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정상인들의 다양한 자세에서 두부와 경부의 회전 동안 경부 표층 근육들의 사용 비율

Comparison of Multimodal Posture of Healthy Adults on the Usage Rate of the Superficial Neck Muscles during Head and Neck Rotation

  • 황태연 (전남과학대학교 물리치료학과) ;
  • 송현승 (대전대학교 일반대학원 물리치료학과) ;
  • 이남용 (대전대학교 일반대학원 물리치료학과)
  • Hwang, Tae-Yeun (Dept. of Physical Therapy, Chunnam Techno University) ;
  • Song, Hyun-Seung (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Lee, Nam-Yong (Dept. of Physical Therapy, Graduate School, Daejeon University)
  • 투고 : 2016.02.17
  • 심사 : 2016.03.22
  • 발행 : 2016.05.31

초록

PURPOSE: This study was conducted to compare the levels of usage of the superficial neck muscles during head rotation in forward head posture and in multimodal postures for improvement of cervical rotation movement impairment. METHODS: To acquire electromyography (EMG) signals from the sternocleidomastoid (SCM-M), upper trapezius (UPT-M), and the splenius capitis (SPC-M) muscles, 11 subjects practiced right rotation of the head in forward head postures (FHP), upright sitting postures (USP), upright sitting postures with supported arms (SUP), standing postures with the arms leaning against the wall (WSP), and four feet postures (FFP), respectively. RESULTS: The left SCM-M was used significantly more in the FFP compared to the FHP, but not in other postures (p<0.01). The left UPT-M was used significantly more in all postures other than the FHP. The right SPC-M was used significantly more in the FFP (p<0.001) and significantly less (p<0.05) in the SUP compared to the FHP. CONCLUSION: During the rotation of the head, although the usage of the SPC-M significantly decreased in SUP compared to FHP but the usage of the SCM-M and UPT-M did not decrease significantly in other postures compared to FHP. Further research is necessary to prove the hypothesis that special postures may reduce the activity of the superficial neck muscles during head rotation.

