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가속화 재활운동이 퇴행성 슬관절염 여성노인의 체력, 하지 등척성 근력, 혈액변인에 미치는 효과

Effects of Accelerated Rehabilitation Exercise on the Senior Fitness Test (SFT), Isometric Muscle strength, and Blood Profile in Older Adult Women with Degenerative Knee Osteoarthritis

서태범|송홍선|이종백|이주리
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2024.03|체육과학연구 (Korean Journal of Sport Science)|제35권 제1호|pp. 81-92

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키워드

재활RehabilitationArthritisSenior Fitness Test노인 여성혈액성분등척성근력Isometric strength슬관절염노인체력검사Blood componentOlder adult women
주제분류체육

초록

[목적] 본 연구는 퇴행성 슬관절염 진단을 받은 노인 여성을 대상으로 가속화 재활운동이 체력, 하지 등척성 근력, 혈액변인에 미치는 효과는 살펴보는데 있었다. [방법] G광역시에 거주하는 퇴행성 슬관절염 진단을 받은 29명의 노인 여성 참가자 중 이탈자를 제외한 총 19명이 실험에 참가하였다. 이들을 대상으로 12주 간, 주 2회, 회당 60분의 운동을 실시하였으며, 실험 전과 후 노인체력평가(SFT), 하지 등척성 근력 및 혈액변인을 측정하였다. 본 연구의 데이터 분석은 SPSS 25.0을 사용하였으며, 운동 전과후의 효과를 확인하기 위해 paired sample t-tests를 실시하였다. [결과] 연구 결과 운동 전·후 체질량 지수(BMI)에서 유의한 차이가 나타났으며(p <.05), 노인체력검사(SFT) 또한 모든항목에서 유의한 차이가 나타났다(p <.01). 하지 등척성 근력은 20° 우측 굴곡근의 측정값(Nm)과 체중대비값(%BW) 에서 유의한 차이가 나타났으며(p <.01), 혈액 변인의 경우 운동 전·후 크레아틴과 ESR에서 유의한 차이가 나타났다(p <.01). [결론] 본 연구의 결과는 주기적인 신체 활동과 가속화 재활운동 프로그램이 퇴행성 슬관절염 진단을 받은 노인 여성의근력과 심폐지구력, 운동 기능 그리고 혈액 구성에 긍정적인 영향을 미칠 수 있다는 것을 시사하고 있다. 주기적인 운동 프로그램을 포함해 향후 연구를 진행한다면 지속적인 운동 참여에 도움이 될 수 있을 것으로 사료된다.

Abstract

PURPOSE This study aimed to investigate the effects of accelerated rehabilitation exercise on physical fitness, lower extremity isometric strength, and blood variables in older adult women diagnosed with degenerative osteoarthritis. METHODS A total of 29 older adult women diagnosed with degenerative osteoarthritis residing in G city participated in the study, and 19 participants, excluding dropouts, took part in the experiment. They underwent exercise twice a week for 60 minutes per session over a period of 12 weeks. Pre- and post-experiment, the older adult fitness assessment (SFT), lower extremity isometric strength, and blood variables were measured. Data analysis was performed using SPSS 25.0, and paired sample t-tests were conducted to examine the effects before and after exercise. RESULTS The study results showed significant differences in body mass index (BMI) before and after exercise (p<0.05), and the older adult fitness assessment (SFT) showed significant differences in all items (p<0.01). Lower extremity isometric strength showed significant differences in absolute (Nm) and relative (%BW) values of 20° right flexion muscle (p<0.01). In terms of blood variables, significant differences were observed in creatine and ESR before and after exercise (p<0.01). CONCLUSIONS This study’s results suggest that regular physical activity and rehabilitation exercise programs can positively impact the muscular strength, cardiovascular endurance, exercise function, and blood composition of older adult women diagnosed with degenerative osteoarthritis. It is indicated that conducting future research, including periodic exercise programs, could be beneficial in promoting sustained exercise participation.

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