편평배부 증후군 환자에 대한 교정운동 프로그램이 척추 구조, 목 장애지수 및 균형 능력에 미치는 영향

김원문(Kim, Won Moon),서영삼(Seo, Young Sam),서용곤(Seo, Yong Gon) 한국사회체육학회 2021 한국사회체육학회지 Vol.- No.85

Purpose: This study aims to compare and analyze the effect of a 12-weke corrective exercise program on the structural variables of spinal curvature, neck disability index and balance ability in patients with flat back. Method: In this study, 24 patients with flat back participated, and they were randomly divided into three group; corrective exercise group (CEG: n=8), resistance exercise group (REG; n=8), and physical therapy group (PTG: n=8). The CEG and REG performed corrective exercise3 times per week and 70 minutes at a time for 12 weeks and REG conducted the exercise with thera-band. The variables of spinal curves included cervical lordosis, thoracic kyphosis, and lumbar lordosis were measured by X-ray test. The function of the neck was checked using a questionnaire with a neck disability index. The balance ability was measured by a balance machine and the test was conducted before and after exercise intervention for 12 weeks. Results: The results of this study are as follows. The cervical lordosis angle showed significant differences in both group and period, interactions p(<.001). Significant differences were found in CEG p(<.001), at each group period, (p<.05) in the groups (p<.001), as a result of paired t-test, REG and PTG, and in CEG and PTG (p<.001) post-testing. Thoracic kyphosis angle showed significant differences in both group and period, interactions (p<.001). Significant differences were found in CEG (p<.001), at each group period (p<.01) in the groups (p<.05), as a result of paired t-test, REG and PTG, and in CEG and PTG (p<.001) post-testing. The lumbar lordosis angle showed significant differences in both group and period, interactions (p<.001). Significant differences were found in PTG (p<.001) and CEG (p<.001) levels in each group, and (p<.001) levels between groups. As a result of paired t-test, REG and PTG, and in CEG and PTG (p<.001) post-testing. The neck disability index showed significant differences in both group and period, interactions(p<.001). At the time of each group, there were significant differences in PTG (p<.05), REG (p<.01), and CEG (p<.001) levels. Between groups (p<.001), there was a significant difference between CEG and PTG as a result of post-mortem examination (p<.05). The balance ability was found to be significant in the interaction between group and timing, timing (p<.001), and group main effect (p<.05). In each group period, significant differences were found in REG (p<.01), among groups (p<.001), compared with REG and PTG, and compared with CEG and REG (p<.01). Conclusion: The corrective exercise program is a more effective exercise intervention than resistance or physical therapy on the spinal curvature and the improvement of spinal curvature was associated with improving neck function and the ability of body balance although resistance exercise showed improvement of these variables. Therefore, corrective exercise is recommended as the most effective intervention to improve spinal curve, neck function, and the ability of body balance in patients with flat back.

만성 돌림근 띠 손상 환자의 어깨뼈 안정화 운동이 관절가동범위, Constant-Murlery Scale 및 근 기능 변화에 미치는 영향

김원문(Kim, Won-Moon) 한국코칭능력개발원 2021 코칭능력개발지 Vol.23 No.2

만성 긴장성 두통 환자의 재활운동 프로그램이 통증 정도와 관절가동범위 및 목뼈 위치각 변화에 미치는 영향

김원문(Kim, Won-Moon),조한수(Cho, Han-Su) 한국코칭능력개발원 2021 코칭능력개발지 Vol.23 No.1

천장관절 기능장애 환자의 교정운동 프로그램이 요골반부 변위와 통증 정도에 미치는 영향

김원문(Kim. Won-Moon) 한국코칭능력개발원 2020 코칭능력개발지 Vol.22 No.3

보석용 무색 큐빅 저코니아의 최적 육성 조건

김원사(Won Sa Kim),유영문(Young Moon Yu),신현숙(Hyun Sook Shin) 한국광물학회 2001 광물과 암석 (J.Miner.Soc.Korea) Vol.14 No.2

