흡기근강화운동이 만성허리통증 환자의 척추분절움직임과 허리 심부근 두께에 미치는 영향
Effect of Inspiratory Muscle Strengthening on Vertebral Segment Motion and Deep Lumbar Muscle Thickness in Patients with Chronic Low Back Pain
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본 연구는 호흡운동을 척추안정화운동을 병행하여 비교함으로써, 척추가동성과 허리 심부근두께에 미치는 영향을 규명하고, 향 후 임상에서 요통치료의 효과적인 운동방법으로 활용하고자 전라남도의 A병원에 내원한 12주 이상의 요통을 호소한 30～50세 연령범위의 남성 만성요통환자 23명을 대상으로 시행하였다. 실험군의 집단 내 비교에서는 등뼈와 허리뼈의 분절각 모두에서 유의하게 증가되었으 며(p<0.01)(p<0.05), 심부근 두께에서도 뭇갈래근과 배가로근에서 유의하게 증가하였다. 대조군의 집단내 비교에서는 등뼈와 허리뼈의 분절각 모두에서 통계학적으로 유의하게 증가되었으며(p<0.05), 심부근 두께에서는 배가로근에서만 유의하게 증가하였다(p<0.05). 집단 간 비교에서는 등뼈의 분절각에서만 유의한 차이가 있었으며(p<0.05), 허리 심부근 두께는 배가로근에서만 차이가 있었다(p<0.05) 추후 에도 임상에서 만성요통환자를 관리하기 위해 안정화운동에 호흡운동을 병행하면 만성요통환자 관리에 효율적일 것으로 여겨진다.
Abstract
The purpose of this study was to investigate the effect of breathing and trunk stabilization exercises on vertebral segment motion and deep lumbar muscle thickness and twenty-three patients with chronic low back pain were enrolled in this study. The patients were aged between 30 and 50 years. In the comparison group of the experimental group, both the thoracic segment angle and the lumbar segment angle were significantly increased(p<0.01)(p<0.05). and the thickness of the deep lumbar muscle was significantly increased in the muscles of the multifidus and the transvers abdominis(p<0.05). In the comparison group of the control group, both the thoracic segment angle and the lumbar segment angle were significantly increased(p<0.05). and the thickness of the deep lumbar muscle was significantly increased in the muscles of the transvers abdominis(p<0.05). In the comparison between groups, there was a significant difference only at the angle of the thoracic segment, and The deep lumbar muscle thickness differed only in the transvers abdominis(p<0.05). In the future, in order to manage patients with chronic low back pain in clinical practice, it is considered to be effective in managing patients with chronic back pain by concurrent breathing exercise in stabilization exercise.
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