한국전문물리치료학회지 (Physical Therapy Korea)

  • 제29권2호
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  • Pages.131-139
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  • 2022
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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어깨뼈 뒤 당김 운동 방법에 따른 큰마름근과 중간등세모근의 근두께비의 비교

Comparison of the Ratio of Thicknesses of the Rhomboid Major and Middle Trapezius Muscles While Performing Scapular Retraction Exercises

  • 박헌미 (대전대학교 보건의료대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Park, Heon-mi (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Kim, Suhn-yeop (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2021.11.11
  • 심사 : 2021.12.09
  • 발행 : 2022.05.20
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초록

Background: Shoulder impingement syndrome, a major cause of shoulder pain, involves weakness of the scapular retractor muscles. The major scapular retractor muscles are the middle trapezius and rhomboid major muscles; however, the latter is excluded in most studies. Objects: We aimed to measure the thickness of the middle trapezius and rhomboid major muscles using an ultrasonic diagnostic imaging system while performing four different shoulder retraction exercises and comparing the thicknesses and ratio of the thicknesses of these muscles. Methods: The thickness of the middle trapezius and rhomboid major muscles was measured in 24 healthy adults using ultrasound. Muscle thickness was measured three times in the Reference posture and four times while performing four different exercises that involved scapular retraction. The averages and standard deviations of the measured muscle thicknesses were obtained and compared. The ratio of muscle thickness and rate of changes in muscle thickness between the reference posture and the four exercises were compared. Results: For both, male (n = 10) and female (n = 14), there was a significant difference in the thickness of the middle trapezius muscle between the reference posture and the four exercises (p < 0.05) and in the thickness of the middle trapezius and rhomboid major muscles between male and female (p < 0.05); however, there was no significant difference in the ratio of the thicknesses of these muscles. Although a significant difference in the rate of change in muscle thickness during the four exercises was noted, there was no significant difference in the ratio of change in muscle thickness. Conclusion: This study demonstrates the ratio of the thicknesses of the middle trapezius and rhomboid major muscles and the rate of change in their thickness during exercises involving scapular retraction in healthy people in their 20s-30s.

