Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Scapular Stabilizer Muscles Activity among Push-Up, Knee Push-Up and Wall push-Up

푸시업과 무릎 푸시업, 벽 푸시업 운동시 어깨안정근 활성도의 비교

  • Received : 2023.01.18
  • Accepted : 2023.04.20
  • Published : 2023.04.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate difference of activity of scapular stabilizer muscles among push-up, knee push-up and wall push-up exercise. Eight male college students were recruited as participants without any history of shoulder or pathology. The results showed that serratus anterior, anterior deltoid, infraspinatus were higher muscle activities than other scapular stabilizer muscles during push-up exercise and muscle activity of standard push-up exercise was higher muscle activity than that of Knee and Wall push-up exercise. Also, We know that knee push-down exercise was more effective than wall push-down exercise for scapular stabilization.

이 연구는 일반 푸시업과 무릎 푸시업, 벽 푸시업 운동시 어깨 안정근의 활성도 차이를 알아보는데 목적이 있다. 연구대상은 어깨관절에 통증이 없고 푸시업 운동을 하지 않은 대학생 남자 8명을 대상으로 하였으며, 어깨 안정근의 활성도를 알아보기 위하여 표면 근전도를 이용하여 위등세모근, 아래등세모근, 중간등세모근, 앞톱니근, 앞세모근, 뒤세모근, 큰가슴근, 가시아래근에 부착하였다. 일반 푸시다운은 무릎 푸시다운과 벽 푸시다운 보다 근활성도가 유의하게 더 큰 것으로 나타났다. 푸시업 동작에서는 앞톱니근과 가시아래근이 다른 어깨안정근에 비해 근활성도가 유의하게 더 컸으며, 일반 푸시업 동작이 무릎 푸시업과 벽 푸시업 보다 근활성도가 유의하게 더 큰 것으로 나타났다. UT/LT 비율에서는 무릎 푸시다운이 벽 푸시다운 보다 유의하게 낮았으며, UT/SA 비율은 푸시다운과 푸시업 모두 통계적으로 유의한 차이는 없었다. 결론적으로 푸시업과 푸시다운 동작 시에는 앞톱니근과 앞어깨세모근, 가시아래근이 다른 어깨안정근보다 근활성도가 높고, 일반적인 푸시업 운동이 무릎 푸시업과 벽 푸시업 운동보다 근활성도 측면에서는 더 효과적이다. 그러나 푸시다운을 할 경우에는 어깨안정화를 위해 무릎을 굽힌 상태에서 푸시다운을 하는 것이 더 효과적인 것으로 사료된다.

