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대한물리의학회지 = Journal of the korean society of physical medicine, v.11 no.1, 2016년, pp.53 - 60
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PURPOSE: This study aimed to identify differences in the thickness of the transverse abdominis (TrA) and pelvic floor muscles (PFM) between those with (LBP) and without low back pain (non-LBP). The standardized methods of contraction for the TrA and PFM were used to perform the abdominal draw-in man...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 복부 드로우-인(abdominal draw-in maneuver)과 골반바닥근 수축훈련이란 무엇인가? | 임상에서 배가로근과 골반바닥근의 선택적인 재교육을 위한 방법으로 복부 드로우-인(abdominal draw-in maneuver)과 골반바닥근 수축훈련을 자주 사용한다 (Macedo 등, 2009). 복부 드로우-인은 체간 심부근의 조절을 위해 일반적으로 사용되는 체간 심부근 안정화기법으로 배속빗근과 같은 다른 복부근육의 수축을 최소화하면서 선택적으로 배가로근을 수축시킬 수 있는 방법이며, 골반바닥근 수축훈련은 골반바닥근과 배가로근의 상호 활성화를 통해 체간 안정성을 제공하는 방법이다(Hodges와 Richardson, 1996; Hodges 등, 2005). | |
| 요통이란 무엇인가? | 요통은 근골격계의 이상으로 인한 요추부의 국소적인 통증으로 현대 사회에서 가장 일반적인 근골격계 질환 중 하나이다(Waddell, 1996). 성인 4명 중 1명은 최근 3개월 이내에 요통을 경험한 적이 있고(Deyo 등, 2006), 70~85%는 일생에 한 번은 요통을 경험하며 현대인들의 신체 기능과 구조의 손상, 활동의 제한, 참여의 제약을 야기시킨다(Ehrlich, 2003). | |
| 요통의 원인은 어떤것들이 있는가? | 요통의 원인은 아직까지 명확하지 않지만, 근골격계 손상으로 인한 생체역학적 요인이 요통을 유발하는 가장 큰 원인으로 거론되고 있으며, 체간의 안정성 유지및 균형 조절에 중요한 역할을 하는 요추부의 근육약화는 요통 발생의 주요 원인으로 보고되고 있다(Graves 등, 1990). 요추부의 근육약화는 통증 및 지구력 감소, 유연성 감소, 관절운동범위의 제한을 유발할 뿐만 아니라(Fordyce 등, 1986; Gill 등, 1988; Shumway-Cook과 Horak, 1990), 통증으로 인한 체간 움직임의 감소로 인해 추가적인 근육 약화를 야기하며, 정상인에 비해 근육의 위축 정도가 더 심하다고 보고되고 있다(Tertti 등, 1991; Cooper 등, 1992). |
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