DOI QR코드

DOI QR Code

Difference in Muscle Activity of Deltoid Muscle according to Isokinetic Range of Motion Using Proprioceptive Neuromuscular Facilitation Pattern of Upper Extremity

  • Rhee, Min-Hyung (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Choi, Su-Hong (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Lee, Sang-Yeol (Department of Physical Therapy, Kyungsung University) ;
  • Ha, Kyung-Jin (Department of Rehabilitation Therapy Center Dong-A University Hospital) ;
  • Yoon, Sung-Young (Department of Physical Therapy, Dongju College)
  • Received : 2022.10.24
  • Accepted : 2022.10.31
  • Published : 2022.10.31

Abstract

Purpose: This study sought to compare the muscle activity of the deltoid muscle according to the range of motion during the proprioceptive neuromuscular facilitation (PNF) upper extremity D2 pattern exercise performed with an isokinetic exercise device. The aim was to provide basic data for selecting an exercise for the relevant segment of the range of motion to enhance function in clinical practice. Methods: In this study, the relevant measurements of the anterior and middle trapezius of 25 healthy adults were taken using a surface electromyography system. The upper extremity pattern exercise was performed in three ranges (0% to 50%, 50% to 100%, and 25% to 75%) using the upper extremity isokinetic device. Results: There was a statistically significant difference in the muscle activity ratios of the anterior and middle deltoid muscles according to the measurement conditions (p<0.05). There was a statistically significant difference in the activity ratio of the middle deltoid muscle according to the measurement conditions in the ratio from the start range to the end range (p<0.05). There was no significant difference in the muscle onset time difference according to the measurement conditions (p>0.05). Conclusion: The muscle activity of the anterior and middle deltoid muscles was analyzed according to the range of motion during the PNF upper extremity pattern exercise performed with an isokinetic device. The results could be used as a basis for selecting exercises for the relevant segment of the range of motion according to the function to be emphasized.

Keywords

References

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. 3rd ed. Berlin, Springer, 2008:1-296.
  2. Hindle KB, Whitcomb TJ, Briggs WO et al. Proprioceptive neuromuscular facilitation (PNF): Its mechanisms and effects on range of motion and muscular function. J Hum Kinet. 2012;31:105-13. https://doi.org/10.2478/v10078-012-0011-y
  3. Witt D, Talbott N, Kotowski S. Electromyographic activity of scapular muscles during diagonal patterns using elastic resistance and free weights. Int J Sports Phys Ther. 2011;6(4):322-32.
  4. Choi SH, Rhee MH, Ha KJ et al. Effects of irradiation on the muscle activity around an amputation site during proprioceptive neuromuscular facilitation pattern exercise for upper extremity and scapular exercise on the non-amputated part - a case study. PNF and Mov. 2019;17(1):11-8.
  5. Lee SM, Lee SY. The effects of contralateral upper and lower limb and trunk muscle activation during ipsilateral upper limb D2 pattern exercise. PNF and Mov. 2018;16:151-9.
  6. Kang TW. The effects of the upper extremity and lower extremity patterns of PNF on abdominal muscle activity in healthy subjects and abdominal muscle strength and respiratory functions in stroke patients. Silla University. Dissertation of Master's Degree. 2019.
  7. Haun CT, Vann CG, Osburn SC et al. Muscle fiber hypertrophy in response to 6 weeks of high-volume resistance training in trained young men is largely attributed to sarcoplasmic hypertrophy. PLOS ONE. 2019;14(6):e0215267. https://doi.org/10.1371/journal.pone.0215267
  8. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. 2nd ed. Amsterdam, Elsevier Health Sciences, 2010:559-636.
  9. Terry GC. Chopp TM. Functional anatomy of the shoulder. J Athl Train. 2000;35(3):248-55.
  10. Go JS, Kim NH, Lee EC et al. Comparison of the activation of quadriceps during open- and closed-kinetic chain exercises in various knee joint angles. KJNR. 2017;7(1):7-13.
  11. Lee TS. Comparison of gluteus medius muscle electromyographic activity at different hip angles and motions. KPTS. 2012;19:41-6.
  12. Jo YH, Lee HS, Park SW. Comparison of muscle activity according to hip abduction angle during hip extension exercise in prone position. KSPM. 2018;13(4):123-9. https://doi.org/10.13066/kspm.2018.13.4.123
  13. Criswell E. Cram's introduction to surface electromyography. 2nd ed. Sudbury, Jones and Bartlett Publishers, 2010:1-257.
  14. Lee HS, Im JD, Lee GH et al. The effects of PNF upper extremity pattern based vibration exercise equipment on stability and balance of the elderly. KSIM. 2015;3(3):59-71.
  15. Jeong YW, Lee SY, Seo TH. The effects of a shoulder complex stabilization exercise combined with upper extremity patterns on ball control and ball speed in elementary school baseball players. PNF and Mov. 2020;18(3):343-50.
  16. Jo GJ, Jung BG. The effect of aquatic isokinetic swimming stroke exercise based of PNF pattern on upper extremity muscle strength in the spinal cord injury patient. Korean Society of Adapted Activity. 2005;13(4):149-57.
  17. Hecker A, Jose Aguirre, Urs Eichenberger et al. Deltoid muscle contribution to shoulder flexion and abduction strength: an experimental approach. J Shoulder Elbow Surg. 2021;30(2):e60-8. https://doi.org/10.1016/j.jse.2020.05.023
  18. Kronberg M, Nemeth G, Brostrom LA. Muscle activity and coordination in the normal shoulder. An electromyographic study. Clin Orthop Relat Res. 1990;257:76-85.
  19. Howell SM, Imobersteg AM, Seger DH et al. Clarification of the role of the supraspinatus muscle in shoulder function. J Bone Joint Surg Am. 1986;68(3):398-404. https://doi.org/10.2106/00004623-198668030-00013