외적 몸통 압박이 건강한 20대 성인의 어깨 등척성 돌림 근력과 어깨뼈 주위근의 근활성도에 미치는 영향
Effects of External Trunk Compression on Isometric Shoulder Rotator Strength and Scapular Muscle Activity in Healthy Young Adults
Background: The shoulder functions as a critical biomechanical link between the upper extremity and the trunk, providing both mobility and stability necessary for efficient functional movement. Adequate trunk stability is essential for optimal force transmission and coordinated muscle activation within the shoulder complex. Deficits in trunk stability may disrupt normal neuromuscular control, leading to altered activation patterns of scapular and glenohumeral muscles, reduced strength output, and the development of compensatory movement strategies. Despite its clinical importance, the influence of external trunk stabilization on shoulder muscle performance has not been fully clarified. Therefore, this study aimed to investigate the effects of different external trunk compression conditions on isometric shoulder rotator strength and scapular muscle activity in healthy young adults, with the goal of identifying the most effective trunk compression site. Methods: Twenty-eight healthy adults in their twenties voluntarily participated in this study. Isometric shoulder internal and external rotation strength was assessed under three experimental conditions: no trunk compression, pelvic compression only, and combined thoracic and pelvic compression. Surface electromyography was used to measure muscle activity of the upper trapezius, lower trapezius, serratus anterior, and middle deltoid during standardized isometric tasks. All measurements were performed in a controlled laboratory setting, and data were analyzed to compare differences across conditions. Results: Isometric shoulder internal and external rotational strength significantly increased with greater levels of external trunk support. Electromyographic analysis revealed significant differences in muscle activation among the three compression conditions (p < .01). Specifically, scapular stabilizing muscles demonstrated progressively increased activation as the number of compression sites increased, indicating enhanced neuromuscular engagement. Conclusion: External trunk compression effectively enhances shoulder rotational strength and facilitates increased activation of scapular stabilizing muscles. These findings suggest that improving trunk stability may optimize shoulder function during isometric tasks. Incorporating trunk stabilization strategies into rehabilitation programs may be beneficial for individuals with shoulder dysfunction, potentially improving clinical outcomes and functional performance.
목차
ABSTRACT Ⅰ. 서론 Ⅱ. 연구방법 1. 연구대상자 2. 연구 절차 3. 측정 도구 및 측정 방법 4. 분석 방법 Ⅲ. 연구결과 1. 연구대상자의 일반적인 특성 2. 외적 몸통 압박 위치에 따른 어깨 등척성 돌림근 근력 비교 3. 어깨 등척성 안쪽돌림 시 외적 몸통 압박 위치에 따른 어깨뼈 주위근의 근활성도 비교 4. 어깨 등척성 가쪽돌림 시 외적 몸통 압박 위치에 따른 어깨뼈 주위근의 근활성도 비교 Ⅳ. 고찰 Ⅴ. 결론 참고문헌
대한정형도수물리치료학회 [Korean Academy of Orthopedic Manual Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
대한정형물리치료학회는 대한물리치료사학회 정형물리치료 분과학회로서 정형물리치료학 분야의 연구및 학문발전에 목적을 가지고 있습니다.
본 학회에서는 다음과 같은 사업을 주관하고 있습니다.
첫째. 정형물리치료 분야 및 관련분야의 연구가 이루어지고 있으며,
둘째. 정형물리치료 연수위원회 운영 및 교육프로그램을 개발하고,
셋째. 학술대회 및 세미나를 개최하며,
넷째. 학회지 및 관련 도서를 발간 하고 있으며,
다섯째. 국제 및 국내 유관단체와 학술교류를 담당하고 있습니다.
간행물
간행물명
대한정형도수물리치료학회지 [The Journal of Korean Academy of Orthopedic Manual Physical Therapy]