Keywords

References

  1. Lehman G. J., Gilas D. & Patel U. (2008). An unstable support surface does not increase scapulothoracic stabilizing muscle activity during Push-Up and Push-Up plus exercises. Manual Therapy, 13(6): 500-506. DOI : 10.1016/j.math.2007.05.016
  2. Lehman G. J., MacMillan B., MacIntyre I., Chivers M. & Fluter M. (2006). Shoulder muscle EMG activity during Push-Up variations on and off a swiss ball. Dyn Med, 5: 1-7. DOI : 10.1186/1476-5918-5-7
  3. Ebben W. P., Wurm B., Vanderzanden T. L., Spadavecchia M. L., Durocher J. J., Bickham C. T. & Petushek E. J. (2011). Kinetic analysis of several variations of push-ups. Journal of strength and conditioning research, 25(10): 2891-2894. DOI : 10.1519/JSC.0b013e31820c8587
  4. Dillman C. J., Murray T. A. & Hintermeister R. A. (1994). Biomechanical differences of open and closed chain exercises with respect to the shoulder. Journal of Sports Rehabilitation, 3: 228-238. DOI : 10.1123/JSR.3.3.228
  5. Lippit S. B., Vanderhoof J. E., Harris S. L., Slides J. A., Harryman D. T. & Matsen F. A. (1993). Gloneohumeral stability from concavity compression; a quantitative analysis. Journal of Shoulder and Elbow Surgery, 2: 27-35. DOI : 10.1016/S1058-2746(09)80134-1
  6. Rogol I. M., Emst G. & Perrin D. H. (1998). Open and closed kinetic chain exercises improve shoulder joint position sense equally in healthy subjects. Journal of Athletic Training, 33: 313-318. PMID : 16558527
  7. Uhl T. L., Carver T. J., Mattacola C. G., Mair S. D. & Nitz A. J., (2003). Shoulder musculature activation during upper extremity weight-bearing exercise. Journal of Orthopaedic Sports Physical Therapy, 33: 109-117. DOI : 10.2519/jospt.2003.33.3.109
  8. Dvir Z & Berme N. (1978). The shoulder complex in elevation of the arm: a mechanism approach. Journal of Biomechanics, 11(5): 219-225. DOI : 10.1016/0021-9290(78)90047-7
  9. Ludewig P. M., Cook T. M. & Nawoczenski D. A. (1996). Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther, 24: 47-65. DOI : 10.2519/jospt.1996.24.2.57
  10. Glousman R., Jobe F. & Tibone J. (1988). Dynamic electromyography analysis of the throwing shoulder with glenohumeral instibility. Journal of Bone Joint Surgery, 70-A: 220-226. PMID : 3343266 https://doi.org/10.2106/00004623-198870020-00009
  11. Ludewig P. M. & Cook T. M. (2000). Alterations in shoulder kinematics and associated muscle ativity in people with symptoms of shoulder impingement. Phys Ther, 80(3): 276-291. PMID : 10696154 https://doi.org/10.1093/ptj/80.3.276
  12. Scovazzo M. L., Browne A. & Pink M. (1991). The painful shoulder during freestyle swimming: An electromyographic cinematographic analysis of twelve muscles. Am J Sports Med, 19: 577-582. DOI : 10.1177/036354659101900604
  13. Decker M. J., Hintermeister R. A., Faber K. J. & Hawkins R. J. (1999). Serratus anterior muscle activity during selected rehabilitation exercises. American Journal of Sports Medicine, 27: 784-791. DOI : 10.1177/03635465990270061601
  14. Martins J., Tucci H. T., Andrade R., Araujo R. C., Grossi B. D. & Oliveira A. S. (2008). Electromyographic amplitude ration of serratus anterior and upper trapezius muscle during modified push-ups and bench press exercises. Journal of Strength and Conditioning Research, 22(2): 477-484. DOI : 10.1519/JSC.0b013e3181660748
  15. Burkhart S. S., Morgan C. D. & Kibler W. B. (2003). The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapular, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy, 19: 641-661. DOI : 10.1053/jars.2003.50128
  16. M.J Kim, Y.J Lee, C.H Kim & W.S. Bae(2013). A Comparison of Various Exercises for Scapular Stabilization. Journal of The Korean Society of Integrative Medicine, 1(3): 51-62. DOI : 10.15268/ksim.2013.1.3.051
  17. Ludewig P. M., Hoff M. S., Osowski E. E., Meschke S. A. & Rundquist P. J. (2004). Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercise. American Journal of Sports Medicine, 32(2): 484-493. DOI : 10.1177/0363546503258911
  18. McMullen J & Timothy L. (2000). A kinetic chain approach for shoulder rehabilitation. Journal of Athletic Training, 35(3): 329-337. PMID : 16558646
  19. Wilk. K. E. (1994). Current concepts in the rehabilitation of athletic shoulder injuries. In:Andrews, J. R., Wilk. K. E(eds). The Athlete's shoulder. Churchill Livingstone, New York, 335-354. DOI : 10.2519/jospt.1993.18.1.365
  20. Hermens H. J. et al. (1999). European Recommendations for surface Electromyography. Enschede, The Netherlands: Ressingh Research and Development.
  21. Cram. J. R., Kasman, G. S. & Holtz, J. (1998). Electrode placement. In: Cram JR., Kasman GS, Holtz J (eds). Introduction to surface electromyography. Gaithersburg, MD: Aspen Publishers: 237-383.
  22. Bertelli J. A. & Ghizoni M. F., (2005). Long thoracic nerve anatomy and functional assessment. J Bone Joint Surg Am, 87:993-998. DOI : 10.2106/JBJS.D.02383
  23. Ekstrom R. A., Bifulco K. M., Lopau C. J., Andersen C. F. & Gough J. R. (2004) Comparing the function of the upper and lower parts of the serratus anterior muscle using surface electromyography. J Orthop Sports Phys Ther, 34:235-243. DOI : 10.2519/jospt.2004.1345
  24. Pollock R. G. & Bigliani L. U. (1993). Recurrent posterior shoulder instability. Diagnosis and treatment. Clinical Orthopaedic, 291:85-96. PMID : 8504618
  25. Tibone J. E. & Bradley J.P. (1993). The treatment of posterior subluxation in athletes. Clinical Orthopaedic, 291:124-137. PMID : 8504591
  26. Freeman S., Karpowicz A., Gray J. & McGill S. (2006). Quantifying muscle patterns and spine load during various forms of the Push-Up. Medicine and Science in Sports and Exercise, 38: 570-577. DOI : 10.1249/01.mss.0000189317.08635.1b
  27. Gouvali M. K & Boudolos K. (2005). Dynamic and electromyographical analysis in variants of push-up exercise. Journal of Strength and Conditioning Research, 19: 146-151. DOI : 10.1519/14733.1
  28. Sahrmann, S. Azevedo DC., Dillen LV. (2017). Diagnosis and Treatment of Movement System Impairment Syndromes. Brazilian Journal of Physical Therapy, 21(6):391-399. DOI : 10.1016/j.bjpt.2017.08.001