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국내공공정책정보
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논문명/저자명
만성요통환자에게 치료적 클라이밍 적용 시 체간 근 두께, 균형 및 주관적 삶의 질 변화에 미치는 영향 / 박병준 인기도
발행사항
경산 : 대구가톨릭대학교 대학원, 2017.2
청구기호
TD 617.06 -17-61
형태사항
x, 109 p. ; 26 cm
자료실
전자자료
제어번호
KDMT1201732105
주기사항
학위논문(박사) -- 대구가톨릭대학교 대학원, 물리치료학과, 2017.2. 지도교수: 김중휘
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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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