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흉추 관절가동술이 만성요통환자의 통증, 장애지수 및 척추 운동성에 미치는 효과

The Effects of Thoracic Mobilization on Pain, Disability Index and Spinal Mobility in Chronic Low Back Pain Patients

정호발|김정아|고태성
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2009.06|특수교육재활과학연구|제48권 제2호|pp. 115-137

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키워드

만성요통chronic low back pain흉추 가동술윌리암 운동thoracic mobilizationwilliams exercise
주제분류기타사회과학

초록

본 연구는 만성통증환자를 대상으로 흉추 가동술과 윌리암 운동을 적용하여 통증, 장애지수 및 척추운동성에 대한 효과를 알아보고자 수행되었다. 대상자는 K병원에서 만성요통으로 치료를 받는 22명으로 선정하였으며, 흉추 가동술군 11명과 윌리암 운동군 11명으로 나누어 6주간 실시하였다. 대상자는 시각적 통증척도, 오스웨스트리 장애지수, 척추운동성 평가를 실시하였으며 자료 분석은 반복측정분산분석과 짝비교-t 검정을 실시하여 다음과 같은 결과를 얻었다. 윌리암 운동군에 비해 흉추 가동술군에서 통증의 유의한 감소, 오스웨스트리 장애지수의 유의한 감소, 척추의 운동성의 유의한 증가를 확인하였다(p<05). 따라서 만성요통환자의 관리를 위해 흉추 가동술을 적용하는 것이 통증과 장애지수, 척추의 운동성에 효과가 있으며, 요통환자의 관리에 있어 흉추의 가동성을 확보하는 것이 필요하다고 생각한다.

Abstract

This study was done to assess the changes in low back pain and spine function when thoracic mobilization and William’s exercise was applied to chronic low back pain patients. The subjects(n=22) were selected from chronic low back patients who received treatment at K hospital. The subjects were divided in to two groups: 11 subjects for thoracic mobilization group, 11 subjects for william’s exercise group. Treatment was provided for 6weeks. The subjects were evaluated using Visual Analoge Scale(VAS), Oswestry disability scale, spinal mobility. The data analysis was done using SPSS/Window (version 12.0) to ensures the data collection. Repeated ANOVA analytic method and paired-t test was used to compare before and after treatment(p<.05). The study showed the following results: The thoracic mobilization group compared to the William’s exercise group demonstrated decreased low back pain, decreased Oswestry disability scale, increased spinal mobility. The study proved that the thoracic mobilization group compared to the william’s exercise group demonstrated decreased low back pain and improved spine function. Therefore, Improving thoracic spine mobility may be effective in decreasing low back pain and improving lumbar function in chronic low back pain patients.

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