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Effect of Task-Oriented Exercise on the Balance in Degenerative Arthritis Patients with Total Knee Replacement

과제 지향 훈련이 슬관절 전치환술을 시행한 퇴행성 관절염 환자의 균형 능력에 미치는 효과

  • 지상구 (을지대학병원 물리치료실) ;
  • 김명권 (영산대학교 물리치료학과) ;
  • 이동걸 (충남대학병원 물리치료실) ;
  • 차현규 (을지대학병원 물리치료실)
  • Received : 2012.01.11
  • Accepted : 2012.02.22
  • Published : 2012.03.28

Abstract

This study was conducted to compare the task-oriented exercise and weight-shifting exercise program has effectiveness on the static and dynamic balance in patients with total knee replacement. The participants were allocated randomly into 2 group : task-oriented exercise group(n=12) and weight-shifting exercise group(n=12). To evaluate the effects of exercise, subjects were evaluated by using Gaitveiw System and functional reaching test for static balance and Balance System for dynamic balance test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Static balance test and dynamic balance test in task-oriented exercise had statistical significance than weight-shifting exercise program(p<0.05). So this results were suggested that the task-oriented exercise was effective on static and dynamic balance in patients with total knee replacement.

본 연구는 슬관절 전치환술을 시행하고 난 후 3주 이내의 환자 24명에게 과제 지향 훈련과 체중 이동 훈련이 정적 균형과 동적 균형에 어떠한 영향을 미치는지 알아보기 위해서 실시하였다. 대상자는 과제 지향 훈련군(실험군) 12명과 체중 이동 훈련군(대조군) 12명을 2그룹으로 무작위 배정하였다. 각 군의 운동 효과를 알아보기 위하여 Gaitview 시스템과 기능적 팔 뻗기 검사를 통해 정적 균형을 측정하였고, Balance 시스템을 이용하여 동적 균형을 측정하였다. 통계 분석은 실험 전과 후의 차이를 알아보기 위하여 대응표본 t검정을 실시하였고, 그룹 간 차이를 알아보기 위하여 독립표본 t검정을 실시하였다. 그 결과 과제 지향 훈련군이 체중 이동 훈련군에 비해 정적, 동적 균형 능력에 유의한 차이를 보였다(p<0.05). 따라서 이번 연구 결과를 통해 슬관절 전치환술을 시행한 조기 환자들에게 과제 지향 훈련이 균형 능력에 효과적이라는 것을 알 수 있었다.

Keywords

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