근력강화 운동프로그램이 퇴행성 슬관절염 대상자의 근력, 통증, 우울, 자기효능감 및 삶의 질에 미치는 영향

다국어 초록 (Multilingual Abstract)

In an attempt to investigate the effect of a muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy and quality of life of patients with knee osteoarthritis, a pre-experiment, one group pre-test & post-test design, was planned.
Muscle strengthening exercise was carried out from May 22 through August 14, 1995 at isokinetic exercise room in rehahilitation department of University Hospital in Taejon. The subjects were seven female clients conveniently sampled from University Hospital located in Taejon, between 39 and 61 years of age, who had a osteoarthritis in knee. Muscle strengthening exercise program was composed of three sessions per week, one isokinetic exercise at angular velocity of 60˚ and 180˚with Cybex isokinetic dynamometer and two resistance home exercise sessions with elastic band.
Data were analyzed with frequency, percentage of change, Friedman test, Duncan test using SAS program.
Results were obtained as follows :
1) Flexion and extension muscle strength at angular velocity of 60˚ and 180˚ were increased after 12weeks' exercise than those of before experiment. But exept flexion muscle strength at angular velocity of 180˚(F=3.34, P=0.0261), there was no statistically significant difference among muscle strengths, which is measured every 3 weeks.
2) Pain was decreased after 6weeks' exercise than that of before experiment, and after 12weeks' exercise than that of 6weeks' exercise. There was statistically significant difference(F=4.28, P=0.0396).
3) Depression was increased after 6weeks' exercise than that of before experiment, and after 12weeks' exercise than that of 6weeks' exercise. There was no statistically significant difference between before experiment and after 6weeks' exercise. But, there was statistically significant difference between after 6weeks' exercise and 12weeks' exercise(F=9.38, P=0.0035).
4) Self-efficacy was decreased after 6weeks' exercise than that of before exercise. But, it was increased after 12weeks' exercise than that of before exercise and after 6weeks' exercise. But there was no statistically significant difference(F=1.46, P=0.2706).
5) Quality of life was increased after 6weeks' exercise than that of before exercise, and after 6weeks' exercise than that of 12weeks' exercise. But there was no statistically significant difference(F=1.06, P=0.3816).
Thus, the significant of muscle strengthening exercise for the improvement of muscle strength, pain, depression, is verified. But, this study was a pre-experiment with small size subjects. So, controlled experimental study is necessary to determine the effect of this muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy, and quality of life of patients with knee osteoarthritis.

목차 (Table of Contents)

• 목차
• I. 서론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구의 목적 = 3
• 3. 연구가설 = 3
• 4. 용어의 정의 = 3
• 5. 연구의 제한점 = 5
• II. 문헌고찰 = 6
• 1. 골관절염 대상자의 근력 = 6
• 2. 골관절염 대상자의 통증 = 8
• 3. 골관절염 대상자의 우울 = 11
• 4. 자기효능감 = 13
• 5. 골관절염 대상자의 삶의 질 = 16
• 6. 골관절염 대상자의 운동 = 20
• 7. 본 연구의 개념적 기틀 = 28
• III. 연구방법 = 29
• 1. 연구설계 = 29
• 2. 연구대상 = 29
• 3. 측정도구 = 30
• 4. 연구진행절차 = 32
• 5. 자료분석방법 = 32
• IV. 연구결과 = 34
• 1. 연구대상자의 일반적 특성 = 34
• 2. 질병과 관련된 서술적 자료 = 34
• 3. 가설 검정 = 34
• V. 논의 = 40
• VI. 결론 및 제언 = 45
• 1. 결론 = 45
• 2. 제언 = 46
• 참고문헌 = 47
• 부록 = 57
• 영문초록 = 74