[논문]강직성 척추염 환자에 대한 12주간의 가정기반 운동 프로그램의 효과

조경환; 전유나

doi:10.12925/jkocs.2021.38.3.771

강직성 척추염 환자에 대한 12주간의 가정기반 운동 프로그램의 효과
Effects of 12 weeks of home-based exercise program in patients with ankylosing spondylitis 원문보기

Journal of the Korean Applied Science and Technology = 한국응용과학기술학회지, v.38 no.3, 2021년, pp.771 - 785

조경환 (한신대학교 특수체육학과) , 전유나 (고려대학교 국제스포츠학부)

초록
AI-Helper

이 연구는 강직성 척추염 환자를 대상으로 12주간의 가정기반운동(home-based exercise) 프로그램을 수행하여 환자 특성별 염증관련 혈액지표, 관절가동범위, 통증척도 및 심리적인 지표 세부적이고 종합적으로 제공하고자 수행되었다. 연구의 목적을 위해 강직성 척추염을 진단받은 환자 10명을 선정하여 연령별(30대 vs. 40대 vs. 50대), 성별(남성 vs. 여성) 및 유병기간(5년 미만 vs. 5년 이상)으로 구분하였다. 가정기반 운동 프로그램은 유산소운동과 필라테스 기반 저항성 운동의 복합운동 형태로 최대심박수(maximal heart rate, MHR)의 50-70% 강도에서 주 4회, 12주 동안 수행되었다. 연구결과, 12주간의 가정기반운동 중재 후 강직성 척추염 환자의 혈중 CRP (C-reactive protein) 농도가 감소됨으로써 (-35.6%, p=.017) 혈중 염증 수치가 개선되었으며, 각 관절(고관절, 허리, 경추)의 가동성이 향상되었다(p<.05). 또한 질병활성도(Bath ankylosing spondylitis disease activity index, BASDAI)는 -67%(p=.005), 시각통증지표(Visual analogue scale, VAS)는 -64.8%(p=.005) 감소됨으로써 강직 및 통증이 전반적으로 완화되었다. 특히, 우울 정도가 -65.5%(p=.005), 불안 정도는 -55.2%(p=.008) 감소됨으로써 12주간의 가정기반운동은 신체적 변화 뿐 아니라 심리적인 요인도 개선 시켜주는 것으로 나타났다. 반면, 강직성 척추염 환자의 연령, 성별, 유병기간에 따른 운동 효과 차이는 나타나지 않았다(p>.05). 따라서 이 연구에서 적용된 12주간의 가정기반운동이 환자 특성과 상관없이 강직성 척추염 환자에게 보편적으로 사용될 수 있는 효과적인 운동프로그램이 될 수 있을 것으로 사료된다.

Abstract ▼ AI-Helper

This study was performed to provide detailed and comprehensive information on inflammation-related blood indicators, joint range of motion, pain scale, and psychological indicators by patient characteristics by performing a 12-week home-based exercise program for ankylosing spondylitis patients. For the purpose of this study, 10 patients with ankylosing spondylitis were selected by age (30s vs. 40s vs. 50s), gender (male vs. female), and duration (less than 5 years vs. 5 years or more). The home-based exercise program was a combination of aerobic exercise and Pilates-based resistance exercise, and was performed 4 times a week for 12 weeks at an intensity of 50-70% of maximal heart rate (MHR). As a result, after 12 weeks of home-based exercise intervention, the blood C-reactive protein (CRP) concentration of patients with ankylosing spondylitis decreased (-35.6%, p=.002), and the blood inflammation level was improved, and each joint (hip, lumbar, cervical) improved mobility (p.05). These results suggest that the 12-week home-based exercise applied in this study can be an effective exercise program that can be universally used for ankylosing spondylitis patients regardless of patient characteristics.

주제어

표/그림 (8)

표 Table 1. Characteristics of participants
표 Table 2. Home-based exercise program
그림 Fig. 1. C-reactive protein (CRP). A: All subject difference, B: Age difference, C: Gender difference, D: Disease duration difference. *p<.05.
그림 Fig. 2. Erythrocyte sedimentation rate (ESR). A: All subject difference, B: Age difference, C: Gender difference, D: Disease duration difference.
표 Table 3. Range of motion (ROM)
그림 Fig. 3. Bath ankylosing spondylitis disease activity index (BASDAI). A: All subject difference, B: Age difference, C: Gender difference, D: Disease duration difference. *p<.05.
그림 Fig. 4. Visual analogue scale (VAS). A: All subject difference, B: Age difference, C: Gender difference, D: Disease duration difference. *p<.05.
표 Table 4. Psychological scale (Depression and Anxiety)

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