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Relationship between Muscle Sizes from Ultrasound Images and Endurance Time with/without Experience of Low Back Pain : Pattern of Recruiting Trunk Muscles

요통경험 유무에 따른 초음파 영상에서 측정된 근육크기와 근지구력 시간과의 관계: 유지 시간에 따라 동원된 체간근육 특성

  • Received : 2011.03.09
  • Accepted : 2011.03.31
  • Published : 2011.04.28

Abstract

The purpose of the study was to examine the thickness of the trunk muscles ie. external obliques (EO), transversus abdominis (TrA), and multifidus and the trunk endurance strength in order to determine any relationship between the presence or absence of low back pain (LBP) and the size of trunk muscles. Data were obtained from 50 subjects, aged between 19-29 years. Participants had no experience of spinal problems that had resulted in a restriction of normal activity or time-off work and no current spinal symptoms. Measurements of muscle thickness of the trunk muscles were collected at rest, contraction and 15 seconds of post contraction during endurance strength tests. Background information was obtained followed all physical measures. Subjects were divided into two groups based on their experience of LBP. In draw-in maneuver, increasing the thickness of TrA was observed in all participants while EO was decreased at contraction in group 1 and increase in group 2. Only subjects in the group 2 had TrA increased during the flexion endurance test. In the side-bridge endurance test, the thickness of the right TrA was also observed differently between groups. Therefore, the results of the study may suggest that a function of specific muscle should be addressed for training persons with LBP.

본 연구의 목적은 체간근 즉 외(측)복사근(EO), 복횡근(TrA) 및 요부 다열근의 크기를 체간근 지구력 검사 동안 측정하여 요통 경험 유무에 따라 측정 근육의 두께와 근수축의 패턴을 관찰하여 통증유무와 근수축 패턴의 연관성을 알아보고자 하였다. 19세에서 29세사이의 50명의 피험자를 대상으로 측정하였다. 연구 참여자는 요통으로 인하여 일상생활이나 직장생활을 하는 데 제약이 없으며 현재 척추 증상이 없는 자를 대상으로 하였다. 자료분석은 요통 경험 유무에 따라 그룹화하여 실시하였다. 근육의 크기는 드로인 검사, 굴곡근 지구력 검사, 사이드-브릿지 검사에서 실시하고, 측정은 휴식기, 수축기, 수축15초에 하였다. 피험자에 대한 일반적인 데이터는 모든 신체 검사 측정 후 수집하였다. 드로인 검사에서 근수축 시, 오른쪽외(측)복사근 두께가 Group 1에서는 감소하는 반면, Group 2에서는 증가하였으며, 양쪽 복횡근 두께는 그룹에 상관없이 증가함이 관찰되었다. 굴곡근 지구력 검사에서, Group 2에서만 복횡근 두께가 증가되었다. 또한 사이드-브릿지 검사에서는, 오른쪽 복횡근의 두께가 Group 1에서는 수축동안 계속 감소함이, Group 2에서는 수축 시 감소하다가 15초 수축 후에는 층가함이 관찰되었다. 따라서 본 연구 결과는 요통과 연관하여 특정 근육의 기능을 파악하여, 이에 맞춰 구체적인 훈련하는 것이 중요함을 제시할 수 있다.

Keywords

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