N/A

어깨 관절 부딪힘 증후군 환자의 신장성 수축 운동이 통증 및 기능, 관절가동범위와 근력 변화에 미치는 영향

김원문(Kim, Won-Moon) 한국사회체육학회 2021 한국사회체육학회지 Vol.- No.84

Purpose: The purpose of this study is to investigate how participation in the eccentric contraction exercise program affects pain & function, range of motion, and muscle strength in patients with subacromial impingement syndrome. Method: The subjects of the study were 20 female patients diagnosed with subacromial impingement syndrome in the age of 40s-50s. They were allocated wirelessly to the ECG group and the AGG group. Data processing was two-way repeated ANOVA, paired t-test and independent t-test. A significant level of hypothesis verification was set-up (p<.05). Results: The results of this study are as follows. 1) OSS was significantly improved in all of the timing, interaction, and group (p<.001). And in comparison between groups, ECG improved significantly (p<.01). 2) The change in ROM of Flexion was significantly improved in timing (p<.001), interaction (p<.05), and group (p<.001). ECG was significantly improved in comparison between groups (p<.001). The change in ROM of Abduction was significantly improved in timing (p<.001), interaction (p<.05), and group (p<.001). And ECG was significantly improved in comparison between groups p(<.001). The change in ROM of external rotation was significantly improved in all of the timing, interaction, and group (p<.001). In comparison between groups, ECG was significantly improved (p<.001). 3) The change in external rotation strength was significantly improved in time, interaction (p<.001), and group (p<.01). In the comparison between groups, ECG was found to be significantly improved (p<.001). Conclusion: Therefore, the eccentric contraction exercise program implemented in this study appears to be an effective treatment method for symptomatic improvement in patients with subacromial impingement syndrome, and future studies will require comparative studies involving gender, various age groups, and more patients with impingement syndrome.

교정운동 프로그램이 특발성 밖굽이 무릎 청소년의 Q-각, 종골각 및 균형능력에 미치는 영향

김원문 ( Kim¸ Won-moon ) 한국융합과학회(구 한국시큐리티융합경영학회) 2021 한국융합과학회지 Vol.10 No.2

연구목적: 본 연구는 특발성 밖굽이 무릎 청소년을 대상으로 16주간 교정운동 프로그램을 적용한 후 Q-각, 종골각, 그리고 균형능력 변화에 미치는 영향을 알아보는 것이다. 연구방법: 연구 대상자는 Q-각 이 18° 이상, 보행 시 무릎 통증을 호소한 만 13-15세 청소년기 환자 20명을 교정운동 집단(CEG, n=10), 물리치료 집단(PTG, n=10)으로 분류하여 16주간 교정운동과 물리치료 프로그램을 사전, 사후의 결과를 관찰하여 다음과 같은 연구 결과를 도출하였다. 자료처리는 이원 반복 측정 분산분석과 대응표본 Paired t-test를 실시하였다. 통계적 유의수준은 P<.05로 설정하였다. 결과: Q-각의 변화는 오른 다리, 왼쪽 다리 모두에서 집단(P<.05), 시기와 상호작용(P<.001), 그리고 CEG에서 처치 후 유의하게 개선되었다(P<.001). 종골각의 변화는 오른 다리, 왼쪽 다리 모두에서 시기, 상호작용(P<.001), 그리고 CEG에서 처치 전에 비해 처치 후 유의하게 개선되었다(P<.001). 균형능력의 변화는 시기, 상호작용, 그리고 처치 전에 비해 처치 후 CEG에서 유의하게 개선되었다(P<.01). 결론: 이상의 결과, 특발성 밖굽이 무릎 체형을 가진 청소년의 맞춤형 교정운동 프로그램 적용이 Q- 각, 종골각, 그리고 균형능력에 긍정적인 결과를 나타냈다. 추후 연구에서는 모든 연령층과 성별을 포함한 다양한 임상 연구가 필요하다고 사료된다. Pupose: The purpose of this study is to investigate the effects on changes in Q-angle, calcaneal angle, and balance ability after applying a 16-week corrective exercise program to adolescents with idiopathic genu valgum. Methods: The study classified 20 patients aged 13 to 15 years of age with a Q angle of 18° or higher and complained of knee pain while walking as a corrective exercise group (CEG, n=10) and physical therapy group (PTG,n=10) for 16 weeks to produce the following findings: The data processing was conducted with a two-way random repetitive analysis and a corresponding sample pair t-test. The statistical significance level is P<0.5 Result: Change in Q-angle were significantly improved after in right and left leg, group(P<.05), in the time and interaction(P<.001), in both, and CEG examples(P<.001).Change in calcaneal angle were significantly improved after in right and left leg, in the time, and interaction(P<.001), in both, and CEG examples(P<.001). Change in balance ability were significantly improved after in right and left leg, in the time, and interaction(P<.01), in both, and CEG examples(P<.01). Conclusion: As a result, the application of the customized corrective exercise program for adolescents with idiopathic genu valgum showed positive results for Q-angle, calcaneal angle, and balance ability. In future studies, various clinical studies including all age groups and genders are considered necessary.

