Journal of health sciences, Hiroshima University Volume 4 Issue 1
2004-12-17 発行

肩・肘関節の肢位と負荷量の違いによる手関節自動運動改善の即時効果の比較検討

Comparison of the effects of sustained contractions in different positions of the upper extremity and different degrees of resistance by pinch on the active range of motion
Arai, Mitsuo
Shimizu, Hajime
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abstract
This study aimed to compare the effects of sustained contractions in different positions of the upper extremity and different degrees of load on both the active range of motion (AROM) of wrist flexion and the surface electromyographic (EMG) activity of wrist agonist and antagonist for ten healthy subjects randomly selected. The positions of the upper extremity were the non-PNF position (shoulder flexion (90°) and elbow extension with forearm pronation) and the PNF position (shoulder flexion-adductionexternal rotation and elbow extension with supination). The target loads by fingertip force spanned a range from 30% to 40% of maximal voluntary contraction (light load) to 70% to 80% (heavy load). The improvement percentage of AROM after each sustained contraction was calculated in comparison with AROM before the contractions, and each integrated EMG (IEMG) ratio was normalized to the IEMG of each maximal voluntary contraction. The results of this study showed that the improvement of AROM by a sustained contraction combined with the PNF position and a heavy load was significantly larger (P < 0.05) compared with the non-PNF position combined with a light load. The IEMG ratio of the agonist during heavy load was greater than for the light load, which may be explained by the observation that the facilitation of the agonist in the heavy load, but there was no facilitation of the agonist in the PNF position of the upper extremity. Because of the non-significant correlation coefficient between improvement of AROM and IEMG, there was no relation between AROM and facilitation of the agonist activity.
subject
関節可動域
抵抗
PNF
ROM
resist
SelfDOI