정상 성인에서 불안정 지지면의 수정된 월-스쿼트 운동이 보행변수에 미치는 영향

The Influence of Unstable Modified Wall Squat Exercises on the Gait Variables of Healthy Adults

  • 공원태 (나사렛대학교) ;
  • 이재남 (대한적십자사 경인의료재활의료센터병원) ;
  • 박재명 (서울특별시 서울의료원)
  • Gong, Won-tae (Dept. of Physical Therapy, Nazarene University) ;
  • Lee, Jae-nam (Dept. of Physical Therapy, Gyeong-in Medical Rehabilitation Center Hospital Redcross) ;
  • Park, Jae-myoung (Dept. of Physical Therapy, Seoul Medical Center)
  • 투고 : 2016.04.27
  • 심사 : 2016.06.06
  • 발행 : 2016.06.30

초록

Background: This study was conducted to investigate the effects of unstable modified wall squat exercises accompanied by abdominal drawing-in on the gait variables of healthy adults. Methods: The total number of subjects was 30, and 15 were randomly placed in the training group (TG) and 15 in the control group (CG). To determine the gait variables of TG and CG, step length difference (SLD) stance phase difference (STPD), swing phase difference (SWPD), single support difference (SSD), and step time difference (STD) were measured using OptoGait, a gait analysis system. Results: When the pre-intervention and post-intervention results of TG and CG were compared, statistically significant differences in SLD, STPD, SWPD, SSD and STD of TG were seen. Conclusion: Unstable modified wall squat exercises accompanied by abdominal drawing-in might help reduce the deviation between left and right gait variables during walking.

