Journal of Korea Entertainment Industry Association (한국엔터테인먼트산업학회논문지)

The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
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The Effect of Abdominal Draw-in Maneuver with Leg Movements on Transversus Abdominis Thickness and Trunk Control in Stroke Patients

다리 움직임을 동반한 복부 드로우-인 기법이 뇌졸중 환자의 배가로근 두께와 몸통 조절에 미치는 영향

  • Received : 2020.11.20
  • Accepted : 2020.12.29
  • Published : 2020.12.31
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Abstract

The purpose of this study was, base on the observation that the leg movement has effect on muscles around trunk, to provide clinical fundamental data to develop effective abdominal draw-in technique by investigating the effect of abdominal draw-in exercise accompanying leg movement on the thickness of transversus abdominis muscle and trunk control ability in patients with stroke. The subjects were assigned randomly to experimental group I (n=9) on which the abdominal draw-in technique is applied and experimental group II (n=9) on which the abdominal draw-in technique accompanying leg movement is applied. The thickness of transversus abdominis muscle in the affected side and the trunk control ability were measured before and after treatment using ultrasonography and trunk impairment scale. A session of 30 minutes per day were performed four days a week for four weeks and the measured outcomes were analyzed. The in-group comparison showed significant difference both thickness of transversus abdominis muscle during abdominal draw-in technique application (p<0.01) and trunk control ability (p<0.001) between before and after treatment. The significant difference between two groups were observed only in trunk control ability (p<0.05). It was concluded that the abdominal draw-in technique accompanying leg movement is an intervention that has positive effect not only on transversus abdominis muscle but also on tunk control ability by inducing more efficient contraction reaction in muscles around trunk through autonomic pelvic movement caused by leg movement.

다리 움직임이 몸통 주위 근육에 효과적인 변화를 줄 수 있다는 근거를 바탕으로 다리 움직임을 동반한 복부 드로우-인 방법이 뇌졸중 환자들의 배가로근 두께와 몸통 조절 능력에 변화를 알아보고, 효율적인 복부 드로우-인 기법에 있어서 임상적 기초 자료를 제공하기 위해 시행하였다. 본 연구는 뇌졸중 환자 18명을 표본 추출하여, 기존의 복부 드로우-인 기법을 적용한 집단을 실험군I(n=9)로, 다리 움직임을 동반한 복부 드로우-인 기법을 적용한 집단은 실험군II(n=9)로 무작위 배치한 후 사전 검사로 초음파를 활용하여 마비측 배가로근의 두께를 측정하였고, 몸통 조절 능력은 몸통 손상 정도 평가지를 이용하여 측정하였다. 총 4주 간, 주 4일, 1일 1회, 30분씩 중재 프로그램을 시행한 후 사후검사를 사전검사와 동일하게 재 측정하여 분석하였다. 그 결과 두 집단 내 배가로근 두께 변화 비교에서는 두 집단 모두 복부 드로우-인 동작 시 유의한 차이가 있었으며(p<0.01), 몸통 조절 능력에서도 두 집단 모두 유의한 차이가 있었다(p<0.001). 그러나 두 집단 간 배가로근 두께와 몸통 조절 능력 변화 비교에서는 몸통 조절 능력에서만 유의한 차이가 있었다(p<0.05). 따라서 집단 간 배가로근의 두께는 차이가 없었지만, 다리의 움직임을 통해 자동 반사적인 골반 움직임이 나타나 복부 주위의 근육들에게도 효율적인 수축 반응이 나타나 더 효과적으로 몸통 조절 능력을 향상시킬 수 있는 중재방법임을 알 수 있었다.

Keywords

Acknowledgement

본 연구는 2020년 세한대학교에서 연구비 지원을 받았음.

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