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        요추간판탈출증 환자의 PELD,OLM 수술 방법에 따른 요부 근기능 회복과 안정화에 미치는 영향

        한길수 ( Gil Soo Han ),김건도 ( Gun Do Kim ),최기수 ( Ki Soo Choi ),이광수 ( Kwang Soo Lee ),문훈기 ( Hoon Kee Moon ),소이용 ( Lee Young Soo ),김원식 ( Won Sik Kim ) 대한스포츠의학회 2008 대한스포츠의학회지 Vol.26 No.1

        The purpose of this study was to determine the quantitative assessment of lumbar extension strength change for Pre-Op. Post-Op and The ratio of lumbar flexion 71˚ and 0˚ degree in PELD & OLM group of hernia patients. Fifty-eight male (PELD:17, OLM:41) and fifty-eight female(PELD:26, OLM:32) subjects participated and was tested twice at Pre-Op and Post-Op(5weeks). Each test involved the measurement of maximum voluntary isometric torque at seven degrees(72˚, 60˚, 48˚, 36˚, 24˚, 12˚, 0˚) of lumbar flexion using the Medx lumbar extension machine. Result show significant improvement (0,84%) of lumbar extension strenth for pre-op and post-op in OLM group but PELD group indicated non-significant improvement in male. there was significant improvement(18.20%) of lumbar strength for pre-op and post-op in PELD group of female but OLM group of female appeared non significant level. There was non significant improvement of strength at all degrees except 48˚(10.23%), 60˚(12.57%), 72˚(12.50%) for both PELD. OLM group of male but PELD group of female indicated significant improvement(over 15%) at all degrees but OLM group of female was showed non significant improvement ant degrees. The Ratio of lumbar flexion 72˚ and 0˚ Angle decreased from 1.99:1 to 1.89:1 for PELD group and from 2.13:1 to 2.28:1 for OLM group of male, and PELD group of female was decreased from 2.34:1 to 2.08:1 but OLM group of female showed significant decrease(14.28%) from 2.72:1 to 2.38:1.

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