KMID : 1211620200150010077
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Journal of the Korean Society of Physical Medicine 2020 Volume.15 No. 1 p.77 ~ p.84
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Comparison of the Effects of Different Crutch Length Measurement Methods on Trunk Muscle Activities in Young Females
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Jeon Hyun
Oh Duck-Won
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Abstract
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PURPOSE: This study compared the activities of the trunk muscles during crutch walking to determine which of the crutch length measurements is most beneficial.
METHODS: Twenty young women volunteered to participate in this study. After adjusting crutch length, the participants performed a three-point walking with non- dominant leg limited in weight bearing. This study used six crutch length measurements: (1) Height-40.6cm, (2) Height¢¥.77, (3) Olecranon-to-finger length, (4) Axillary-to- heel length, (5) Arm-span length-40.6cm, and (6) Arm-span length¢¥.77. The EMG activities of the internal oblique (IO), rectus abdominis (RA), multifidus (MF), and erector spinae (ES), muscles on the weight bearing side were monitored using wireless surface EMG.
RESULTS: The EMG activities of the RA and ES appeared to be significantly different among the crutch length measurements (p<.05). The post-hoc test showed that the ¡®Arm-span length-40.6cm¡¯ was significantly greater in the RA activity when compared to the ¡®Height¢¥.77¡¯ and ¡®Axillary-to-heel length¡¯ measurements, and in the ES activity when compared to ¡®Height¢¥.77¡¯ measurements. Furthermore, IO/RA and MF/ES ratios showed significant differences among the crutch length measurements (p<.05). In the post-hoc test, significant difference was observed between ¡®Olecranon-to-finger length¡¯ and ¡®Arm-span length-40.6cm¡¯ for the IO/RA ratio, and between ¡®Height¢¥.77¡¯ and ¡®Olecranon-to-finger length¡¯ and between ¡®Height¢¥.77¡¯ and ¡®Arm-span length-40.6cm¡¯ measurement for the MF/ES ratio.
CONCLUSION: These findings suggest that the ¡®Height¢¥.77¡¯ measurement is relatively advantageous to optimize the activities of trunk muscles during the crutch walking, and allow simple measurements of the crutch length.
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KEYWORD
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Crutch length measurement, Electromyography, Trunk muscles, Walking
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