탄력, 비탄력 테이핑이 뇌성마비 아동의 발배뼈 높이와 정적 균형에 미치는 영향
Effects of Elastic and Non-elastic Taping on the Navicular Bone Height and Static Balance of Cerebral Palsy
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본 연구의 목적은 탄력, 비탄력 테이핑 적용이 뇌성마비 아동의 발배뼈 높이와 정적 균형에 미치는 영향을 알아보고, 뇌성마비 아동의 족부 정렬과 균형 개선에 대한 테이핑 기법 적용에 기여하고자 한다. 편평발을 지닌 뇌성마비 아동 14명을 대상으로 탄력, 비탄력 테이핑을 로우 다이 테이핑 기법으로 적용하였다. 테이핑 전, 탄력 테이핑 후, 비탄력 테이핑 후의 상태에서 발배뼈 높이를 알아보기 위해 자를 사용하여 발배뼈 하강 검사를 측정하였고, 정적 균형(압력 중심 이동면적, 이동거리, 이동속도)을 알아보기 위해 Zebris 힘판을 사용하여 측정하였다. 발배뼈 하강 검사 결과 테이핑 전보다 탄력 테이핑 후, 테이핑 전보다 비탄력 테이핑 후, 탄력 테이핑 후보다 비탄력 테이핑 후 유의하게 모두 감소하였다. 정적 균형 검사 결과 압력 중심 이동면적, 이동거리, 이동속도 모두 테이핑 전보다 탄력 테이핑 후, 테이핑 전보다 비탄력 테이핑 후, 탄력 테이핑 후보다 비탄력 테이핑 후 유의하게 감소하였다. 본 연구의 결과 탄력, 비탄력 테이핑은 편평발을 지닌 뇌성마비 아동의 발배뼈 높이를 높여 족부 정렬을 바르게 하고, 발목의 안정성을 높여 정적 균형에 긍정적인 영향을 미친다. 향후 물리치료 및 일상생활에서 이러한 중재 방법을 바탕으로 편평발을 지닌 뇌성마비 아동에게 탄력, 비탄력 테이핑이 활용될 것을 기대한다.
Abstract
The purpose of this study was to investigate the effects of elastic and non-elastic taping on the navicular bone height and static balance in children with cerebral palsy, as well as contribute to the application of taping techniques for improving foot alignment and balance in children with cerebral palsy. Elastic and non-elastic tapes were applied using the low dye taping technique to 14 children with cerebral palsy with flat feet. The navicular drop test was performed using a ruler to determine the navicular bone height, and the Zebris force platform was used to determine static balance(center of pressure movement area, path length, and average velocity). These measurements were performed randomly before taping, after elastic taping, and after non-elastic taping. The results of the navicular drop test significantly decreased after elastic taping condition than before taping, after non-elastic taping condition than before taping, and after non-elastic taping condition than after elastic taping. The results of the static balance test showed that the center of pressure movement area, path length, and average velocity were all significantly decreased after elastic taping condition than before taping, after non-elastic taping condition than before taping, and after non-elastic taping condition than after elastic taping. The result of this study means that elastic and non-elastic taping increase the height of the navicular bone of children with cerebral palsy with flat feet, correct foot alignment, and increase ankle stability-thereby having a positive effect on the static balance. Based on this intervention method, it is expected that both elastic and non-elastic taping will be utilized in both physical therapy and daily life for flat footed children with cerebral palsy.
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