DOI QR코드

DOI QR Code

만성 요통 환자에게 수축 이완과 등장성 수축 결합이 엉덩관절과 허리골반 움직임에 미치는 영향

The Effects of Contract Relaxation and a Combination of Isotonics on the Hip and Lumbopelvic Motions in Patients with Chronic Low Back Pain

  • 김치환 (해운대자생한방병원 물리치료실) ;
  • 이주훈 (경성대학교 일반대학원 물리치료학과) ;
  • 한진태 (경성대학교 물리치료학과 재활과학연구소)
  • Kim, Chi-Hwan (Department of Physical Therapy, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Lee, Ju-Hun (Department of Physical Therapy, Graduate School, Kyungsung University) ;
  • Han, Jin-Tae (Department of Physical Therapy and Institute for Rehabilitation Science, Kyungsung University)
  • 투고 : 2020.11.30
  • 심사 : 2020.12.21
  • 발행 : 2021.04.30

초록

Purpose: The purpose of this study was to determine the effects of contract relaxation and a combination of isotonics in proprioceptive neuromucular facilitation (PNF) on hip and lumbopelvic motions of male patients with chronic low back pain. Methods: As the subjects of this study, a total of 45 male patients with chronic low back pain were divided into groups: 15 who underwent contract relaxation (CR) of the PNF of their hip joints, 15 who underwent a combination of isotonics (CI) of the PNF, and 15 who underwent both techniques. A device for analyzing three-dimensional motion was used to measure hip medial rotation angles, lumbopelvic rotation angles, and hip medial rotation angles at the start of lumbopelvic rotation during hip medial rotation. A two-way repeated measures ANOVA was used to compare the average values. Results: There were interactions in the hip medial rotation angles, lumbopelvic rotation angles and hip medial rotation angles at the start of lumbopelvic rotation based on the methods and periods of exercise (p < 0.05). The CR and the CR+CI groups displayed more increased hip medial angles when compared to the CI group. The CR+CI group had more decreased lumbopelvic rotation angles when compared to the CR and the CI groups. The CR+CI group had more increased hip medial rotation angles at the start of lumbopelvic rotation when compared to the CR and the CI groups. Conclusion: It can be concluded that the combination of stretching and stability exercises was effective in male patients with chronic low back pain who showed limited hip medial rotation.

키워드

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