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Effect of Sling Lmubar Stabilization Exercise Program on the Balance of Adolescent Idiopathic Scoliosis Patients

슬링 요부안정화 운동프로그램이 청소년기 특발성 척추측만증 환자의 균형에 미치는 영향

  • Bae, Young-Hyeon (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Park, Sun-Hee (Department of Physical Therapy, Sahmyook University) ;
  • Lee, Hye-Lim (Department of Physical Therapy, Sahmyook University) ;
  • Lee, Suk-Min (Department of Physical Therapy, Sahmyook University)
  • 배영현 (삼성서울병원 재활의학과) ;
  • 박선희 (삼육대학교 물리치료학과) ;
  • 이혜림 (삼육대학교 물리치료학과) ;
  • 이석민 (삼육대학교 물리치료학과)
  • Received : 2012.03.13
  • Accepted : 2012.07.12
  • Published : 2012.07.31

Abstract

The purpose of this study lies in examining how sling lumbar stabilization exercise affects static standing balance of adolescent idiopathic scoliosis patients. The subjects were forty patients who were diagnosed with idiopathic scoliosis. They were randomly assigned either to a experimental group (n=20) that received sling lmubar stabilization exercise program or to a control group (n=20) that received only education. Data were obtained for each patient from total sway path and sway velocity in standing on both feet with eyes closed and standing on both feet with eyes open were measured, using balance performance monitor. All variables were measured at pre- and post-exercise. There were significantly differences between the both groups for all variables at post-exercise (p<.05). The experimental group showed a significantly decreases in all variables at pre- and post-exercise (p<.05). But the control group showed a no significantly differences. These results revealed that sling lumbar stabilization exercise improved static standing balance, by reducing COP(center of pressure) sway path and sway velocity of idiopathic scoliosis patients, and it is expected that sling lumbar stabilization exercise will be used as balance enhancement exercise intervention for the treatment of adolescent idiopathic scoliosis patients.

본 연구의 목적은 청소년기 특발성 척추측만증 환자를 대상으로 슬링을 이용한 요부안정화 운동프로그램이 정적 선 자세의 균형에 미치는 영향을 알아보고자 하였다. 본 연구의 대상자는 특발성 척추측만증을 진단 받은 환자 40명을 무작위로 두군으로 나눈 후 실험군(n=20)은 슬링 요부안정화 운동, 대조군(n=20)은 단지 자세교육만 실시하였다. 두군 모두 실험 전 후 균형 수행 모니터(Balance performance monitor)을 이용하여 눈을 감은 상태에서의 양발서기 자세와 눈을 뜬 상태에서의 양발서기에서 동요거리(총, 좌우방향, 전후방향)와 동요속도(총, 좌우방향, 전후방향)를 측정하였다. 운동프로그램 적용 후에 두그룹간에 모든 변수에서 유의한 차이를 보였다. 실험군은 운동 전 후 모든 변수에서 유의한 감소를 보였다. 그러나 대조군에서는 유의한 차이를 보이지 않았다. 이상의 결과를 통해서 슬링 요부안정화 운동프로그램은 특발성 척추측만증 환자의 체중심 동요거리와 동요속도를 감소시켜 정적 선 자세 균형능력을 향상시켰으며 슬링 요부안정화 운동프로그램이 청소년기 특발성 척추측만증 환자의 균형 증진 중재가 될 수 있을 것으로 보인다.

Keywords

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