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1 Journal of Life Science 2010 Vol. 20. No ~876 cjls / ISSN The Effect of inesio Taping on Muscle Strength Improvement, Blood Fatigue Factors, Muscle Fatigue and Damage Index Min-Sun Lee, Il-Young Paik 1, Yi-Sub wak 2, Hee-Tae No 1 and Hwa-Eun Jin 1 * Department of Physical Theraphy, Sun Moon University, 100 alsan-ri Tangjeong-myeon, Asan-si Chungnam, orea 1 Department of Physical Education, Yonsei University, 262 Seongsanno, Seodaemnn Gu, Seoul, orea 2 Department of Physical Education, Dong-Eui University, 995 Eomgwangno, Busanjin-gu, Busan, orea Received January 28, 2010 /Accepted March 16, 2010 The purpose of this study was to examine the effect of kinesio taping on muscle strength and changes of muscle fatigue and damage. 10 male subjects participated in 1-RM and isometric cybex muscle strength tests with and without taping application. Muscle strength (bench press, leg press) and extension (knee, shoulder) strength were significantly increased after taping, but there was no significant difference in flexion (knee, shoulder) strength. The concentration of fatigue factors (ammonia, phosphorous), muscle damage index substances (C, LDH), IGF-I and creatinine were reduced after taping, but there were no significant differences. ey words : inesio taping, fatigue, muscle damage, creatinine, IGF-I 서 최근스포츠는날로눈부시게발전하고있다. 많은스포츠종목에서다양한전술의구사, 월등한체력의향상, 난이도높은기술의표현등여러분야에서괄목할만한발전을이루어온것은사실이다. 그러나이러한급속한발전과더불어다양한스포츠부상이따르는것은피할수없는사실이고, 최고위치에있는선수나높은기술을구가하는일류스포츠선수일수록매일같이더많은부상의위험속에서연습과경기를하고있다고볼수있다. 근래몇년전부터 TV나신문등대중전달매체를통하여프로선수뿐만아니라아마추어선수들이무릎이나상완관절부위에테이핑을하고나와경기를하는것을종종볼수있는데, 이것은부상의예비방지로서기존에사용되어왔던 sports taping과는별도로 kinesio taping을많이사용하는것을볼수있다. inesio taping은특정부위에탄력을가진테이프를특정부위에붙이는방법으로 1985년일본인의사 Arikawa에의해개발된이후비교적간편하게손쉽게배울수있다는장점때문에스포츠분야및일상생활에서도다양하게이용되고있다. 운동선수의근력, 근지구력, 근파워등의근기능은경기력향상과밀접한관련이있다. 최근근기능향상을위한다양한방법들이개발되어이용되고있는데그중에서테이핑요법은손쉽게배울수있고현장적용이쉽기때문에일선스포츠현장에서자주활용되고있다. 론 *Corresponding author *Tel: , Fax: * 테이핑요법은피부에흐르는전기적인흐름을조절하여, 피부를통해바로밑의근육이나내장기에전자기적인자극을줌으로서관절의보강및보호, 부종감소, 또는급성손상시관리를위해고정을목적으로적용해왔으며 [22], 최근에는약물치료없이근골격계의손상시피부및근육에직접테이프를부착하여통증의감소를꾀할뿐아니라 [33], 전문적인운동선수에게는운동기능향상과스포츠상해예방의차원으로활용되고있다 [29]. 또한, 근력, 근지구력등의기능향상을목적으로도테이핑방법들이개발되어다양하게적용하고있다 [34]. 특히, 기능성테이프로일컬어지고있는 kinesio taping은관절을움직이는근육의결에따라붙여줌으로써근육과피부사이의혈액과림프순환을증가시켜근육의운동기능을향상시키기때문에스포츠현장에서상해를예방하고손상된근육및관절의기능을개선시켜 2차손상을예방 [32] 시켜준다. 또한약한근육을지지함으로써근기능을교정하고, 혈액과림프액흐름을증진시킴으로울혈 (congestion) 을감소시키며, 신경계를자극함으로써통증을감소시킨다 [14,27]. 그리고, 근경련을예방함으로써조절불가능한관절을개선할수있으며, 자세의안전성유지및체력을증가시켜주고 [9,41] 근력, 근지구력, 및근파워등의근기능을개선시켜경기력향상에도움을주고있다 [16]. 테이핑의적용은근골격계질환및내과적질환의치료에도활용되고있는데특히골관절염 [1], 무릎통증 [31] 및골절 [2] 환자들에서통증완화및재골절위험의감소효과가보고되고있다. 이것은테이핑의주기능인휴지모터운동반사에의한끊임없는근수축으로인하여근육의긴장도를조절하고근방추와골지건기관의자극을통하여근긴장의완화를이끌어내며상호억제효과를이용한근육의강화와회복그리

