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운동생리학 : 근력과 유연성 복합운동이 측만증 청소년의 측만각도와 요부근력에 미치는 영향
조지훈(JiHoonCho),이운용(WoonYongLee),김경태(KyongTaeKim),최은수(EunSooChoi),이대택(DaeTaekLee) 한국체육학회 2004 한국체육학회지 Vol.43 No.3
In order to explore the effect of a regular exercise program on Cobb’s angle and fitness variables in teenagers with scoliosis, five high school students (two boys and three girls) participated in this study. they were tested three times; before, during and after the participation of the program for body fat lumbar strength curve angle, and fitness variables. 1. During the measured time frame, body fat content has lien cc-ducal in a favorable direction, and it was statistically different (p<.01). 2. Lumbar strength was increased throughout the measured tint frame and was statistically different (P<.05) Also, lumbar strength in diverse angles were increased but it was not statistically significant after post-hoc test (p>.05). 3. Evaluations of Cobb’s angle of thoracic region was changed after the program and it was statistically different (P<05). But no difference was found in the lumber region (P>.06). 4. In physical fitness variables, muscular strength, sit-and-reach and balance stability were not changed. However, trunk backward extension and sit-ups were ire used after the program (P<.05). In conclusion, regular weight training ball-exercise, and dumbbell men-ism provided a positive effect on Cobb’s angle and hunter strength in patients with scoliosis. It appears that the use of combined exercise programs including weight training. MI exercise, and dumbbell exercises are recommendable for patients with scoliosis. And its application should be regular and systematic.
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조지훈(JiHoonCho),최범권(BumKwonChoi),안근옥(KeunOkAn),임비오(BeeOhLim) 한국체육학회 2012 한국체육학회지 Vol.51 No.6
이 연구는 시·공간 및 압력분포 변인을 사용하여 척추관협착증 환자의 장애물 보행을 규명하는데 목적이 있다. 13명의 척추관협착증 환자와 나이를 일치시킨 14명의 통제집단이 본 연구를 수행하였다. GAITRite 보행분석 시스템을 사용하여 보행의 시·공간적 변인과 압력분포 변인을 산출하였다. 두 집단의 차이를 비교하기 위하여 독립 티 검증을 사용하였다. 척추관협착증 환자들은 스텝 시간, 사이클 시간, 스윙 시간, 지지시간은 통제집단과 비교하여 더 길게 나타났으며, 보행속도의 감소로 인하여 보폭, 활보장, 보율은 통제집단과 비교하여 더 작게 나타났다. 척추관협착증 환자들은 발의 가측 1지역에서 압력이 최대로 나타난 시간이 더 느리게 나타났으며, 발의 후족 부위에서 최대 압력이 더 작게 나타났다. 척추관협착증 환자들은 통제집단과 비교하여 발의 내측 12지역에서 압력이 최대로 나타난 시간이 더 빠르게 나타났으며, 단위시간당 역적과 발의 전족에서의 최대압력은 더 작게 나타났다. 결론적으로, 척추관협착증 환자들은 통제집단과 비교하여 보행의 시공간변인과 압력변인의 차이를 통해 독특한 장애물 보행특성이 나타났다. The purpose of this study was to analyze the obstacle clearance gait in patients with symptomatic lumbar spinal stenosis using spatio-temporal and foot pressure variables. Thirteen patients with symptomatic lumbar spinal stenosis and fourteen age-matched controls participated in the study. A GAITRite pressure sensor system was used to measure the spatio-temporal and foot pressure variables for the hindfoot, midfoot and forefoot areas of the participants. Independent sample t-test was used to compare the gait variables between the groups. The spinal stenosis group showed significantly longer mean step time, cycle time, swing time and stance time with significantly smaller step length, stride length and step/extremity ratio due to lower walking speed when compared to the control group. The spinal stenosis group were significantly slower peak time of pressure sensor activation in lateral footprint 1 trapezoid while significantly decreased the distribution of the time-integrated pressure and peak pressure at hindfoot compared to the control group. The spinal stenosis group were significantly faster peak time of pressure sensor activation in medial footprint 12 trapezoid while significantly decreased the distribution of the integrated pressure over time(P*t) and peak pressure at forefoot compared to the control group. In conclusion, the symptomatic lumbar spinal stenosis patients showed abnormal obstacle gait characteristics.
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자연과학편 : 요추환자의 척추 수술후 저항성운동이 근육관련 호르몬, 염증반응, 근력 및 가동범위에 미치는 영향
이상철(SangChulLee),조지훈(JiHoonCho),최상웅(SangWoongChoi),이대택(DaeTaekLee) 한국체육학회 2007 한국체육학회지 Vol.46 No.3
본 연구의 목적은 360。척추고정술 직후 초기 저항성 운동이 근육관련 호르몬, 염증변인, 근력, 관절가동범위에 어떠한 영향을 끼치는지 규명하여 수술후 환자의 운동치료 효과를 알아보는데 있다. 피험자는 360° 척추고정수술을 받은 환자 10명(운동그룹 5, 비운동그룹 5)을 대상으로 수술전, 수술후 3일, 퇴원당일 총 3회에 걸쳐 혈액검사, 근력 및 관절가동범위 측정하였으며, 수술후 3일째부터 저항성 운동을 실행하였다. 연구결과 근육관련 호르몬인 성장호르몬과 테스토스테론은 운동 그룹이 비운동그룹보다 감소의 폭이 작았으나 테스토스테론에 대해서는 운동군과 비운동군간에 유의차는 나지 않았다. 염증변인인 CRP는 운동그룹에서 비운동그룹보다 빠른 감소를 나타냈으며, ESR은 운동그룹이 비운동그룹에 비해 낮은 증가를 보였다 근력은 비운동그룹 보다 운동그룹에서 최대 굴곡 및 신전근력이 향상되는 경향을 보였으며, 최대 굴곡 및 신전 관절가동범위도 운동그룹에서 향상되는 것으로 나타났다. To determine the effect of postoperative resistance training on growth hormone (GH), Testosterone, C-reactive protein(CRP), Muscular Strength and range of motion(ROM) after lumbar surgery. They were tested 3 time; pre-surgery (pre-S), 3 days (3d-S), and 2 weeks after surgery (2w-S). At pre-S GH was 0.36+0.19 in EG and 0.24±0.19 ng/ml in CG, but was elevated in both groups at 3d-S. GH at 2w-S remained elevated in EG but did not in CG. At pre-S Testosterone was 0.16±0.17 in EG and 0.16±0.10 ng/ml in CG, but was elevated in both groups at 3d-S. Testosterone at 2w-S remained elevated in EG but did not in CG. CRP at pre-S was 0.18+0.18 in EG and 0.19+0.12 m/dl in CG. It was elevated in both groups in EG and 1.82±0.60 in CG) at 3d-S. At 2w-S CRP returned to the baseline in EG while remained elevated in CG. ESR was 6.8±2.4 and 8.0±3.4 at pre-S, and 9.3±2.3 and 11.0±5.9 mm/h at 3d-S in EG and CG, respectively. ESR at 2w-S was highly elevated in CG than in EG. At 2w-S, ROM for lumbar and estensor in EG was returned to the level of pre-S, but ROM for both flexor and extensor in CG was not. LFS was 128±22 in EG and 124±8 lbs in CG at pre-S, and it was decreased in both groups at 3d-S. At 2w-S, LFS was elevated in EG but was remained suppressed in CG.
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