수중재활운동이 뇌졸중 편마비환자의 Oxygen uptake efficiency slope에 미치는 영향
he Effects of equa rehabilitation exercises on oxygen efficiency slope in cerebral apoplexy hemiplegia patients.
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본 연구는 수중재활운동과 수중과 지상운동으로 구성된 운동프로그램이 뇌졸중 편마비 환자의 Oxygen Uptake Efficiency Slope(OUES)에 미치는 영향을 분석하는데 있다. 본 연구의 피험자는 수중운동집단(G1, n=9), 수중과 지상운동집단(G2, n=8)으로 무작위 분류되었으며 총12주 동안, 주 3회, 1회 60분 동안 운동을 실시하였다. 최고산소섭취량(VO2peak), 최대산소섭취량(VO2max), OUES, 운동부하검사 지속시간(EXtime), 운동부하검사 종료 2분 째 심박수(HRR)는 시기간의 유의한 변화가 나타났으며, VE/VO2 slope과 VE/VCO2 slope는 시기와 집단간의 유의한 변화가 나타났다. 그러나 BMI, 제지방, 체지방율은 유의한 변화가 나타나지 않았다. OUES의 사전과 사후 값의 차이는VO2max와 VO2peak의 사전과 사후 값의 차이와 각각 유의한 상관관계가 있는 것으로 나타났다. 이러한 연구결과는 수중운동과 수중과 지상운동으로 구성된 운동 프로그램이 뇌졸중편마비 환자의 심폐순환능력을 개선시킬 수 있음을 시사하며, OUES는 운동프로그램 실시로 인해 변화되는 심폐순환능력을 평가하기 위한 객관적이며 타당성 있는 지표로 활용될 수 있음을 의미한다.
Abstract
The purpose of this study was to exam Oxygen ptake efficiency slope(OUES) in cerebral apoplexy hemiplegia patients. All subjects were randomly assigned to aqua exercise group(G1, n=9), and aqua and land exercise group(G2, n=8). All subjects performed the exercise for 12 weeks, 3 times per week, and 60 minutes per session. Significant time differences of VO2peak, VO2max, OUES, EXtime, HRR were found. However, no significant differences were found on BMI, fat free mass, and body fat. Also, significant time and group differences were found on VE/VO2 slope and VE/VCO2 slope. In addition, significant correlations between pre and post differences of OUES, and pre and post differences of VO2peak, VO2max were found, respectively. These results indicate that two different exercise programs were effective to enhance cardiorespiratory indexes in cerebral apoplexy hemiplegia patients. Also, OUES is a sensitive enough to evaluate cardiorespiratory ability by exercise and is able to utilize as an objective and validity index.
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