하지정맥부전 환자에서 하지 정렬 유지 피드백 장치를 활용한 운동치료가 정맥 역류시간 및 통증에 미치는 영향
Investigation of Lower Extremity Alignment and Its Association with Chronic Venous Insufficiency
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본연구는하지정맥류를진단받은환자를대상으로기존의종아리근육강화운동에하지정렬유지훈련을병행한운동치료프로그램의효과를검증하고자하였다. 연구는대구소재P병원에내원한하지정맥류환자27명을무작위로실험군과대조군으로나누어진행되었으며, 실험군은정렬피드백장치를활용하여하지정렬을유지하는훈련과종아리근육강화운동을병행하였고, 대조군은종아리근육강화운동만을실시하였다. 치료는주3회, 5주간진행되었고, 중재전후로도플러초음파를통한정맥역류시간과시각적통증척도(VAS)를활용한통증정도를측정하였다. 분석결과, 두집단모두치료후정맥역류시간과통증수준이유의하게감소하였으며(p<.05), 실험군에서의감소폭이통계적으로유의하게더컸다(p<.05). 특히실험군은치료전3.01초에서치료후1.86초로정맥역류시간이감소하였고, 통증수준은5.43점에서2.00점으로유의하게호전되었다. 이러한결과는하지정렬유지훈련을병행한운동치료가단순근육강화운동보다하지정맥부전환자의정맥혈류개선과통증감소에더효과적임을시사한다. 따라서본연구는하지정렬이상이동반된하지정맥부전환자에게정렬중심의운동치료가보완적중재로써활용될수있는가능성을제시한다.
Abstract
This study aimed to verify the effectiveness of a therapeutic exercise program that combines conventional calf muscle strengthening with lower limb alignment training in patients diagnosed with chronic venous insufficiency (CVI). A total of 27 patients who visited a hospital in Daegu with a diagnosis of CVI were randomly assigned to either an experimental group or a control group. The experimental group received both calf strengthening exercises and alignment maintenance training using a real-time feedback device, whereas the control group performed only calf muscle strengthening exercises. The intervention was conducted three times a week for five weeks. Venous reflux time was measured using Doppler ultrasonography, and pain intensity was assessed using the Visual Analogue Scale (VAS) before and after the intervention. Both groups showed significant reductions in venous reflux time and pain levels after the intervention (p < .05), with the experimental group showing significantly greater reduction (p < .05). Specifically, venous reflux time in the experimental group decreased from 3.01 seconds to 1.86 seconds, and the pain score improved from 5.43 to 2.00. These results suggest that combining alignment training with exercise therapy is more effective than muscle strengthening alone in improving venous blood flow and reducing pain in patients with CVI. Therefore, this study highlights the potential of alignment-focused exercise therapy as a complementary intervention for patients with chronic venous insufficiency accompanied by lower limb misalignment.