8주간의 등허리부 저항성 운동이 목뼈 척추원반 탈출증 여성 환자의 목 장애지수와 척추 정렬, 정적 균형 능력에 미치는 영향

김원문(Kim, Won-Moon),이장규(Lee, Jang-Kyu) 한국체육과학회 2021 한국체육과학회지 Vol.30 No.4

The purpose of this study was to investigate the effects of 8-week thoracolumbar resistance exercise program on neck disability index(NDI), spinal alignment and static balance ability in patients with cervical herniation of intervertebral disc. The exercise program performed thoracolumbar exercise 3times a week for 8-weeks and consisted of a total of 60minutes. The subjects of this study were 20 middle-aged women patients diagnosed with cervical herniation intervertebral disc. The results of this study were as follows. NDI was significantly decreased in both groups after exercise, and it was more significantly improved in TRG than in CG(p<.001). As for spinal alignment, the cranial vertebra angle (CVA), cranial rotation angle (CRA), and lumbar vertebrae angle (LLA) were significantly changed only in TRG after exercise, and TRG was significantly improved than CG(p<.001). Static balance ability was significantly changed only in TRG after exercise, and TRG was significantly improved than CG(p<.001). These results indicated that thoracolumbar resistance exercise program in patients with cervical herniation of intervertebral disc have the positive effect on changed in NDI, spinal alignment, and static balance ability. Therefore, thoracolumbar resistance exercise is considered to be an effects as exercise therapy program for improvement of cervical herniation of intervertebral disc patients.

골반 안정화 운동이 엉치엉덩관절 기능부전 환자의 관절가동범위, VAS 및 근 기능에 미치는 영향

김원문 ( Kim¸ Won-moon ),서용곤 ( Seo¸ Yong-gon ) 한국융합과학회 2021 한국융합과학회지 Vol.10 No.5

연구목적: 본 연구는 엉치엉덩관절 기능부전 여성 환자를 대상으로 12주간 골반 안정화 운동과 근 에너지 기법 프로그램을 적용한 후 관절가동범위, VAS, 그리고 근 기능 변화에 미치는 영향을 알아보는 것이다. 연구방법: 연구 대상자는 이학적, 자기 공명 검사 상 엉치엉덩관절 기능부전 진단을 받은 엉치엉덩관절 통증 성인 여성 환자 20명을 근 에너지 기법집단(MEG, n=10), 골반 안정화 운동 집단(PSG, n=10)으로 분류하여 12주간 각각 적용한 후 처치 전, 처치 후의 결과를 관찰하여 다음과 같은 연구결과를 도출하였다. 연구결과: 관절가동범위의 바깥 돌림 변화는 시기, 상호작용, 집단에서 유의한 변화와 Paired t test 결과 MEG(P<.05), PSG(P<.001), Independent t test 결과 PSG에서 더 유의한 변화가 나타났다(P<.001). 안쪽 돌림 변화는 시기(P<.001), 상호작용(P<.003)의 유의한 변화와 Paired t test 결과 MEG(P<.05), PSG(P<.01), Independent t test 결과 PSG에서 더 유의한 변화가 나타났다(P<.05). VAS는 시기(P<.001), 상호작용(P<.001)의 유의한 변화와 Paired t test 결과 MEG(P<.01), PSG(P<.001), Independent t test 결과 PSG에서 더 유의한 변화가 나타났다(P<.01). 근 기능의 변화는 전방, 후방, 우측, 좌측 기울임 모두 시기, 상호작용에서만 유의한 변화가 나타났고, Paired t test 결과 MEG와 PSG 모두 유의한 차이가 나타났고, Independent t test 결과, PSG에서 더 유의하게 개선된 것으로 나타났다. 결론: 이상의 결과, 엉치엉덩관절 기능부전으로 통증을 호소하는 여성 환자의 증상 개선을 위한 중재 방법 중 PSG에서 MEG에 비해 더 긍정적인 결과를 나타냈다. 이후 연구에서는 다양한 연령대를 포함한 많은 환자가 연구에 참여하여 임상 연구가 진행되기를 기대한다. Purpose: The aim of this study is to confirm effects of different type of exercise on range of motion (ROM), visual analogue scale (VAS) and myofunction in patients with sacroiliac joint dysfunction (SID). Method: Twenty patients with SID participated in this study. They were allocated to two different exercise groups according to the order of enrollment; muscle energy technique group (MEG, n=10) and pelvic stabilization exercise group (PSG, n=10). The exercise program was conducted with 3 times per week, 1 hour for 12 week. ROM of external rotation (ER) and internal rotation (IR), VAS, and myofunction in hip joint was evaluated before and after exercise intervention. Result: In ROM of ER, there was a significant increase in MEG and PSG but PSG showed more increase. A significant increase in IR showed in MEG and PSG. VAS was a significant increase in MEG and PSG but PSG showed more increase. In change of myofunction, all variable showed a significant difference. Independent t test results for ROM, VAS, and myofunction showed more significant changes in PSG than MEG. Conclusion: This study demostrated that MEG and PSG showed a positive result to improve ROM, VAS, and myofunction and pelvic stabilization exercise is more beneficial exercise intervention than muscle energy technique in patients with SID. Further study with large sample is needed to confirm the result of this study.

