CAJ | 학술논문

目的通过肩周肌肉手法治疗前、后积分肌电值差异，探讨肩周肌肉功能变化。方法选取冻结肩患者7例，利用AMT-8肌电仪对手法治疗前、后肌肉肌电值进行采集，将数据用MATLAB软件进行分析，求积分肌电值。用Stata11.0软件统计。结果①外展时三角肌、冈下肌治疗前、后积分肌电值差异有统计学意义(P＜0.05)，肱二头肌、肱三头肌、胸大肌、背阔肌、斜方肌治疗前、后积分肌电值差异无统计学意义（P＞0.05）；内收时所有肌肉积分肌电值差异无统计学意义(P＞0.05)。②前屈时肱二头肌治疗前、后积分肌电值差异有统计学意义(P＜0.05)，胸大肌、冈下肌、背阔肌、斜方肌、三角肌、肱三头肌治疗前、后积分肌电值差异无统计学意义(P＞0.05）；后伸时肱三头肌治疗前、后积分肌电值差异有统计学意义(P＜0.05)；胸大肌、冈下肌、背阔肌、斜方肌、三角肌、肱二头肌治疗前、后积分肌电值差异无统计学意义（P＞0.05）。③外旋、内旋时所有肌肉治疗前、后积分肌电值差异均无统计学意义(P＞0.05)。结论①外展时三角肌和冈下肌功能明显改善；内收时各块肌肉功能无明显改善。②前届时肱二头肌功能明显改善；后伸时肱三头肌功能明显改善。③外旋、内旋时各块肌肉功能无明显改善。
목적 통과견주기육수법치료전、후적분기전치차이，탐토견주기육공능변화。방법선취동결견환자7례，이용AMT-8기전의대수법치료전、후기육기전치진행채집，장수거용MATLAB연건진행분석，구적분기전치。용Stata11.0연건통계。결과①외전시삼각기、강하기치료전、후적분기전치차이유통계학의의(P＜0.05)，굉이두기、굉삼두기、흉대기、배활기、사방기치료전、후적분기전치차이무통계학의의（P＞0.05）；내수시소유기육적분기전치차이무통계학의의(P＞0.05)。②전굴시굉이두기치료전、후적분기전치차이유통계학의의(P＜0.05)，흉대기、강하기、배활기、사방기、삼각기、굉삼두기치료전、후적분기전치차이무통계학의의(P＞0.05）；후신시굉삼두기치료전、후적분기전치차이유통계학의의(P＜0.05)；흉대기、강하기、배활기、사방기、삼각기、굉이두기치료전、후적분기전치차이무통계학의의（P＞0.05）。③외선、내선시소유기육치료전、후적분기전치차이균무통계학의의(P＞0.05)。결론①외전시삼각기화강하기공능명현개선；내수시각괴기육공능무명현개선。②전계시굉이두기공능명현개선；후신시굉삼두기공능명현개선。③외선、내선시각괴기육공능무명현개선。
Objective To analyze characteristic changes of shoulder muscles by investigating surface electromyographic regularity changes before and after the treatment of Frozen shoulders. Methods 7 cases of frozen shoulders were selected, surface electromyography (sEMG) before and after treatment were recorded by AMT-8 EMG recorder. The collected data was processed using MATLAB software integrated EMG (IEMG) value were obtained. Then the IEMG data were statistically analyzed using Stata11.0 software and compared. Results ①The differences of abduction deltoid and infraspinatus muscle IEMG values before and after treatment were statistically significant (P ＜0.05), while IEMG values changes of biceps, triceps, pectoralis major, latissimus dorsi and trapezius before and after treatment were not statistically significant (P＞0.05); changes of adduction IEMG values of all muscles were not statistically significant (P＞0.05). ②Changes of flexion IEMG values of biceps before and after treatment were statistically significant (P＜0.05), while IEMG values changes of pectoralis major, infraspinatus muscle, latissimus dorsi, trapezius, deltoid, triceps before and after treatment were not statistically significant (P＞0.05). Changes of extension IEMG values of triceps before and after treatment were statistically significant (P＜0.05), while those of pectoralis major, infraspinatus muscle, latissimus dorsi, trapezius, deltoid and biceps were not statistically significant (P＞0.05). ③IEMG values of all the muscles during external rotation, internal rotation before and after treatment IEMG were not significantly different. Conclusion ①After treatment, the outreach functions of infraspinatus and deltoid muscles were improved, while adduction functions of all muscles were not improved. ②Flexion function of biceps was improved significantly after treatment as well as extension function of triceps.③Extemal rotation, internal rotation functions of all muscles were not improved significantly.