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운동 전 적용된 지속초음파와 맥동초음파가 운동 유발성 근육 손상의 최대등척성근력과 관절가동범위에 미치는 효과

The effects of pulsed ultrasound and continued ultrasound intervention before an exercise on maximal voluntary isometric contraction and range of motion of exercise-induced muscle damage

  • 김하늘 (서울 응암 리드힐병원 물리치료실) ;
  • 전재근 (한려대학교 물리치료학과) ;
  • 신성필 (한려대학교 물리치료학과)
  • 투고 : 2021.05.10
  • 심사 : 2021.06.28
  • 발행 : 2021.09.30

초록

Background: The purpose of this study was to investigate the effects of pulsed-ultrasound intervention and continued-ultrasound on the MVIC (maximal voluntary isometric contraction) and active ROM (range of motion) recovery of before EIMD (exercise-induced muscle damage). Design: Randomized controlled trial. Methods: Thirty subjects who are student in their 20s at a university participated in this study, these subjects were assigned into three groups, a control group (n=10), experiment group I (n=10) and experiment group II (n=10). The subjects in experimental group were intervened by pulsed-ultrasound and continued-ultrasound, while ones on control group weren't by any intervention after induced EIMD. Results: First, In comparison of the MVIC, in the among group comparison, the MVIC of continued-ultrasound group was significantly larger than those of other groups (p<.005). Second, In the among group comparison, the active extension angle of continued-ultrasound group was significantly smaller than those of other groups (p<.005). Third, In the among group comparison, the active flexion angle of continued-ultrasound group was significantly lager than those of other groups (p<.05). Conclusion: The above results revealed that the continued-ultrasound intervention before an exercise had a significantly improve of muscle function after EIMD. Therefore we can consider the continued ultrasound as a considerable intervention method to prevent or reduce an exercise injury.

