고유수용성 신경근 촉진법 통합패턴이 요통환자에 미치는 영향 = The effects of Low back pain on the total pattens of Proprioceptive Neuromuscular Facilitation

다국어 초록 (Multilingual Abstract)

The purpose of this study was to find out the effect on Low back pain of the Proprioceptive Neuromuscular Facilitation Total pattens.
The subjects of the study were 62 low back pain patients.
They were divided into two groups:31 in the experimental group and 31 in the control group. The experimental group performed modalities and PNF total pattens three times for a week. The control group performed only modalities and ROM exercise three times for a week.
Back muscle strength was measured by a back muscle strength measuring machine, the intensity of pain was measured by the Visual Analogue Scale (VAS), and the level of disability was measured by Oswestry low back pain disability index. Study measurements were compared before and after 6 weeks exercise program.
The two groups of subjects were assessed by utilizing two different balance measurement : Static standing balance was measured by balance performance monitor(BPM) and Dynamic standing balance was measured by one leg standing(OLS). The scale for static standing balance was measured by using ,sway area, sway path, max velocity.
The results of this study were as follow :
1) The score on visual analogue scale shows statistically significant increase on PNF group of post test(p<.05).
2) The score on Oswestry low back pain disability index. shows statistically significant decrease on PNF group of post test(p<.05).
3) The change sway area was statistically significant on pre-test and post-test(p<.05).
4) The change sway path was statistically significant on pre-test and post-test(p<.05).
5) The change max velocity was statistically significant on pre-test and post-test(p<.05).
6) The score on one leg standing shows statistically significant increase on PNF group of post test(p<.05).
These results of this study indicated that Proprioceptive Neuromuscular Facilitation Total pattens which performed for six weeks had a statistically significant influence on low back pain. If the exercise for muscle strength is performed along with therapeutic stabilizing exercise, a better effect can be expected on low back pain. We hope that this study will provide a basic data for further research with a bigger group and on a long-term effect.

목차 (Table of Contents)

• I. 서론 = 1
• II. 연구대상 및 방법 = 4
• 1. 연구대상 = 4
• 2. 연구방법 = 4
• 3. 측정도구 = 5
• 1) 시각적 상사척도 = 5
• 2) 한국어판 Oswestry요통장애 설문지(Oswestry disability index: ODI) = 6
• 3) 균형능력 측정도구 = 6
• (1) 균형 수행 측정기 = 6
• (2) 한 다리 서 있기 검사(one leg standing: OLS) = 7
• 4. 자료 분석 = 7
• Ⅲ. 연구결과 = 8
• 1. 연구대상자의 일반적 특성 = 8
• 2. 고유수용성 신경근 촉진법 통합 패턴군과 관절가동운동군간의 치료 전과 후의 시각적상사척도 비교 = 9
• 3. 고유수용성 신경근 촉진법 통합 패턴군과 관절가동운동군간의 치료 전과 후의 Oswestry 요통장애 설문지 검사 비교 = 12
• 4. 고유수용성 신경근 촉진법 통합 패턴군과 관절가동운동군간의 치료 전과 후의 균형 수행 측정기 비교 = 14
• 1) 두군 간의 치료 전과 후의 동요면적(sway area) 비교 = 14
• 2) 두군 간의 치료 전과 후의 동요거리(sway path) 비교 = 16
• 3) 두군 간의 치료 전과 후의 최대동요속도(max velocity) 비교 = 18
• 5. 고유수용성 신경근 촉진법 통합 패턴군과 관절가동운동군간의 치료 전과 후의 한 다리 서기 검사 비교 = 22
• Ⅳ. 고찰 = 25
• Ⅴ. 결론 = 31
• 참고 문헌 = 33
• Abstract = 38