2 Journal of Life Science 2010, Vol. 20. No 고혈액, 림프및조직액의순환을촉진 [11] 시켜관절의기능이향상되었기때문이다. 체력요소들과관련된연구들을살펴보면, Wee 등 [40] 은대퇴부에 kinesio taping을적용하였을때등속성운동시슬관절의근력및근파워에유의한영향을미친다고하였으며, Garrack [9] 은족관절테이핑이서전트점프, 100m 달리기, 멀리뛰기등근력을동원하는체력요소에효과적이라보고하였다. No [30] 도 kinesio taping을적용한결과근력증가와운동능력지속효과를가져와골프에서비거리향상을가져왔다고보고하였다. 즉이것은 kinesio taping 적용이체력, 근력및, 근파워등의향상과밀접한관련이있음을의미하는결과이다. 이외에도많은연구들 [4,15,18] 이테이핑의효과에대해발표하였으나, 대부분의연구들은테이핑적용당시에나타나는근기능의발현여부를알아보는것이었다. 이미여러선행연구에서는일반인과환자들을대상으로 kinesio taping의부상방지및경기력향상효과에대하여입증하였으며, 다양한분야에서응용하여적용되고있다. 하지만이들연구의단점은특정근육또는주동근에만부분적으로테이핑요법을적용하거나, 특정동작에있어서의근력향상을중점적으로관찰한연구가대부분이어서전신에대한테이핑요법이각근육부위에어떠한영향을미치는지에관한통합적인관찰은미흡하였다. 또한주로 1-RM 또는등속성운동능력등의물리적인수치를통하여근력의변화를확인하거나, 특정근육에대한반복적인동작이후의변화를혈중으로관찰하는등의제한적인연구들이대부분이었다. 그리고, 인체의체액중혈액은전신을순환하는동안에산소 (O 2), 이산화탄소 (CO 2) 운반을비롯해서각종영양물질, 호르몬등의대사물질을운반할뿐만아니라그외에도생체방어작용, 조직액 (tissue fluid), 이온 (ion), 삼투압, 체온등을조절하는기능을가지고있다. 그러므로운동후혈액검사를통한생리및생화학적인변화를분석하는것은기전에대한이해뿐만아니라운동을수행할수있는능력과운동수행의효과및그로인한근손상및피로를판단할수있는중요한지표가된다. 그러나현재까지진행된 kinesio taping과관련한대부분의연구들은단지국부적인근육에서기계적인요소들만을조사하였다. 따라서본연구에서는정기적인신체활동에참여하는건강한대학생 10명을대상으로 kinesio taping을적용한후근력과혈중피로지표물질및근손상지표물질의농도변화를비교분석하여 kinesio taping이근력향상에미치는영향을생리학적으로규명하고자하였다. 상자의신체적특성은 Table 1에나타나있다. 최대근력 (1-RM) 테스트 Taping 적용전과후모두, Central Fitness 社의 Machine을이용하여상체 (Bench Press) 와하체 (Leg Press) 최대근력을측정하였다. 모든피험자는사전 test 전종목에따른올바른자세를숙지하도록하여부위별기본스트레칭동작을지침에따라 3회씩반복하였다. 그후, 각동작시최초의낮은부하에서점진적으로부하를증가시켰으며최대의힘으로 1회수행한후더이상반복할수없는무게를 1-RM으로기록하였다. 등속성근력테스트 (Cybex Test) Taping 적용전과후모두, 등속성근력측정장치 (Cybex 社 ( 美 ), Cybex 6000 Isokinetic Dynamometer) 를이용하여각속도 60 /sec에서어깨관절 (shoulder) 의굴근 / 신근 (Flexors/ Extensors) 과슬관절 (nee joint) 의굴근 / 신근 (Flexors/ Extensors) 을측정하였다. 4회반복수행결과가장높은 Torque를나타낸값을 Peak Torque로결정하였으며체중으로나눈값 (Nm/kg (%)) 을본실험에서의 data로사용하였다. inesio taping 방법 inesio taping은승모근, 삼각근, 극상근, 상완이두근, 상완삼두근, 대흉근, 복직근, 대퇴사두근, Hamstring muscle, 비복근, 전경골근총 11부위에부착하였다. 근손상유도방법 Taping 적용전과후모두, 근손상을유도하기위해 1-RM 85% 의강도로각종목 (Bench Press, Lat Pull Down, Arm Curl, Shoulder Press, Leg Press, Leg Extension, Leg Curl) 에따른운동을실시하였다. Taping 적용전, 각 Set간휴식은 2분 30초로제한하고반복은최대로실시하였으며, 반복수는각종목및 set별로기록하여 taping 적용후에도동일하게실시하였다. 혈액채취및분석방법혈액채취는두가지실험조건 (taping 전, 후 ) 에서암모니아, 무기인산, IGF-I, creatinine 분석을위해 3회, C, LDH 분석을위해 6회를실시하였으며, 채취된혈액은채취후즉시원심분리하였다. Ammonia, LDH, IGF-I 분석을위해 Spectrophotometer (Roche Diagnostics 社 ( 스위스 ), Cobas Integra 800) 를이용하였으며, phosphorous와 C는자동생화학분석기 (Hitachi 社 연구대상 재료및방법 본연구는남자대학생 10 명을대상으로하였으며, 연구대 Table 1. Physique characteristics of subjects N Age (yr) Height (cm) Weight (kg) Body fat (%) ± ± ± ±5.18

