엉덩허리근의 수동과 능동 신장운동이 요통환자에게 미치는 영향
The Effects of the Passive and Active Stretching Exercises of Iliopsoas Muscles on Low Back Pain Patients
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이 연구의 목적은 요통환자들에게 나타나는 엉덩허리근(iliopsoas muscles)의 짧아짐 정도를 측정하고 짧아진 엉덩허리근을 수동신장운동과 능동신장운동을 통해 늘여주었을 때 요통환자들에게 미치는 영향에 대해 알아보고자 하였다. 이 연구는 요통을 호소하는 남자환자 20명, 여자환자 20명 총 40명을 대상으로 실시하였다. 환자는 성별로 무작위 선정하여 두 그룹 모두 남성과 여성이 각각 10명으로 수동신장운동군 20명, 능동신장운동군 20명으로 나누어 실시하였다. 수동신장운동군과 능동신장운동군에 각각 신장운동을 적용하여 각 군의 치료 전과 치료 후 엉덩허리근의 신장효과를 보기 위해 대응표본 t-검정으로 통계 처리 하였다. 그리고 수동신장운동군과 능동신장운동군 간에 신장효과를 비교해 보기위해 독립표본 t-검정을 이용하여 통계 처리하였다. 통계학적 유의수준은 α=0.05로 설정하였다. 수동신장운동을 시행 한 결과 치료 전보다 치료 후에 엉덩허리근의 짧아짐 각도가 유의하게 감소하였다(p<0.001). 능동신장운동을 수행한 결과 역시 치료 전 보다 치료 후에 엉덩허리근의 짧아짐 각도가 유의하게 감소하였다(p<0.001). 그리고 수동신장운동군 보다 능동신장운동군의 엉덩허리근 짧아짐 각도가 더 유의하게 감소되었다(p<0.01). 허리 통증 또한 양측 운동군에서 유의한 차이를 보이며 감소되었다(p<0.001). 그러므로, 요통의 원인인 엉덩허리근의 짧아짐에 의한 요통 치료로 능동적신장운동이 임상에서 뿐만 아니라 일상생활에서 활용되어야 한다.
Abstract
The purpose of this study was to find out the effects of passive and active stretching on low back pain due to contracture in iliopsoas muscle. This Study was conducted with total of 40 subjects made up of 20 male and 20 female patients who had low back pain. Patients were randomly divided into passive and active stretching exercise group with each group having 20 patients with 10 males and 10 females. The paired sample t-test was used to examine the stretching effect of iliopsoas muscle prior to and following treatment on each group by applying the respectable stretching exercises to passive and active stretching exercise group. As the result of application of passive stretching exercise, the shortening angle of iliopsoas muscle was significantly reduced after the treatment in comparison to that prior to treatment (p<0.001). The result of application of active stretching exercise also illustrated significant reduction in the shortening angle of iliopsoas muscle after the treatment in comparison to that prior to treatment (p<0.001). In addition, the reduction in the shortening angle of iliopsoas muscle in the active stretching exercise group was significantly more prominent than that in the passive stretching exercise group (p<0.01). Low back pain is also significantly decreased in the both exercise group(p<0.001). Therefore, the active stretching exercise for the iliopsoas muscle can be used during everyday of life to take care the back pain due to contracture of iliopsoas.
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