테니스 플랫서브시 키네시올로지 테이핑 적용에 따른 어깨뼈의 운동학적 분석 = Kinematic analysis of scapular movements during flat first serve depending on tape application

국문 초록 (Abstract)

본 연구는 대학 테니스 선수를 대상으로 플랫서브 동안 어깨관절 충돌 증후군 유무에 따른 어깨뼈 움직임의 차이를 분석하고 어깨뼈 움직임을 조절하는 키네시올로지 테이핑 적용 효과를 확인하고자 하였다. K대학교에서 훈련 중인 15명의 엘리트 테니스 선수를 어깨관절 충돌 증후군(SIS)집단 7명(남자 3명, 여자 4명)과 대조(CON)집단 8명(남자 5명, 여자 3명)으로 분류하였고, 3차원 영상분석을 통해 플랫서브 동안 어깨뼈 움직임을 분석하였으며, 키네시올로지 테이핑 적용 후 어깨뼈 움직임을 재분석하였다. 플랫서브는 5개의 이벤트로 구분하였고, 어깨뼈의 아래쪽(+)/위쪽(-) 돌림, 뒤쪽(+)/앞쪽(-) 기울임 및 안쪽(+)/가쪽(-) 돌림을 수치화하였다. 그 결과, 남자선수의 경우 위팔뼈가 최대 가쪽돌림이 되는 지점과 임팩트 순간에서 SIS집단의 어깨뼈(각각 -7.31±1.19°와 -5.28±1.08°)가 CON집단(각각 -0.98±5.38°와 -0.44±3.52°)에 비해 앞쪽으로 더 기울어져 있었고(각각 Z=-2.309, p=.021와 Z=-2.309, p=.021), 여자선수의 경우 위팔뼈가 최대 가쪽돌림이 되는 지점에서 SIS집단의 어깨뼈(-8.11±2.57°)가 CON집단(-0.97±3.31°)에 비해 앞쪽으로 더 기울어져 있었으나(Z=-2.121, p=.034), 테이핑 적용에 따른 어깨뼈 움직임의 긍정적인 변화는 보이지 않았다.

다국어 초록 (Multilingual Abstract)

This study aimed to identify the difference of scapular movements between tennis players with and without shoulder impingement syndrome(SIS) and to verify the effect of kinesiology taping applied to scapular. A total of 15 players were categorized in SIS group(n=7) and control(CON) group(n=8). The scapular movements evaluated using 3-dimensional motion analysis in the 5 events of the flat first serve before and after the application of taping. The male of SIS group(-7.31±1.19° and -5.28±1.08°, respectively) had tilted scapular more anteriorly compared to CON group(-0.98±5.38° and -0.44±3.52°, respectively) at the maximally humeral external rotation and the impact(Z=-2.309, p=.021 and Z=-2.309, p=.021, respectively). The scapular(-8.11±2.57°) of female in SIS group tilted more anteriorly than that of CON(-0.97±3.31°) group at the maximally humeral external rotation(Z=-2.121, p=.034). But the scapular movements had no statistical differences between before and after the application of taping.

참고문헌 (Reference)