키워드

참고문헌

  1. Andrade GT, Azevedo DC, De Assis Lorentz I, et al. Influence of scapular position on cervical rotation range of motion. J Orthop Sports Phys Ther. 2008;38(11): 668-73. https://doi.org/10.2519/jospt.2008.2820
  2. Barton PM, Hayes KC. Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache. Arch Phys Med Rehabil. 1996;77(7):680-7. https://doi.org/10.1016/S0003-9993(96)90008-8
  3. Bexander CS, Mellor R, Hodges PW. Effect of gaze direction on neck muscle activity during cervical rotation. Exp Brain Res. 2005;167(3):422-32. https://doi.org/10.1007/s00221-005-0048-4
  4. Blouin JS, Siegmund GP, Carpenter MG, et al. Neural control of superficial and deep neck muscles in humans. J Neurophysiol. 2007;98(2):920-8. https://doi.org/10.1152/jn.00183.2007
  5. Caneiro JP, O'Sullivan P, Burnett A, et al. The influence of different sitting postures on head/neck posture and muscle activity. Man Ther. 2010;15(1):54-60. https://doi.org/10.1016/j.math.2009.06.002
  6. Castelein B, Cools A, Bostyn E, et al. Analysis of scapular muscle EMG activity in patients with idiopathic neck pain: a systematic review. J Electromyogr Kinesiol. 2015;25(2):371-86. https://doi.org/10.1016/j.jelekin.2015.01.006
  7. Choi HW, Kim SY. The effect of functional postural trunk exercise on pain, activities of daily living, range of motion, deep cranio-cervical flexor muscle endurance in neck pain patient by acute whiplash-associated disorders. J Korean Soc Phys Med. 2013;8(4):655-66. https://doi.org/10.13066/kspm.2013.8.4.655
  8. Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001;6(1):15-26. https://doi.org/10.1054/math.2000.0388
  9. Cools AM, Struyf F, De Mey K, et al. Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br J Sports Med. 2014;48(8):692-7. https://doi.org/10.1136/bjsports-2013-092148
  10. Cuesta-Vargas AI, Gonzalez-Sanchez M. Differences in muscle activation patterns during sit to stand task among subjects with and without intellectual disability. Biomed Res Int. 2013;173148(10):7.
  11. Edmondston SJ, Sharp M, Symes A et al. Changes in mechanical load and extensor muscle activity in the cervicothoracic spine induced by sitting posture modification. Ergonomics. 2011;54(2):179-86. https://doi.org/10.1080/00140139.2010.544765
  12. Elliott JM, O'Leary S, Sterling M, et al. Magnetic resonance imaging findings of fatty infiltrate in the cervical flexors in chronic whiplash. Spine. 2010;35(9): 948-54. https://doi.org/10.1097/BRS.0b013e3181bb0e55
  13. Falla D, Dall'Alba P, Rainoldi A, et al. Location of innervation zones of sternocleidomastoid and scalene muscles--a basis for clinical and research electromyography applications. Clin Neurophysiol. 2002;113(1):57-63. https://doi.org/10.1016/S1388-2457(01)00708-8
  14. Falla D, Jull G, Dall'Alba P et al. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther. 2003;83(10): 899-906.
  15. Falla D, O'Leary S, Fagan A, et al. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Man Ther. 2007;12(2): 139-43. https://doi.org/10.1016/j.math.2006.06.003
  16. Farina D, Madeleine P, Graven-Nielsen T, et al. Standardising surface electromyogram recordings for assessment of activity and fatigue in the human upper trapezius muscle. Eur J Appl Physiol. 2002;86(6):469-78. https://doi.org/10.1007/s00421-001-0574-0
  17. Fernandez-de-las-Penas C, Falla D, Arendt-Nielsen L, et al. Cervical muscle co-activation in isometric contractions is enhanced in chronic tension-type headache patients. Cephalalgia. 2008;28(7):744-51. https://doi.org/10.1111/j.1468-2982.2008.01584.x
  18. Harms-Ringdahl K, Ekholm J, Schuldt K, et al. Load moments and myoelectric activity when the cervical spine is held in full flexion and extension. Ergonomics. 1986; 29(12):1539-52. https://doi.org/10.1080/00140138608967267
  19. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol. 2003;13(4):361-70. https://doi.org/10.1016/S1050-6411(03)00042-7
  20. Johnson G, Bogduk N, Nowitzke A, et al. Anatomy and actions of the trapezius muscle. Clin Biomech. 1994;9(1): 44-50. https://doi.org/10.1016/0268-0033(94)90057-4
  21. Joines SM, Sommerich CM, Mirka GA, et al. Low-level exertions of the neck musculature: a study of research methods. J Electromyogr Kinesiol. 2006;16(5):485-97. https://doi.org/10.1016/j.jelekin.2005.09.007
  22. Jull G, Kristjansson E, Dall'Alba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004;9(2):89-94. https://doi.org/10.1016/S1356-689X(03)00086-9
  23. Keshner EA, Campbell D, Katz RT et al. Neck muscle activation patterns in humans during isometric head stabilization. Exp Brain Res. 1989;75(2):335-44.
  24. Lee BK, Yang JM, Kang KH. Comparison of between upper thoracic manipulation and cervical stability and cervical stability training on range of motion and neck disability in patients with chronic mechanical neck pain. J Korean Soc Phys Med. 2015;10(2):35-45. https://doi.org/10.13066/kspm.2015.10.2.35
  25. Lee KJ, Roh JS, Choi HS, et al. Effect of active intervention after Kaltenborn's cervical joint mobilization on the cervical spine alignment and muscle activity in patients with forward head posture. J Korean Soc Phys Med. 2015;10(2):17-27. https://doi.org/10.13066/kspm.2015.10.2.17
  26. Lluch E, Arguisuelas MD, Calvente Quesada O, et al. Immediate effects of active versus passive scapular correction on pain and pressure pain threshold in patients with chronic neck pain. J Manipulative Physiol Ther. 2014; 37(9):660-6. https://doi.org/10.1016/j.jmpt.2014.08.007
  27. McDonnell MK, Sahrmann SA, Van Dillen L. A specific exercise program and modification of postural alignment for treatment of cervicogenic headache: a case report. J Orthop Sports Phys Ther. 2005;35(1):3-15. https://doi.org/10.2519/jospt.2005.35.1.3
  28. O'Leary S, Falla D, Elliott JM, et al. Muscle dysfunction in cervical spine pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009;39(5): 324-33. https://doi.org/10.2519/jospt.2009.2872
  29. O'Leary S, Falla D, Jull G et al. Muscle specificity in tests of cervical flexor muscle performance. J Electromyogr Kinesiol. 2007;17(1):35-40. https://doi.org/10.1016/j.jelekin.2005.10.006
  30. Sahrmann SA. Movement system impairment syndromes of the extremities, cervical and thoracic spines. St. Louis. MO: Mosby. 2010.
  31. Schomacher J, Petzke F, Falla D. Localised resistance selectively activates the semispinalis cervicis muscle in patients with neck pain. Man Ther. 2012;17(6):544-8. https://doi.org/10.1016/j.math.2012.05.012
  32. Sterling M, Jull G, Wright A. Cervical mobilisation: concurrent effects on pain, sympathetic nervous system activity and motor activity. Man Ther. 2001;6(2):72-81. https://doi.org/10.1054/math.2000.0378
  33. Swift TR, Nichols FT. The droopy shoulder syndrome. Neurology. 1984;34(2):212-5. https://doi.org/10.1212/WNL.34.2.212
  34. Szeto GP, Straker LM, O'Sullivan PB. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work--2: neck and shoulder kinematics. Man Ther. 2005;10(4):281-91. https://doi.org/10.1016/j.math.2005.01.005
  35. Van Dillen LR, McDonnell MK, Susco TM, et al. The immediate effect of passive scapular elevation on symptoms with active neck rotation in patients with neck pain. Clin J Pain. 2007;23(8):641-7. https://doi.org/10.1097/AJP.0b013e318125c5b6
  36. Vasavada AN, Li S, Delp SL. Influence of Muscle Morphometry and Moment Arms on the Moment-Generating Capacity of Human Neck Muscles. Spine. 1998;23(4):412-22. https://doi.org/10.1097/00007632-199802150-00002
  37. Vasavada AN, Peterson BW, Delp SL. Three-dimensional spatial tuning of neck muscle activation in humans. Exp Brain Res. 2002;147(4):437-48. https://doi.org/10.1007/s00221-002-1275-6
  38. Williams PL, Bannister LH, Berry MM, et al. Gray's Anatomy (38th ed.). New York, NY: Churchill Livingstone. 1995.
  39. Yang NY, Oh JS. Effects of visual biofeedback on movement patients of neck lateral bending and muscle activation of sternocleidomastoid during neck rotation in adults with forward head posture. J Korean Soc Phys Med. 2014;9(4):425-32. https://doi.org/10.13066/kspm.2014.9.4.425