8주간 슬링 운동프로그램이 척수손상환자의 상지근력, CUE, SCIM Ⅲ에 미치는 영향
The effect of 8 weeks sling exercise program on upper limb muscle strength CUE and SCIM Ⅲ in spinal cord injury patients
This study aimed to examine the effects of an exercising program using a sling on spinal cord injury patients' upper extremity muscle strength, function, and activity ability. Before and after application of the exercise program using a sling, the subjects' muscle strength, CUE, and SCIM Ⅲ were measured. The subjects were 14 spinal cord injury patients with chest pain and randomly and equally assigned to a sling exercise group(SEG) and a general physical therapy group(GPTG). The exercise method was that the subjects performed exercise maintaining its intensity at third or fourth grade using ratings of perceived exertion; They conducted their exercise three times per week, 30 to 40 minutes per each time, for a total of 8 weeks. The SEG carried out three sets of exercises, 10 times per each set. The sling string and the table's height were adjusted to be suitable for the subjects' physical condition. A therapist assisted the subjects enabling them to have a proper posture and perform the exercise. The GPTG performed passive joint exercise, muscle strengthening exercise, and stretching. All the subjects prepared for their exercise for five minutes before the initiation of the intervention and took a rest for 10 seconds between exercises. Comparison between the SEG and the GPTG before and after the intervention resulted in the following outcomes. After the intervention, upper extremity muscle strength of the shoulder joints increased in all test items of the SEG and in the other items of the GPTG except for the extensor and adductor muscles, with statistically significant differences between the two groups. After the intervention, upper extremity muscle strength of the elbow joints increased in all test items of the sling group and in the other items of the GPTG except for the flexor and pronator muscles, with no statistically significant differences in both groups. There were statistically significant differences between the two groups. After the intervention, upper extremity muscle strength of the shoulder joints increased in all test items of the SEG and in the other items of the GPTG except for the extensor and adductor muscles. There were differences in all the muscles between the two groups except for the extensor muscle. According to the result of measuring CUE to evaluate the subjects' upper extremity function, CUE improved in both groups with no differences between them. The result of measuring SCIM III to assess spinal cord injury patients' functional changes was that there was increase in the scores of both group after the intervention with no differences between them. The above results suggest that a sling exercise program can improve spinal cord injury patients' upper extremity muscle strength and diverse activities of daily living like general rehabilitation programs applied to them in the clinical field. Therefore, an upper extremity exercise program using a sling is considered recommendable as an effective rehabilitation intervention exercise program for spinal cord injury patients.
목차
Ⅰ. 서론 Ⅱ. 연구방법 1. 연구대상 2. 평가도구 및 방법 3. 운동프로그램 4. 자료처리 Ⅲ. 결과 1. 연구 대상자의 일반적 특성 2. 어깨관절 근력의 변화 3. 팔꿉관절 근력의 변화 4. 손목관절 근력의 변화 5. 상지기능과 활동능력의 변화 Ⅳ. 논의 Ⅴ. 결론 참고문헌 ABSTRACT
현대사회에 있어서 신체활동 연구의 주요 탐구과제는 ‘신체활동을 통한 교육’으로부터 ‘인간의 기본적인 움직임’을 목표로 하는 스포츠적인 움직임을 중심으로 한 생명 활동의 개념으로 급속히 변화되고 있는 추세이다. 이러한 환경변화에 대응하기 위하여 본학회는 ‘체육’적인 요소에서 ‘스포츠’적인 요소를 중심으로 한 학문적 정체성을 견고히 하고, 정기적인 학술지 발간과 학술활동을 통해 한국스포츠츠 문화의 발전과 학문적인 발전에 기여하는데 그 목적이 있다.