자세이상을 호소하는 환자의 골반 높이 차이와 보행 밸런스 관계에 대한 연구

Study on Correlation between Difference of Pelvic Height and Gait Balance of Patients with Abnormal Postures

  • 박정우 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 정수현 (세명대학교 한의과대학 한방재활의학과교실)
  • Park, Jung-Woo (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University) ;
  • Jeong, Su-Hyeon (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University)
  • 투고 : 2014.06.16
  • 심사 : 2014.06.30
  • 발행 : 2014.07.31

초록

Objectives This study was designed to investigate the correlation between the difference of pelvic height and difference of gait balance. Methods 62 cases of patients who received treatment from January 2011 to March 2014 for abnormal postures were analyzed. Their difference of pelvic height were estimated by whole spine X-ray analysis and gait balance were estimated by Treadmill Gait Analysis system. The data were analyzed to find out correlation between difference of pelvic height and difference of gait balance, and correlation between the position of pelvic tilt and gait balance higher side. Pearson correlation and Chi-square analysis were used. Results Pelvic height heigher side were more left than right side, and gait balance higher side were also more left than right side. Difference of pelvic height and difference of gait balance had a positive linear relationship, but there was no significant correlation. The position of pelvic tilt had significant correlation with gait balance higher side. Conclusions The position of pelvic tilt had significant correlation with gait balance higher side and difference of pelvic height had no significant correlation with difference of gait balance.

키워드

참고문헌

  1. 박순애, 이경일, 김권영. 중학생의 생활습관과 바른 자세 인식에 관한 조사연구. 한국사회체육학회지. 2008;33(1):603-15.
  2. Anabela G. Silva, Paul Sharples, Mark I. Johnson. Studies comparing surrogate measures for head posture in individuals with and without neck pain. Physical Therapy Reviews. 2010:15(1):12-22. https://doi.org/10.1179/174328810X12647087218631
  3. 조유정, 정석희, 송미연. 만성 요통 환자의 하지 길이 부전과 요천추부 및 골반의 방사선학적 지표와의 관계. 한방재활의학과학회지. 2010;20(4):171-83.
  4. 신병철, 신준식, 이종수, 임형호. 정형추나학. 서울:대한추나학회. 2002;105-12, 235.
  5. Felix EZ, Richard RN, Steven AK. Biomechanics and muscle coordination of human walking: Part II: Lessons from dynamical simulations and clinical implications. Gait & Posture. 2003;17(1):1-17. https://doi.org/10.1016/S0966-6362(02)00069-3
  6. Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44. https://doi.org/10.1053/apmr.2002.33644
  7. Hornyak V, VanSwearingen JM, Jennifer S. Measurement of Gait Speed. Topics in Geriatric Rehabilitation. 2012; 28(1):27-32. https://doi.org/10.1097/TGR.0b013e318233e75b
  8. 김민주, 김주연, 이혜원, 임주연, 하현진, 안진호. 기능적인 하지길이차이에 따른 족저압 변화가 족부체열에 미치는 영향. 대한통합의학회지. 2013;1(2):37-46.
  9. 정영종. 보행 시 다리길이 차이가 운동 형상학적 변수에 미치는 영향. 연세대학교 석사학위 논문. 2002.
  10. 구봉오. 양하지 길이 차이에 따른 자세균형의 변화와 적응 특성. 대구대학교 석사학위 논문. 1997.
  11. Giles LGF, Taylor JR. Low-back pain associated with leg length inequality. Spine. 1981;6:510-21. https://doi.org/10.1097/00007632-198109000-00014
  12. 김지혜, 오태영. 정상인의 평지보행과 트레드밀 보행 시 족 저압의 특성 비교. 대한물리의학회지. 2010;5(1):55-61.
  13. Bhatt T, Wening JD, Pai YC. Adaptive control of gait stability in reducing slip-related backward loss of balance. Experimental Brain Research. 2006;170(1):61-73. https://doi.org/10.1007/s00221-005-0189-5
  14. Baker R, McGinley JL, Schwartz MH, Beynon S. The gait profile score and movement analysis profile. Gait&Posture. 2009;30(3):265-9.
  15. Ali Kiapour, Amr AA, Vijay KG, Adham S, Tomoya T, Nabil AE. Relationship between limb length discrepancy and load distribution across the sacroiliac joint-a finite element study. Journal of Orthopaedic Research. 2012; 30(10):1577-80. https://doi.org/10.1002/jor.22119
  16. Chang JS. A biomechanical analysis of lower extremity on the flatfoot with external conditions. Daegu University Graduate School of Rehabilitation Sciences. Doctor' thesis. 2010.
  17. 박동수, 류헌식, 정수현, 김순중. 하지길이 차이와 모아레 체형측정과의 상관성 연구. 한방재활의학과학회지. 2007; 17(1):99-109.
  18. Peterson DH, Bergmann TF. 카이로프랙틱 테크닉. 서울: 척추신경추나의학회. 2007:326-55.
  19. 공원태, 조교영, 한종만. 기능적 하지길이 차이에 따른 정적 족저압의 분석. 한국자료분석학회지. 2009;11(1B):1245-56.
  20. Defrin R, Benyamin SB, Dov Aldubi R, et al. Conservative correcton of leg-length discrepancies of 10mm or less for the relief of chronic low back pain. Arch Phys Med Rehabil. 2005;86(11):2075-80. https://doi.org/10.1016/j.apmr.2005.06.012
  21. 김종덕, 김창환. 하지길이균차에 대한 임상평가와 치료. 척추신경추나의학회지. 2004;5(1):19-29.
  22. 최희승, 엄봉군, 김주영, 한상욱, 정윤규, 신동재. PubMed를 통해 살펴 본 요통에 대한 추나 치료 연구의 최신 동향. 한방재활의학과학회지. 2012;22(4):99-113.
  23. 안희빈, 김순중, 정수현. 골반경사가 동반된 만성 통증 환자에게 족부 보조기를 적용한 증례 4례. 한방재활의학과학회지. 2011;21(2):309-18.