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의자 차 트레드밀운동이 척수손상 장애인의 유산소능력 및 심폐능력 개선에 미치는 효과

Effects of wheel-chair treadmill training on the improvement of aerobic and cardiopulmonary capacity in spinal cord injury patients

김경숙|오명진|김창국|유병현|정일규
한국특수체육학회 (Korean Society Of Adapted Physical Activity)|2008.12|한국특수체육학회지 (Korean Journal of Adapted Physical Activity)|제16권 제4호|pp. 1-18|DOI 10.17006/kjapa.2008.16.4.1

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참고문헌

키워드

심폐기능최대산소섭취량Spinal Cord InjuryCardiorespiratoryMaximal Oxygen Uptake휠체어 트레드밀척수 장애인Wheel-chair Treadmill

초록

척수 장애인의 큰 문제 중 하나는 신체적 결손뿐만 아니라 주변 환경과 일상생활 중 타인에게 의존해야 하는 빈도가 높아 운동 부족이 초래되기 쉬우며 이로 인해 여러 가지 질병이 유발된다. 따라서 본 연구의 목적은 척수 장애인을 대상으로 12주간의 휠체어 트 레드밀 운동을 적용하여 심폐능력과 유산소능력에 미치는 효과를 규명함으로써, 운동처 방 및 재활프로그램에 유용한 자료를 제공하고자 실시하였다. 대상자는 경추 5~7번을 손 상 받은 7명의 장애인으로 프로그램 적용전과 후에 따른 암 에르고미터를 이용하여 점증 운동부하 검사를 통해 산소섭취량, 에너지소비량, 호흡교환율, 심박수 등을 비교분석하였 다. 그 결과 산소소비량, 에너지소비량, 호흡교환율, 심박수 등이 운동부하 중간단계 (15~20W)에서 통계적으로 유의하게 감소하였으며, 최대운동부하 단계 결과 최대심박수 및 최대산소섭취량은 현저하게 향상된 것으로 나타났다. 따라서 12주간의 규칙적인 운동 훈련은 유산소능력 및 심혈관 개선뿐만 아니라 근력증가와 운동부족증에 의한 심혈관 질 환의 예방적 측면에서 효과적일 것이라 사료된다.

Abstract

The purpose of this study was to examine the effects of 12weeks' wheel-chair treadmill training on the improvement of aerobic and cardiopulmonary capacity in spinal cord injury patients. 7 subjects with spinal cord injury participated in this study. They performed wheel-chair treadmill exercise 2times per week for 12weeks. Using arm ergometer, Exercise tolerance tests were assessed by measuring aerobic kinetic capacity and cardiopulmonary ability. The data was analyzed by using SPSS WIN Ver.14.0 and paired t-test(p<.05). Significantly low level of VO2, EE, RQ, HR at the same submaximal ergometer load have been found after 12weeks of wheel-chair treadmill training. The maximum endurance time showed a significant increase after wheel-chair treadmill training. In conclusion, 12 weeks of wheel-chair treadmill training improve aerobic and cardiopulmonary capacity in the patients with spinal cord injury. These results suggest that wheel-chair treadmill exercise might give the positive effects on improvement of cardiorespiratory fitness and prevention from various disease associated with cardiovascular disease.

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