3 872 생명과학회지 2010, Vol. 20. No. 6 ( 日 ), Hitachi 7150) 를이용하였다. 그리고 creatinine 분석은자동생화학분석기 (Hitachi 社 ( 日 ), TBA-200FR) 를이용하였다. 자료처리본실험의결과는 SPSS 통계 package (v. 11.0) 를이용하여, 기술통계량을산출하였다. 혈중피로지표물질 (ammonia, phosphorous) 과, 근손상지표물질 (C, LDH), creatinine, IGF-I의변화형태비교는 taping 처치조건과시기를반복측정하는이원분산분석법 (two-way ANOVA) 을이용하여분석하였고, 유의수준은 0.05로설정하였다. 나타났다. 우선슬관절의경우 extension은사전에비해사후에 Nm/kg (%), flexion은사전에비해사후에 Nm/kg (%) 가증가하였으며, 통계분석결과 extension (p<0.001) 에서는유의한차이를보였으나 flexion에서의차이는유의하지못하였다. 어깨관절의변화를살펴보면, extension의경우사전에비해사후에 6.20 Nm/kg (%) 의통계적으로유의한증가를보였지만 (p<0.05), flexion에서는사전보다사후 3.50 Nm/kg (%) 의증가를보였으나통계적으로유의한차이는나타나지않았다. 체중및체지방변화 결과 Taping 적용전후의체중및체지방은거의차이가없었으며이를통하여처치전후의동질성을확인할수있었다. 1-RM 변화 Taping 적용전후의 1-RM 변화는 Table 2에나타나있으며, Bench Press의경우, 사전에비해사후에 7 kg 증가하였고, Leg press는사전에비해사후에 kg의증가를보였다. 처치전후에따른통계적유의성을검증하기위하여 paired sample t-test를실시한결과 Bench press와 Leg press 모두통계적으로유의하였다 (p<0.001). 등속성운동능력 Taping 적용전후의 1-RM 변화는 Table 3에나타나있다. 등속성운동능력중근력의향상도를분석하기위하여 60 /sec의각속도에서슬관절 (knee) 과어깨관절 (shoulder) 의내 외전시체중당최대회전력 (Peak torque %BW) 을관찰하였다. 등속성운동능력은슬관절및견관절에서 extension과 flexion 모두사후에높았으며그차이는슬관절에서더크게 Table 2. Comparison of 1-RM Group Bench Press (kg) Leg Press (kg) 70.50± ± ± ±16.06 : with kinesio taping, : without kinesio taping. Table 3. Comparison of cybex Group nee Joint Shoulder Joint Extension Flexion Extension Flexion ± ± ± ± ± ±22.71 : with kinesio taping, : without kinesio taping ± ±10.77 혈중피로지표물질의변화 혈중피로지표물질인 ammonia와 phosphorous 농도는운동직후가장높은수치를보이다회복 30분시기에서안정시만큼회복되었다. Taping 처치전후에대한혈중 ammonia 및 phosphorous의평균농도는사전보다사후더낮은수치를보였으나테이핑처치전후및채혈시점간의 ammonia 농도에대한 ANOVA 결과에서채혈시기간에서는통계적으로유의한차이 (p<0.001) 가나타났으나 taping 전후에따른차이는유의하지못하였다 (Table 4). 혈중근손상지표물질의변화 혈중 creatine kinase (C) 는안정시가장낮은수치를보이다운동후 24시간까지지속적으로증가하는경향을보였으며, taping 처치후농도는낮게나타났다. C의변화양상과는반대로 lactate dehydrogenase (LDH) 의농도변화는운동직후가장높은농도를보이다회복이진행됨에따라점차낮아져회복 24시간시기에서안정시만큼회복되었다. C와 LDH 농도에대한 taping 전후및채혈시기간의차이를알아보기위해 ANOVA를실시한결과, 시기에따른차이는유의하였으나 (p<0.001) 처치전후에의한차이는통계적으로유의하지못하였다. Taping 전후에있어 C의평균농도는처치전후에 IU/l의차이를보였으며, LDH의경우에는더적은 5.18 IU/l의차이를보이며사후더낮은수치를보였다. 이를통하여 taping 처치가혈중근손상지표물질의농도 Table 4. Comparison of fatigue factors Resting End of exercise Recovery 30.82± ± ± ±0.34 Ammonia (ng/ml) ± ±31.26 Phosphorous (mg/dl) 4.91± ±0.56 : with kinesio taping, : without kinesio taping ± ± ± ±0.38

