한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제11권9호
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  • Pages.325-332
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  • 2020
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
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테니스 플랫서브시 키네시올로지 테이핑 적용에 따른 어깨뼈의 운동학적 분석

Kinematic analysis of scapular movements during flat first serve depending on tape application

  • 김태규 (부경대학교 해양스포츠학과) ;
  • 최호경 (부경대학교 스포츠과학연구소)
  • Kim, Taegyu (Department of Marin Sports, Pukyong National University) ;
  • Choi, Hokyung (Research Institute for Sports Sciences, Pukyong National University)
  • 투고 : 2020.07.15
  • 심사 : 2020.09.20
  • 발행 : 2020.09.28
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초록

본 연구는 대학 테니스 선수를 대상으로 플랫서브 동안 어깨관절 충돌 증후군 유무에 따른 어깨뼈 움직임의 차이를 분석하고 어깨뼈 움직임을 조절하는 키네시올로지 테이핑 적용 효과를 확인하고자 하였다. K대학교에서 훈련 중인 15명의 엘리트 테니스 선수를 어깨관절 충돌 증후군(SIS)집단 7명(남자 3명, 여자 4명)과 대조(CON)집단 8명(남자 5명, 여자 3명)으로 분류하였고, 3차원 영상분석을 통해 플랫서브 동안 어깨뼈 움직임을 분석하였으며, 키네시올로지 테이핑 적용 후 어깨뼈 움직임을 재분석하였다. 플랫서브는 5개의 이벤트로 구분하였고, 어깨뼈의 아래쪽(+)/위쪽(-) 돌림, 뒤쪽(+)/앞쪽(-) 기울임 및 안쪽(+)/가쪽(-) 돌림을 수치화하였다. 그 결과, 남자선수의 경우 위팔뼈가 최대 가쪽돌림이 되는 지점과 임팩트 순간에서 SIS집단의 어깨뼈(각각 -7.31±1.19°와 -5.28±1.08°)가 CON집단(각각 -0.98±5.38°와 -0.44±3.52°)에 비해 앞쪽으로 더 기울어져 있었고(각각 Z=-2.309, p=.021와 Z=-2.309, p=.021), 여자선수의 경우 위팔뼈가 최대 가쪽돌림이 되는 지점에서 SIS집단의 어깨뼈(-8.11±2.57°)가 CON집단(-0.97±3.31°)에 비해 앞쪽으로 더 기울어져 있었으나(Z=-2.121, p=.034), 테이핑 적용에 따른 어깨뼈 움직임의 긍정적인 변화는 보이지 않았다.

This study aimed to identify the difference of scapular movements between tennis players with and without shoulder impingement syndrome(SIS) and to verify the effect of kinesiology taping applied to scapular. A total of 15 players were categorized in SIS group(n=7) and control(CON) group(n=8). The scapular movements evaluated using 3-dimensional motion analysis in the 5 events of the flat first serve before and after the application of taping. The male of SIS group(-7.31±1.19° and -5.28±1.08°, respectively) had tilted scapular more anteriorly compared to CON group(-0.98±5.38° and -0.44±3.52°, respectively) at the maximally humeral external rotation and the impact(Z=-2.309, p=.021 and Z=-2.309, p=.021, respectively). The scapular(-8.11±2.57°) of female in SIS group tilted more anteriorly than that of CON(-0.97±3.31°) group at the maximally humeral external rotation(Z=-2.121, p=.034). But the scapular movements had no statistical differences between before and after the application of taping.

