탄력 밴드 트레이닝이 뇌졸증 편마비자의 일상생활 수행능력과 관절 ROM에 미치는 영향
Effects of the Elastic Band Training on the Daily Living and the Range of Motion in Chronic Hemiplegia
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본 연구의 목적은 뇌졸중 편마비자에게 있어 탄력 밴드 트레이닝이 일상생활 수행능력 및 관절 가동범위에 미치는 영향을 분석함으로서 뇌졸중 편마비자에게 있어 저항성 운동 트레이닝의 효용성을 밝히고자 하는 것이었다. 본 연구의 대상자는 뇌졸중으로 인한 편마비자 26명을 선정하였고, 트레이닝 집단 13명과 비교 집단 13명으로 구성하였다. 트레이닝 집단은 일일 60분, 주 3회, 12주간의 탄력 밴드 트레이닝을 실시하였고, 비교 집단은 평상시 생활을 그대로 유지하도록 하였다. 그 결과 트레이닝 집단이 비교 집단에 비해 일상생활 수행능력에 있어 전반적인 향상을 보였다. 특히 앉은 자세에서 눕기 동작수행에 있어 일상속도와 최대속도 모두에서 트레이닝 집단이 비교 집단에 비해 통계적으로 의미 있는 차이를 나타냈다. 누워있는 자세에서 일어서기 동작 수행에 있어 일상속도 에서 트레이닝 집단이 비교 집단에 비해 통계적으로 의미 있는 차이를 나타냈다. 관절 가동 범위에서는 트레이닝 집단이 비교 집단에 비해 골반 굽힘에서 건측과 환측, 어깨굽힘에서 환측에 통계적으로 의미 있는 향상을 보였다. 이상의 결과를 종합해 볼 때 12주간 탄력 밴드를 이용한 저항성 트레이닝은 뇌졸중 편마비자에게 있어 근력 기능의 개선뿐만 아니라 일상생활 기능 개선과 관절 가동 범위를 증가시키는 긍정적인 효과가 있는 것으로 나타났다. 따라서 향후 뇌줄중 편마비자와 같이 기능이 저하된 장애인들에게 있어 일상생활에서의 삶의 질을 높여주기 위한 의미 있는 트레이닝 방법으로 탄력 밴드 트레이닝이 적용 가능 할 것으로 판단된다.
Abstract
The study was designed to investigate the effects of a 12-week elastic band training on the of daily living and range of motion in chronic hemiplegia. Twenty six patients were volunteered to participate in the study as subjects and were assigned randomly into one of two groups, i.e., resistance exercise training group(TR: n=13) and control group(CON: n=13). The pretest-posttest randomized-groups design was utilized in the study. In pre test, timed movement battery test and range of motion were measured. The time movement battery test included lie to sit, sit to lie, sit to stand, supine floor to stand, The range of motion were measured for four motions such as hip flexion, ankle dorsi-flexion, shoulder abduction, and shoulder flexion. The subjects in the TR group went through the resistance exercise training utilizing the thera-band, performed for 60 minutes per session, three times per week for 12 weeks, whereas the subjects in the CON group were asked not to change their normal life style during the intervention period. In post test, all variables were measured again as same manner as the pre test. The data collected in the pre and post tests at the TR and the CON group were compared utilizing two-way ANOVA. The results obtained in the present study were as follows: 1) All variables in the tine movement battery test except sit to stand showed significant increase in the TR group due to the training. 2) There were significant increase in the range of motions in hip flexion and shoulder abduction in the TR group due to the training. It was concluded that the 12-week resistance exercise training elicited the enhancement of the timed movement battery test for activities of daily living and range of motion in chronic hemiparetic stroke patients.
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