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고령자의 내외전 운동에서 등받이 각도가 근활성도 및 신체적 안락감에 미치는 영향

Effects of Backrest Angle on Muscle Activity and Physical Comfort in Hip Adduction and Abduction Exercise of the Elderly

  • 나주영 (한국기술교육대학교 디자인공학과) ;
  • 정광태 (한국기술교육대학교 디자인공학과) ;
  • 홍재수 (한국생산기술연구원 의공시스템기술그룹)
  • Na, Juyoung (Korea University of Technology and Education, Department of Industrial Design Engineering) ;
  • Jung, Kwang Tae (Korea University of Technology and Education, Department of Industrial Design Engineering) ;
  • Hong, Jasoo (Biomedical System & Technology Group, Korea Institute of Industrial Technology)
  • 투고 : 2018.07.26
  • 심사 : 2018.07.30
  • 발행 : 2018.08.31

초록

Objective: The purpose of this study is to provide a guide for the seat back design by studying the effects of seat back angle on muscle activity and subjective physical comfort in rehabilitation equipment for the aged. Background: While there is a lot of research on rehabilitation equipment for the elderly, there is a lack of research on chair design suitable for rehabilitation equipment. However, rehabilitation requires a chair to support the user's body, while the chair of the rehabilitation device determines his or her posture and has a significant impact on the effectiveness of the exercise and user satisfaction. The backrest angle of chair is an important factor in determining the posture, efficiency, and physical comfort while exercising rehabilitation. Method: In order to study the effect of the seat back angle on muscle activity and physical comfort in the adduction and abduction rehabilitation exercise of the aged, this study conducted some adduction and abduction movements experiment with 12 people aged 65 or older. EMG signals and subjective comforts were measured under five backrest angle ($90^{\circ}$, $100^{\circ}$, $110^{\circ}$, $120^{\circ}$, and $130^{\circ}$). Results: For the hip adduction movement, the backrest angle of the rehabilitation device did significantly affect the muscle activity of the adductor longus and showed an increased muscle activity as the angle increased. For the abduction movement, the back rest angle had a significant effect on the muscle activity of the tensor fascia latae, and the muscle activity tended to increase as the angle increased. There was no significant impact on the muscle activity of gluteus medius, but muscle activity tended to decrease with increasing angles. The subjective comfort during the adduction and abduction movements was shown to be significantly different with the backrest angle. Subjects felt comfortable with a backrest of $100^{\circ}$ to $120^{\circ}$. Conclusion: This study identified how the backrest angle of chair in hip rehabilitation equipment for the elderly affected muscle activity and subjective comfort. The subjective evaluation of physical comfort was significantly affected by the angle of the backrest. The muscle activity showed significant differences in both adduction and abduction movements (except gluteus medius) and that overall the muscle activity varied with the back rest angle. Application: This study could serve as a basis for designing the seat of hip rehabilitation equipment for adduction and abduction exercise.

키워드

참고문헌

  1. Alexander, L., Shakespeare, K., Barradell, V. and Orme, S., Management of urinary incontinence in frail elderly women. Obstetrics, Gynaecology & Reproductive Medicine, 21(10), 281-287, 2011. https://doi.org/10.1016/j.ogrm.2011.07.006
  2. Brattgard, S.O., Lindstrom, I., Severinsson, K. and Wihk, L., Wheelchair design and quality, Scandinavian journal of rehabilitation medicine. Supplement, 9, 15-19, 1983.
  3. Carcone, S.M. and Keir, P.J., Effects of backrest design on biomechanics and comfort during seated work, Applied Ergonomics, 38(6), 755-764, 2007. https://doi.org/10.1016/j.apergo.2006.11.001
  4. Cynn, W.S., Lee, Y.R., Chang, Y.J. and Choi, I.Y., The Effects of Varying Degrees of Backrest on Abdominal Muscles and Back Extensor Activation During Lower Extremity Exercise, Physical Therapy Korea, 11(1), 19-25, 2004.
  5. Era, P., Lyyra, A.L, Viitasalo, J.T. and Heikkinen, E., Determinants of isometric muscle strength in men of different ages, European Journal of Applied Physiology and Occupational Physiology, 64(1), 84-91, 1992. https://doi.org/10.1007/BF00376446
  6. Frontera, W.R., Hughes, V.A., Lutz, K.J. and Evans, W.J., A cross-sectional study of muscle strength and mass in 45-to 78-yr-old men and women, Journal of Applied Physiology, 71(2), 644-650, 1991. https://doi.org/10.1152/jappl.1991.71.2.644
  7. Harrison, D.D., Harrison, S.O., Croft, A.C., Harrison, D.E. and Troyanovich, S.J., Sitting biomechanics, part II: optimal car driver's seat and optimal driver's spinal model, Journal of Manipulative & Physiological Therapeutics, 23(1) 37-47, 2000. https://doi.org/10.1016/S0161-4754(00)90112-X
  8. Kong, Y., Kim, D., Lee, S., Lee, J., Lee, Y., Lee, K. and Sohn, S., Evaluation of the Effects of Lower-limb Postures on the Subjective Discomfort, Heart Rate and EMGs of Lower Extremity Muscles. J of the Ergonomics Society of Korea, 28(1), 9-19, 2009. https://doi.org/10.5143/JESK.2009.28.1.009
  9. Park, K.H., The assessment of seat comfort using EMG experiment and simulation based on bus seat backrest inclination, Master's Thesis, Chungnam National Univ., 2011.
  10. Shibata, N. and Maeda, S., Determination of backrest inclination based on biodynamic response study for prevention of low back pain, Med Eng Phys, 32(6), 577-583, 2010. https://doi.org/10.1016/j.medengphy.2010.02.007
  11. Yoo, S.M., Guidelines proposed for improving electric wheelchair backrest design, Master's Thesis, Seoul University of Science and Technology, 2016.