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Abstract 12
I. 서론 14
1. 연구의 필요성 14
II. 이론적 배경 17
1. 만성요통 17
2. 치료적 클라이밍 19
3. 체간 근육 두께 21
4. 균형 능력 23
5. 삶의 질 25
6. 연구의 목적 26
7. 연구의 가설 27
III. 연구 방법 28
1. 연구 대상 28
2. 연구 설계 29
1) 실험 절차 29
2) 재활 운동 프로그램 31
3) 실험 기기 및 과정 40
3. 자료 분석 및 처리 44
IV. 연구 결과 45
1. 연구 대상의 일반적 특성 45
2. 근육 두께 비교 46
1) 배가로근(Transversus abdominis) 46
2) 뭇갈래근(Multifidus) 49
3. 균형 비교 52
1) 서있는 자세(Standing position) 52
2) 안정성 한계(Limit of stability) 58
4. 주관적 삶의 질(SF-36) 비교 70
1) 신체적 건강(Physical health) 70
2) 정신적 건강(Mental health) 82
V. 고찰 94
VI. 결론 100
참고문헌 102
부록 114
Table 1. Lumbar stabilization exercise 31
Table 2. Therapeutic climbing exercise 31
Table 3. General characteristics of subjects 45
Table 4. Comparing the differences of transversus abdominis muscle... 46
Table 5. Comparing the differences of multifidus muscle thickness... 49
Table 6. Comparing the differences of eye open balance between two... 52
Table 7. Comparing the differences of eye close balance between two... 55
Table 8. Comparing the differences of limit of forward stability between... 59
Table 9. Comparing the differences of limit of back stability between... 62
Table 10. Comparing the differences of limit of right stability between... 65
Table 11. Comparing the differences of limit of left stability between two... 68
Table 12. Comparing the differences of the physical functioning between... 71
Table 13. Comparing the differences of role-physical between two... 74
Table 14. Comparing the differences of bodily pain between two groups 77
Table 15. Comparing the differences of general health between two... 80
Table 16. Comparing the differences of vitality between two groups 83
Table 17. Comparing the differences of social functioning between two... 86
Table 18. Comparing the differences of role-emotional between two... 89
Table 19. Comparing the differences of mental health between two... 92
Figure 1. The experimental procedure 30
Figure 2. Plank exercise 33
Figure 3. Side walking exercise 33
Figure 4. Supine bridge exercise 34
Figure 5. Cross crunch exercise 34
Figure 6. Abdominal curl exercise 34
Figure 7. Side bridge exercise 35
Figure 8. Trunk side flexion exercise 35
Figure 9. Start position 37
Figure 10. Shoulder stability and trunk control 37
Figure 11. Holder change and stand up 38
Figure 12. Squat exercise 38
Figure 13. Band exercise 39
Figure 14. Dynamic movement 39
Figure 15. Terason T3000(Teratech Corp., Burlington, Mass., USA) 41
Figure 16. Biorescue(RM INGENIERIE, France) 42
Figure 17. Comparing the differences of transversus abdominis... 47
Figure 18. Comparing the differences of transversus abdominis... 47
Figure 19. Comparing the differences of transversus abdominis... 48
Figure 20. Comparing the differences of multifidus muscle thickness... 50
Figure 21. Comparing the differences of multifidus muscle thickness... 50
Figure 22. Comparing the differences of multifidus muscle thickness... 51
Figure 23. Comparing the differences of eye open balance between two... 53
Figure 24. Comparing the differences of eye open balance in TCE groups 53
Figure 25. Comparing the differences of eye open balance in LSE groups 54
Figure 26. Comparing the differences of eye close balance between two... 56
Figure 27. Comparing the differences of eye close balance in TCE... 56
Figure 28. Comparing the differences of eye close balance in LSE groups 57
Figure 29. Comparing the differences of limit of forward stability... 59
Figure 30. Comparing the differences of limit of forward stability in TCE... 60
Figure 31. Comparing the differences of limit of forward stability in LSE... 60
Figure 32. Comparing the differences of limit of back stability between... 62
Figure 33. Comparing the differences of limit of back stability in TCE... 63
Figure 34. Comparing the differences of limit of back stability in LSE... 63
Figure 35. Comparing the differences of limit of right stability between... 65
Figure 36. Comparing the differences of limit of right stability in TCE... 66
Figure 37. Comparing the differences of limit of right stability in LSE... 66
Figure 38. Comparing the differences of limit of left stability between... 68
Figure 39. Comparing the differences of limit of left stability in TCE... 69
Figure 40. Comparing the differences of limit of left stability in LSE... 69
Figure 41. Comparing the differences of physical functioning between... 71
Figure 42. Comparing the differences of physical functioning in TCE... 72
Figure 43. Comparing the differences of physical functioning in LSE... 72
Figure 44. Comparing the differences of role-physical between two... 74
Figure 45. Comparing the differences of role-physical in TCE groups 75
Figure 46. Comparing the differences of role-physical in LSE groups 75
Figure 47. Comparing the differences of bodily pain between two groups 77
Figure 48. Comparing the differences of bodily pain in TCE groups 78
Figure 49. Comparing the differences of bodily pain in LSE groups 78
Figure 50. Comparing the differences of general health between two... 80
Figure 51. Comparing the differences of general health in TCE groups 81
Figure 52. Comparing the differences of general health in LSE groups 81
Figure 53. Comparing the differences of vitality between two groups 83
Figure 54. Comparing the differences of vitality in TCE groups 84
Figure 55. Comparing the differences of vitality in LSE groups 84
Figure 56. Comparing the differences of social functioning between two... 86
Figure 57. Comparing the differences of social functioning in TCE groups 87
Figure 58. Comparing the differences of social functioning in LSE groups 87
Figure 59. Comparing the differences of role-emotional between two... 89
Figure 60. Comparing the differences of role-emotional in TCE groups 90
Figure 61. Comparing the differences of role-emotional in LSE groups 90
Figure 62. Comparing the differences of mental health between two... 92
Figure 63. Comparing the differences of mental health in TCE groups 93
Figure 64. Comparing the differences of mental health in LSE groups 93
초록보기 더보기
The purpose of this study was to conduct a study on the effects of thickness of trunk muscles, balance, and subjective quality of life by applying therapeutic climbing in chronic lower back pain. 40 subjects were selected in this study and 10 exclusion criteria included personal affairs and below 70% attendance: Total 30, Therapeutic climbing group(TCE, N=15), Lumbar stabilization exercise group(LSE, N=15). The thickness of trunk muscles using ultra sound, the balance using a Biorescue, the subjective quality of life using a Medical outcomes study short form - 36(SF-36) were measured and pretest, after 8 weeks, and 10 weeks detraining were evaluated. The results showed that the thickness of trunk muscles were significantly difference in TCE group(p<0.05) more than LSE group. In the balance, the standing with eyes opened and closed were no significantly difference(p>0.05). The limitation of stability showed that anterior stability limitation, right, left stability limitation except posterior stability limitation(p>0.05) were significantly difference(p<0.05). The results of subjective quality of life, the physical health, total two (bodily pain, general health) in four, were significantly difference(p<0.05) and the mental health, total four(vitality, social function, role-emotional, mental health) in four were significantly difference(p<0.05). This study was proved that the therapeutic climbing worked as useful as lower back stability exercise. Further study need to investigate vertebrae segments control and dynamic stability through therapeutic climbing and popularize of therapeutic climbing.
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