척추 측만증의 개선을 위한 척추체형교정 운동프로그램의 효과

다국어 초록 (Multilingual Abstract)

This study investigated the effect of an exercise program on cobb's angle in patients with idiopathic scoliosis. Patients diagnosed with idopathic scoliosis (N=48) were invited to participate in this study. The subjects performed exercise therapy, which was composed by the investigator, with a frequency of 3 times per week and duration of 90 minutes for each session for 3 months. Body mass index and percent body fat were measured at baseline. X-ray based Cobb's angles were measured before and after exercise therapy. Spearman's correlation was used to calculate coefficients of correlations between Cobb's angle, body mass index and percent body fat. Change scores in Cobb's angles were calculated, and oneway ANOVA followed by LSD post-hoc tests if necessary was used to compare any significant difference in the changed Cobb's angle among curve patterns such that those with thoracic curve patterns has significantly greater reductions in Cobb's angles compared to those with double curve patterns or lumbar curve patterns. Statistics were performed with SPSS-PC (version 20.0), and statistical significances were test at p=0.05. In results, a significant difference in Cobb's angle was found between men and women in this study sample, Following the 3-month exercise therapy, mean values of Cobb's angles were significantly decreased, regardless of sex. Yet, significant differences in changed Cobb's angles were found among types of curvatures. In conclusion, exercise program can be an non-invasive means of therapy for patients with idiopathic scoliosis. More studies are needed to investigate sex-differences in baseline Cobb's angle and curvature type-based differences in exercise program-induced improvement of Cobb's angle.

국문 초록 (Abstract)

본 연구는 특발성 척추 측만증의 Cobb각 개선을 위한 운동프로그램의 효과를 확인하기 위하여 실시하였다. 본 연구의 대상자는 서울특별시에 위치한 H 병원에서 특발성 척추 측만증의 진단을 받고 12주간 척추체형교정 운동프로그램을 시행한 후 사후검사를 받은 48명으로 구성하였다. 척추체형교정 운동프로그램은 주 3회, 1회당 90분씩 진행하였으며, 운동프로그램 실시 후 Cobb각의 변화는 다음과 같다.
1. Cobb각은 척추체형교정 운동프로그램 실시 후
평균 23.6°에서 20.0°로 유의하게 감소하였다.
2. 운동 후 cobb각의 교정도는 성별에 따른 비교에서
남성과 여성 사이 통계적으로 유의한 차이가 없었다.
3. 운동 후 cobb각의 교정도는 측만유형에 따른 비교에서
흉부 만곡이 이중 만곡보다 높아 유의한 차이가 있었다.

목차 (Table of Contents)

• Ⅰ. 서론
• 1. 연구의 필요성
• 2. 연구의 목적
• 3. 연구의
• 4. 연구의 제한점
• 5. 용어 정리
• Ⅱ. 이론적 배경
• 1. 척추
• 2. 척추 측만증
• 3. 척추 측만증과 운동
• Ⅲ. 연구방법
• 1. 연구대상
• 2. 실험도구
• 3. 실험방법
• 4. 척추체형교정 운동프로그램
• 5. 자료처리 방법
• Ⅳ. 연구결과
• 1. 사전 비교
• 2. 변화 비교
• Ⅴ. 논의
• Ⅵ. 결론
• 참고문헌
• Abstract
• 부 록