융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
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동영상 운동교육이 견관절 환자의 관절가동범위, 통증 및 삶의 질에 미치는 효과

The Effects of Video Exercise Education on Range of Motion, Pain and Quality of Life for Shoulder-joint Patients

  • 임세미 (이화여자대학교 일반대학원 간호과학과) ;
  • 염영란 (조선간호대학교) ;
  • 이정화 (조선대학교병원)
  • 투고 : 2020.07.16
  • 심사 : 2020.09.20
  • 발행 : 2020.09.28
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초록

본 연구의 목적은 견관절 환자를 대상으로 동영상 교육을 개발하고 관절가동범위, 통증 및 삶의 질에 미치는 효과를 평가하기 위함이다. 본 연구는 2020년 1월부터 6월까지 G시 소재 대학병원의 정형외과 외래에 내원한 견관절 환자 중 실험군 30명, 대조군 26명을 대상으로 하였다. 자료분석은 SPSS를 이용하여 두 그룹의 일반적 특성 및 종속변수에 대한 사전 동질성 검정은 𝑥2-test, t-test로 분석하였다. 연구결과, 대상자의 사전 사후 점수 변화는 관절가동범위의 내회전 정도와 통증점수에서 유의한 차이가 있는 것으로 나타났으며, 관절가동범위의 굴곡, 외전 정도와 삶의 질에서는 유의한 차이가 없는 것으로 나타났다. 본 연구에서 동영상 교육의 임상 적용은 외래 뿐만 아니라 병동에서도 간호사의 환자교육에 소비되는 시간을 절약할 수 있어 간호 실무를 개선하는 방안으로 제시될 수 있다.

The purpose of this study is to develop video exercise education for patients with shoulder-joint and evaluate the effects on range of motion, pain and quality of life. This study was conducted in 30 experimental groups and 26 control groups among shoulder-joint patients who were admitted to orthopedic outpatient clinics at university hospitals in G city from January to June 2020. For data analysis, SPSS was used to analyze the general characteristics of the two groups and the pre-homogeneity test for the dependent variables by 𝑥2-test and t-test. As a result of the study, the subject's pre-post score change was found to have a significant difference in the degree of internal rotation of the range of motion and pain score, but there was no significant difference in the flexion, abduction degree of the range of motion and quality of life. In this study, clinical application of video education can be suggested as a way to improve nursing practice as it saves time spent on patient education of nurses not only in outpatients but also in wards.

