근막이완술이 요통환자의 통증완화에 미치는 영향 = EFFECTS OF FASCIA RELAXATION ON PAIN RELIEF IN PATIENTS WITH LOW BACK PAIN

다국어 초록 (Multilingual Abstract)

The purpose of this study was to compare trunk muscle activities, pelvic tilt angle and flexibility in response to different bridge exercise methods. Surface electromyography, smartphone clinometer, and modified the Fingertip to Floor(MFTF) testing methods were used. Twenty-one healthy adult women participated in the study. Surface electromyography(sEMG) was used to measure electrical activity of the transverse abdominis(TA), internal abdominal oblique(IO), and erector spinae(ES) muscles. Trunk muscle activities were analyzed through one-way ANOVA. A paired t-test and Wilcoxon signed-rank test were used to compare pre-post pelvic tilt angles and functional spinal range of motion. A one-way ANOVA and Kruskal-Wallis test were used to compare difference between groups in pelvic tilt angles and functional spinal range of motion. Statistical significance was set at α=0.05. The results showed a significant difference in trunk muscle activity between the different types of bridge exercises(p<0.01). There were also significant differences in functional spinal range of motion and pelvic tilt angles in the Abdominal drowing-in bridge exercise using BALLance® tool(BAB)(p<0.05). Therefore, this study showed Abdominal drowing-in method(ADIM) bridge exercises using BALLance® tool may be beneficial as a lumbar stabilization exercise.

목차 (Table of Contents)

• (Abstract)
• Ⅰ. 서 론 1
• Ⅱ. 연구 방법 4
• 1. 연구 대상자 4
• 2. 평가 도구 5
• 1) 관절각도기(Goniometer) 5
• 2) 근막 이완툴(Myofascia-release tool) 6
• 3) 폼 롤러(Foam Roller) 7
• 3. 실험 절차 8
• 4. 측정 방법 10
• 1) VAS점수 10
• 2) 요추굴곡각 11
• 3) 자세 평가 비교(Posture assessment comparison) 13
• 5. 이완 방법 14
• 1) 얕은 근육 이완법 14
• 2) 깊은 근육 이완법 16
• 3) 보조기구 근막 이완술(IA-MFR) 17
• 4) 근육 스트레칭 방법 18
• 6. 통계 분석 20
• Ⅲ. 연구 결과 21
• 1. 대상자의 일반적 특징 21
• 2. VAS 점수 결과 분석 22
• 3. 요추 굴곡 각도 결과 분석 24
• 4. 자세 비교 26
• Ⅳ. 고 찰 28
• Ⅴ. 결 론 32
• 참고문헌 34