키워드

참고문헌

  1. Ravichandran H, Janakiraman B, Gelaw AY, Fisseha B, Sundaram S, Sharma HR. Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review. J Exerc Rehabil 2020;16(3):216-26. https://doi.org/10.12965/jer.2040256.128
  2. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol 2004;33(2):73-81. https://doi.org/10.1080/03009740310004667
  3. Greving K, Dorrestijn O, Winters JC, Groenhof F, van der Meer K, Stevens M, et al. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol 2012;41(2):150-5. https://doi.org/10.3109/03009742.2011.605390
  4. Rockwood CA Jr, Matsen FA III. The shoulder. Philadelphia (PA): Saunders; 1990.
  5. Fennell J, Phadke CP, Mochizuki G, Ismail F, Boulias C. Shoulder retractor strengthening exercise to minimize rhomboid muscle activity and subacromial impingement. Physiother Can 2016;68(1):24-8. https://doi.org/10.3138/ptc.2014-83
  6. Reinold MM, Escamilla RF, Wilk KE. Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature. J Orthop Sports Phys Ther 2009;39(2):105-17. https://doi.org/10.2519/jospt.2009.2835
  7. Kibler WB, Sciascia A. Current concepts: scapular dyskinesis. Br J Sports Med 2010;44(5):300-5. https://doi.org/10.1136/bjsm.2009.058834
  8. Bogduk N. Anatomy and biomechanics. In: Cole AJ, Herring SA editors. Low back pain handbook: a guide for the practicing clinician. 2nd ed. Philadelphia (PA): Hanley & Belfus; 2003;9-26.
  9. Chester R, Smith TO, Hooper L, Dixon J. The impact of sub-acromial impingement syndrome on muscle activity patterns of the shoulder complex: a systematic review of electromyographic studies. BMC Musculoskelet Disord 2010;11:45. https://doi.org/10.1186/1471-2474-11-45
  10. Jeong JR, Ko YJ, Ha HG, Lee WH. Reliability of rehabilitative ultrasonographic imaging for muscle thickness measurement of the rhomboid major. Clin Physiol Funct Imaging 2016;36(2):134-8. https://doi.org/10.1111/cpf.12206
  11. Smith J, Padgett DJ, Kaufman KR, Harrington SP, An KN, Irby SE. Rhomboid muscle electromyography activity during 3 different manual muscle tests. Arch Phys Med Rehabil 2004;85(6):987-92. https://doi.org/10.1016/S0003-9993(03)00618-X
  12. Castelein B, Cagnie B, Parlevliet T, Danneels L, Cools A. Optimal normalization tests for muscle activation of the levator scapulae, pectoralis minor, and rhomboid major: an electromyography study using maximum voluntary isometric contractions. Arch Phys Med Rehabil 2015;96(10):1820-7. https://doi.org/10.1016/j.apmr.2015.06.004
  13. Cools AM, Struyf F, De Mey K, Maenhout A, Castelein B, Cagnie B. Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br J Sports Med 2014;48(8):692-7. https://doi.org/10.1136/bjsports-2013-092148
  14. Cagnie B, Struyf F, Cools A, Castelein B, Danneels L, O'leary S. The relevance of scapular dysfunction in neck pain: a brief commentary. J Orthop Sports Phys Ther 2014;44(6):435-9. https://doi.org/10.2519/jospt.2014.5038
  15. Whittaker JL. Ultrasound imaging of the lateral abdominal wall muscles in individuals with lumbopelvic pain and signs of concurrent hypocapnia. Man Ther 2008;13(5):404-10. https://doi.org/10.1016/j.math.2007.03.008
  16. Hides J, Wilson S, Stanton W, McMahon S, Keto H, McMahon K, et al. An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine (Phila Pa 1976) 2006;31(6):E175-8. https://doi.org/10.1097/01.brs.0000202740.86338.df
  17. Mendis MD, Wilson SJ, Stanton W, Hides JA. Validity of real-time ultrasound imaging to measure anterior hip muscle size: a comparison with magnetic resonance imaging. J Orthop Sports Phys Ther 2010;40(9):577-81. https://doi.org/10.2519/jospt.2010.3286
  18. Hides JA, Richardson CA, Jull GA. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities. Spine (Phila Pa 1976) 1995;20(1):54-8. https://doi.org/10.1097/00007632-199501000-00010
  19. Lee JP, Tseng WY, Shau YW, Wang CL, Wang HK, Wang SF. Measurement of segmental cervical multifidus contraction by ultrasonography in asymptomatic adults. Man Ther 2007;12(3):286-94. https://doi.org/10.1016/j.math.2006.07.008
  20. Rahnama L, Rezasoltani A, Khalkhali Zavieh M, Noori Kochi F, Akbarzadeh Baghban A. The effects of isometric contraction of shoulder muscles on cervical multifidus muscle dimensions in healthy office workers. J Bodyw Mov Ther 2014;18(3):383-9. https://doi.org/10.1016/j.jbmt.2013.11.011
  21. Talbott NR, Witt DW. Ultrasound examination of the serratus anterior during scapular protraction in asymptomatic individuals: reliability and changes with contraction. PM R 2014;6(3):227-34. https://doi.org/10.1016/j.pmrj.2013.09.003
  22. Adigozali H, Shadmehr A, Ebrahimi E, Rezasoltani A, Naderi F. Ultrasonography for the assessment of the upper trapezius properties in healthy females: a reliability study. Muscles Ligaments Tendons J 2016;6(1):167-72.
  23. Silkjaer Bak S, Johnsen B, Fuglsang-Frederiksen A, Dossing K, Qerama E. Neuromuscular ultrasound of the scapular stabilisers in healthy subjects. Clin Neurophysiol Pract 2021;6:72-80. https://doi.org/10.1016/j.cnp.2021.01.003
  24. Bentman S, O'Sullivan C, Stokes M. Thickness of the middle trapezius muscle measured by rehabilitative ultrasound imaging: description of the technique and reliability study. Clin Physiol Funct Imaging 2010;30(6):426-31. https://doi.org/10.1111/j.1475-097X.2010.00960.x
  25. Solem-Bertoft E, Thuomas KA, Westerberg CE. The influence of scapular retraction and protraction on the width of the subacromial space. An MRI study. Clin Orthop Relat Res 1993;(296):99-103.
  26. Kendall FP, McCreary EK, Provance PG. Muscles: testing and function with posture and pain. Baltimore (MD): Lippincott Williams & Wilkins; 2005.
  27. Ginn KA, Halaki M, Cathers I. Revision of the shoulder normalization tests is required to include rhomboid major and teres major. J Orthop Res 2011;29(12):1846-9. https://doi.org/10.1002/jor.21488
  28. Yang CS, Chen HC, Liang CC, Yu TY, Hung D, Tseng TC, et al. Sonographic measurements of the thickness of the soft tissues of the interscapular region in a population of normal young adults. J Clin Ultrasound 2011;39(2):78-82. https://doi.org/10.1002/jcu.20775
  29. Javanshir K, Mohseni-Bandpei MA, Rezasoltani A, Amiri M, Rahgozar M. Ultrasonography of longus colli muscle: a reliability study on healthy subjects and patients with chronic neck pain. J Bodyw Mov Ther 2011;15(1):50-6. https://doi.org/10.1016/j.jbmt.2009.07.005
  30. O'Sullivan C, McCarthy Persson U, Blake C, Stokes M. Rehabilitative ultrasound measurement of trapezius muscle contractile states in people with mild shoulder pain. Man Ther 2012;17(2):139-44. https://doi.org/10.1016/j.math.2011.11.003
  31. Ishikawa H, Muraki T, Sekiguchi Y, Ishijima T, Morise S, Yamamoto N, et al. Noninvasive assessment of the activity of the shoulder girdle muscles using ultrasound real-time tissue elastography. J Electromyogr Kinesiol 2015;25(5):723-30. https://doi.org/10.1016/j.jelekin.2015.07.010
  32. Kataoka T, Mifune Y, Inui A, Takase F, Ueda Y, Kurosawa T, et al. Evaluation of muscle elasticity and thickness in throwing shoulder using ultrasound. Asia-Pac J Sports Med Arthrosc Rehabil Technol 2017;9:116.
  33. Kiesel KB, Uhl TL, Underwood FB, Rodd DW, Nitz AJ. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Man Ther 2007;12(2):161-6. https://doi.org/10.1016/j.math.2006.06.011
  34. Wallwork TL, Hides JA, Stanton WR. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther 2007;37(10):608-12. https://doi.org/10.2519/jospt.2007.2418