4 Journal of Life Science 2010, Vol. 20. No Table 5. Comparison of muscle damage index Resting End of exercise Recovery 30 min Recovery 4 hr Recovery 24 hr C (IU/l) ± ± ± ±40.57 : with kinesio taping, : without kinesio taping ± ± ± ±36.26 LDH (mg/dl) ± ± ± ± ± ± ± ± ± ± ± ±42.00 Table 6. Comparison of Creatinine and IGF-I Resting End of exercise Recovery Creatinine (mg/dl) 1.06± ± ± ± ± ±0.08 IGF-I (ng/dl) ± ±41.87 : with kinesio taping, : without kinesio taping. 1.07± ± ± ±52.88 개선에는유의한영향을나타내지못함을발견할수있었다 (Table 5). Creatinine 및 IGF-I의변화혈중 Creatinine과 IGF-I 농도의변화양상은유사하였으며운동종료후가장높은수치를보였으며 creatinine은회복 24시간, IGF-I은회복 30분에안정시만큼회복되었다. 혈중 creatinine의평균농도는 taping 전후에따른차이가나타나지않았으며 IGF-I의경우에도 5.17 ng/dl의작은차이를보이며 taping 후감소하였으나통계분석결과유의한차이는나타나지않았다 (Table 6). 고 Taping은관절의보강및보호, 부종감소, 또는급성손상시관리를위해고정을목적으로적용해왔으며 [22]. 이후, 근골격계의손상시피부및근육에직접테이프를부착하여통증의감소를꾀할뿐아니라 [20] 근력, 근지구력등의기능향상을목적으로도테이핑방법들이개발되어다양하게적용되고있다 [10,21,35]. inesio taping은관절을움직이는근육의결을따라붙여줌으로써근육과피부사이의혈액과림프순환을증가시켜근육의운동기능을향상시킬뿐만아니라치료의목적으로도사용되고있다. Braakman 등 [2] 은테이핑을적용한골절환자 찰 들에서재골절의위험이감소됨을보였는데, 그원인을근력의향상으로설명하였으며, Hunter [19] 는스포츠손상후테이핑적용으로재손상의방지뿐만아니라관절가동범위와근력의회복에효과가있었음을보고하였다. 또한 Shelton[38] 은 PFD (patellofemoral dysfunction) 환자들에게테이핑을사용한결과, 대퇴사두근의근력증강효과를입증하였다본연구에서도 kinesio taping 적용후, 1-RM 및등속성운동능력의증가가발견되었다. 우선 1-RM의경우 Bench Press 와 Leg Press에서 kinesio taping 적용후각각 7 kg과 kg의증가를보였다. 등속성운동능력에서는 kinesio taping 적용후, 슬관절의경우 extension과 flexion 시각각 Nm/kg (%) 와 Nm/kg (%) 가증가하였으며, 견관절에서도 extension과 flextion 시각각 6.20 Nm/kg (%) 와 3.50 Nm/kg (%) 의증가를보였다. 이와같은증가를나타낸것은테이핑을부착했을때그부착피부아래골격근내감마-운동신경이흥분하여섬유자체의장력을증가 [26] 시킨것같으며, 테이핑부착부위에동시적으로많은수의시냅스전신경섬유의흥분이도달하게됨으로써신경의여러장소에서흥분성전달물질이유리되는공간적가중현상으로상가작용이나타나근의장력이증가되어근력이향상된것이라생각된다. 그리고, 테이핑을통해근육에대한자극의강도가증가되어근수축력의증가를유발시켰으며, 상호신경지배작용 [3] 을통해테이핑이부착부에자극을주어굴곡근의수축성은더욱활성화되고신전근은억제되어이완됨으로써근력이향상된것이라할수있다. 피로는장기간의운동이나계속되는자극에의해서한기관이나그기관일부의반응또는기능이감소된상태 [28] 라할수있다. 피로로인해근육의장력이감소되는데, 이는근육내수소이온, ammonia, phosphorous 등여러가지대사물질의축적과관련이있다. 이들피로물질의농도는운동종료시최고를보이고이후지속적으로감소하는데대부분의운동에서는이들피로물질의농도가회복 1시간이내에안정시만큼회복된다 [6,25,28] 고보고이러한이유로운동 1시간이후의근통증 (Delayed Onset Muscle Damage) 은근피로로설명할수없다는견해도있다 [39,42]. 이는 taping 적용전후모두에

5 874 생명과학회지 2010, Vol. 20. No. 6 서운동직후의피로물질 (ammonia, phosphorus) 농도는안정시와회복 30분에비하여유의하게높았으며안정시와회복 30분간의농도차이는거의나타나지않은본연구의결과와도일치한다. 본연구에서 ammonia 및 phosphorous의평균농도는 taping 적용전보다후에더낮은수치를보였으나, 통계적으로유의한차는보이지않았다. 본연구에서근손상유발수단으로사용된웨이트트레이닝의강도 (85%-1RM) 와지속시간으로볼때암모니아축적은 ATP 이용율이 ATP 재합성량을초과하여발생한것으로보이며 [43], taping 적용에따른암모니아와무기인산농도상의유의한차이가나타나지않은것은 CPr 가수분해의증감또는무기인산을이용한 ATP 생성시스템의활성정도, 그리고에너지생성에있어해당과정 (glycolysis) 의비율등에서차이가나타나지않았다는것을의미하는것이다. 본연구에서의 1RM test와등속성운동능력결과를고려해볼때근력의증가는 Type I fiber의농원비율을증가시키고이것은 Type II fiber의동원비율감소로이어져 PNC cycle에의한 phosphorus 농도감소와해당과정을통한에너지공급율의감소를가져올수있음을의미한다. 또한 ammonia의생성역시 PNC의활성과밀접한관련이있으므로결국근력의향상은동일한운동강도에서운동시혈중피로물질의감소로이어져야한다. 하지만본연구의결과에서나타난 ammonia와 phosphorus 농도변화는 taping 후감소의경향만보였을뿐통계적유의성은나타나지않았다. 