Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Effect of chest compressions on the quality of back pain prevention and chest compressions by applying body stabilization Convergence movement

체간안정화 융합운동을 접목한 가슴압박이 요통예방과 가슴압박 품질에 미치는 영향

  • Hong, Eun-Jeong (Dept. Emergency Medical Technology, Chungbuk Health & Science University) ;
  • Cho, Byung-Jun (Dept. Emergency Medical Technology, Kangwon National University) ;
  • Kim, Gyoung-Young (119 Emergency Medical Service, YangPyeong Fire Station)
  • 홍은정 (충북보건과학대학교 응급구조과) ;
  • 조병준 (강원대학교 응급구조학과) ;
  • 김경용 (양평소방서 구급대)
  • Received : 2019.03.26
  • Accepted : 2019.05.20
  • Published : 2019.05.28
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Abstract

This study was aimed to identify a study on the effect of chest compressions combined with abdominal drawing-in technique on prevention of back pain and chest compression quality. We tested motion analysis, electromyography, and chest compression quality of 15 paramedics. Data were normalized to SPSS 21.0 (Kolmogorov-Smirnov and Shapiro-Wilk test). The paired t-test was used for the pre- and post-test chest compressions, the one-way ANOVA was used for the analysis of the measurement point-in-time differences, and LSD was used for the post-test. The results of the study showed significant difference in muscle activity and chest compression success rate when the chest pressure was applied with abdomen drawing-in. Therefore, it is necessary to study cardiopulmonary resuscitation education which can increase the chest compression success rate while preventing the back pain of the paramedics in the future.

본 연구는 체간안정화 운동인 복부 드로잉-인 기법을 융합한 가슴압박이 요통예방과 가슴압박 질에 미치는 영향을 분석하기 위해 119구급대원(응급구조사) 15명을 대상으로 동작분석, 근전도, 가슴압박 질을 분석하였다. 자료는 SPSS 21.0으로 정규분포(Kolmogorov-Smirnov 및 Shapiro-Wilk 검정)을 실시하였고 가슴압박 형태에 따른 전 후 대응표본 T 검정(paired T-test), 측정시점 차이분석은 일원배치 분산분석(one-way ANOVA), 사후검증은 LSD를 활용하였다. 연구결과 복부 드로잉-인 상태로 가슴압박을 하면 근활성도 및 가슴압박 성공률에서 유의한 차이를 보였다. 따라서 향후 구급대원의 요통을 예방하면서 가슴압박 성공률도 높일 수 있는 심폐소생술 교육에 대한 연구가 필요하다.

Keywords

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Fig. 1. Reflective markers positions

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Fig. 2. Telomyo DTS

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Fig. 3. Attachment of Electrodes

Table 1. General characteristics of subjects

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Table 2-1 Comparison of muscle activation between CPR type within each phase 1

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Table 2-2 Comparison of muscle activation between CPR type within each phase 2

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Table 3.-1 Comparison of muscle activation inter-period within CPR type(GHO CPR)

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Table 3.-2 Comparison of muscle activation inter-period within CPR type(AO CPR)

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Table 4. Depth and Success rate of chest compression

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