전방십자인대 재건술 후 24주간의 재활 훈련이남녀의 기능성 수행능력에 미치는 영향
Gender Differences in the Effect of Rehabilitive Exercise Program during 24weeks after Anterior Cruciate Ligament Reconstruction
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초록
이 연구는 전방십자인대 재건술 후에 24주 동안 실시한 재활 훈련이 남녀의 기능성 수행능력에 미치는 영향을 규명하기 위하여 실시하였다. 이 연구의 피험자는 자가건 이식을 통한 전방십자인대 재건술을 받은 환자(남 10명, 여 8명)를 대상으로 하였다. 재활 훈련은 Shelbourne과 Nitz의 가속 재활 훈련 프로그램을 기초로 하여 단계 수정 및 CPM/수영을 프로그램에서 제외한 내용으로 수정하여 수술 직후부터 24주 동안 진행되었다. 사전․사후 검사는 전방십자인대 재건술 시행 전과, 수술 시행 후 24주에 걸쳐 실시하였다. 이 연구의 실험 결과 주요 발견사항은 첫째, 재활 훈련 기간에 따라 유의한 차이를 나타낸 변인은 환측 한발멀리뛰기검사, 동시수축반원검사, 카리오카검사, 3종기능성수행능력검사였다. 둘째, 남녀 집단간에 유의한 차이가 나타난 변인은 환측/건측 한발멀리뛰기검사, 동시수축반원검사, 왕복달리기검사, 3종기능성수행능력검사였다. 셋째, 재활 훈련 기간과 남녀 집단 간의 상호작용효과가 유의한 변인은 동시수축반원검사 및 3종기능성수행능력검사였다. 결론적으로 전방십자인대 재건술 후 재활과정에서 기능성 수행능력을 위해 남녀 모두 유사한 재활 훈련 프로그램을 적용할 수 있으나, 무릎의 회전 제어능력 향상을 위한 재활 훈련 프로그램은 남녀간에 차별을 둘 필요가 있다고 판단된다.
Abstract
The purpose of this study was to examine the effect of a rehabilitation training program after anterior cruciate ligament (ACL) reconstruction between genders. Subject of this study were 10 males(29.2±7.2 yrs) and 8 females(27.2±6.8 yrs) who underwent autograft ACL reconstruction. Functional performance ability were measured and analyzed before and after 24 weeks. The modified Shelbourne and Nitz accelerated rehabilitation program were applied. Finding of this study was as belows: First, one-leg hop test, co-contraction semicircular test, carioca test, and TFPT showed significant differences among occasions. Second, one-leg hop test, co-contraction semicircular test, shuttle run test, and TFPT showed significant differences between genders. Third, co-contraction semicircular test and TFPT showed significant interaction. In conclusion, this study revealed that most knee rehabilitation exercise training can be applied to both genders except the knee rotational feedback/feedforward function exercises during the period of recovery after ACL reconstruction between genders.
참고문헌 (21)
- 대한운동사회, "운동생리학", pp.402~ (2007), 한미의학
- Barry P. Boden, "Mechanisms of Anterior Cruciate Ligament Injury", Orthopedics, 23(6), pp.573~578 (2000)
- Butler DL, "Ligamentous restraints to anterior-posterior drawer in the human knee", Journal of Bone and Joint Surgery, 62(A), pp.259~270 (1980)
- Chandy, T. A., "Secondary school athletic injury in boys and girls : A three-year comparison", Physician Sportsmedicine, 13(3), pp.106~111 (1985)
- Charlton, W. P. H., "Differences in the femoral notch anatomy between men and women a magnetic resonance imaging study", American Journal of Sports Medicine, 30, pp.329~333 (2002)
- Childs, Sharon G., "Pathogenesis of anterior cruciate ligament injury", Orthopaedic Nursing, 21(4), pp.35~40 (2002)
- Daniel DM, "Fate of the ACL-injuried patient: A prospective outcome study", American Journal of Sports Medicine, 22, pp.632~644 (1994)
- Deie, M., "Anterior knee laxity in young women varies with their menstrual cycle", International Orthopedic, 26(3), pp.154~156 (2002)
- Demeritt, K. M., "Chronic Ankle Instability Does Not Affect Lower Extremity Functional Performance", Journal of Athletic Training, 37(4), pp.507~511 (2002)
- Frank CB, "The science of reconstruction of the anterior cruciate ligament", Journal of Bone and Joint Surgery, 79(A), pp.1556~1576 (1997)
- Hewett, T. E., "The effects of neuromuscular training on the incidence of knee injury in female athletes", American Journal of Sports Medicine, 27, pp.699~705 (1999)
- Hewett, T. E., "Plyometric training in female athletes : decreases impact forces and increased hamstring torques", American Journal of Sports Medicine, 24(6), pp.765~773 (1996)
- James L. Moeller, "Anterior Cruciate Ligament Injuries in Female Athletes: Why Are Women More Susceptible?", The Physician and Sportsmedicine, 25(4) (1997)
- Lephart SM, "Functional performance tests for the anterior cruciate ligament insufficient athlete", Athletic Training, JNATA, 26, pp.44~50 (1991)
- Livingston, L. A., "The wider gynaecoid pelvis-larger Q angle-greater predisposition to ACL injury relationship: Myth or reality?", Clinical Biomechanics, 16, pp.951~952 (2001)
- Mary Lloyd Ireland., "Anterior Cruciate Ligament Injury in Female Athletes : Epidemiology", Journal of Athletic Training, 34(2), pp.150~154 (1999)
- McClay, D. I., "The gender bias in ACL injuries : A research retreat", Clinical Biomechanics, 16, pp.937~939 (2001)
- Meeuwisse, W. H., "Rates and risks of injury during intercollegiate basketball", American Journal of Sports Medicine, 31(3), pp.379~385 (2003)
- Noyes FR, "Abnormal lower limb symmetry determined by function hop tests after anterior cruciate ligament rupture", American Journal of Sports Medicine, 19(5), pp.513~518 (1991)
- Shelbourne KD, "Accelerated rehabilitation after anterior cruciate ligament reconstruction", American Journal of Sports Medicine, 18, pp.292~299 (1990)
- Yack, H. J., "How normal fluctuations in women influence the biomechanics of stepping and cutting. Proceedings of the ACL Research Retreat Ⅱ: The Gender Bias", Journal of Orthopedic Sports Physical Theraphy, 33(8), pp.28~ (2003)