이는 85% 1-RM 강도의웨이트트레이닝은고강도의운동이며운동에소요된시간도 40분정도로장시간이지만다양한근육부위에적은반복수와 set를적용하였기때문에피로물질의축적이현저하지않은것으로생각된다. 혈중 C와 LDH의활성은주로격렬한운동으로인한근조직손상의지표로사용되어왔다 [37]. 근육손상과지연된근통증 (Delayed Onset of Muscle Soreness: DOMS) 에대한정확한기전은아직밝혀지지않았지만, 운동후근육손상의지표인혈중 C와 LDH 농도의지속적인증가현상은아마도근육손상에따른급성적인염증반응후식세포의증가된활동에의한것으로볼수있고 [7], cross-bridge의근손상에따른구조적변형에의한반응현상으로간주되고있다 [8]. 본연구에서의 taping 전후에있어 C의평균농도는처치전후에 IU/l의차이를보였지만, 통계적으로유의하지못하였다. 일반적으로 C의활성은근섬유의동원비율에있어서 Type I 섬유의동원비율보다는 Type II 섬유의동원비율이높은운동에서피로유발과근육자체의손상이더욱크게나타난다 [23]. 즉 C 농도는 Type II 섬유의동원량에비례한다고도할수있는데, 본연구에서 taping에따른 C 농도차이가나타나지않은결과는 taping 전후에근섬유의동원형태의차이가경미하였음을의미하는것으로볼수있다. LDH는 C와마찬가지로근질환이나구조적손상을가장 잘반영한다고알려져있다. 본연구에서 LDH는유의한차는나타나지않았지만 taping 처치전후 5.18 IU/l의차이를보이며사후더낮은수치를보였다. 웨이트운동후근육경련이발생하면통증이유발되어국소부위로가는혈액의양이줄어들게된다. 이로인해피로물질등이쌓이게되어대사장애를일으키게되는데, 이렇게순환에문제가생긴부위에 kinesio taping을적용하면테이프가갖고있는탄력성으로인해피부와천근막을들어올리게되어그사이에공간이생기게된다. 이공간으로근육이수축함에따라밖으로나온삼출액이림프관안으로들어가기쉽게됨으로써변화된조직압력이정상화되고, 또한혈류나림프액의흐름이원활하게되어통증을경감시켜 LDH의감소를가져온것으로생각된다. Creatinine은골격근의 creatine phosphate 농도와관련이있다. 이를근거로, creatinine은골격근에서이화작용의부산물과같은 creatine으로부터생성된다고보고근력향상을측정하는하나의수단으로사용되었다 [12,13,17]. 본연구에서도 kinesio taping에의한 creatine 이화작용의정도를관찰하기위하여혈중 creatinine 농도를분석한결과 taping 전후에따른평균농도의차이는나타나지않았다. 이는 taping에의한근력증가가 ATP-CP system의활성정도의유의한차이를유도하지못하였으며운동으로 creatine 이화작용에의해생성된 creatinine은운동후 24시간에이르러서는 urine으로배출되었음을보여주는결과라할수있다. 또한 creatinine은골격근의 creatine phosphate의양을반영하므로 taping이 creatine phosphate의농도증가를가져오지못하였기때문에 creatinine 농도가변화하지않은것으로도볼수있다. Creatinine과마찬가지로상대적인운동강도를대변해주는도구로사용할수있는것이혈중 IGF-I 농도이다. 근육에주어지는자극은피로와근손상을유발시키기도하지만근비대에필수적인 IGF-I의활성역시증가시키기때문에여러선행연구 [5,36] 에서는자극의상대적인크기또는근비대에대한효과를알아보기위하여혈중 IGF-I 농도를이용하여왔다. 이에본연구에서도 kinesio taping이웨이트트레이닝의상대적인자극의크기에어떠한영향을미치는지를관찰하기위하여 IGF-I 농도를관찰한결과통계적으로유의한차는나타나지않았지만, taping 적용운동후 5.17 ng/dl 의감소를보였다. 근비대의진행과정에는 local satellite cell의활성이필수적인데, Mauro[24] 에의해최초로제안된이세포는 myofibers의 sarcolemma와세포외부영역사이에서분열한다. 또한, 이세포외부영역에서발견된것은 Insulin-like Growth Factor-I (IGF-I) 과같은면역단백체의유사분열이며, 외부에서의특정한자극이주어지면 IGF-I이 satellite cell 가까이에서세포를유사분열시킨다 [36]. 이는외부에서주어지는자극의정도에의해혈중발현도가결정된다는것을의미하며, 이를근거로할때 kinesio taping이웨이트트레이닝에대한상

6 Journal of Life Science 2010, Vol. 20. No 대적인강도에영향을미치지못하였음을알수있다. 이상의결과로 kinesio taping은근력의직접적인지표향상에는긍정적인영향을미치지만혈중성분들을유의하게변화시키지는못함을알수있었다. 이는훈련에의한근육의양적증가또는기능성보조제투여등으로인한에너지기질의농도변화와같은내적인변화가아닌신체외부로부터의한시적인자극에의한근력향상이므로그차이가크게나타나지않은것으로보인다. 