[논문]허리통증이 있는 농촌지역 여성들에 대한 허리 강화 운동 프로그램의 효과

백소라; 김보람; 김고운; 박희원

doi:10.5393/jamch.2021.46.2.053

허리통증이 있는 농촌지역 여성들에 대한 허리 강화 운동 프로그램의 효과
Effect of Back-Strengthening Exercise Program in Rural Community-Dwelling Women with Mild Low Back Pain 원문보기

農村醫學·地域保健 = Journal of agricultural medicine & community health, v.46 no.2, 2021년, pp.53 - 66

백소라 (강원대학교병원 농업안전보건센터) , 김보람 (강원대학교 스포츠과학과) , 김고운 (강원대학교병원 농업안전보건센터) , 박희원 (강원대학교병원 농업안전보건센터)

초록
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목적: 농촌 지역사회 기반의 허리 근력 강화 운동 프로그램이 운동과 허리 건강에 대한 개인의 태도 및 믿음에 미치는 효과를 평가하고자 하였다. 방법: 강원도 지역 네 개의 농촌 마을에서 가벼운 허리 통증이 있는 79명의 여성 자원자(42-76세)들을 운동군(n=40)과 대조군(n=39)으로 마을단위로 배정하였다. 운동군에서는 지역사회 기반의 허리강화 운동 프로그램(주당 3회, 8주간)이 시행되었고 대조군에는 일반적인 건강 관리에 대한 강의가 제공되었다. 등척성 허리 신전 근력과 허리 통증 관련 장애, 운동에 대한 태도, 허리 질환에 대한 위협인지, 운동의 자기 효능감을 중재전과 중재후 1, 2개월째 측정하였다. 결과: 운동군에서 2개월후 허리 신전근력은 뚜렷이 증가하였으며 허리 통증 관련 장애도 유의미하게 감소하였다. 운동에 대한 태도와 허리 질환에 대한 위협 인지는 운동군에서 증가하였으나 대조군에서는 변화가 없었다. 운동의 자기효능감은 양군에서 같이 증가하였으나 운동군에서 그 정도가 더 뚜렷했다. 결론: 농촌 지역 여성들을 대상으로 한 허리 근력 강화 운동 프로그램은 허리 통증으로 인한 장애를 감소시켰고 운동의 효과에 대한 태도와 믿음을 변화시켰다.

주제어

표/그림 (9)

그림 Figure 1. Flow chart of inclusion. ^*Participants recruited from Saam-ri and Balsan-ri were assigned to exercise groups. ^†Participants recruited from Geodu-ri and Sin-dong were assigned to control groups.
그림 Figure 2. Exercise and control interventions. ^*On the pre-assessment day, education on general health and back health was provided to both the exercise control groups.
그림 Figure 3. Isometric back extensor strength measurement. (A) The participant was seated in a chair, which did not allow the feet to touch the floor, and the pelvis was fixed by fastening the seat belt. Extension strength was measured using a portable dynamometer located between the square backplate and chair seatback (bold-lined oval). (B) The vertical linear groove on the centre of the chair's backrest is designed for holding a sensor unit, with a ruler to set the sensor unit in a specific height. (C) The square wooden backplate interface with participants' back muscle, which transmits compression pressure to the attached force sensor unit.
표 Table 1. Baseline characteristics
표 Table 2. Results of principal factor analysis with varimax rotation
그림 Figure 4. Scatter slope shows the correlation between exercise self-efficacy and ODI score at baseline (ρ= -0.448, P<0.001) for all participants (n=72). ODI, Oswestry Disability Index
그림 Figure 5. Outcome measurement changes (ΔT2–T0) in exercise and control groups. (A) Trunk extensor strength. (B) Back pain-related disability using Oswestry Disability Index (ODI). (C) Attitude toward exercise. (D) Perceived risk of back disorder. (E) Exercise self-efficacy
표 Table 3. Correlation between individual attitude and belief and ODI
표 Table 4. Outcome changes from baseline compared between exercise and control group

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