수중재활운동이 편마비 환자의 건강 체력, 말초 순환기능 및 골밀도에 미치는 영향 (The) effects of aquatic rehabilitation exercise on physical fitness, peripheral circulation, and bone mineral density of hemiplegic원문보기
본 연구는 12주간의 수중운동이 뇌졸중에 의한 편마비 환자의 신체구성, 건강 체력, 혈관순환기능과 골밀도에 미치는 영향을 규명하기 위하여 전북 J복지관 수영장에서 재활치료를 받고 있는 뇌병변 환자(장애등급 2~3급)로 보조 장구를 가지고 보행시 균형에 문제가 없으며, 심한 경련성이 없고, 심각한 의학적 문제가 없는 자립적 보행가능 편마비 환자 6명을 건강체력(체지방, 근육량, ...
본 연구는 12주간의 수중운동이 뇌졸중에 의한 편마비 환자의 신체구성, 건강 체력, 혈관순환기능과 골밀도에 미치는 영향을 규명하기 위하여 전북 J복지관 수영장에서 재활치료를 받고 있는 뇌병변 환자(장애등급 2~3급)로 보조 장구를 가지고 보행시 균형에 문제가 없으며, 심한 경련성이 없고, 심각한 의학적 문제가 없는 자립적 보행가능 편마비 환자 6명을 건강체력(체지방, 근육량, 체수분, 배근력, 악력, 유연성), 말초순환기능, 골밀도를 분석 하였다. 각 개체간의 효과를 검정하기 위해 반복측정자료 분산분석법을 실시하였으며, 사후검증은 한 집단을 하나의 제어로 취급하고 다른 모든 집단과 비교하는 Dunnett t-검정을 실시한 결과 다음과 같은 결론을 얻었다. 첫째, 운동기간에 따른 건강 체력의 변화에 있어서 체지방율, 근육량, 체수분, 배근력, 유연성은 12주후에서 유의한 변화가 나타났다. 둘째, 운동기간에 따른 환측 악력은 12주 후에 유의한 변화가 나타났으며, 이환측의 악력은 8주후와 , 12주 운동 기간에서 유의한 변화가 나타났다. 셋째, 운동기간에 따른 말초순환기능의 변화는 교감신경에서 유의하게 낮은 변화가 나타났으며, 부교감 신경계는 유의한 변화가 나타났다. 넷째, 운동기간에 따른 환측 손과 환측 발의 골밀도는 유의한 변화가 나타났다. 다섯째, 운동기간에 따른 이환측 손과 이환측 발의 골밀도는 유의한 변화가 나타나지 않았다.
본 연구는 12주간의 수중운동이 뇌졸중에 의한 편마비 환자의 신체구성, 건강 체력, 혈관순환기능과 골밀도에 미치는 영향을 규명하기 위하여 전북 J복지관 수영장에서 재활치료를 받고 있는 뇌병변 환자(장애등급 2~3급)로 보조 장구를 가지고 보행시 균형에 문제가 없으며, 심한 경련성이 없고, 심각한 의학적 문제가 없는 자립적 보행가능 편마비 환자 6명을 건강체력(체지방, 근육량, 체수분, 배근력, 악력, 유연성), 말초순환기능, 골밀도를 분석 하였다. 각 개체간의 효과를 검정하기 위해 반복측정자료 분산분석법을 실시하였으며, 사후검증은 한 집단을 하나의 제어로 취급하고 다른 모든 집단과 비교하는 Dunnett t-검정을 실시한 결과 다음과 같은 결론을 얻었다. 첫째, 운동기간에 따른 건강 체력의 변화에 있어서 체지방율, 근육량, 체수분, 배근력, 유연성은 12주후에서 유의한 변화가 나타났다. 둘째, 운동기간에 따른 환측 악력은 12주 후에 유의한 변화가 나타났으며, 이환측의 악력은 8주후와 , 12주 운동 기간에서 유의한 변화가 나타났다. 셋째, 운동기간에 따른 말초순환기능의 변화는 교감신경에서 유의하게 낮은 변화가 나타났으며, 부교감 신경계는 유의한 변화가 나타났다. 넷째, 운동기간에 따른 환측 손과 환측 발의 골밀도는 유의한 변화가 나타났다. 다섯째, 운동기간에 따른 이환측 손과 이환측 발의 골밀도는 유의한 변화가 나타나지 않았다.