키워드

참고문헌

  1. Bergmark A. Stability of the lumbar spine: A study in mechanical engineering. Acta Psychiatr Scand. 1989;230(60):5-54.
  2. Bonnyaud C, Pradon D, Zory R, et al. Effects of a gait training session combined with a mass on the non-paretic lower limb on locomotion of hemiparetic patients: A randomized controlled clinical trial. Gait Posture. 2013;37(4):627-630. https://doi.org/10.1016/j.gaitpost.2012.09.010
  3. Brill PA, Probst JC, Greenbouse DL, et al. Clinical feasibility of a free-weight strength-training program or older adults. J Am Board Fam Med. 1998;11(6):445-451. https://doi.org/10.3122/jabfm.11.6.445
  4. Chang JK, Yoon SH. Evaluation of gait stability using medio-lateral inclination angle in male adults. Korean J of Sport Biomech. 2010;20(3):261-266. https://doi.org/10.5103/KJSB.2010.20.3.261
  5. Cho MS. The effects of modified wall squat exercises on average adults’ deep abdominal muscle thickness and lumbar stability. J Phys Ther Sci. 2013;25(6):689-692. https://doi.org/10.1589/jpts.25.689
  6. Cho MS, Jun IS. Effects of pelvic adjustment on female university students' gait variables. J Phys Ther Sci. 2014;26(5):759-762. https://doi.org/10.1589/jpts.26.759
  7. Cho MS. Effects of running in place accompanied by abdominal drawing-in on gait characteristics of healthy adults. J Phys Ther Sci. 2015;27(1):87-89. https://doi.org/10.1589/jpts.27.87
  8. Defrin R, Ben Benyamin S, Aldubi RD, et al. Conservative correction of leg-length discrepancies of 10 mm or less for the relief of chronic low back pain. Arch Phys Med Rehabil. 2005;86(11):2075-2080. https://doi.org/10.1016/j.apmr.2005.06.012
  9. Fry AC. Coaching considerations for the barbell squat- Part 1. J Strength Cond Res. 1993;15:556-569.
  10. Garcia-Vaquero MP, Moreside JM, Brontons-Gil E, et al. Trunk muscle activation during stabilization exercises with single and double leg support Original Research Article. J Electromyogr Kinesiol 2012;22(3):398-406. https://doi.org/10.1016/j.jelekin.2012.02.017
  11. Gill K. Krag MH. Johnson GB, et al. Repeatability of four clinical methods for assessment of lumbar spinal motion. Spine. 1988;13(1):50-53. https://doi.org/10.1097/00007632-198801000-00012
  12. Goldberg L, Elliot DL, Kuehl KS. A comparison of the cardiovascular effects of running and weight training. J Strength Cond Res. 1994;8(4):219-224. https://doi.org/10.1519/1533-4287(1994)008<0219:ACOTCE>2.3.CO;2
  13. Grabiner MD, Koh TJ, Lundin TM, et al. Kinematics of recovery from a stumble. J of Gerontology. 1993; 48(3):97-102.
  14. Judge JO, Lindsey C, Underwood M, et al. Balance improvement in older women: Effects of exercise training. Phys Ther. 1993;73(4):254-265. https://doi.org/10.1093/ptj/73.4.254
  15. Kapandji IA. Physiology of The Joints. Churchill Livingstone. Philadelphia. 6th ed. 2007.
  16. Lee YM. The influence of unstable modified wall squat exercises on the posture of female university students. J Phys Ther Sci. 2015;27(8):2477-2480. https://doi.org/10.1589/jpts.27.2477
  17. Liebenson C. Spinal stabilization training: The transverse abdominus Original Research Article. J Bodyw Mov Ther. 1998;2(4):218-223. https://doi.org/10.1016/S1360-8592(98)80018-1
  18. Magee DJ. Instability and stabilization. Theory and treatment 2nd. Seminar Workbook. 1999.
  19. Magee DJ. Orthopedic Physical Assessment. 5th edition. St. Louis. Missouri; Elsevier Inc. 2008;658-660.
  20. Murray MP, Drought AB, Kory RC. Walking patterns of normal men. J Bone Joint Surg. 1964;46(2):207-211.
  21. Nadler SF, Steiner DJ, Erasala GN, et al. Continuous low-level heat wrap therapy provides more efficacy then ibuprofen and acetaminophen for acute low back pain. Spine. 2002;27(10):1012-1017. https://doi.org/10.1097/00007632-200205150-00003
  22. O'Sullivan PB. Master class. Lumbar segmental 'instability'; Clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12. https://doi.org/10.1054/math.1999.0213
  23. O'Sullivan PB, Grahamsaw KM, Kendell M, et al. The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine. 2002;27(11): 1238-1244. https://doi.org/10.1097/00007632-200206010-00019
  24. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-379. https://doi.org/10.1016/S1050-6411(03)00044-0
  25. Ryerson S, Byl NN, Brown, et al. Altered trunk position sense and its relation to balance functions in people post-stroke. J Neurol Phys Ther. 2008;32(1):14-20. https://doi.org/10.1097/NPT.0b013e3181660f0c
  26. Stuart Mj, Meglan DA, Lutz GE, et al. Comparison of intersegmental tibiofemoral joint forces and muscle activity during various closed kinetic chain exercises. Am J Sport Med. 1996;24(6):792-799. https://doi.org/10.1177/036354659602400615
  27. Topp R, Mikesky A, Wiggleswrth J, et al. The effect of a 12-week dynamic resistance strength training program on gait velocity and balance of older adults. The Gerontologist. 1993;33(4):501-506. https://doi.org/10.1093/geront/33.4.501
  28. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain. 2000;85(3):317-332. https://doi.org/10.1016/S0304-3959(99)00242-0
  29. Vogt L, Pfeifer K, Portscher M, et al. Influences of nonspecific low back pain on three dimensional lumbar spine kinematics in locomotion. Spine. 2001;26(17):1910-1919. https://doi.org/10.1097/00007632-200109010-00019
  30. Willson JD, Dougherty CP, Ireland ML, et al. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13(5):316-325. https://doi.org/10.5435/00124635-200509000-00005