슬관절 전치환술 환자 중 요통 환자에 대한 골반 리셋 운동이 통증수준, 고관절 안정성, 기능적 이동수준, 요통장애지수, 삶의 질에 미치는 영향
The Effects of Pelvic Reset Exercises on Pain Level, Hip Joint Stability, Functional Mobility, Korean Oswestry Disability Index, and Quality of Life in Patients with Low Back Pain after Total Knee Arthroplasty
Background: Postoperative low back pain (LBP) is a common complication after total knee arthroplasty (TKA), affecting patients’ recovery and quality of life. Pelvic alignment may influence LBP and functional outcomes in TKA patients. This study aimed to evaluate the effects of pelvic reset exercise on pain, pelvic stability, and functional mobility in TKA patients with chronic LBP. Methods: Forty patients with chronic LBP (>6 months) post-TKA were randomly assigned to two groups: the experimental group (pelvic reset exercise, n=20) and the control group (abdominal drawing-in exercise using biofeedback, n=20). Both groups performed 30-minute sessions, three times per week for four weeks. Outcome measures included the quadruple visual analogue scale (QVAS) for pain, hip stability isometric test (Hip SIT), timed up and go (TUG) test for mobility, Korean Oswestry disability index (KODI), and SF-12 for quality of life. Statistical analysis was conducted using paired and independent t-tests. The significance level was set at α = .05. Results: Both groups showed significant within-group pain reduction (p<.001), with a significantly greater decrease in the experimental group (p<.05). Hip SIT improved significantly only in the experimental group (p<.001), with significant between-group differences (p<.01). TUG scores improved in both groups, with a greater change in the experimental group (p<.05). Improvements in KODI and SF-12 were also more notable in the experimental group, all were statistically significant between groups (p<.05). Conclusion: Pelvic reset exercise is effective in reducing pain, improving hip stability, enhancing functional mobility and quality of life in TKA patients with chronic LBP. It may be considered a beneficial intervention for postoperative rehabilitation in this population.
목차
ABSTRACT Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상자 2. 중재방법 3. 측정방법 4. 분석방법 Ⅲ. 연구결과 1. 연구 대상자의 일반적인 특성 2. 통증 수준 3. 고관절 안정성 4. 기능적 이동 수준 5. 요통 기능 장애 수준 6. 삶의 질 평가 Ⅳ. 고찰 Ⅴ. 결론 참고문헌 Appendix
키워드
Abdominal Drawing-inLow Back PainPelvic Reset ExerciseTKA
대한정형도수물리치료학회 [Korean Academy of Orthopedic Manual Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
대한정형물리치료학회는 대한물리치료사학회 정형물리치료 분과학회로서 정형물리치료학 분야의 연구및 학문발전에 목적을 가지고 있습니다.
본 학회에서는 다음과 같은 사업을 주관하고 있습니다.
첫째. 정형물리치료 분야 및 관련분야의 연구가 이루어지고 있으며,
둘째. 정형물리치료 연수위원회 운영 및 교육프로그램을 개발하고,
셋째. 학술대회 및 세미나를 개최하며,
넷째. 학회지 및 관련 도서를 발간 하고 있으며,
다섯째. 국제 및 국내 유관단체와 학술교류를 담당하고 있습니다.
간행물
간행물명
대한정형도수물리치료학회지 [The Journal of Korean Academy of Orthopedic Manual Physical Therapy]