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고유수용성신경근촉진법의 안정적 반전기법과 테이핑 융합이 손목통증과 악력에 미치는 영향

Effect of Stabilizing Reversal Technique of Proprioceptive Neuromuscular Facilitation and Taping Convergence on Wrist Pain and Grip Strength

  • 김범룡 (삼육대학교 일반대학원) ;
  • 이동현 (삼육대학교 일반대학원) ;
  • 임종은 (삼육대학교 물리치료학과)
  • 투고 : 2018.05.16
  • 심사 : 2018.07.20
  • 발행 : 2018.07.28

초록

본 연구의 목적은 고유수용성신경근촉진법의 안정적 반전기법 후에 손목테이핑 적용이 손목통증환자의 통증과 악력에 미치는 영향을 융복합적으로 알아보기 위해 실시하였다. 손목통증환자 20명을 대상으로 안정적 반전기법 후에 손목테이핑을 적용한 실험군(n=10)과 스트레칭 후에 손목테이핑을 적용한 대조군(n=10)으로 무작위 배정하였다. 전체 중재시간은 휴식시간 포함 최대 10분으로 구성, 주 5회 2주간 시행하였다. 통증정도는 시각적상사척도로 측정하였고, 악력은 악력계로 측정하였다. 중재결과, 집단 내 통증과 악력은 두 군 모두 유의한 변화가 있었고(p<0.01), 집단 간 통증과 악력은 실험군이 대조군보다 효과적인 통증의 감소와 악력의 향상을 보였다(p<0.01). 그러므로 고유수용성신경근촉진법의 안정적 반전기법과 손목테이핑 융합은 손목통증환자를 위한 효과적인 중재로 활용될 수 있으며, 다양한 손목통증환자를 위한 지속적인 융합중재개발이 요구된다.

This study investigated the effect of wrist taping (WT) after application of stabilizing reversal technique (SRT) of proprioceptive neuromuscular facilitation (PNF) on pain and grip strength (GS) in patients with wrist pain (WP). Twenty patients with WP were randomly assigned to an experimental group (n=10) that received WT after application of SRT, and a control group (n=10) that received WT after application of stretching. The total intervention time consisted of a maximum of 10 minutes including breaks, and was performed 5 times a week for 2 weeks. Pain reduction was measured using a visual analogue scale. GS was measured using a dynamometer. Within group changes in pain and GS were significant in both experimental and control groups (p<0.01). Between group changes in pain and GS were greater in the experimental group than in the control group (p<0.01). This findings indicate that SRT of PNF and WT convergence can be an effective intervention for patients with WP. Continued development of convergence interventions for patients with WP various conditions in practice, is suggested.

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