects of unilateral resistance training: a meta-analysis," Journal of Applied Physiology, Vol.96, No.5, p.1861, 2004. https://doi.org/10.1152/japplphysiol.00541.2003
  17. D. Klein, W. Stone, W. Phillips, J. Gangi, and S. Hartman, "PNF training and physical function in assisted-living older adults," Journal of Aging and Physical Activity, Vol.10, No.4, pp.476-488, 2002. https://doi.org/10.1123/japa.10.4.476
  18. 김태윤, "均衡 訓練이 中樞神經系 損傷者의 姿勢調節 및 體性感覺 誘發電位에 미치는 影響", 전남대학교 체육대학원 박사학위논문, 1998.
  19. B. Dietz, Let's Sprint, Let's Skate: Innovationen im PNF-konzept: Springer, 2009.
  20. 권유정, "열린사슬과 닫힌 사슬 운동이 정상 성인의 동적 균형 능력과 근활성도 변화에 미치는 영향", 대구대학교 재활과학대학원 석사학위논문, 2008.
  21. J. Rossiter-Fornoff, S. Wolf, L. Wolfson, and D. Buchner, "A cross-sectional validation study of the FICSIT common data base static balance measures," Journal of Gerontology, Vol.50, No.6, pp.291-297, 1995.
  22. J. Blennerhassett and V. Jayalath, "The Four Square Step Test is a feasible and Valid clinical test of dynamic standing balance for use in ambulant people poststroke," Archives of physical medicine and rehabiliatation, Vol.89, No.11, pp.2156-2161, 2008. https://doi.org/10.1016/j.apmr.2008.05.012
  23. P. Cheng, S. Wu, M. Liaw, A. Wong, and F. Tang, "Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention," Archives of physical medicine and rehabilitation, Vol.82, No.12, pp.1650-1654, 2001. https://doi.org/10.1053/apmr.2001.26256
  24. T. Kauffman, "Impact of aging-related musculoskeletal and postural changes on falls," Topics in Geriatric Rehabilitation, Vol.5, No.2, p.34, 1990. https://doi.org/10.1097/00013614-199001000-00006
  25. R. Enoka, "Muscle strength and its development. New perspectives," Sports medicine (Auckland, NZ), Vol.6, No.3, p.146, 1988. https://doi.org/10.2165/00007256-198806030-00003
  26. K. Hakkinen, A. Pakarinen, W. Kraemer, A. Hakkinen, H. Valkeinen, and M. Alen, "Selective muscle hypertrophy, changes in EMG and force, and serum hormones during strength training in older women," Journal of Applied Physiology Vol.91, No.2, p.569, 2001. https://doi.org/10.1152/jappl.2001.91.2.569
  27. 배성수, 정현옥, 구봉오, 김상수, 김태윤, 황성수, "고유수용성신경근촉진법의 변화와 발전", 대한고유수용성신경근촉진법학회지, 제1권, 제1호, pp.27-32, 2003.
  28. S. O'Sullivan and T. Schmitz, Physical rehabilitation: assessment and treatment: F. A. Davis Company, 1988.
  29. S. Page, S. Sisto, M. Johnston, and P. Levine, "Modified constraint-induced therapy after subacute stroke: a preliminary study," Neurorehabilitation and Neural Repair, Vol.16, No.3, p.290, 2002. https://doi.org/10.1177/154596830201600307
  30. J. ENG, K. CHU, and K. MARIA, "A community-based group exercise program for persons with chronic stroke," Medicine & Science in Sports & Exercise, Vol.35, No.8, p.1271, 2003. https://doi.org/10.1249/01.MSS.0000079079.58477.0B
  31. S. Adler and D. Beckers, M. Buck, PNF in practice: an illustrated guide, Springer Verlag, 2008.
  32. V. De, M. Ionta, and B. Myers, Proprioceptive Neuromuscular Facilitation: Philadelphia, PA, JB Lippincott Co, 1985.
  33. T. Hortobagyi, K. Scott, J. Lambert, G. Hamilton, and J. Tracy, "Cross-education of muscle strength is greater with stimulated than voluntary contractions," Motor Control, Vol.3, No2, p.205, 1999. https://doi.org/10.1123/mcj.3.2.205
  34. B. Stromberg, "Contralateral therapy in upper extremity rehabilitation," American journal of physical medicine, Vol.65, No.3, pp.135-143, 1986.
