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Effects of Isometric Upper Limb Contraction on Trunk and Leg Muscles During Sit-to-stand Activity in Healthy Elderly Females

  • Jang, Eun-Mi (Dept. of Rehabilitation Science, Graduate School, Inje University) ;
  • Oh, Jae-Seop (Dept. of Physical Therapy, Inje University) ;
  • Kim, Mi-Hyun (Dept. of Physical Therapy, Inje University)
  • Received : 2016.10.21
  • Accepted : 2016.11.26
  • Published : 2017.02.28

Abstract

PURPOSE: The purpose of this study was to investigate the effects of isometric upper limb contraction on the trunk and lower extremity muscles during the sit-to-stand activity in elderly females. METHODS: Eighteen healthy elderly females performed three directional isometric upper extremity contractions (flexion, extension, and horizontal abduction movements) using an elastic band during sit-to-stand activity. Electromyography signals were collected from the internal oblique, erector spinae, rectus femoris, and biceps femoris muscles. RESULTS: Internal oblique activity was greater in bilateral shoulder flexion and bilateral shoulder horizontal abduction than in neutral position (p<.05). Erector spinae and rectus femoris muscle activities in bilateral shoulder flexion was greater than in neutral position and bilateral shoulder extension (p<.05). Biceps femoris activity was significantly greater in bilateral shoulder flexion than in bilateral shoulder extension and horizontal abduction, and in neutral position compared to bilateral shoulder extension (p<.05). CONCLUSION: These results suggest that incorporating isometric upper limb contraction may be beneficial for enhancing the contribution of trunk and lower extremity muscle activities to trunk stabilization during sit-to-stand activity. Therefore, isometric upper limb contraction during sit-to-stand tasks, especially in flexion, may be used to elicit contraction of the lumbopelvic region muscles within a tolerable range, for developing endurance and strength in the elderly.

Keywords

References

  1. Arokoski J, Valta T, Airaksinen O, et al. Back and abdominal muscle function during stabilization exercises. Arch Phys Med Rehabil. 2001;82(8):1089-98. https://doi.org/10.1053/apmr.2001.23819
  2. Baratta R, Solomonow M, Zhou BH, et al. Muscular coactivation. The role of the antagonist musculature in maintaining knee stability. Am J Sports Med. 1988;16(2):113-22. https://doi.org/10.1177/036354658801600205
  3. Benjuya N, Melzer I, Kaplanski J. Aging-induced shifts from a reliance on sensory input to muscle cocontraction during balanced standing. J Gerontol A BiolSci Med Sci. 2004;59:166-71. https://doi.org/10.1093/gerona/59.2.M166
  4. Carr J, Shepherd R. Neurological rehabilitation (2nd ed). Edinburgh. Churchill Livingstone. 2011.
  5. Cenciarini M, Loughlin PJ, Sparto PJ, et al. Stiffness and damping in postural control increase with age. IEEE Trans Biomed Eng. 2010;57(2):267-75. https://doi.org/10.1109/TBME.2009.2031874
  6. Corcos DM, Chen C-M, Quinn NP, et al. Strength in Parkinson's disease: relationship to rate of force generation and clinical status. Ann Neurol. 1996;39:79-88. https://doi.org/10.1002/ana.410390112
  7. Yamada T, Demura S. Relationships between ground reaction force parameters during a sit-to-stand movement and physical activity and falling risk of the elderly and a comparison of the movement characteristics between the young and the elderly. Arch Gerontol Geriatr. 2009;48(1):73-7. https://doi.org/10.1016/j.archger.2007.10.006
  8. Inkster LM, Eng JJ. Postural control during a sit-to-stand task in individuals with mild Parkinson's disease. Exp Brain Res. 2004;154:33-8. https://doi.org/10.1007/s00221-003-1629-8
  9. Izquierdo M, Aguado X, Gonzalez R, et al. Maximal and explosive force production capacity and balance performance in men of different ages. Eur J Appl Physiol Occup Physiol. 1999;79(3):260-7. https://doi.org/10.1007/s004210050504
  10. Kim MC, Ahn CS, Kim YS. The effect of exercise program for falls prevention on balance and quality of life in the elderly women. J Korean Soc Phys Med. 2010; 5(2):245-54.
  11. Lee DK, Kang MH, Jang JH, et al. Effects of changing the resistance direction using an elastic tubing band on abdominal muscle activities during isometric upper limb exercises. J of Physic Ther Sci. 2012;24:703-6. https://doi.org/10.1589/jpts.24.703
  12. Lord SR, Murray SM, Chapman K, et al. Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A BiolSci Med Sci. 2002; 57(8):M539-43. https://doi.org/10.1093/gerona/57.8.M539
  13. Nuzik S, Lamb R, Van Sant A, et al. Sit to stand movement pattern. Phys Ther. 1986;66:1708-13. https://doi.org/10.1093/ptj/66.11.1708
  14. Papa E, Cappozzo A. Sit-to-stand motor strategies investigated in able-bodied young and elderly subjects. J Biomech. 2000;33:1113-22. https://doi.org/10.1016/S0021-9290(00)00046-4
  15. Park HS, Yoon BC. The Effects of on Resistive Exercise of Lower Limb's used Thera-band on Factors Related to Falls in Elderly Woman. J Sport Leis Stud. 2009; 36(2):773-9.
  16. Park JS. The Effects of Strengthening Leg Muscular Strength on the Elderly's Walking and Balance Ability.J Korean SocPhys Ther. 2002;11(2):71-80.
  17. Saliba SA, Croy T, Guthrie R, et al. Differences in transverse abdominis activation with stable and unstable bridging exercise in individuals with low back pain. N Am J Sports Phys Ther. 2010;5(2):3-73.
  18. Schenkman M, Hughes MA, Samsa G, et al. The relative importance of strength and balance in chair rise by functionally impaired older individuals. J Am Geriatr Soc. 1996;44(12):1441-6. https://doi.org/10.1111/j.1532-5415.1996.tb04068.x
  19. Shepherd RB, Gentile AM. Sit-to-stand: Functional relationship between upper body and lower limb segments. Hum Mov Sci. 1994;13:17-40.
  20. Tarnanen SP, Ylinen JJ, Siekkinen KM, et al. Effect of isometric upper-extremity exercises on the activation of core stabilizing muscles. Arch Phys Med Rehabil. 2008;89(3):513-21. https://doi.org/10.1016/j.apmr.2007.08.160
  21. Yoshioka S, Nagano A. Biomechanical analysis of the relation between movement time and joint moment development during a sit-to-stand task. Biomed Eng. 2009;22: 8-27.