체외 충격파 치료가 무도 훈련 후 무릎 통증 유경험자의 통증과 기능 개선에 미치는 영향
The Effects of Extracorporeal Shockwave Therapy on the Improvement in Pain and Function in Adults with Knee Pain Experience During Martial Arts Training
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본 연구는 무도 훈련 중 무릎관절의 과사용으로 인해 무릎에 통증을 느끼는 무도 수련자를 대상으로 체외 충격파 치료가 통증 강도와 기능 개선에 미치는 영향에 대해 관찰하는 것을 목적으로 하였다. 1년 이상 무도 훈련을 수행해본 20명의 성인 남녀 중 훈련 후 심해지는 무릎 통증을 경험해본 자를 대상으로 무작위로 실험군과 대조군으로 나누어, 총 4주간 실험군은 충격파 치료 20분, 대조군은 스트레칭 운동 20분을 주 3회씩 적용하였다. 사전, 사후측정 모두 시각적 통증 척도, 통증 유발 관절 가동 범위, 일어서서 걷기 검사(Timed Up and Go, TUG)를 사용하였다. 연구 결과, 군간 유의한 차이는 발견되지 않았으나, 실험군과 대조군 모두 사전, 사후 간 유의미한 변화를 모든 변수에서 발견하였다(p<.01). 결론적으로, 충격파 치료는 무도 수련 중 반복된 훈련으로 심해지는 무릎 통증 및 기능 개선에 임상적으로 효과적이며 치료를 통한 회복 속도에도 이점이 있음을 시사한다.
Abstract
The purpose of this study is to confirm the effects of extracorporeal shockwave therapy (ESWT) on the improvement in knee pain and function in martial artists who experienced the overuse injury during the martial arts training. A total of twenty adults with knee pain experience during more than 1-year training period participated in this study. They were randomly assigned to the control or experiment groups. The experimental group received ESWT for 20 minutes while the control conduced stretching exercise for 20 minutes. All experiments were conduced 3 times a week during 4 weeks. Visual analogue scale, peak pain-evoked range of motion and Timed Up and Go (TUG) test were measured at baseline and after 4 weeks. As a result, there were no significant differences in post-effectiveness between the groups. However, both groups showed significant improvement in pain and function between pre- and post-intervention in within-group analysis(p<.01). In conclusion, ESWT would be effective clinically on the improvement in knee pain and function, and furthermore these findings indicates that ESWT has a benefit of recovery time.
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