키워드

참고문헌

  1. K. C. Chung & M. E. Lark. (2017). Upper extremity injuries in tennis players: diagnosis, treatment, and management. Hand Clin., 33(1), 175-186. https://doi.org/10.1016/j.hcl.2016.08.009
  2. B. M. Pluim, J. B. Staal, G. E. Windler & N. Jayanthi. (2006). Tennis injuries: occurrence, aetiology, and prevention. Br.J.Sports Med., 40, 415-423. https://doi.org/10.1136/bjsm.2005.023184
  3. C. Tooth, C. Schwartz, D. Colman, J. Croisier, S. Bornheim, O. Bruls, V. Denoel & B. Forthomme. (2020). Kinesiotaping for scapular dyskinesis: The influence on scapular kinematics and on the activity of scapular stabilizing muscles. Journal of Electromyography and Kinesiology, 51, 102400. DOI:10.1016/j.jelekin.2020.102400
  4. A. M. Cools, F. Struyf, K. de Mey, A. Maenhout, B. Castelein & B. Cagnie. (2014). Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br.J.Sports Med., 48, 692-697. https://doi.org/10.1136/bjsports-2013-092148
  5. W. B. Kibler, A. Sciascia & T. Wilkes. (2012). Scapular dyskinesis and its relation to shoulder injury. J Am Acad Orthop Surg., 20, 364-372. https://doi.org/10.5435/JAAOS-20-06-364
  6. C. Littlewood & A. M. Cools. (2018). Scapular dyskinesis and shoulder pain: the devil is in the detail. Br J Sports Med., 52, 72-73. https://doi.org/10.1136/bjsports-2017-098233
  7. L. McKenna, L. Straker & A. Smith. (2012). Can scapular and humeral head position predict shoulder pain in adolescent swimmers and non-swimmers?. J Sports Sci, 30, 1767-1776. https://doi.org/10.1080/02640414.2012.718092
  8. B. Clarsen, G. Myklebust & R. Bahr. (2013). Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br. J. Sports Med., 47, 495-502. https://doi.org/10.1136/bjsports-2012-091524
  9. M. Smith, V. Sparkes, M. Busse & S. Enright. (2009). Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: is there imbalance and can taping change it?. Physical Therapy in Sport, 10, 45-50. https://doi.org/10.1016/j.ptsp.2008.12.002
  10. C. A. Thigpen, D. A. Padua, L. A. Michener, K. Guskiewicz, C. Giuliani, J. D. Keener & N. Stergiou. (2010). Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and kinesiology, 20, 701-709. https://doi.org/10.1016/j.jelekin.2009.12.003
  11. Y. Hsu, W. Chen, H. Lin, W. T. Wang & Y. Shih. (2009). The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. Journal of electromyography and kinesiology, 19, 1092-1099. https://doi.org/10.1016/j.jelekin.2008.11.003
  12. A. F. Shaheen, A. M. Bull & C. M. Alexander. (2015). Rigid and elastic taping changes scapular kinematics and pain in subjects with shoulder impingement syndrome; an experimental study. Journal of Electromyography and Kinesiology, 25, 84-92. https://doi.org/10.1016/j.jelekin.2014.07.011
  13. S. Williams, C. Whatman, P. A. Hume & K. Sheerin. (2012). Kinesio taping in treatment and prevention of sports injuries. Sports medicine, 42, 153-164. https://doi.org/10.2165/11594960-000000000-00000
  14. M. van Herzeele, R. van Cingel, A. Maenhout, K. de Mey & A. Cools. (2013). Does the application of kinesiotape change scapular kinematics in healthy female handball players?. Int J Sports Med., 34, 950-955. https://doi.org/10.1055/s-0033-1334911
  15. L. Pysny, J. Pysna & D. Petru. (2015). Kinesio Taping use in prevention of sports injuries during teaching of physical education and sport. Procedia-Social and Behavioral Sciences, 186, 618-623. https://doi.org/10.1016/j.sbspro.2015.04.039
  16. J. D. Borstad. (2006). Resting position variables at the shoulder: evidence to support a posture-impairment association. Phys The., 86, 549-557. https://doi.org/10.1093/ptj/86.4.549
  17. P. M. Ludewig & J. F. Reynolds. (2009). The association of scapular kinematics and glenohumeral joint pathologies. Journal of Orthopaedic & Sports Physical Therapy, 39, 90-104. https://doi.org/10.2519/jospt.2009.2808
  18. K. Matsui, K. Shimada & P. D. Andrew. (2006). Deviation of skin marker from bone target during movement of the scapula. Journal of Orthopaedic Science, 11, 180-184. https://doi.org/10.1007/s00776-005-1000-y
