DOI QR코드

DOI QR Code

중년여성에서 근막이완요법이 신경전도와 통증에 미치는 영향

Effects of Myofascial Release on Nerve Conduction Studies and Pain Scale in Middle-Aged Women

  • 연정민 (경운대학교 임상병리학과) ;
  • 이현경 (대전보건대학교 의무행정과) ;
  • 이옥경 (대전보건대학교 임상병리과)
  • Yon, Jung-Min (Dept. of Clinical Pathology, College of Health of Welfare, Kyungwoon University) ;
  • Lee, Hyun-Kyung (Dept. of Medical Administration, Daejeon Health Sciences College) ;
  • Lee, Og-Kyoung (Dept. of Clinical Laboratory Science, Daejeon Health Sciences College)
  • 투고 : 2014.03.26
  • 심사 : 2014.06.20
  • 발행 : 2014.06.28

초록

본 연구는 근막이완요법의 효과를 보기 위하여 중년여성에서 근막요법 전후의 피로와 신경전도에 미치는 영향을 관찰하였다. 28명의 중년여성을 대상으로 오후 6시 이후에 2일 간격으로 총 3회(1, 3, 5 일) 근막이완요법을 실시하였으며, 근막이완요법 전 후의 통증 정도 변화를 설문 조사하였으며, 통각계를 이용하여 승모근에서 압력통각역치와 시각적 통증강도를 측정하였다. 정중신경에서 운동신경전도와 감각신경전도 검사를 실시하여 잠복기, 진폭, 신경전도속도를 측정하였다. 설문조사결과 피로를 많이 느끼는 시간은 18~21시였으며, 피로와 통증을 가장 많이 느끼는 부위는 어깨부위로 조사되었다. 근막이완요법 후에 통증의 정도, 압력통각역치, 시각적 통증강도는 근막이완요법전보다 유의적으로 감소하였다. 근막이완요법전보다 근막이완요법이후 운동신경의 잠복기는 유의적으로 감소되었고 진폭은 유의적으로 증가하였으며 감각신경의 잠복기는 유의적으로 감소되었다. 이와 같은 결과 근막이완요법은 중년여성에서 통증 개선을 위한 대체요법으로 사용될 수 있을 것으로 사료된다.

