골반압박벨트가 뭇갈래근과 척추세움근의 근두께에 융합적으로 미치는 영향
Pelvic Compression Belt Convergence Impact on the Thickness of Multifidus and Erector Spinae Muscles
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
본 연구는 초음파 영상(ultrasound imaging)을 이용하여 네발기기 자세(quadruped position)에서 골반압박벨트(pelvic compression belt)가 뭇갈래근과 척추세움근의 근두께에 융합적으로 미치는 영향을 알아보기 위해실시되었다. 대상자는 30명의 남자대학생으로 실험에 자발적으로 참여한 자로 선정하였다. 골반압박벨트를 위앞엉덩뼈가시아래(anterior superior iliac spines)에 착용한 상태와 착용하지 않은 상태에서 네발기기 자세를 실시하였고, 초음파영상 진단장치를 이용하여 근 두께를 측정하였다. 자료분석은 반복측정분산분석을 이용하였다. 연구결과, 뭇갈래근의 경우 골반압박벨트를 착용하였을 때가 착용하지 않았을 때보다 근두께가 유의하게 증가하였고(p<.05), 척추세움근의 경우도 골반압박벨트를 착용하였을 때가 착용하지 않았을 때보다 근두께가 유의하게 증가하였다(p<.05). 따라서 본 연구결과를 통해 골반압박벨트의 착용이 요통환자에게 효과적이며, 임상에서 다양한 네발기기자세운동의 처방과 적용 시에 유용한 자료로 활용하고자 한다.
Abstract
The purpose of this study was to determine the effectiveness of the pelvic compression belt on the thickness of the erector spinae and multifidus during hip extension on quadruped position. Thirty male university students volunteered to participate in this study. The pelvic compression belt was positioned below the anterior superior iliac spines with the stabilizing pressure using elastic compression bands. Subjects were instructed to perform hip extension in quadruped position with and without applying the pelvic compression belt. The thickness of the erector spinae and multifidus was measured ultrasound during prone position, quadruped position without applying pelvic compression belt and quadruped position applying pelvic compression belt. Data were analyzed using repeated ANOVA. Muscle thickness of multifidus was significantly higher applying the pelvic compression belt than without applying the pelvic compression belt (p<.05). Muscle thickness of elector spinae was significantly higher applying the pelvic compression belt than without applying the pelvic compression belt (p<.05). Therefore, the research can contribute to the prescription and application of quadruped position exercises in clinical practices.
참고문헌 (27)
- O'Sullivan SB, "Physical Rehabilitation:Assessment and treatment" (2001), David company
- Sihvonen T, "Movement disturbances of the lumbar spine and abnormal back muscle electromyographic findings in recurrent low back pain", Spine, 22(3), pp.289~295 (1997)
- 이혜경, "중년여성의 운동행위변화단계에 미치는 융합적 영향요인", 한국융합학회논문지, 6(5), pp.187~197 (2015), 한국융합학회[DOI]
- Cassisi JE, "Trunk strength and lumbar paraspinal muscle activity during isometric exercise in chronic low back pain patients and controls", Spine, 18(2), pp.245~251 (1993)
- 강지현, "융합형 초음파 영상을 통한 세 가지 교각운동에 따른 몸통근육의 두께 비교", 한국융합학회논문지, 6(5), pp.123~130 (2015), 한국융합학회[DOI]
- 전재근, "PNF 통합 패턴 운동이 만성 요통 노인 환자의 균형에 미치는 영향", 디지털융복합연구, 11(4), pp.361~368 (2013), 한국디지털정책학회
- Shirado A, "Concentric and eccentric strength of trunk muscle: Influence of test postures on strength and characteristics of patient s with chronic low- back pain", Arch Phy s Med Rehabil, 76(7), pp.604~611 (1995)
- Kang Hee Cho, "Trunk Muscles Strength as a Risk Factor for Nonspecific Low Back Pain: A Pilot Study", Annals of Rehabilitation Medicine, 38(2), pp.234~240 (2014), 대한재활의학회
- Pope MH, "The relationship between anthropometric, postural, muscular, and mobility characteristics of males ages 18- 55", Spine, 10(7), pp.644~648 (1985)
- Mather CG, "Effective physical treatment for chronic low back pain", Orthop Clin North Am, 35(1), pp.57~64 (2004)
- Kumar SP, "Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: a randomized placebo controlled crossover study", N Am J Med Sci, 3(10), pp.456~461 (2011)
- 김현희, "몸통 안정화 방법에 따른 몸통근육의 근활성도 비교", 근관절건강학회지, 20(3), pp.189~196 (2013), 대한근관절건강학회[DOI]
- Kisner C, "Therapeutic Exercise: Foundations and Techniques" (2013), FA Davis
- Moseley GL, "External perturbation of the trunk in standing humans differentially activates components of the medial back muscles", J Physiol, 547(2), pp.581~587 (2003)
- Stevens VK, "Trunk muscle activity in healthy subjects during bridging stabilization exercises", BMC Musculoskelet Disord, 7, pp.75~ (2006)
- Mens JM, "Reliability and validity of the active strait leg raise test in posterior pelvic pain since pregnancy", Spine, 26(10), pp.1167~1171 (2001)
- 이동규, "엉덩 관절 벌림 운동 시 압력 생체 되먹임 장치와 골반 벨트의 사용이 엉덩 벌림근의 선택적 근 활성도에 미치는 영향", 대한물리의학회지, 6(3), pp.323~330 (2011), 대한물리의학회
- Snijders CJ, "Transfer of lumbosacral load to iliac bones and legs. Part 1:biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise", Clin Biomech, 8(6), pp.285~294 (1993)
- Udo H, "Effect of a pelvic belt on abdominal pressure by various weights and bending angles", Ind Health, 35(2), pp.229~234 (1997)
- Hashimoto BE, "Application of musculoskeletal sonography", J clin Ultrasound, 27(6), pp.293~318 (1999)
- Bunce SM, "Measurement of abdominal muscle thickness using M-mode ultrasound imaging during functional activities", Man ther, 9(1), pp.41~44 (2004)
- Hides, J. A., "Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study", J Orthop Sports Phys Ther, 37(8), pp.480~486 (2007)
- Kazuto W, "Use of Ultrasonography to Evaluate Thickness of the Erector Spinae Muscle in Maximum Flexion and Extension of the Lumbar Spine", Spine, 29(13), pp.289~293 (2004)
- Pool-Goudzwaard AL, "Insufficient lumbopelvic stability: A clinical, anatomical and biomechanical approach to 'a-specific' low back pain", Man Ther, 3(1), pp.12~20 (1998)
- Liebenson C, "The relationship of the sacroiliac joint, stabilization musculature, and lumbo-pelvic instability", J Bodyw Mov Ther, 8(1), pp.43~45 (2003)
- 전선복, "측방보행 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향", 디지털융복합연구, 13(10), pp.541~548 (2015), 한국디지털정책학회[DOI]
- 백순기, "여성노인에게 적용한 12주간 복합하지근력 운동프로그램이 낙상위험도에 미치는 영향", 디지털융복합연구, 13(10), pp.533~539 (2015), 한국디지털정책학회[DOI]
