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A Self-gravitational Acupressure Corrects the Standing Posture in the Sagittal Plane: A Retrospective Study

자가 중력 지압의 시상면 기립 자세 교정 효과: 후향적 관찰 연구

  • Sung Kwon Park (Interdisciplinary Postgraduate Course in Biomedical Eng., Jeju National Univ.) ;
  • Geum Na Hong (Interdisciplinary Postgraduate Course in Biomedical Eng., Jeju National Univ.) ;
  • Min Joo Choi (Interdisciplinary Postgraduate Course in Biomedical Eng., Jeju National Univ.)
  • 박성권 (제주대학교 의공학협동과정) ;
  • 홍금나 (제주대학교 의공학협동과정) ;
  • 최민주 (제주대학교 의공학협동과정)
  • Received : 2024.02.05
  • Accepted : 2024.03.10
  • Published : 2024.03.31

Abstract

Background: Manual acupressures in the correction and recovery of spinal deformities are known to be effective. However, they rely on therapists' skill and often require a long treatment time. The shortcomings of the manual therapy are anticipated to be effectively mitigated through self-gravitational acupressures (SGA) which stimulate multiple acupoints simultaneously with acupressure tools. Objective: The study aims to verify the effect of SGA for the correction of sagittal standing posture. Methods: A retrospective analysis was conducted on the postural improvements of the 93 subjects who underwent the SGA intervention, leveraging self-gravity for stimulating neck, back, pelvis, and calf areas both overall and sequentially using a set of acupressure tools equipped with multiple acupressing rods. Degree of posture abnormality was assessed before and after the SGA intervention using the photographic images of the subjects' sagittal standing postures, based on the angles of inclination of the upper body (from external auditory meatus to pelvis) and the lower body (from pelvis to malleolus) from the gravitational line passing through the hip joint. Results: After the SGA intervention, the upper body inclination angle was observed to decrease from an average of 3.2° to 1.6° (50.0% reduction, p<.001), and the lower body inclination angle decreased from an average of 3.5° to 3.2° (8.6% reduction, p<.01). Conclusion: The observed results underpin that SGA is effective for the correction of postural deformities. For the clinical application of SGA, prospective research is needed to optimize SGA protocol and acupressing tools and to validate long-term clinical efficacy.

배경: 수기 요법은 척추 변형의 교정 및 회복에 효과가 있으나 시술자의 역량에 의존적이며 긴 시술 시간이 소요된다. 지압 도구를 이용하여 다수의 지압점을 동시에 자극하는 자가 중력 지압(self-gravitational acupressure, SGA)은 이러한 수기 요법의 문제를 효과적으로 경감할 수 있다. 목적: 자가 중력 지압이 시상면 기립 자세의 교정에 미치는 효과를 검증하고자 한다. 방법: 다수의 지압봉을 구비한 지압 도구 세트를 목, 등, 골반, 종아리 부위를 자가 중력을 이용하여 전체적으로 또한 순차적으로 자극하는 SGA 프로그램을 체험한 93명의 시상면 기립 자세를 후향적으로 분석하여 체형 개선 효과를 평가했다. 기립 자세의 이상 정도는, SGA 전후 대상자의 기립 자세 사진 영상에서, 고관절을 통과하는 중력선을 기준으로 상체(외이도~골반) 및 하체(골반~복사뼈)의 기울어진 각도를 이용하여 평가했다. 결과: SGA 프로그램 체험 후 대상자 93명의 시상면 기립 자세의 상체 경사각은 평균 3.2°에서 1.6°로 50.0% 감소했고(p<.001), 하체 경사각은 평균 3.5°에서 3.2°로 8.6% 감소한 것으로 나타났다(p<.01). 결론: 본 연구를 통해 SGA의 기립 자세 교정 효과를 확인했다. 체형의 교정을 위한 SGA의 임상적인 활용을 위해, 지압 도구의 개선, SGA 프로토콜의 최적화 및 장기적인 임상적인 유효성을 검증하는 전향적인 연구가 필요하다.

Keywords

Acknowledgement

이 논문은 2024학년도 제주대학교 교육·연구 및 학생지도비 지원에 의해서 연구되었음.

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