한국자연치유학회지 (Journal of Naturopathy)

  • 제13권1호
  • /
  • Pages.51-61
  • /
  • 2024
  • /
  • 2287-5417(pISSN)
  • /
  • 2799-6182(eISSN)
한국자연치유학회 (Koean Soceity for Naturopathy)
권호 표지
DOI QR코드

DOI QR Code

자가 중력 지압의 시상면 기립 자세 교정 효과: 후향적 관찰 연구

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

  • 박성권 (제주대학교 의공학협동과정) ;
  • 홍금나 (제주대학교 의공학협동과정) ;
  • 최민주 (제주대학교 의공학협동과정)
  • 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.)
  • 투고 : 2024.02.05
  • 심사 : 2024.03.10
  • 발행 : 2024.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

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.

키워드

과제정보

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

참고문헌

  1. Ahn, Y.G. 1991. Acupuncture series. Seongbosa, Seoul, 524-580.
  2. Blaszczyk, J.W., F. Prince, M. Raiche, and R. Hebert. 2000. Effect of ageing and vision on limb load asymmetry during quiet stance. Journal of Biomechanics 33: 1243-1248.
  3. Byrn, C., I. Olsson, L. Falkheden, O. Bunketorp, M. Lindh, U. Hosterey, and M. Fogelberg. 1993. Subcutaneous sterile water injections for chronic neck and shoulder pain following whiplash injuries. The Lancet 341(8843): 449-452.
  4. Cho, K.J., Y.T. Kim, B.H. Seo, and J.S. Shin. 2016. Radiological Evaluation and Classification of Adult Spinal Deformity. J Korean Orthop Ass. 51: 1-8.
  5. Cho, M.S. 2013. T Influence of Pelvic Adjustment on t Posture of Female University Students. J Physical Therapy Science 25(7): 785-787.
  6. Choi, B.Y. 2009. The Effects of Back Meridian Massage on Changes in the Muscular Type Among Obese Female College Students. Kwangju Women's University, Master's Thesis.
  7. Clay, J.H., A. Laura, and M. David. 2015. Clay and pounds' basic clinical massage therapy: integrating anatomy and treatment. Lippincott Williams & Wilkins.
  8. Cordo, P.J. and L.M. Nashner. 1982. Properties of postural adjustments associated with rapid arm movements. Journal of Neurophysiology 47(2): 287-302.
  9. Duncan, Pt. 1989. Balance. In Proceeding of the APTA Forum.
  10. Feldman, R., S. Schreiber, C.G. Pick, and E. Been. 2020. Gait, Balance and Posture in Major Mental Illnesses: Depression, Anxiety and Schizophrenia. Austin Med Sci. 5(1): 1039.
  11. Gong, W.T., Y.W. Jeong, and H.S. Kwon. 2013. The Influence of Unstable Bridge Exercise With Abdominal Drawing-In on Posture of the University Female Students. Kor Acad Ortho Man Phys Ther. 19(1): 63-68.
  12. Groah, S.L., S.A. Stiens, M.S. Gittler, S.C. Kirshblum, and W.O. Mckinley. 2002. Spinal cord injury medicine. Preserving wellness and independence of the aging patient with spinal cord injury: Apromary care approach for the rehabilitation medicine specialist. Archive of P hysical Medicine and Rehabilitation 83: 82-89.
  13. Harrison, D., D.D. Harrison, and J.J. Betz. 2003. Increasing the cervicallordosis with chiropractic biophysics seated combined extension-compression and transverse loadcervical traction with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther. 26(3): 139-151.
  14. Heo Im Memorial Association. 2022 Meridians System & Point. KAICA. Seoul. www.heoim.net.
  15. Hytonen, M., I. Pyykko, H. Aalto, and J. Starck. 1993. Postural control and age. Acta Otolarygol. 113: 119-122.
  16. Izraelski, J. 2012. Assessment and treatment of muscle imbalance: The Janda approach. The Journal of the Canadian Chiropractic Association 56(2): 158.
  17. Kendall, F., E. Mc. Creary, and P. Provance. 2001. Posture correction and pain treatment through muscle assessment. Blue Sol. 73-91.
  18. Kendall, F., E. McCreary, and P. Provance. 2005. Muscle Testing and Function With Posture and Pain. 5ed. Philadelphia, Lippincott Williams & Wilkins.
  19. Kim, D.Y., T.W. Jeong, S.J. Park, M.G. Kim, and B.S. Park. 2014. The Development and Effects of Exercise Program for Prevention of Scoliosis among Elementary School Children. Kor J Physical Edu. 53(1): 385-395.
  20. Kim, H.J., J.H. Hong, J.H. Lee, and J.S. Kim. 2007. A Study of Manual Therapy of Korea. J Kor Soc Phys Med. 2(2): 213-218.
  21. Kim, J.H. 2014. The effect on face and the balance of 4-edges between shoulder girdle and pelvic girdle through body-4 therapy. Taejeon University, Master's thesis.
  22. Kim, J.H. 2018. A Study on the Method of Improving Body Displacement Using Body4Therapy. Taejeon University, Doctoral Dissertation.
