Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effect of Backward Walking Exercise on ROM, VAS score and Proprioception in Anterior Cruciate Ligament Reconstruction Patients

전방십자인대 재건술 환자의 후방보행 재활운동이 관절의 가동범위 및 통증점수, 고유수용성감각에 미치는 영향

  • Moon, Dae-Hyung (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Oh, Du-Hwan (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Zhang, Seok-Am (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Lee, Jang-Kyu (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University)
  • 문대형 (단국대학교 대학원 운동의과학과) ;
  • 오두환 (단국대학교 대학원 운동의과학과) ;
  • 장석암 (단국대학교 대학원 운동의과학과) ;
  • 이장규 (단국대학교 대학원 운동의과학과)
  • Received : 2016.04.22
  • Accepted : 2016.05.12
  • Published : 2016.05.31
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Abstract

This study examined the effects of 4-weeks of backward walking exercise on ROM, VAS (Visual Analogue Scale) score and proprioception in anterior cruciate reconstruction patients. Fourteen subjects were randomly assigned to either a backward walking group (BWG, n=7) or a control group (CON, n=7) and then participated in rehabilitation program for 4 weeks. The ROM of the flexion significantly decreased in both groups (BWG, p<0.001 vs CON, p<0.01), while ROM of extension significantly decreased only in the BWG (p<.05) post exercise, but no significant difference was observed between groups. Additionally, VAS score decreased significantly in both groups (P<0.001) and BWG was lower than CON post exercise (p<0.001). Finally, proprioception decreased significantly in both groups (BWG, p<0.001 vs CON, p<0.05), but did not differ significantly between groups. These results suggest that the 4 week backward walking rehabilitation program improves ROM, VAS score, and proprioception and has positive effects on functional recovery of anterior cruciate ligament reconstruction patients.

본 연구는 전방십자인대 재건술을 시행한 환자를 대상으로 후방보행을 포함한 재활운동 프로그램이 환자의 통증지수와 ROM, 고유수용성감각에 어떠한 영향을 미치는지 구명하고자 하였다. 이 연구의 대상자는 전방십자인대 손상으로 재건술을 시행한 환자 14명으로 하였으며 후방보행 집단(n=7)과 통제집단(n=7)으로 무선배정 하였고 4주간 각각의 재활운동프로그램을 실시하였다. 이 연구의 결과에서, 굴곡 관절가동범위는 운동 전 후, 후방보행 집단(p<.001)과 통제집단(p<.01) 모두 운동 후 유의하게 감소되었으며 신전 관절가동범위에서는 후방보행 집단(p<.05)에서만 운동 후 유의한 차이를 나타내었고 두 변인 모두 집단 간의 차이는 보이지 않았다. 통증지수에 대한 결과에서는 운동 후, 두 집단 모두 유의하게 감소되었고(p<.001) 집단 간 차이에서는 운동 후, 후방보행 집단이 통제집단보다 유의하게 낮은 것으로 나타났으며(p<.001), 고유수용성감각에서는 후방보행 집단(p<.001)과 통제집단(p<.05) 모두 운동 후 유의하게 감소하였으나 집단 간의 차이는 나타나지 않았다. 이러한 결과는 후방보행의 재활운동이 전방십자인대 재건술을 시행한 환자의 통증을 감소시키고 관절의 가동범위 확보와 고유수용성감각을 회복하는데 긍정적인 효과가 있는 것으로 사료된다.

Keywords

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