키워드

근막이완요법;신경전도검사;정중신경;중년여성;통증

참고문헌

  1. Y. S. Byeon, Fatigue an exercise in middle-aged women. Journal of Korean Academy of Fundamentals of Nursing, Vol. 10, No. 3, pp. 307-315, 2003.
  2. B. H. Park, Y. S. Lee, The Relationship between the Stress and Climacteric symptoms of Middle-Aged Women. Korean Journal of Women Health Nursing, Vol. 6, No. 3, pp. 383-397, 2000.
  3. Ministry of Health and Welfare. Korea national Health and nutrition survey, year 2010. http://knhanes.cdc.go.kr/knhanes/Index.do
  4. S. Aroori, R. A. Spence, Carpal tunnel syndrome. Ulster Medical Journal, Vol. 7, No. 1, pp. 6-17. 2009.
  5. H. Miranda, L. Punnett, E. Viikari-Juntura, M. Heliovaara, P. Knekt, Physical work and chronic shoulder disorder. Results of a prospective population-based study. Annals of the Rheumatic Diseases, Vol. 67, No. 2, pp. 218-223, 2008. https://doi.org/10.1136/ard.2007.069419
  6. H. Azadeh, M. Dehghani, A. Zarezadeh, Incidence of trapezius myofascial trigger points in patients with the possible carpal tunnel syndrome. Journal of Research in Medical Sciences, Vol. 15, No. 5, pp. 250-255, 2010.
  7. M. S. Ju, S. Lee, I. Bae, M. H. Hur, K. Seong, M. S. Lee, Effects of aroma massage on home blood pressure, ambulatory blood pressure, and sleep quality in middle-aged women with hypertension. Evidence-based complementary and alternative medicine, Vol. 2013, No. 403251, 2013.
  8. A. Palasuwan, I. Margaritis, S. Soogarun, A. S. Rousseau, Dietary intakes and antioxidant status in mind-body exercising pre-and postmenopausal women. The Journal of Nutrition Health and Aging, Vol. 25, No. 7, pp. 577-584, 2011.
  9. A. M. Castro-Sanchez, G. A. Mataran-Penarrocha, M. Arroyo-Morales, M. Saavedra-Hernandez, C. Fernandez-Sola, C. Moreno-Lorenzo, Effects of myofascial release techniques on pain, physical function, and postural stability in patients with fibromyalgia: a randomized controlled trial. Clinical Rehabilitation, Vol. 25, No. 9, pp. 800-813, 2011. https://doi.org/10.1177/0269215511399476
  10. A. M. Casatro-Sanchez, G. A. Mataran-Penarrocha, J. Granero-Molina, G. Aguilera-Manrique, J. M. Quesada-Rubio, C. Moreno-Lorenzo, Benefits of massage-myofascial release therapy on pain, anxiety, quality of sleep, depression, and quality of life in patients with fibromyalgia. Evidence-Based Complementary and Alternative Medicine, Vol. 2011, No. 561753, 2011.
  11. M. Revel, C. Andre-Deshays, M. Minguet, Cervicocephalic kinesthetic sensibility in patients with cervical pain. Archives of Physical Medicine and Rehabilitation, Vol. 72, No. 5, pp. 288-291, 1991.
  12. A. M. Kinser, W. A. Sand s, M. H. Stone, Reliability and validity of a Pressure algometer. The Journal of Strength & Conditioning Research, Vol. 23, No. 1, pp. 312-314, 2009. https://doi.org/10.1519/JSC.0b013e31818f051c
  13. T. S. Kuan, Current studies on myofascial pain syndrome. Current Pain and Headache Reports, Vol. 13, No. 5, pp. 365-369, 2009. https://doi.org/10.1007/s11916-009-0059-0
  14. R. A. Werner, M. Andary, Electro-diagnostic evaluation of carpal tunnel syndrome. Muscle Nerve, Vol. 44, No. 4, pp. 597-607, 2011. https://doi.org/10.1002/mus.22208
  15. T. Mainka, F. S. Bischoff, R. Baron, E. K. Krumova, V. Nicolas, W. Pennekamp, R. D. Treede, J. Vollert, A. Westermann, C. Maier, Comparison of muscle and joint pressure-pain thresholds in patients with complex regional pain syndrome and upper limb pain of other origin. Pain, Vol. 155, No. 3, pp. 591-897, 2014. https://doi.org/10.1016/j.pain.2013.12.014
  16. Z. Zheng, J. Wang, Q. Gao, J. Hou, L. Ma, C. Jiang, G. Chen. Therapeutic evaluation of lumbar tender point deep massage for chronic non-specific low back pain. Journal of traditional Chinese medicine, Vol. 32, No. 4, pp. 534-537, 2012. https://doi.org/10.1016/S0254-6272(13)60066-7
  17. S. Sunderland, Nerves and nerve injuries. New York: Churchill Livingstone, 1978.
  18. E. A. Lesser, S. Venkatesh, D. C. Preston, E. L. Logigian, Stimulation distal to the lesion in patients with carpal tunnel syndrome. Muscle Nerve, Vol. 18, No. 5, pp. 503-507, 1995. https://doi.org/10.1002/mus.880180505
  19. J. C. Stevens, AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic Medicine. Muscle Nerve, Vol. 20, No. 12, pp. 1477-1486, 1997. https://doi.org/10.1002/(SICI)1097-4598(199712)20:12<1477::AID-MUS1>3.0.CO;2-5
  20. S. J. Oh, Clinical Electromyography: Nerve and Conduction Studies. Lippincot Williams and Wilkins, Philadelphia, 2003.