표제지
목차
Ⅰ. 서론 13
1. 연구의 필요성 13
2. 연구의 목적 18
3. 연구의 가설 19
Ⅱ. 이론적 배경 20
1. 작업분석평가 20
2. 환자 이동동작 22
Ⅲ. 연구 방법 25
1. 연구 대상자 25
2. 실험 설계 26
3. 실험 측정 도구 28
1) 작업분석평가 28
2) 작업부하자각도 30
3) 표면 근전도 시스템 31
4. 실험 절차 32
1) 작업분석평가 32
2) 작업부하자각도 평가 35
3) 근활성도 측정 36
5. 자료 분석 38
6. 생명윤리위원회 승인 39
Ⅳ. 연구 결과 40
1. 연구 대상자의 일반적 특성 40
2. 환자 이동동작 구간에 따른 작업분석평가와 작업부하자각도 및 근활성도의 상관관계 41
1) 들어올리기 구간 상관관계 41
2) 유지 및 돌림 구간 상관관계 44
3) 내려놓기 구간 상관관계 47
4) 전체 구간 상관관계 50
3. 환자 이동동작 구간에 따른 작업분석평가와 작업부하자각도 및 근활성도의 비교 53
1) 환자 이동동작 구간에 따른 작업분석평가 비교 53
2) 환자 이동동작 구간에 따른 작업부하자각도 비교 56
3) 환자 이동동작 구간에 따른 근활성도 비교 59
Ⅴ. 고찰 77
1. 환자 이동동작 구간별 작업분석평가와 작업부하자각도 및 근활성도의 상관성 78
2. 환자 이동동작 구간에 따른 작업분석평가와 작업부하자각도 및 근활성도 83
Ⅵ. 결론 86
참고문헌 88
Abstract 98
부록 101
〈부록 1〉 REBA 평가 방법 101
〈부록 2〉 유해요인조사표 109
Table 1. REBA action levels 29
Table 2. EMG electrode attachment site for each muscle 37
Table 3. General characteristics of subjects 40
Table 4. Result of correlation analysis of REBA, awareness and muscle activity during lifting 43
Table 5. Result of correlation analysis of REBA, awareness and muscle activity during holding and rotating 46
Table 6. Result of correlation analysis of REBA, awareness and muscle activity during lowering 49
Table 7. Result of correlation analysis of REBA, awareness and muscle activity during transfer 52
Table 8. Comparison of the REBA during transfer 53
Table 9. Maucly's test of sphericity on REBA 54
Table 10. Test of within-subjects effect on REBA 54
Table 11. Test of pairwise comparisons on REAB 54
Table 12. Comparison of the workload awareness during transfer 56
Table 13. Maucly's test of sphericity on workload awareness 57
Table 14. Test of within-subjects effect on workload awareness 57
Table 15. Test of pairwise comparisons on workload awareness 57
Table 16. Comparison of muscle activity of the right erector spinae during transfer 59
Table 17. Maucly's test of sphericity on right erector spinae muscle activity 60
Table 18. Test of within-subjects effect on right erector spinae muscle activity 60
Table 19. Test of pairwise comparisons on right erector spinae muscle activity 60
Table 20. Comparison of muscle activity of the left erector spinae during transfer 62
Table 21. Maucly's test of sphericity on left erector spinae muscle activity 63
Table 22. Test of within-subjects effect on left erector spinae muscle activity 63
Table 23. Test of pairwise comparisons on left erector spinae muscle activity 63
Table 24. Comparison of muscle activity of the right gluteus maximus during transfer 65
Table 25. Maucly's test of sphericity on right gluteus maximus muscle activity 66
Table 26. Test of within-subjects effect on right gluteus maximus muscle activity 66
Table 27. Test of pairwise comparisons on right gluteus maximus muscle activity 66
Table 28. Comparison of muscle activity of the left gluteus maximus during transfer 68
Table 29. Maucly's test of sphericity on left gluteus maximus muscle activity 69
Table 30. Test of within-subjects effect on left gluteus maximus muscle activity 69
Table 31. Test of pairwise comparisons on left gluteus maximus muscle activity 69
Table 32. Comparison of muscle activity of the right medial hamstring during transfer 71
Table 33. Maucly's test of sphericity on right medial hamstring muscle activity 72
Table 34. Test of within-subjects effect on right medial hamstring muscle activity 72
Table 35. Test of pairwise comparisons on right medial hamstring muscle activity 72
Table 36. Comparison of muscle activity of the left medial hamstring during transfer 74
Table 37. Maucly's test of sphericity on left medial hamstring muscle activity 75
Table 38. Multivariate on left medial hamstring muscle activity 75
Table 39. Test of pairwise comparisons on left medial hamstring muscle activity 75
Figure 1. Diagram of study 27
Figure 2. Surface EMG(TM DTS, Noraxon, USA) 31
Figure 3. Patient transfer movement division A: Lifting B: Holding and rotating C: Lowering 34
Figure 4. EMG electrode attachment part 37
Figure 5. Scatter plot of correlation analysis of REBA, awareness and muscle activity during lifting. REBA : Rapid entire body... 42
Figure 6. Scatter plot of correlation analysis of REBA, awareness and muscle activity during holding and rotating. REBA : Rapid... 45
Figure 7. Scatter plot of correlation analysis of REBA, awareness and muscle activity during lowering. REBA : Rapid entire body... 48
Figure 8. Scatter plot of correlation analysis of REBA, awareness and muscle activity during transfer. REBA : Rapid entire body... 51
Figure 9. Comparing graph of the REBA during transfer period. REBA : Rapid entire body assessment 55
Figure 10. Comparing graph of the workload awareness during transfer period 58
Figure 11. Comparing graph of muscle activity of the right erector spinae during transfer period 61
Figure 12. Comparing graph of muscle activity of the left erector spinae during transfer period 64
Figure 13. Comparing graph of muscle activity of the right gluteus maximus during transfer period 67
Figure 14. Comparing graph of muscle activity of the left gluteus maximus during transfer period 70
Figure 15. Comparing graph of muscle activity of the right medial hamstring during transfer period 73
Figure 16. Comparing graph of muscle activity of the medial hamstring during transfer period 76