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참고문헌

  1. National health insurance service. (2017). Frozen s houlder, National health insurance service (Online). https://www.nhis.or.kr/bbs7/boards/B0039/24868
  2. Health Insurance Review & Assessment Service. (2020). Frozen shoulder, Health Insurance Review & Assessment Service (Online).http://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfo.do
  3. J. J. Lin, W. P. Hanten, S. L. Olson, T. S. Roddey, D. A. Soto-quijano & A. M. Sherwood. (2006). Shoulder dysfunction assessment: self-report and impaired scapular movements. Physical Therapy, 86(8), 1065-1074. https://doi.org/10.1093/ptj/86.8.1065
  4. T. J. Brudvig, H. Kulkarni & S. Shah. (2011). The effect of therapeutic exercise and mobilization on patients with shoulder dysfunction: a systematic review with meta-analysis. Journal of Orthopaedic and Sports Physical Therapy, 41(10), 734-748. https://doi.org/10.2519/jospt.2011.3440
  5. W. D. Bandy & B. Sanders. (2007). Therapeutic exercise for Physical Therapist assistants 2nd ed, Philadelphia : Lippincott Williams & Wilkins.
  6. S. G. Lee & S. K. Park. (2013). The effects of a video strength exercise on grip strength, balance, TUG in the frail elderly women. Journal of The Korean Society of Physical Medicine, 8(1), 91-98. DOI : 10.0000/kspm.2013.8.1.91
  7. M. J. Lee, E. S. Kim, H. R. N. Kim & S. M. Lee. (2009). Effects of a video exercise program for spinal surgery patients on pain, daily Living function and educational satisfaction. Journal of Korean Clinical Nursing Research, 15(3), 39-48.
  8. E. Türkmen, Y. A. Akbaba & S. Altun. (2019). Effectiveness of video-based rehabilitation program on pain, functionality, and quality of life in the treatment of rotator cuff tears: A randomized controlled trial. Journal of Hand Therapy, 1-7. DOI : 10.1016/j.jht.2019.08.004
  9. W. Y. Du, T. S. Huang, Y. C. Chiu, S. J. Mao, L. W. Hung & J. J. Lin. (2020). Single-session video and electromyography feedback in overhead athletes with scapular dyskinesis and impingement syndrome. Journal of Athletic Training 55(3), 265-273. DOI : 10.4085/1062-6050-490-18
  10. S. W. Cheatham, K. R. Stull, W. N. Batts, & T. Ambler-Wright. (2020). Roller massage: Comparing the immediate post treatment effects between an instructional video and a self‐ preferred program using two different density‐type roller balls Journal of Human Kinetics, 71, 119-129. DOI : 10.2478/hukin-2019-0077
  11. L. Pieters, J. Lewis, K. Kuppens, J. Jochems, T. Bruijstens,, ... & F. Struyf. (2020). An update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain. Journal of orthopaedic & sports physical therapy, 50(3), 131-141. DOI: 10.2519/jospt.2020.8498
  12. H. R. Lee, J. S. Kim & S. M. Cho. (2018). Effects of shoulder rehabilitation exercise convergence program on pain, range of motion and exercise self-efficacy after shoulder surgery. Journal of the Korea Convergence Society, 9(4), 409-421. DOI : 10.15207/JKCS.2018.9.4.409
  13. M. K. Jung, Y. R. Kim, W. K. Kim & J. G. Jeon. (2018). Effects of nerve mobilization exercise and scapula postural correction exercise for adhesive capsulitis patients. The Journal of Korean Academy of Orthopedic Manual Physical Therapy, 24(1), 57-65.
  14. S. W. Han, S. M. Bang, & W. J. Lee. (2007). The effect of self-exercise, self-exercise and scapula stability somplex exercise to frozen shoulder patient. Journal of Korea Sport Research, 18(4), 387-396.
  15. J. Ware, M. Kosinski, & S. D. Keller. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220-233. DOI : 10.1097/00005650-199603000-00003
  16. S. H. Lee. (2015). The effect of yoga therapy training on middle-aged women's shoulder pain and range of scapular joint rotation. Unpublished master's thesis, Myongji University, Seoul.
  17. S. M. Kim. (2020). Effects of band exercise program on muscular strength and range of motion in patients with frozen shoulder. The Journal of Humanities and Social science 21, 11(2), 1763-1775. DOI: 10.22143/HSS21.11.2.123
  18. J. O. Sim. (2016). Effects of resistance exercise using elastic band on range of motion, function and shoulder pain among patients with rotator cuff repair. Korean Journal of Adult Nursing, 28(5), 491-500. DOI: 10.7475/kjan.2016.28.5.491
  19. W. J. Kim & M. H. Hur. (2020). Effect of resistance exercise program for middle-aged women with myofascial pain syndrome on shoulder pain, angle of shoulder range of motion, and body composition randomized controlled trial, RCT. Journal of Korean Academy Nursing, 50(2), 286-297. DOI: 10.4040/jkan.2020.50.2.286
  20. Y. H. Bae, S. M. Kim, M. J. Kim, J. K. Choi, K. A. Kim& Y. B. Kim. (2018). Effects of an intensively complex physical therapy program on the pain, range of motion, muscle strength, function, quality of life, and depression of patients with traumatic rotator cuff injury caused by an industrial accident -A Pilot Study-. PNF and Movement, 16(2), 275-286. DOI: 10.21598/JKPNFA.2018.16.2.275
  21. B. H. Oh & S. Y. Kim. (2020). The effect of home exercise programs for rotator cuff strengthening on pain, range of motion, disability level, and quality of life in patients with adhesive capsulitis. Physical Therapy Korea. 27(1), 19-29. DOI: 10.12674/ptk.2020.27.1.19