• 1 A. D. Lopes, "Visual scapular dyskinesis : kinematics and muscle activity alterations in patients with subacromial impingement syndrome" 96 : 298-306, 2015
• 2 K. C. Chung, "Upper extremity injuries in tennis players : diagnosis, treatment, and management" 33 (33): 175-186, 2017
• 3 M. Smith, "Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms : is there imbalance and can taping change it?" 10 : 45-50, 2009
• 4 R. Keshavarz, "The role of scapular kinematics in patients with different shoulder musculoskeletal disorders : a systematic review approach" 21 : 386-400, 2017
• 5 Y. Hsu, "The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome" 19 : 1092-1099, 2009
• 6 S. S. Burkhart, "The disabled throwing shoulder : spectrum of pathology Part III : The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation" 19 : 641-661, 2003
• 7 P. M. Ludewig, "The association of scapular kinematics and glenohumeral joint pathologies" 39 : 90-104, 2009
• 8 B. M. Pluim, "Tennis injuries : occurrence, aetiology, and prevention" 40 : 415-423, 2006
• 9 G. Fleisig, "Tennis : Kinematics used by world class tennis players to produce high‐velocity serves" 2 : 51-64, 2003
• 10 B. Elliott, "Technique effects on upper limb loading in the tennis serve" 6 : 76-87, 2003
• 11 S. T. Ozer, "Taping to improve scapular dyskinesis, scapular upward rotation, and pectoralis minor length in overhead athletes" 53 : 1063-1070, 2018
• 12 J. S. Lewis, "Subacromial impingement syndrome : the effect of changing posture on shoulder range of movement" 35 : 72-87, 2005
• 13 H. van der Hoeven, "Shoulder injuries in tennis players" 40 : 435-440, 2006
• 14 C. Littlewood, "Scapular dyskinesis and shoulder pain : the devil is in the detail" 52 : 72-73, 2018
• 15 W. B. Kibler, "Scapular dyskinesis and its relation to shoulder injury" 20 : 364-372, 2012
• 16 A. F. Shaheen, "Rigid and elastic taping changes scapular kinematics and pain in subjects with shoulder impingement syndrome; an experimental study" 25 : 84-92, 2015
• 17 J. D. Borstad., "Resting position variables at the shoulder : evidence to support a posture-impairment association" 86 : 549-557, 2006
• 18 Y. Bet-Or, "Reliability and validity of an acromion marker cluster for recording scapula posture at end range clavicle protraction, retraction, elevation, and depression" 33 : 379-383, 2017
• 19 A. M. Cools, "Rehabilitation of scapular dyskinesis : from the office worker to the elite overhead athlete" 48 : 692-697, 2014
• 20 P. A. Borsa, "Mobility and stability adaptations in the shoulder of the overhead athlete" 38 : 17-36, 2008
• 21 Camille Tooth, "Kinesiotaping for scapular dyskinesis: The influence on scapular kinematics and on the activity of scapular stabilizing muscles" Elsevier BV 51 : 102400-, 2020
• 22 S. Williams, "Kinesio taping in treatment and prevention of sports injuries" 42 : 153-164, 2012
• 23 L. Pyšný, "Kinesio Taping use in prevention of sports injuries during teaching of physical education and sport" 186 : 618-623, 2015
• 24 G. Wu, "ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—Part II : shoulder, elbow, wrist and hand" 38 : 981-992, 2005
• 25 I. Rogowski, "How Does the Scapula Move during the Tennis Serve? Med" 47 : 1444-1449, 2015
• 26 C. A. Thigpen, "Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks" 20 : 701-709, 2010
• 27 K. Miyashita, "Glenohumeral, scapular, and thoracic angles at maximum shoulder external rotation in throwing" 38 : 363-368, 2010
• 28 T. L. Uhl, "Evaluation of clinical assessment methods for scapular dyskinesis" 25 : 1240-1248, 2009
• 29 A. R. Karduna, "Dynamic measurements of threedimensional scapular kinematics : a validation study" 123 : 184-190, 2001
• 30 M. van Herzeele, "Does the application of kinesiotape change scapular kinematics in healthy female handball players?" 34 : 950-955, 2013
• 31 K. Matsui, "Deviation of skin marker from bone target during movement of the scapula" 11 : 180-184, 2006
• 32 B. Clarsen, "Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology : the Oslo Sports Trauma Research Centre(OSTRC)overuse injury questionnaire" 47 : 495-502, 2013
• 33 L. McKenna, "Can scapular and humeral head position predict shoulder pain in adolescent swimmers and non-swimmers?" 30 : 1767-1776, 2012
• 34 P. M. Ludewig, "Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement" 80 : 276-291, 2000
• 35 l. Freedman, "Abduction of the arm in the scapular plane : scapular and glenohumeral movements : a roentgenographic study" 48 : 1503-1510, 1966
• 36 M. Šenk, "A new method for motion capture of the scapula using an optoelectronic tracking device : a feasibility study" 13 : 397-401, 2010