슬링 운동이 무릎관절 전치환술을 시행한 여성 환자의 근력과 관절가동범위에 미치는 영향 The Effect of Sling Exercise on Muscular Strength and Range of Motion in Female Patients who Received Total Knee Replacement원문보기
본 연구의 목적은 무릎관절 전치환술을 시행한 여성 환자에게 슬링 운동을 적용하여 무릎관절의 근력과 관절가동범위에 미치는 영향을 비교하기 위해 실시하였다. 참여자는 2그룹 나누어 슬링 운동군 15명, 대조군 15명으로 무작위로 배정하였다. 대상자들은 근력 검사를 위해 Biodex system를, 관절가동범위 검사를 위해 각도기를 사용하여 평가하였다. 데이터의 분석은 통계적 유의 수준을 결정하기 위해서 대응표본 t-검정과 독립 t-검정을 이용하였다. 본 연구의 결과 슬링 운동군은 중재 전후 굽힘 각, 넙다리네갈래근, 뒤넙다리근 근력이 통계학적으로 유의한 증가를 보였고, 대조군은 중재 전후 굽힘 각, 폄 각, 넙다리네갈래근, 뒤넙다리근 근력이 통계학적으로 유의한 증가를 보였다. 무릎관절 근력과 굴곡 관절 가동범위는 슬링 운동군이 대조군에 비해 통계학적으로 유의하게 증가하였다. 슬링 운동법이 무릎관절 전치환술 환자의 근력과 관절 가동범위에서 긍정적인 영향이 있음을 알 수 있었다.
본 연구의 목적은 무릎관절 전치환술을 시행한 여성 환자에게 슬링 운동을 적용하여 무릎관절의 근력과 관절가동범위에 미치는 영향을 비교하기 위해 실시하였다. 참여자는 2그룹 나누어 슬링 운동군 15명, 대조군 15명으로 무작위로 배정하였다. 대상자들은 근력 검사를 위해 Biodex system를, 관절가동범위 검사를 위해 각도기를 사용하여 평가하였다. 데이터의 분석은 통계적 유의 수준을 결정하기 위해서 대응표본 t-검정과 독립 t-검정을 이용하였다. 본 연구의 결과 슬링 운동군은 중재 전후 굽힘 각, 넙다리네갈래근, 뒤넙다리근 근력이 통계학적으로 유의한 증가를 보였고, 대조군은 중재 전후 굽힘 각, 폄 각, 넙다리네갈래근, 뒤넙다리근 근력이 통계학적으로 유의한 증가를 보였다. 무릎관절 근력과 굴곡 관절 가동범위는 슬링 운동군이 대조군에 비해 통계학적으로 유의하게 증가하였다. 슬링 운동법이 무릎관절 전치환술 환자의 근력과 관절 가동범위에서 긍정적인 영향이 있음을 알 수 있었다.
The purpose of study was to compare the effectiveness of sling exercise on the muscle strength and range of motion in female patients who received a total knee replacement. The participants were allocated randomly into 2 groups: sling exercise group (n=15) and control group (n=15). The subjects were...
The purpose of study was to compare the effectiveness of sling exercise on the muscle strength and range of motion in female patients who received a total knee replacement. The participants were allocated randomly into 2 groups: sling exercise group (n=15) and control group (n=15). The subjects were evaluated using the Biodex system for the muscle strength test and a goniometer for the range of motion test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. As a result, the sling exercise group before and after intervention showed a statistical significance difference in the flexion angle, quadriceps femoris, and hamstring muscle strength. The control group before and after the intervention revealed a statistically significant increase in the flexion & extension angle, quadriceps femoris, and hamstring muscle strength. Muscle strength test and flexion range of motion test in the sling exercise group showed statistical significance differences compared to the control group (p<.05). Therefore, the sling exercise group has a positive influence on the muscle strength and ROM in patients with a total knee replacement.
The purpose of study was to compare the effectiveness of sling exercise on the muscle strength and range of motion in female patients who received a total knee replacement. The participants were allocated randomly into 2 groups: sling exercise group (n=15) and control group (n=15). The subjects were evaluated using the Biodex system for the muscle strength test and a goniometer for the range of motion test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. As a result, the sling exercise group before and after intervention showed a statistical significance difference in the flexion angle, quadriceps femoris, and hamstring muscle strength. The control group before and after the intervention revealed a statistically significant increase in the flexion & extension angle, quadriceps femoris, and hamstring muscle strength. Muscle strength test and flexion range of motion test in the sling exercise group showed statistical significance differences compared to the control group (p<.05). Therefore, the sling exercise group has a positive influence on the muscle strength and ROM in patients with a total knee replacement.
