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The Convergence Study on the Effects of Three Pelvic Floor Muscle Excercise on Thickness of Pelvic Floor Muscle and Abdominal Muscles

골반바닥근 운동방법이 골반바닥근과 몸통근육의 근두께에 미치는 영향에 대한 융합적 연구

  • Kang, Si-Eun (Dept. of Physical Therapy. Division of Health Science. Baekseok University) ;
  • Shim, Jae-Hoon (Dept. of Physical Therapy. Division of Health Science. Baekseok University) ;
  • Choung, Sung-Dae (Dept. of Physical Therapy. Division of Health Science. Baekseok University)
  • 강시은 (백석대학교 보건학부 물리치료학과) ;
  • 심재훈 (백석대학교 보건학부 물리치료학과) ;
  • 정성대 (백석대학교 보건학부 물리치료학과)
  • Received : 2015.12.30
  • Accepted : 2016.02.20
  • Published : 2016.02.29

Abstract

The purpose of this study was to investigate effects of three pelvic floor muscle (PFM) exercises on the thickness of PFM and transverse abdominal muscle (TrA), the internal oblique muscle, and the external oblique muscle. The PFM and trunk muscles were measured using ultrasonography in 4 conditions.rest, conventional PFM contraction (Ex A), PFM contraction with hip adductor contraction (Ex B), and PFM contraction with real-time ultrasound imaging (Ex C). The thickness of PFM in Ex C showed a significantly more decrease compared to rest and others (all comparisons, p<.05). The thickness of TrA in Ex C showed a significantly more increase compared to rest and others (all comparisons, p<.05). This study would recommend the use of PFM contraction with real-time ultrasonographic imaging to improve women's incontinence.

본 연구에서는 실시간 초음파 영상 분석을 통해 세 가지 골반바닥근 수축 운동이 골반바닥근과 배가로근, 배속빗근, 그리고 배바깥빗근의 두께에 미치는 영향을 분석하였다. 골반바닥근과 몸통 근육들의 근두께는 초음파 영상 장비를 이용하여 안정시, 전통적 골반바닥근 수축[운동 A]시, 엉덩 모음근과 골반바닥근 동시 수축[운동 B]시, 실시간 초음파 영상장비를 이용한 골반바닥근 수축 유도[운동 C])시 측정하였다. 측정 결과, 다른 운동들에 비해 운동 C 수행 시 안정 시 보다 가장 크게 골반바닥근의 두께가 감소하였고(p<.05), 배가로근 역시 다른 운동들에 비해 운동 C 수행 시 안정 시 보다 근두께가 가장 크게 증가하였다(p<.05). 이와 같은 결과를 바탕으로, 본 연구에서 수행한 세 가지 골반바닥근 수축 방법들 중에서 실시간 초음파 영상 장비를 이용하여 골반바닥근 수축을 유도하는 운동 C 방법이 골반바닥근 수축을 통한 여성들의 오줌새기를 개선시킬 수 있는 방법으로 추천될 수 있을 것으로 사료된다.

Keywords

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