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NTIS 바로가기한국전문물리치료학회지 = Physical Therapy Korea, v.26 no.2, 2019년, pp.8 - 15
김동우 (대구대학교 대학원 물리치료학과) , 박한규 (대구대학교 대학원 물리치료학과)
Background: Improvement of the lumbo-pelvic stability can reduce the compensatory action of the erector spinae (ES) during prone hip extension (PHE). Furthermore, the application of abdominal drawing-in (ADI) maneuver increases the action of gluteus maximus (GM) and decreases the action of ES during...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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복부근육의 조절 능력 결여는 어떤 움직임을 발생시키는가? | Sahrmann (2002)은 복부근육의 조절 능력 결여는 엉덩관절 폄을 하는 동안 척추세움근의 보상작용을 유발하여 골반의 앞쪽 기울임과 허리의 과도한 폄과 같은 원치않는 움직임을 발생시킨다고 하였다. 본 연구에서 중재전 엎드려 누워 엉덩관절 폄 시 양측 척추세움근의 근활성도는 정상집단보다 복부근육이 약한 집단이 유의하게높았다. | |
허리-골반의 안정성이란 무엇인가? | 허리-골반의 안정성은 척추분절을 중립으로 유지하고, 위치를 조절하는 능력으로 정의된다(Richardson과Jull, 1995). 허리-골반의 안정성을 확보하는 것은 기능적인 움직임과 통증예방 및 재활운동에 있어서 중요하고(Lehman 등, 2005), 팔과 다리가 효율적이며 조화롭게 움직일 수 있는 여건을 제공한다(Karthikbabu 등,2011). | |
복부근육의 조절 능력이 중요한 이유는 무엇인가? | 복부근육은 허리-골반의 안정성에 관여하며 몸통의 움직임을 조절하고(Hodges 등, 2002), 복부의 근육 활동을 증가시키는 것은 허리-골반의 안정성 회복과 기능향상에 중요하다(Grenier과 McGill, 2007; Vera-Garcia 등,2000). 복부근육의 약화는 골반의 앞쪽 기울임을 증가시키고 허리의 앞 굽음을 야기하여, 허리분절의 불안정성을 발생시킨다(Neumann, 2009). 또한 복부근육의 약화는 복부근육의 조절능력을 저하시켜 척추세움근의 우세적인 활동으로 이어질 수 있으며, 이러한 불균형은 허리-골반의 운동패턴의 변화를 초래한다(Chaitow, 2001;Sahrmann, 2002). 허리통증 환자에게서 복부근육의 약화가 주로 발견되고, 복부근육들의 강화는 척추가 중립성을 유지하고 분절 안정성을 회복하는데 필수적이라고 알려져 있다(Kendall 등, 2005). |
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