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The Effect of Sling Exercise on Muscular Strength and Range of Motion in Female Patients who Received Total Knee Replacement

슬링 운동이 무릎관절 전치환술을 시행한 여성 환자의 근력과 관절가동범위에 미치는 영향

  • Bae, Chang-Hwan (Department of Physical Therapy, Goodmorning Hospital) ;
  • Jung, Yeon-Woo (Department of Physical Therapy, Kwangju Women's University) ;
  • Lee, Dong-Woo (Department of Physical Therapy, Honam University) ;
  • Cho, Sung-Hyoun (Department of Physical Therapy, Nambu University)
  • 배창환 (굿모닝병원 물리치료실) ;
  • 정연우 (광주여자대학교 물리치료학과) ;
  • 이동우 (호남대학교 물리치료학과) ;
  • 조성현 (남부대학교 물리치료학과)
  • Received : 2014.06.24
  • Accepted : 2014.07.10
  • Published : 2014.07.31

Abstract

The purpose of study was to compare the effectiveness of sling exercise on the muscle strength and range of motion in female patients who received a total knee replacement. The participants were allocated randomly into 2 groups: sling exercise group (n=15) and control group (n=15). The subjects were evaluated using the Biodex system for the muscle strength test and a goniometer for the range of motion test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. As a result, the sling exercise group before and after intervention showed a statistical significance difference in the flexion angle, quadriceps femoris, and hamstring muscle strength. The control group before and after the intervention revealed a statistically significant increase in the flexion & extension angle, quadriceps femoris, and hamstring muscle strength. Muscle strength test and flexion range of motion test in the sling exercise group showed statistical significance differences compared to the control group (p<.05). Therefore, the sling exercise group has a positive influence on the muscle strength and ROM in patients with a total knee replacement.

본 연구의 목적은 무릎관절 전치환술을 시행한 여성 환자에게 슬링 운동을 적용하여 무릎관절의 근력과 관절가동범위에 미치는 영향을 비교하기 위해 실시하였다. 참여자는 2그룹 나누어 슬링 운동군 15명, 대조군 15명으로 무작위로 배정하였다. 대상자들은 근력 검사를 위해 Biodex system를, 관절가동범위 검사를 위해 각도기를 사용하여 평가하였다. 데이터의 분석은 통계적 유의 수준을 결정하기 위해서 대응표본 t-검정과 독립 t-검정을 이용하였다. 본 연구의 결과 슬링 운동군은 중재 전후 굽힘 각, 넙다리네갈래근, 뒤넙다리근 근력이 통계학적으로 유의한 증가를 보였고, 대조군은 중재 전후 굽힘 각, 폄 각, 넙다리네갈래근, 뒤넙다리근 근력이 통계학적으로 유의한 증가를 보였다. 무릎관절 근력과 굴곡 관절 가동범위는 슬링 운동군이 대조군에 비해 통계학적으로 유의하게 증가하였다. 슬링 운동법이 무릎관절 전치환술 환자의 근력과 관절 가동범위에서 긍정적인 영향이 있음을 알 수 있었다.

Keywords

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