슬링(Sling) 시스템을 이용한 요부 안정화 운동 = Lumbar stabilization exercises using the sling system

다국어 초록 (Multilingual Abstract)

Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus.,
Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovaSc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

목차 (Table of Contents)

• 서론
• 요통의 특성
• 요통과 근육의 변화
• 1. 근조직의 조직학적 변화
• 2. 근력과 지구력의 약화
• 요통과 추간판탈출증
• 요통과 요부의 감각운동(sensorimotor) 조절 능력
• 대(global)근육과 소(local)근육
• 1. 대근육
• 2. 소근육
• 근육의 기능적 분류
• 1. 자세유지근
• 2. 속근(phasic)
• 요추에 가해지는 긴장 완화 기전
• 1. 복강내압(intraabdominal pressure)
• 2. 후방 인대
• 3. 흉요부 근막(thoracolumbar fascia)
• 4. 체간 근육의 협력 수축(co-contraction)
• 안정화 훈련(stabilization training)
• 안정화의 개념
• 중립 지대(neutral zone)
• 요부 안정화에 중요한 역할을 하는 근육
• 열린 사슬(open chain)과 닫힌 사슬(close chain) 운동
• 감각-운동 훈련(sensory-motor training)
• 약화 고리(Weak link)
• 천장관절의 자가-잠김 기전(self-locking mechanism)
• 슬링 운동 치료(Sling Exercise Therapy)
• 슬링 운동의 개념
• 슬링 운동 치료의 영역
• 슬링 운동 치료의 효과
• 슬링의 현수점에 따른 생역학적 특성
• 슬링의 현수점에 따른 생역학적 특성 슬링을 이용한 요부 안정화 운동
• 1. 요부 이완 운동
• 2. 요부 안정화 운동
• 결론