  35. N. Shima, K. Ishida, K. Katayama, Y. Morotome, Y. Sato, and M. Miyamura, "Cross education of muscular strength during unilateral resistance training and detraining," European Journal of Applied Physiology, Vol.86, No.4, pp.287-294, 2002. https://doi.org/10.1007/s00421-001-0559-z
  36. M. Bemben and R. Murphy, "Age related neural adaptation following short term resistance training in women," The Journal of sports medicine and physical fitness, Vol.41, No.3, p.291, 2001.
  37. 이문규, "고유수용성 신경근 촉진법 하지 패턴이 뇌졸중 환자의 상지 근활성도에 미치는 영향", 서남대학교 보건대학원 석사학위논문, 2008.
  38. B. Dietz, Proprioceptive neuromuscular facilitation, Level I & II Course. Gwangju. 2007.
  39. T. Carroll, R. Herbert, J. Munn, M. Lee S. and Gandevia, "Contralateral effects of unilateral strength training : evidence and possible mechanisms," Journal of Applied Physiology, Vol.101, No5, p.1514, 2006. https://doi.org/10.1152/japplphysiol.00531.2006
  40. M. Houston, E. Froese, S. Valeriote, H. Green, and D. Ranney, "Muscle performance, morphology and metabolic capacity during strength training and detraining: a one leg mode," European Journal of Applied Physiology and Occupational Physiology, Vol.51 No.1, pp.25-35, 1983. https://doi.org/10.1007/BF00952534
  41. O. E. Lagerquist, D. Zehr, and Docherty, "Increased spinal reflex excitability is not associated with neural plasticity underlying the cross-education effect," Journal of Applied Physiology, Vol.100, No.1, p.83, 2006. https://doi.org/10.1152/japplphysiol.00533.2005
  42. B. Bhakta, J. Cozens, M. Chamberlain, and J. Bamford, "Quantifying associated reactions in the paretic arm in stroke and their relationship to spasticity," Clin Rehabil, Vol.15, No.2, pp.195-206, 2001. https://doi.org/10.1191/026921501671342614
  43. J. Carr J. and R. Shepherd, A motor relearning programme for stroke: Aspen Pub, 1987.
  44. 지상구, "고유수용성 신경근 촉진법의 등장성 수축 결합 기법이 편마비 환자의 균형능력과 대퇴 사두근의 근활성도 및 근피로도에 미치는 효과", 을지대학교 보건대학원 석사학위논문, 2008.
  45. 유경태, "12주간의 복합 운동이 편마비 환자의 일상생활체력, 고유수용성 감각, 근활성도 및 균형능력에 미치는 영향", 경희대학교 체육대학원 박사학위논문, 2008.
  46. 박승규, "편마비 환자의 시청각 피드백 훈련이 신체 균형과 하지의 근활성도 및 운동수행에 미치는 효과", 전남대학교 체육대학원 박사학위논문, 2006.

Cited by

  1. Change of Isometric Contractile Force and Muscle Activity Applying Heat according to the Time on Biceps Brachii Muscle vol.4, pp.1, 2013, https://doi.org/10.5854/JIAPTR.2013.05.25.505
  2. Effects of Coordinative Locomotor Training Program on Low Extremity Strength, Balance and Quality of Life in Patients with Cancer: Single-Subject Design vol.12, pp.4, 2017, https://doi.org/10.13066/kspm.2017.12.4.47