8주간의 척추 안정화 운동 프로그램이 만성 경부통 환자의 NDI, 균형 능력 및 자세 변화에 미치는 영향

김주은(Kim-Ju Eun),하성(Ha Sung),김원문(Kim Won Moon) 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.12

이 연구는 8주간의 척추 안정화 운동프로그램이 경부 장애 지수, 균형 능력 및 자세 변화에 어떠한 영향을 주는지를 알아보는 것이다. 운동 프로그램은 8주간 주 3회 척추 안정화 운동을 시행하였으며, 총 60분으로 구성하였다. 연구의 대상자는 6개월간 경부통을 호소하는 만성 경부통 환자 16명을 대상으로 운동 집단(n=8명)과 통제 집단(n=8명)으로 분류하여 운동 프로그램 사전, 사후의 결과를 관찰하여 다음과 같은 결과를 도출하였다. 경부 장애 지수는 시기, 집단, 상호작용에서 유의차가 나타났다(p<.05). 균형 능력은 집단 및 시기 간에서 유의한 상호작용 효과가 나타났다(p<.05). 자세 변화는 골반 경사각에서 시기, 상호작용에서 유의차가 나타났고(p<.05), 경부 및 어깨 위치각은 집단, 시기, 집단, 상호작용 모두 유의차가 나타났다(p<.05). 이상의 결과 척추 안정화 운동이 만성 경부통 환자에게 경부 장애 지수, 균형능력 변화, 자세 변화에서 유의하게 개선된 결과를 나타내었다. 추후 연구에서는 방사선 영상을 통한 척추 구조 변화에 대한 구체적인 변화를 분석하여 척추 안정화 운동의 타당성을 높이는 연구가 필요할 것으로 사료된다. This study examined how the eight-week spinal stabilization exercise program affects the cervical disability index, postural balance ability, and body shape change. The exercise program performed 60 minutes of spinal stabilization exercise three times a week for eight weeks. Sixteen patients with chronic neck pain, who complained of neck pain for six months, were classified into exercise group (n=8 patients) and control group (n=8 patients). The results before and after the eight-week exercise program were observed. Significant differences were observed in the time, group, and interaction of the neck disability index (p<.05). The balance ability showed significant interaction effects between the groups and periods (p<.05). Significant differences were noted in the timing and interaction in the pelvic inclination angle in posture change (p<.05), and there were significant differences in the group, timing, group, and interaction in the cervical and shoulder position angles (p<.05). The above results showed that the spinal stabilization exercise significantly improved the cervical disability index, balance ability change, and body shape change in patients with chronic neck pain. Future studies will analyze the specific changes in spinal structure through radiographic imaging to increase the validity of spinal stabilization exercise.