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

  • 제17권5호
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  • Pages.522-529
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  • 2016
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
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전방십자인대 재건술 환자의 후방보행 재활운동이 관절의 가동범위 및 통증점수, 고유수용성감각에 미치는 영향

Effect of Backward Walking Exercise on ROM, VAS score and Proprioception in Anterior Cruciate Ligament Reconstruction Patients

  • 문대형 (단국대학교 대학원 운동의과학과) ;
  • 오두환 (단국대학교 대학원 운동의과학과) ;
  • 장석암 (단국대학교 대학원 운동의과학과) ;
  • 이장규 (단국대학교 대학원 운동의과학과)
  • 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)
  • 투고 : 2016.04.22
  • 심사 : 2016.05.12
  • 발행 : 2016.05.31
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초록

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.

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.

키워드

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