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골반저근운동프로그램이 긴장성 요실금 여성노인의 하부요로증상과 최대질수축압, 골반저근 활성도에 미치는 효과

The Influence of Pelvic Floor Muscle Training Program on Lower Urinary Tract Symptom, Maximum Vaginal Contraction Pressure, and Pelvic Floor Muscle Activity in Aged Women with Stress Urinary Incontinence

이승원|송창호|이해현
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2009.09|체육과학연구 (Korean Journal of Sport Science)|제20권 제3호|pp. 466-474|DOI 10.24985/kjss.2009.20.3.466

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키워드

근전도여성노인electromyography골반저근운동프로그램긴장성 요실금pelvic floor muscleurinary stress incontinenceAged women
주제분류체육

초록

이 연구의 목적은 골반저근운동프로그램이 긴장성 요실금 여성노인의 하부요로증상과 최대질수축압, 골반저근 활성도에 미치는 효과를 알아보고자 하는 것이다. 선정기준에 부합된 25명의 긴장성 요실금 여성노인을 무작위로 골반저근운동군과 대조군으로 각각 13명과 12명으로 나누어 골반저근운동군에게 주 2회의 골반저근운동프로그램과 주 7회의 개인 운동을 8주 동안 실시하였으며, 대조군에게는 특별한 운동 없이 일반적인 교육만 실시하였다. 골반저근운동프로그램의 효과를 파악하기 위하여 운동 전·후에 하부요로증상에 대한 설문조사, 질압측정기를 이용한 최대질수축압, 근전도를 이용한 골반저근 활성도 검사를 시행하였다. 본 연구의 자료분석은 운동 전․후 효과를 비교하기 위해 대응표본 t 검정을 실시하였고, 집단 간의 차이를 비교하기 위해 독립표본 t 검정과 검정을 실시하였다. 8주 간의 골반저근운동프로그램으로 인해 하부요로증상은 유의하게 감소하였고(p<.05), 최대질수축압과 골반저근 활성도는 유의하게 증가하였지만(p<.05), 대조군에서는 유의한 차이를 나타내지 않았다. 이상의 연구를 통하여 골반저근운동프로그램은 긴장성 요실금 여성노인의 요실금 치료에 효과적인 운동방법으로 요실금을 가진 여성노인에게 삶의 질을 향상시키는데 크게 기여할 것으로 기대된다.

Abstract

The purpose of the present study was to evaluate the effect of pelvic floor muscle training(PFMT) on lower urinary tract symptom, maximum vaginal contraction pressure and pelvic floor muscle activity in Aged women with urinary stress incontinence. Twenty-five aged women were divided two groups by random; experimental(PFMT) group and control group. PFMT group completed the 8-weeks PFMT program and PFMT group had a structured training program for 60 minutes twice per week and they were encouraged to PFMT at home five days for a period of 8 weeks. Control group were not participated the PFMT program and took the general education. They were measured by questionnaire of urinary symptoms, perineometry, and electromyography. At the end of the study, the lower urinary symptom, the maximum vaginal contraction pressure, and the pelvic floor muscle activity were significantly increased(p<0.05). In conclusion, PFMT program was effective for treatment urinary incontinence in aged women and is expected to improve quality of life on aged women with urinary incontinence.

참고문헌 (49)

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