등뼈가동술이 둥근 어깨 자세가 있는 성인의 어깨정렬, 근긴장도, 통증에 미치는 영향

다국어 초록 (Multilingual Abstract)

Purpose : This study was conducted to investigate the effects of thoracic mobilization on shoulder alignment, muscle tone, and pain in adults with rounded shoulder posture.
Methods : This single-blinded, randomized, controlled, comparative study included thirty adults with rounded shoulder posture. Participants were randomly assigned to either the experimental group (thoracic mobilization, scapular stabilization exercise, and pectoralis stretching, n=15) or the control group (scapular stabilization exercise and pectoralis stretching, n=15). All participants received treatment three times per week for four weeks. Shoulder alignment, muscle tone, and pain were measured before and after the 4-week intervention.
Results : In the experimental group, significant improvements were observed in shoulder alignment, muscle tone, pressure pain threshold, and pain intensity after the intervention (p<.05). The shoulder index increased by 3.17% compared with the pre-intervention value (p<.05). For the upper trapezius, muscle frequency decreased by 2.36 Hz and stiffness decreased by 53.54 N/m (p<.05). In contrast, the lower trapezius showed an increase in muscle frequency of 1.70 Hz and an increase in stiffness of 47.63 N/m (p<.05). The pectoralis major exhibited a decrease in muscle frequency of 2.03 Hz and a decrease in stiffness of 38.68 N/m (p<.05). The pressure pain threshold (PPT) increased by 0.72 kg/cm² (p<.05), and the pain intensity (NRS) decreased by 1.53 points after the intervention (p<.05).
Conclusion : Thoracic mobilization with movement is an effective intervention for improving shoulder alignment and regulating shoulder muscle tone, as well as reducing pain in adults with rounded shoulder posture.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• Ⅱ. 연구 방법 4
• 1. 연구 대상자 4
• 2. 연구 설계 및 절차 5
• 3. 중재 방법 7
• 1) 등뼈 가동술 8
• (1) 폄 가동술 8
• (2) 가쪽 굽힘 가동술 10
• (3) 회전 가동술 12
• (4) 가쪽 굽힘 & 폄 가동술 14
• 2) 어깨 안정화 운동 16
• 3) 가슴 스트레칭 운동 18
• 4. 평가 방법 20
• 1) 어깨 위치 측정 20
• 2) 근긴장도 측정 23
• 3) 압력 통증 역치 측정 25
• 4) 통증 강도 측정 27
• 5. 분석 방법 29
• Ⅲ. 연구 결과 30
• 1. 연구대상자의 일반적 특성 30
• 2. 두 군간 중재 전･후의 어깨 위치 비교 32
• 3. 두 군간 중재 전･후의 근긴장도 비교 34
• 4. 두 군간 중재 전･후의 압력 통증 역치 비교 36
• 5. 두 군간 중재 전･후의 통증 비교 38
• Ⅳ. 고 찰 40
• Ⅴ. 결 론 43
• 참 고 문 헌 44
• 영 문 초 록 52
• 감 사 의 글 54