키워드

참고문헌

  1. 고형우. 진동자극이 지연성 근육통의 근 기능 회복에 미치는 영향[석사학위논문] 동신대학교; 2011.
  2. 김근조, 이규리, 정병옥, 등. 자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두 갈래근의 통증과 근력 및 근활성도에 미치는 영향. 한국산학기술학회논문지 2009;10(12):3902-9. https://doi.org/10.5762/KAIS.2009.10.12.3902
  3. 김승환. 신장성 운동 후 키네시오 테이핑 적용이 근육 손상 지표의 변화에 미치는 영향[석사학위논문].국민대학교 교육대학원; 2012.
  4. 김지윤, 전재근, 오세민. 테라테인먼트적 진동 자극이 위팔두갈래근의 최대등척성근력과 관절가동범위에 미치는 영향. 한국엔터테인먼트산업학회논문지 2018;12(4):295-304.
  5. 김현진, 김명훈. 케틀벨 운동과 초음파 치료가 20대 성인의 체질량지수, 체지방률에 미치는 영향. 대한물리치료과학회지 2018;25(2):1-6. https://doi.org/10.26862/jkpts.2018.09.25.2.1
  6. 문현주, 서현규, 공원태. 측두하악관절장애 환자에서 연속초음파와 맥동초음파 적용이 통증과 관절가동범위에 미치는 효과. 대한정형도수물리치료학회지 2007;13(2):1-11.
  7. 박래준. 기구를 이용한 물리치료학. 서울: 영문출판사; 2001.
  8. 백수정, 이미애, 김진상, 등. 경피신경전기자극과 초음파가 전기생리학적 반응에 미치는 영향. 대한물리치료학회지(JKPT) 2000;12(1):49-56.
  9. 송현호, 김주영, 이철현, 등. 운동유발성 근육 손상 후 진동운동 적용이 근육 손상 지표에 미치는 영향. 코칭능력개발지 2011;13(1):179-88.
  10. 오민영. 초음파가 혈류량 및 피부온도에 미치는 영향[석사학위논문].대구대학교; 2004.
  11. 윤정권, 이주형. 신장성 운동 후 초음파 치료가 지연성 근육통증에 미치는 영향. 체육과학연구 2006;17(3):58-66.
  12. 이수영. 유지-이완 주동근 수축기법과 경피신경전기자극의 지연성 근육통 치료 효과[박사학위논문]. 연세대학교;2006.
  13. 장현정, 남형천, 주관절 외상과염 주부에서 미세전류에 의한 신경근 자극 치료가 손목 신전근력에 미치는 영향. 대한스포츠물리치료학회지 2005;1(1):101-5.
  14. 정재훈, 김경수. 초음파 적용방법에 따른 조직온도변화 연구. 대한재활의학회지 1993;17(1):76-80.
  15. 정한석, 함주현, 최성범, 등. 카이로프랙틱, 초음파, 테이핑치료가 SCM 근육의 회전가동범위에 미치는 영향. 한국웰니스학회지 2011;6(3):253-64.
  16. 조남정, 송승혁. 지연성 근육통에 대한 미세전류자극치료가 통증과 CK에 미치는 영향. 대한통합의학회지 2014;2(3):31-7. https://doi.org/10.15268/ksim.2014.2.3.031
  17. 조승봉, 박미영, 원지선, 등. 초음파 치료와 정적 스트레칭이 뒤넙다리근의 유연성과 정적균형에 미치는 영향. 대한물리치료과학회지 2019;26(1):45-53. https://doi.org/10.26862/jkpts.2019.06.26.1.45
  18. 최효정, 김성수. 미세전류치료기 전극 종류에 따른 효능 비교. 한방재활의학과학회지 2013;23(3):107-16.
  19. 한종만. 초음파와 근막 이완술이 긴장형 두통환자의 뇌혈류 속도에 미치는 영향[석사학위논문].대구대학교; 2002.
  20. Armstrong RB, Warren GL, Warren JA. Mechanisms of exercise-induced muscle fibre injury. Sports Med 1991;12(3): 184-207. https://doi.org/10.2165/00007256-199112030-00004
  21. Blonna D, Zarkadas PC, Fitzsimmons JS, et al. Accuracy and inter-observer reliability of visual estimation compared to clinical goniometry of the elbow. Knee Surg Sports Traumatol Arthrosc 2012;20(7):1378-85. https://doi.org/10.1007/s00167-011-1720-9
  22. Cheung K, Hume P, Maxwell L. Delayed onset muscle soreness : treatment strategies and performance factors. Sports Med 2003;33(2):145-64. https://doi.org/10.2165/00007256-200333020-00005
  23. Clarkson PM, Hubal MJ. Exercise-induced muscle damage in humans. Am J Phys Med Rehabil. 2002;81(11 Suppl):S52-69.
  24. Clarkson PM, Tremblay I. Exercise-induced muscle damage, repair, and adaptation in humans. J Appl Physiol 1988;65(1):1-6. https://doi.org/10.1152/jappl.1988.65.1.1
  25. Close GL, Ashton T, McArdle A, et al. The emerging role of free radicals in delayed onset muscle soreness and contraction-induced muscle injury. Comp Biochem Physiol A Mol Integr Physiol 2005;142(3):257-66. https://doi.org/10.1016/j.cbpa.2005.08.005
  26. Connolly DA, Sayers SP, McHugh MP. Treatment and prevention of delayed onset muscle soreness. J Strength Cond Res 2003;17(1):197-208. https://doi.org/10.1519/1533-4287(2003)017<0197:TAPODO>2.0.CO;2
  27. Gibson W, Arendt-Nielsen L, Graven-Nielsen T. Delayed onset muscle soreness at tendon-bone junction and muscle tissue is associated with facilitated referred pain. Exp Brain Res 2006;174(2):351-60. https://doi.org/10.1007/s00221-006-0466-y
  28. Griffin JW, Tooms RE, Mendius RA, et al. Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. Phys Ther 1991;71(6):433-42. https://doi.org/10.1093/ptj/71.6.433
  29. Halle JS, Scoville CR, Greathouse DG. Ultrasound's effect on the conduction latency of the superficial radial nerve in man. Phys Ther. 1981;61(3):345-50. https://doi.org/10.1093/ptj/61.3.345
  30. Hennessey WJ, Falco FJ, Braddom RL. Median and ulnar nerve conduction studies: normative data for young adults. Arch Phys Med Rehabil 1994;75(3):259-64. https://doi.org/10.1016/0003-9993(94)90025-6
  31. Huang MH, Lin YS, Lee CL, et al. Use of ultrasound to increase effectiveness of isokinetic exercise for knee osteoarthritis. Arch Phys Med Rehabil 2005;86(8):1545-51. https://doi.org/10.1016/j.apmr.2005.02.007
  32. Hubal MJ, Rubinstein SR, Clarkson PM. Mechanisms of variability in strength loss after muscle-lengthening actions. Med Sci Sports Exerc 2007;39(3):461-8. https://doi.org/10.1249/01.mss.0000247007.19127.da
  33. Jia XL, Chen WZ, Zhou K, et al. Effects of low-intensity pulsed ultrasound in repairing injured articular cartilage. Chin J Traumatol 2005;8(3):175-8.
  34. Nosaka K, Aldayel A, Jubeau M, et al. Muscle damage induced by electrical stimulation. Eur J Appl Physiol 2011;111(10):2427-37. https://doi.org/10.1007/s00421-011-2086-x
  35. McNeil PL, Khakee R. Disruptions of muscle fiber plasma membranes. Role in exercise-induced damage. Am J Pathol. 1992;140(5):1097-109.
  36. Cleary MA, Sweeney LA, Kendrick ZV, et al. Dehydration and symptoms of delayed-onset muscle soreness in hyperthermic males. J Athl Train 2005;40(4):288-97.
  37. Proske U, Allen TJ. Damage to skeletal muscle from eccentric exercise. Exerc Sport Sci Rev 2005;33(2):98-104. https://doi.org/10.1097/00003677-200504000-00007
  38. Rowsell GJ, Coutts AJ, Reaburn P, et al. Effects of cold-water immersion on physical performance between successive matches in high-performance junior male soccer players. J Sports Sci 2009;27(6):565-73. https://doi.org/10.1080/02640410802603855
  39. Smith LL. Acute inflammation: the underlying mechanism in delayed onset muscle soreness? Med Sci Sports Exerc 1991;23(5):542-51.
  40. Symons TB, Clasey JL, Gater DR, et al. Effects of deep heat as a preventative mechanism on delayed onset muscle soreness. J Strength Cond Res 2004;18(1):155-61. https://doi.org/10.1519/1533-4287(2004)018<0155:EODHAA>2.0.CO;2
  41. Warren GL, Summan M, Gao X, et al. Mechanisms of skeletal muscle injury and repair revealed by gene expression studies in mouse models. J Physiol 2007;582(Pt 2):825-41. https://doi.org/10.1113/jphysiol.2007.132373
  42. Zainuddin Z, Hope P, Newton M, et al. Effects of partial immobilization after eccentric exercise on recovery from muscle damage. J Athl Train 2005;40(3):197-202.