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문제 정의
Sling exercise had been applied to lower back pain for middle aged females [13], scoliosis [14], neck pain [15], and chronic stroke patients [16] but few study applied sling exercise for TKR. Therefore, this study aimed to identify the effects of sling exercise group (SEG) on the knee strength and ROM of patients following total knee replacement surgery.
제안 방법
In the current study, the subjects were divided into an sling exercise group and a control group who received treatment three times a week for six weeks after total knee replacement surgery. In effectiveness of exercise program for TKR, Strength of knee extensor was significantly increased in isometric with theraband [23], lower extremity strength was significantly difference in 8 weeks aqua complex exercise [24], and home rehabilitation program in TKA also reduced pain and increased the active ROM and strengthening lower extremity [25].
In the test protocol, the joint angle was revised and complemented due to ROM limitations and pain of the patients to conduct an isometric strength testing on quadriceps muscle and hamstring muscle at a knee flexion angle of 45 degrees. The muscle contraction time was 6 seconds, and the measurement was done three times after a 5-second break.
The ROM test is intended to manually measure the knee flexion and extension range. The control group and the sling exercise group were informed of accurate test positions, and clothing and jewelry that could affect the measurement were removed.
The participants were divided randomly as sling exercise group (n=15), control group (n=15). The general characteristics of the research subjects are shown in [Table 1].
The program consists of warm-up exercise, the main exercise, and warm-down exercise. The warm-up and cool-down exercises involved stretching and self joint mobilization before and after the main exercise.
To determine the subject's ROM, a total knee flexion and extension test was conducted using a joint angle indicator (Goniometer 662M4, Orthesen Orthosis, Germany). The strength test and the ROM test were conducted two weeks after the total knee replacement surgery, and the ROM and the muscle strength tests were performed six weeks after the surgery.
This study intended to identify the impact of sling exercise and control groups by applying them to two different groups who underwent total knee replacement surgery. In terms of ROM, there were statistically significant differences in the flexion of the a SEG and in the flexion and the extension of the CG (p<.
Previous study emphasized that early muscle strength in TKA and had various strengthening exercises for knee joint. This study was used alteration of axis for training the body which did not tried with sling in existing method. The sling exercise, induced dynamic movement was more effective in muscle strength and ROM than static and persistent exercise [11].
To determine the subject's ROM, a total knee flexion and extension test was conducted using a joint angle indicator (Goniometer 662M4, Orthesen Orthosis, Germany).
Two weeks after the surgery, the CG (control group) engaged in exercises three times a week for six weeks using a TENS (transcutaneous electrical nerve stimulation) 15 minutes, CPM(continuous passive motion) 20 minutes, cold pack 15 minutes for 50 minutes a day, and the SEG engaged in joint mobilization to improve their ROM and strength exercises for muscular strength and endurance training for 50 minutes a day, three times a week for six weeks. To determine the subject's muscular strength, quadriceps muscle and hamstring muscle strength tests were conducted with the subject's knee joint at an angle of 45 degrees during isometric contraction.
대상 데이터
This study was conducted with 30 patients aged 55 to 75 years who underwent total knee replacement surgery at G Hospital in U City from August 16 to December 15, 2013. Those who participated in the study explained the objectives and methods to the patients, and the study was conducted to people agreed to be selected.
데이터처리
0 for Windows, and the average of each group and the standard deviation of all the variables were calculated through descriptive statistics. Differences in the knee strength and the ROM of each group before and after the exercises were verified through a paired t-test. The differences in the knee strength and the ROM between the two groups were analyzed with an independent t-test.
The data obtained were statistically processed using SPSS 20.0 for Windows, and the average of each group and the standard deviation of all the variables were calculated through descriptive statistics. Differences in the knee strength and the ROM of each group before and after the exercises were verified through a paired t-test.
Differences in the knee strength and the ROM of each group before and after the exercises were verified through a paired t-test. The differences in the knee strength and the ROM between the two groups were analyzed with an independent t-test. The significance level of statistical verification was set at 0.
성능/효과
This study showed that the variation of muscle strength after TKA had significantly difference both groups (p<.05), quadriceps and hamstring strength were greatly improved in sling exercise group.
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