This paper was designed to assess effects of 12-week aquatic rehabilitation exercise on body composition, bone mineral density, and blood vessel elasticity of stroke-caused hemiplegia patents showing less physical activities. To this end, among brain lesion patients with grade 2 to 3 handicaps who p...
This paper was designed to assess effects of 12-week aquatic rehabilitation exercise on body composition, bone mineral density, and blood vessel elasticity of stroke-caused hemiplegia patents showing less physical activities. To this end, among brain lesion patients with grade 2 to 3 handicaps who participated in a rehabilitation program at J welfare center swimming pool in Jeonbuk area and submitted application for this study, 10 hemiplegia patients showing no balance problem when walking with mobility aids and serious stroke or medical problem and able to walk independently were selected as exercise group. An analysis of body composition (body fat, muscle mass, body water), physical fitness (muscular strength, flexibility, agility), bone mineral density, and peripheral Circulation was conducted on 6 patients of the group, except 4 dropouts during the experiment. Results of the analysis are as follows: First, in the area of body composition, body fat percentage, muscle mass, body water, back muscular strength and flexibility change occurred a significant effect on exercise after 12 weeks(p<.001). Second, grasping power a part of plegia had a significant change after 12 weeks (p<.001) and general grasping power had a significant change in 8(p<.01) and 12 weeks(p<.001). Third, change a periheral circulation function were found to be have a significant low effect(p<.01) and a para-sympathetic nerve system had a significant change(p<.05). Fourth, in case of bone mineral density of abnormal hands depending on training duration of hemiplegia patients, bone mineral density of hand had a significant change(p<.01) and bone mineral density of foot also had a significant change(p<.001). Fifth, in case of bone mineral density of normal hands depending on training duration of hemiplegia patients, bone mineral density of hand had a significant change(p<.01) but bone mineral density of foot had not a significant change. As mentioned above, the study revealed that aquatic exercise brought a significant change to body composition, physical fitness, and bone mineral density of hemiplegia patients. Specifically, in relation with bone mineral density, decrease in reduced physical activities plays a key role in causing osteoporosis, and stroke-caused major plegia leads to weakening of muscular strength and reduces weigh-bearing on affected side, which in turn makes physical activities decrease. Aquatic exercises are expected to function as a safe and effective physical activity and suggest new directions for designing more effective rehabilitation exercise programs for brain lesion patients with neural mobility problems.
This paper was designed to assess effects of 12-week aquatic rehabilitation exercise on body composition, bone mineral density, and blood vessel elasticity of stroke-caused hemiplegia patents showing less physical activities. To this end, among brain lesion patients with grade 2 to 3 handicaps who participated in a rehabilitation program at J welfare center swimming pool in Jeonbuk area and submitted application for this study, 10 hemiplegia patients showing no balance problem when walking with mobility aids and serious stroke or medical problem and able to walk independently were selected as exercise group. An analysis of body composition (body fat, muscle mass, body water), physical fitness (muscular strength, flexibility, agility), bone mineral density, and peripheral Circulation was conducted on 6 patients of the group, except 4 dropouts during the experiment. Results of the analysis are as follows: First, in the area of body composition, body fat percentage, muscle mass, body water, back muscular strength and flexibility change occurred a significant effect on exercise after 12 weeks(p<.001). Second, grasping power a part of plegia had a significant change after 12 weeks (p<.001) and general grasping power had a significant change in 8(p<.01) and 12 weeks(p<.001). Third, change a periheral circulation function were found to be have a significant low effect(p<.01) and a para-sympathetic nerve system had a significant change(p<.05). Fourth, in case of bone mineral density of abnormal hands depending on training duration of hemiplegia patients, bone mineral density of hand had a significant change(p<.01) and bone mineral density of foot also had a significant change(p<.001). Fifth, in case of bone mineral density of normal hands depending on training duration of hemiplegia patients, bone mineral density of hand had a significant change(p<.01) but bone mineral density of foot had not a significant change. As mentioned above, the study revealed that aquatic exercise brought a significant change to body composition, physical fitness, and bone mineral density of hemiplegia patients. Specifically, in relation with bone mineral density, decrease in reduced physical activities plays a key role in causing osteoporosis, and stroke-caused major plegia leads to weakening of muscular strength and reduces weigh-bearing on affected side, which in turn makes physical activities decrease. Aquatic exercises are expected to function as a safe and effective physical activity and suggest new directions for designing more effective rehabilitation exercise programs for brain lesion patients with neural mobility problems.
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