  23. Kim, S.J., M.Y. Jung, and M.J. Chang. 2019. Effects of combined ideal body meridian pathway program for genu varus correction on bone structure of lower limb and physical fitness. Kor Acad App Sci Health Beauty Culture 1(1): 47-59. doi: 10.37562/KAASHBC.1.1.5
  24. Kim, S.Y. and H.J. Jang. 2012. Clinical Importance and Measurement in Thoracic Kyphosis. Kor Acad Ortho Man Phys Ther. 18(1): 1-10.
  25. Kim,S.J., W.W. Kim, and W.S. Chang. 2009. Effects of jung-chemeridian pathways on lower limbs deformation with correction in genu varus & genu valgus. Kor J Ideal Body Merid. Pathways. 1(1): 1-12.
  26. Kwak, H. 2022. Effects of Cervical and Thoracic Manipulation on Cervical Vertebra Angle,Cervical Rotation Angle, Pain, Cervical Range of Motion, Muscle Activity and Muscle Fatigue in Individuals with Forward Head Posture: A Randomized Controlled Trial. CHA University, Doctoral Dissertation.
  27. Kwon, B.A. 2013. Improving the effectiveness of using chiropractic adjustments for bowed legs. SunMoon University, Master's thesis.
  28. Lee, J.H. 2018. Effects of Median Nerve Mobilization on Pain, the Thickness of the Neck Flexors, and Functions of Patients with Neck Radiating Pain When Traction and Vibration Were Applied to the Neck. Daegu University, Doctoral Dissertation.
  29. Moon, H.H., S.K. Lee, S.K. Jung, and Y.J. Park. 2018. Effects of corrective exercise on structural variables and pain in knee patients with genu varus. Kor Sci Art Forum 36: 99-107. doi: 10.17548/ksaf.2018.12.30.99
  30. Moon, M.S. and I. Kim. 1976. Treatment of bowleg: clinical observation of 18cases. J Kor Orthop Ass. 11(3): 353-362. doi: 10.4055/jkoa.1976.11.3.353
  31. Moon, S.E. 2020. Corrective effect of general coordinative manipulation joint intervention model on distorted leg with imbalance of the lower extremity joint, pelvis and shoulder girdle, and lumbar spine. Kor Soc Ingrat Med. 8(3): 1-10. doi: 10.15268/ksim.2015.3.1.029.
  32. Moon, S.E. and Y.S. Kim. 2015. The effects of the manual intervention and self corrective exercise models of general coordinative manipulation on the distorsionalleg. Kor Soc Ingrat Med. 3(1): 29-39. doi: 10.15268/ksim.2015.3.1.029
  33. O'Connell, M., K. George, and D. Stock. 1998. Postural sway and balance testing: A comparison of normal and anterior cruciate ligament deficient knees. Gait & Posture 8(2): 136-142.
  34. Oh, S.M. 2016. The study of training for proprioceptive improvement and neural mechanism. Sungkyunkwan University, Doctoral Dissertation.
  35. Park, J.H. 2018. The Influences of Postures, Daily Habits, Smartphone Usage, Physical Activity Levels and Physical Fitness on the Spinal and Pelvic Deformations. KyungHee University, Doctoral Dissertation.
  36. Park, M.O. 2022. Correction of Neck Disability of Middle-aged Women with Muscle Relax Massage. Daegu Haany University, Doctoral Dissertation.
  37. Park, N.C. 2003. Effect of ageing on postural sway and limb load asymmetry during quiet stance. Hanyang University, Master's Thesis.
  38. Park, S.K., S.C. Kim, G.N. Hong, and M.J. Choi. 2023. Effect of Self-gravity acupressure on varus knee correction: Retrospective observational study. Journal of Naturopathy 12(1): 1-6.
  39. Paungmali, A., L.H. Joseph, P. Sitilertpisan, U. Pirunsan, and S. Uthaikhup. 2017. Lumbopelvic Core Stabilization Exercise and Pain Modulation Among Individuals with Chronic Nonspecific Low Back Pain. PainPractice 17(8): 1008-1014.
  40. Rossignol, S., R. Dubuc, and J.P. Gossard. 2006. Dynamic sensorimotor interactions in locomotion. Physiological Reviews 86(1): 89-154.
  41. Seo, J.G. 2022. back immunity. Blue Megasus, 166-170. seoul.
  42. Shin, C.H. 2015. Effect of Thoracolumbar Resistance Exercise on the Malalignment of Spine and Pelvic Deviation, Lumbar Strength. The Korean Journal of Growth and Development 23(2): 145-150.
  43. Szeto, G.P., L. Straker, and S. Raine. 2002. A field comparison of neck and shoulder postures in symptomatic andasymptomaticoffice workers. Applied Ergonomics 33(1): 75-84.
  44. Yoon, S.J. and M.H. Shin. 2012. The Effect of Back Meridian Massage on the Muscle Tension and Body Heat Change of CLBP(Chronic Low Back Pain) Middle-aged Women's. Journal of The Korean Society of Cosmetology 18(4): 771-776.
  45. Zapata, K.A., S.S. Wang-Price, and D.J. Sucato. 2017. Six-Month Follow-up of Supervised Spinal Stabilization Exercises for Low Back Pain in Adolescent Idiopathic Scoliosis. Pediatric Physical Therapy 29(1): 62-66.