  19. A. R. Karduna, P. W. McClure, L. A. Michener & B. Sennett. (2001). Dynamic measurements of threedimensional scapular kinematics: a validation study. J Biomech Eng, 123, 184-190. https://doi.org/10.1115/1.1351892
  20. Y. Bet-Or, W. van den Hoorn, V. Johnston & S. O'Leary. (2017). Reliability and validity of an acromion marker cluster for recording scapula posture at end range clavicle protraction, retraction, elevation, and depression. Journal of Applied Biomechanics, 33, 379-383. https://doi.org/10.1123/jab.2017-0058
  21. H. van der Hoeven & W. B. Kibler. (2006). Shoulder injuries in tennis players. Br J Sports Med., 40, 435-40. https://doi.org/10.1136/bjsm.2005.023218
  22. G. Wu, F. C. T. van der Helm, H. D. Veeger, M. Makhsous, P. van Roy, C. Anglin, J. Nagels, A. R. Karduna, K. McQuade & X. Wang. (2005). ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion-Part II: shoulder, elbow, wrist and hand. J Biomech, 38, 981-992. https://doi.org/10.1016/j.jbiomech.2004.05.042
  23. I. Rogowski, T. Creveaux, V. Sevrez, L. Cheze & R. Dumas. (2015). How Does the Scapula Move during the Tennis Serve? Med.Sci.Sports Exerc, 47, 1444 -1449. https://doi.org/10.1249/MSS.0000000000000543
  24. M. Senk & L. A. Cheze. (2010). A new method for motion capture of the scapula using an optoelectronic tracking device: a feasibility study. Comput Methods Biomech Biomed Engin, 13, 397-401. https://doi.org/10.1080/10255840903263945
  25. J. S. Lewis, C. Wright & A. Green. (2005). Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. Journal of Orthopaedic & Sports Physical Therapy, 35, 72-87. https://doi.org/10.2519/jospt.2005.35.2.72
  26. B. Elliott, G. Fleisig, R. Nicholls & R. Escamilia. (2003). Technique effects on upper limb loading in the tennis serve. Journal of Science and Medicine in Sport, 6, 76-87.
  27. G. Fleisig, R. Nicholls, B. Elliott & R. Escamilla. (2003). Tennis: Kinematics used by world class tennis players to produce high-velocity serves. Sports Biomechanics, 2, 51-64. https://doi.org/10.1080/14763140308522807
  28. K. Miyashita, H. Kobayashi, S. Koshida & Y. Urabe. (2010). Glenohumeral, scapular, and thoracic angles at maximum shoulder external rotation in throwing. Am J Sports Med, 38, 363-368. https://doi.org/10.1177/0363546509347542
  29. R. Keshavarz, S. B. Tajali, S. M. Mir & H. Ashrafi. (2017). The role of scapular kinematics in patients with different shoulder musculoskeletal disorders: a systematic review approach. J Bodywork Movement Ther, 21, 386-400. https://doi.org/10.1016/j.jbmt.2016.09.002
  30. S. S. Burkhart, C. D. Morgan & W. B. Kibler. (2003). The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy, 19, 641-661. https://doi.org/10.1016/S0749-8063(03)00389-X
  31. T. L. Uhl, W. B. Kibler, B. Gecewich & B. L. Tripp. (2009). Evaluation of clinical assessment methods for scapular dyskinesis. Arthroscopy. The Journal of Arthroscopic & Related Surgery, 25, 1240-1248. https://doi.org/10.1016/j.arthro.2009.06.007
  32. l. Freedman & R. R. Munro. (1966). Abduction of the arm in the scapular plane: scapular and glenohumeral movements: a roentgenographic study. JBJS, 48, 1503-1510. https://doi.org/10.2106/00004623-196648080-00004
  33. A. D. Lopes, M. K. Timmons, M. Grover, R. M. Ciconelli & L. A. Michener. (2015). Visual scapular dyskinesis: kinematics and muscle activity alterations in patients with subacromial impingement syndrome. Arch Phys.Med.Rehabil, 96, 298-306.
  34. P. M. Ludewig & T. M. Cook. (2000). Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther, 80, 276-291. https://doi.org/10.1093/ptj/80.3.276
  35. P. A. Borsa, K. G. Laudner & E. L. Sauers. (2008). Mobility and stability adaptations in the shoulder of the overhead athlete. Sports medicine, 38, 17-36. https://doi.org/10.2165/00007256-200838010-00003
  36. S. T. Ozer, D. Karabay & S. S. Yesilyaprak. (2018). Taping to improve scapular dyskinesis, scapular upward rotation, and pectoralis minor length in overhead athletes. Journal of Athletic Training, 53, 1063-1070. https://doi.org/10.4085/1062-6050-342-17