하지만이미특정대근육에대한반복적인운동에 kinesio taping을적용하여피로및근손상완화를입증한연구들도있으며본연구에서나타난혈중성분들의긍정적인변화양상으로미루어 kinesio taping의피로및근손상완화효과를부정할수는없는것으로생각한다. References 1. Balint, G. and B. Szebenyi Non-pharmacological therapies in osteoarthritis. Baillière's Clinical Rheunatology 11, Braakman, M., E. Oderwal, and M. H. Haentjens Functional taping of fractures of the 5th metacarpal results in a quicker recovery. Injury 29, Burke, J. R. and G. amen Changes in spinal reflexes preceding a voluntary movement in young and old adults. Biological Sciences & Medical Sciences 51, M Cushnaghan, J., C. McCarthy, and P. Dieppe Taping the patella medially: a new treatment for osteoarthritis of the knee joint? British Medical Journal 308, Deschenes, M. R. and W. J. raemer Performance and physiologic adaptations to resistance training. American Journal of Physical Medicine and Rehabilitation 81, S Donnelly, A. E., P. M. Clarkson, and R. J. Maughan Exercise-induced muscle damage: effects of light exercise on damaged muscle. European Journal of Applied Physiology 64, Faulkner, J. A., S. V. Brooks, and J. A. Opiteck Injury to skeletal muscle fibers during contractions: conditions of occurrence and prevention. Physical Therapy 73, Friden, J., J. Seger, and B. Ekblom Sublethal muscle fibre injuries after high-tension anaerobic exercise. European Journal of Applied Physiology and occupational physiology 57, Garrack, J. G The frequency of injury mechanism of injury and epidemiology ankle sprain. American Journal of Sports Medicine 5, Gilleard, W., J. McConnell, and D. Parsons The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Physical Therapy 78, Go, D. I Taping & Muscle Relaxation Stimulation Therapy. orean Journal of Family Medicine 20, Greenhaff, P. L.,. Bodin,. Soderlund, and E. Hultman Effect of oral creatine supplementation on skeletal muscle phosphocreatine resynthesis. American Journal of Physiology 266, E Ha, C. S The effects of low doses of creatine and creatine loading on strength, urinary creatinine concentration, and body composition. The orean Journal of Physical Education 41, Halseth, T., J. W. McChesney, M. DeBeliso, R. Vaughn, and J. Lien The effects of kinesio taping on proprioception of the ankle. Journal of Sports Science and Medicine 3, Hinman, R. S.,. M. Crossley, J. McConnell, and. L. Bennell Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial. British Medical Journal 327, Host, H. H Scapular taping in the treatment of anterior shoulder impingement. Physical Therapy 75, Hultman, E.,. Söderlund, J. A. Timmons, G. Cederblad, and P. L. Greenhaff Muscle creative loading in men. Journal of Applied Physiology 81, Hunter, D. and D. Felson Therapeutic knee taping improved pain and disability in osteoarthritis of the knee. ACP Journal Club 140, Hunter, L. Y Braces and taping. Clinics Sports Medicine 4, owall, M. G., G. olk, G. W. Nuber, J. E. Cassisi, and