깊은목굽힘근 강화운동을 동반한 몸통 안정화 운동이 경직성 양하지 마비 아동의 앉은 자세 균형 및 정렬, 팔 기능에 미치는 영향 = The Effect of Trunk Stabilization Exercises Accompanied by Deep Neck Flexor Strengthening Exercises on the Sitting Balance and Alignment, Upper Extremities Function of Children with Spastic Diplegia.

다국어 초록 (Multilingual Abstract)

The purpose of the study is to investigate the effect of trunk stabilization exercises accompanied by deep neck flexor strengthening exercises on sitting posture balance and alignment, upper extremities function of Children with Spastic Diplegia.
Ten children diagnosed with spastic paraplegia were randomized. The experimental group (n=5) underwent trunk stabilization exercise paired with deep neck flexor strengthening exercise, and the control group (n=5) underwent only trunk stabilization exercise. The interventions were designed to last 30 minutes a session, and a total of 18 sessions were performed over a period of six weeks.
Evaluations were performed twice before and 6weeks after the intervention. the trunk control measurement scale (TCMS), craniovertebral angle (CVA), Box & Block Test (BBT) were used to compare the effects of exercise methods.
Sitting posture balance and alignment, upper extremities function between the experimental group and control group were compared using analysis of covariance (ANOVA) in consideration of the baseline measurements.
There was a statistically significant difference due to an increase in the mean value in the sitting posture balance and alignment between the experimental and control group (p<0.05). Although there was no statistically significant difference in upper extremities function between the two groups the experimental group showed more significant improvement of upper extremities compared to the control group (p<0.05).
Therefore, trunk stabilization exercise accompanied by deep neck flexor strengthening exercise may be an effective intervention for enhancing sitting posture balance and alignment, upper extremities function of children with spastic diplegia and thus should be utilized more in clinical practice.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 5
• 3. 연구의 가설 6
• Ⅱ. 이론적 배경 7
• 1. 경직성 뇌성마비 아동의 자세 7
• 2. 뇌성마비의 근 약증 및 근력강화 운동 9
• 3. 깊은목굽힘근 강화운동을 동반한 몸통 안정화 운동 10
• Ⅲ. 연구 방법 12
• 1. 연구 대상자 12
• 1) 선정 기준 12
• 2) 제외 기준 12
• 2. 연구 절차 13
• 3. 실험 방법 15
• 1) 운동 방법 15
• 2) 실험 도구 25
• 4. 측정 방법 26
• 1) 대상자 선정 및 평가 26
• 2) 균형 수행력 측정 27
• 3) 자세 정렬 측정 28
• 4) 팔 기능 측정 29
• 5. 자료 분석 30
• 6. 생명윤리위원회 승인 31
• Ⅳ. 연구 결과 32
• 1. 연구대상자의 일반적인 특성 32
• 2. 운동방법에 따른 앉은 자세 균형 비교 34
• 3. 운동방법에 따른 앉은 자세의 머리척추각도 비교 36
• 4. 운동방법에 따른 팔 기능 비교 38
• Ⅴ. 고 찰 41
• Ⅵ. 결 론 46
• 참고문헌 47
• ABSTRACT 55