표제지
개요
목차
Ⅰ. 서론 12
1. 연구의 필요성 12
2. 연구의 목적 16
3. 연구의 가설 17
Ⅱ. 이론적 배경 18
1. 어깨관절의 구조 및 기능 18
2. 우에다요법 20
1) 우에다요법 개요 20
2) 우에다요법의 적용법 22
Ⅲ. 연구 방법 24
1. 연구 대상자 24
2. 실험 설계 25
3. 실험 측정 도구 27
1) 통증 측정 27
2) 어깨관절의 운동범위 29
4. 우에다요법 적용 30
1) 경부법 30
2) 견갑대법 31
3) 상지법 32
5. 자료 분석 34
6. 생명윤리위원회 승인 35
Ⅳ. 연구 결과 36
1. 연구 대상자의 일반적 특성 36
2. 우에다요법 중재기간에 따른 어깨관절의 통증 변화 37
1) 시각통증척도를 이용한 어깨관절의 일상생활통증 변화 비교 37
2) 압력통증역치를 이용한 어깨관절 주위 근 통증 변화 비교 40
3. 우에다요법 중재기간에 따른 어깨관절 운동범위 변화 49
1) 어깨관절 굽힘 운동범위 변화 비교 49
2) 어깨관절 벌림 운동범위 변화 비교 52
3) 어깨관절 가쪽돌림 운동범위 변화 비교 55
Ⅴ. 고찰 58
Ⅵ. 결론 62
참고문헌 63
Abstract 69
Table 1. UEDA method program 33
Table 2. General characteristics of subjects 36
Table 3. Descriptive statistics on Visual Analog Scale 38
Table 4. Mauchly's test of sphericity on Visual Analog Scale 38
Table 5. Multivariate on Visual Analog Scale 38
Table 6. Tests of pairwise comparisons on Visual Analog Scale depending on period 38
Table 7. Descriptive statistics on pressure pain threshold of upper trapezius 41
Table 8. Mauchly's test of sphericity on pressure pain threshold of upper trapezius 41
Table 9. Multivariate on pressure pain threshold of upper trapezius 41
Table 10. Tests of pairwise comparisons on pressure pain threshold of upper trapezius depending on period 41
Table 11. Descriptive statistics on pressure pain threshold of levator scapulae 44
Table 12. Mauchly's test of sphericity on pressure pain threshold of levator scapulae 44
Table 13. Multivariate on pressure pain threshold of levator scapulae 44
Table 14. Tests of pairwise comparisons on pressure pain threshold of levator scapulae depending on period 44
Table 15. Descriptive statistics on pressure pain threshold of infraspinatus 47
Table 16. Mauchly's test of sphericity on pressure pain threshold of infraspinatus 47
Table 17. Multivariate on pressure pain threshold of infraspinatus 47
Table 18. Tests of pairwise comparisons on pressure pain threshold of infraspinatus depending on period 47
Table 19. Descriptive statistics on ROM of shoulder flexion 50
Table 20. Mauchly's test of sphericity on ROM of shoulder flexion 50
Table 21. Multivariate on ROM of shoulder flexion 50
Table 22. Tests of pairwise comparisons on ROM of shoulder flexion depending on period 50
Table 23. Descriptive statistics on ROM of shoulder abduction 53
Table 24. Mauchly's test of sphericity on ROM of shoulder abduction 53
Table 25. Tests of within-subjects effect on ROM of shoulder abduction 53
Table 26. Tests of pairwise comparisons on ROM of shoulder abduction depending on period 53
Table 27. Descriptive statistics on ROM of shoulder external rotation 56
Table 28. Mauchly's test of sphericity on ROM of shoulder external rotation 56
Table 29. Tests of within-subjects effect on ROM of shoulder external rotation 56
Table 30. Tests of pairwise comparisons on ROM of shoulder external rotation depending on period 56
Figure 1. Structure and function of the shoulder joint 19
Figure 2. Diagram of experimental design 26
Figure 3. Visual Analog Scale 27
Figure 4. Digital Algometer Pain test 28
Figure 5. Goniometer 29
Figure 6. Neck method 31
Figure 7. Shoulder Girdle method 32
Figure 8. Upper Extremities method 33
Figure 9. change on visual analog scale depending on period between groups 39
Figure 10. change on pressure pain threshold of upper trapezius depending on period between groups 42
Figure 11. change on pressure pain threshold of levator scapulae depending on period between groups 45
Figure 12. change on pressure pain threshold of infraspinatus depending on period between groups 48
Figure 13. change on ROM of shoulder flexion depending on period between groups 51
Figure 14. change on ROM of shoulder abduction depending on period between groups 54
Figure 15. change on ROM of shoulder external rotation depending on period between groups 57