S. H. Stern Patellar taping in the treatment of patellofemoral pain. A prospective randomized study. The American Journal of Sports Medicine 24, Larsen, B., E. Andreasen, A. Urfer, M. R. Mickelson, and. E. Newhouse Patellar taping: a radiographic examination of the medial glide technique. The American Journal of Sports Medicine 23, Leanderson, J., S. Ekstam, and C. Salomonsson Taping of the ankle-the effect on postural sway during perturbation, before and after a training session. nee Surgery, Sports Traumatology, Arthroscopy 4, Linnamo, V., R. Bottas, and P. V. omi Force and EMG power spectrum during and after eccentric and concentric fatigue. Journal of Electromyography and inesiology 10, Mauro, A Satellite cell of skeletal muscle fibers. The Journal of Biophysical and Biochemical Cytology 9, Miller, P. C., S. P. Bailey, M. E. Barnes, S. J. Derr, and E. E. Hall The effects of protease supplementation on skeletal muscle function and DOMS following downhill running. Journal of Sports Science 22, Murphy, P. R. and G. R. Hammond Reversal of fusimotoreflex responses during locomotion in the decerebrate cat. Experrimenal Physiology 82, Murray, H. and L. Husk Effect of kinesio taping on proprioception in the ankle. Journal of Orthopedic Sports Physical Therapy 31, A Mutch, B. J. and E. W. Banister Ammonia metabolism in exercise and fatigue. Medicine and Science in Sports and Exercise 15, Ng, G. Y. and J. M. Cheng The effects of patellar taping on pain and neuromuscular performance in subjects

7 876 생명과학회지 2010, Vol. 20. No. 6 with patellofemoral pain syndrome. Clinical Rehabilitation 16, No, J The study of the revelation ability of muscles for the increasing flying distance of golfers through the application of the kinesio taping method.. Ph. D. Thesis, yonggi University, Suwon, yonggi. 31. Park, Y. S. and H. J. im Effects of a taping method on pain and ROM of the knee joint in the elderly. Journal of orean Academy of Nursing 35, Perrin, D. H Athletic taping and bracing. pp. 5-15, 2nd eds., Human inetics. Champaign, IL. 33. Pfeiffer, R. P., M. DeBeliso,. G. Shea, L. elley, B. Irmischer, and C. Harris inematic MRI assessment of McConnell taping before and after exercise. American Journal of Sports Medicine 32, Ramón, T., M. Prades, L. Armengou, J. L. Lanovaz, D. R. Mullineaux, and H. M. Clayton Effects of athletic taping of the fetlock on distal limb mechanics. Equine Veterinary Journal 36, Retting, A. C.,. S. Stube, and. D. Shelboume Effects of finger and wrist taping on grip strength. The American Journal of Sports Medicine. 