4주간의 카이로프랙틱 또는 재활 운동이 만성 요통 중년여성의 표면근전도(sEMG), 족압 균형 및 통증에 미치는 영향 = Effects of chiropractic treatment and low back rehabilitation exercise on sEMG, foot pressure and MVAS in low back pain patients

다국어 초록 (Multilingual Abstract)

The study was designed to compare the effects of a 4-week chiropractic treatment and a 4-week low back rehabilitation exercise program on sEMG, foot pressure and MVAS in low back pain patients. Sixteen patients as a subject were volunteered to participate in the study and were randomly assigned to one of two groups, i.e., chiropractic treatment group(CP: n=8) and low back rehabilitation exercise group(RE: n=8), respectively. The data collected in the pre and post tests at the CP and RE group was analyzed by utilizing RMD two-way ANOVA. The results obtained in the present study were as follows: 1) The both sides muscle activity difference was statistically significant(P<.05) decrease on latissimus dorsi, spinalis, and longissimus in the CP group. There were statistically significant(P<.05) decrease latissimus dorsi, spinalis , longissimus, and iliocostalis in the RE group. 2) The foot pressure was statistically significant(P<.05) decrease in the CP group and the RE group. 3) After low back treatment, Modified Visual Analogue Scale in low back pain patients were significant differences in statistically(P<.001). In conclusion, chiropractic treatment and low back stretching exercise were beneficial for low back resting muscle activity, foot pressure, and modified visual analogue scale in low back pain patients.

국문 초록 (Abstract)

본 연구의 목적은 30～40대 만성 요통 환자들을 대상으로 실시한 카이로프랙틱 및 허리 재활 운동이 처치 전과 후에 근전도 측정, 족저 압력 측정, 그리고 주관적 통증에 미치는 영향을 규명하는 것이었다. 6개월 이상 요통을 겪고 있는 만성 요통 환자 16명을 선정하여 처치 방법에 따른 효과를 검증하기 위하여 카이로프랙틱 처치 집단 8명과 허리 재활운동 처치 집단 8명을 대상으로 사전, 사후 검사를 실시하고, 그 결과를 비교하였다. 각 변인의 측정 결과를 집단 간 사전, 사후를 비교 분석하기 위하여 반복 측정 설계 이원 분산 분석을 수행하였으며, 그 결과는 다음과 같다. 1) 카이로프랙틱 처치 집단의 광배근, 가시근, 그리고 최장근에서 좌·우측 근활성도 차이가 통계적으로 유의하게 감소되었고, 허리 재활운동 처치 집단의 광배근, 가시근, 최장근, 그리고 장골늑골근에서 통계적으로 유의하게 감소되어 좌·우측 근활성도 균형 개선효과를 가져왔다. 2) 좌·우측 족저 압력 균형차이는 카이로프랙틱 처치 집단과 허리 재활운동집단에서 각각 3.67%와 3.72% 감소되어 통계적으로 유의한 결과를 보여주었다. 3) 두 집단 모두 주관적 통증 정도에서 통계적으로 매우 유의한 감소를 나타내어 만성 요통으로 인한 통증의 개선 효과를 가져왔다. 결론적으로, 카이로프랙틱 처치와 허리 재활 운동 처치는 만성 요통 환자의 요추부 안정시 근활성도, 족저 압력 그리고 주관적 통증 정도를 개선시키데 효과적으로 나타났다.

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