25, Sara, V. R. and. Hall Insulin-like growth factors and their binding proteins. Physiological Reviews 70, Schwane, J. A., S. R. Johnson, C. B. Vandenakker, and R. B. Armstrong Delayed-onset muscular soreness and plasma CP and LDH activities after downhill running. Medicine and Science in Sports Exercise 15, Shelton, G. L Conservative management of patellofemoral dysfunction. Primary Care 19, Vickers, A. J., P. Fisher, C. Smith, S. E. Wyllie, and G. T. Lewith Homoeopathy for delayed onset muscle soreness: a randomised double blind placebo controlled trial. British Journal of Sports Medicine 31, Wee, S. D. and Y. H. Seo Effect of kinesio taping on isokinetic function and fatigue of thigh muscle. The orean Journal of Physical Education 42, Yoon, N. M. and Y. S. Seo The Effects of inesio taping on Lumbar muscle strength and Flexibility. The Journal of orean Society of Physical Therapy 13, Yu, J. G., L. Carlsson, and L. E. Thornell Evidence for myofibril remodeling as opposed to myofibril damage in human muscles with DOMS: an ultrastructural and immunoelectron microscopic study. Histochemistry and Cell Biology 121, Zhao, S., R. J. Snow, C. G. Stathis, M. A. Febbraio, and M. F. Carey Muscle adenine nucleotide metabolism during and in recovery from maximal exercise in humans. Journal of Applied Physiology 88, 초록 :inesio taping 이근력, 혈중피로물질및근손상물질농도변화에미치는영향이민선 백일영 1 곽이섭 2 노희태 1 진화은 1 * ( 선문대학교물리치료학과, 1 연세대학교체육교육학과, 2 동의대학교체육학과 ) 본연구의목적은 kinesio taping 적용이근력향상에미치는영향을직 간접적으로관찰함으로써운동수행시의상해예방및수행력향상을위한수단으로서의 taping 요법에대한기초자료를제공하는데있었다. 본연구는남자대학생 10명을대상으로, 근력향상의정도를직접적으로관찰하기위하여 1RM test와 Cybex test를실시하였으며, 생리학적변인으로는 C, LDH, phosphorus, ammonia, creatinine, IGF-I의 6가지혈중성분을분석함으로써피로와근손상의정도를분석하였다. 본연구를통하여 kinesio taping은근력향상의직접적인지표 (1RM, 등속성운동능력 ) 에는긍정적으로작용했지만, 85%-1RM의웨이트트레이닝시의근피로또는근손상지표물질의농도는유의하게감소시키지못함을알수있었다. 하지만본연구의결과만을가지고 taping의적용이피로및근손상완화효과가없다고판단할수는없을것으로생각된다. 왜냐하면, 본연구에서의피로및근손상유발수단인 85%-1RM 웨이트트레이닝은고강도의운동이며운동에소요된시간도 40분정도로장시간이지만다양한근육부위에적은반복수와 set를적용하였기때문에피로및근손상지표물질의축적이현저하지않았을수있기때문이다. 이는 taping 적용후나타난여러혈중성분들의감소 (Creatinine 제외 ) 경향으로설명할수있으며, 실제로선행연구중특정대근육에대한반복적인운동에 kinesio taping을적용하여피로및근손상완화를입증하기도하였다. 본연구가가지는의의는특정동작에있어서의근력향상을중점적으로관찰한연구가아닌, 전신에대한 taping을적용한후각근육부위에어떠한영향을미치는지다양한관점에서관찰하였다는데있다. 이후의연구에서는본연구에서관찰한변인들이외에도신경계통의변인들과의상관관계도함께관찰하는통합적인연구도의의가있다고하겠다.

11-19스포츠과학 145호 내지.indd

11-19스포츠과학 145호 내지.indd 출처: 아이클릭아트 스포츠과학 신체활동 후 회복방법 박지홍 경희대학교 체육대학 스포츠의학과 교수 관절부상과 경기력향상에 관심 jihong.park@khu.ac.kr 신체활동과 피로의 연속성 신체활동(운동)의 중요한 원리 중 하나는 연속성입니다. 규칙적으로 반복된 자극(트레이닝)이 주어졌 을 때 그 자극을 극복하는 과정을 운동 적응(exercise adaptation)이라고

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