반월상연골 봉합술 후 재활시점에 따른 재활프로그램 적용이 엘리트 스포츠 선수들의 슬관절 근기능 및 기능점수에 미치는 영향
Effect of the Application of rehabilitation exercise program by point in time of rehabilitation on knee joint myofunction and functional score in elite sports player with meniscus repair
- 주제(키워드) 반월상연골 , 재활 , 근기능
- 발행기관 고려대학교 대학원
- 지도교수 김명기
- 발행년도 2009
- 학위수여년월 2009. 8
- 학위명 석사
- 학과 일반대학원 사회체육학과
- 세부전공 스포츠의학전공
- 원문페이지 72 p
- 실제URI http://www.dcollection.net/handler/korea/000000008616
- 본문언어 한국어
- 제출원본 000045550650
초록/요약
The purpose of this study was to examine functional capacity of patient who have had meniscus repair and to investigate effect of a 16weeks rehabilitation program on knee function and lysholm score. Sixteen patient divided into two groups, ie; early rehabilitation group(ERG) and 6weeks later rehabilitation group(LRG). ERG participated in the rehabilitation program in two or three days after the surgery. LRG participated in the rehabilitation program in 6weeks after the surgery. Statistical techniques for data analysis were independent t-test and paired t-test. The significant level of probability was p<.05. The results of the present study were as follows: 1. In 60°/sec, 180°/sec there was significant change peak torque of the uninvolved knee extensor in ERG(p<.05)(p<.01), whereas, it was no significantly change in LRG. In 60°/sec, 180°/sec there was significant change peak torque of the involved knee extensor in ERG(p<.01)(p<.001) and LRG(p<.01)(p<.05). In 180°/sec there was significant change peak torque of the uninvolved knee flexor in ERG(p<.05), whereas, it was no significantly change in LRG. In 60°/sec, 180°/sec there was significant change peak torque of the involved knee flexor in ERG(p<.05)(p<.01), whereas, it was no significantly change in LRG. In 60°/sec there was significant change total work of the uninvolved knee extensor in ERG and LRG(p<.05), whereas, 180°/sec only increase in ERG(p<.01). In 60°/sec, 180°/sec there was significant change total work of the involved knee extensor in ERG(p<.05)(p<.01) and LRG(p<.01)(p<.05). In 60°/sec, 180°/sec there was significant change total work of the uninvolved knee flexor in ERG(p<.01), whereas, it was no significantly change in LRG. In 60°/sec, 180°/sec there was significant change total work of the involved knee flexor in ERG(p<.01), whereas, it was no significantly change in LRG. In 60°/sec, 180°/sec there was significant change average power of the uninvolved knee extensor in ERG(p<.05), whereas, it was no significantly change in LRG. In 60°/sec, 180°/sec there was significant change average power of the involved knee extensor in ERG(p<.05)(p<.001) and LRG(p<.05). In 180°/sec there was significant change average power of the uninvolved knee flexor in ERG(p<.01), whereas, it was no significantly change in LRG. In 60°/sec, 180°/sec there was significant change average power of the involved knee flexor in ERG(p<.01), whereas, it was no significantly change in LRG. In 60°/sec there was significant change deficient of uninvolved/involved knee extensor in ERG(p<.05) and LRG(p<.01), whereas, in 180°/sec only increase in ERG(p<.01). In 60°/sec, 180°/sec there was no significant change deficient of uninvolved/involved knee flexor in both group. 2. Lysholm scores after the meniscus repair increased significantly in both group(p<.01). It would be concluded that an early 16weeks rehabilitation program elicited many positive changes in the patients after the meniscus repair such as improvement of knee function, lysholm score and declining the deficient of the peak torque of the uninvolved/involved knee. The group which participated in rehabilitation program after six weeks, increased but not enough compared with early rehabilitation group. It was concluded that an early rehabilitation program necessary for the patients after the meniscus repair.
more목차
ABSTRACT Ⅳ
목 차 Ⅶ
Ⅰ. 서 론 1
1. 연구의 필요성 1
2. 연구의 목적 4
3. 연구의 가설 4
4. 연구의 제한점 4
5. 용어의 정의 4
Ⅱ. 이론적 배경 7
1. 슬관절의 해부학적 구조 및 기능 7
2. 반월상연골의 해부학적 구조 및 기능 8
3. 반월상연골의 손상 12
4. 반월상연골의 수술적 치료 14
5. 반월상열골 수술 후 재활운동 15
Ⅲ. 연구 방법 17
1. 연구 대상 17
2. 실험 방법 17
1) 실험 절차 17
2) 측정 도구 20
3. 재활 운동프로그램 20
4. 측정 방법 21
1) 슬관절 근기능 검사 21
2) 슬관절 기능점수 검사 21
5. 자료처리 및 분석 23
Ⅳ. 연구 결과 24
1. 반월상연골 봉합술 후 슬관절 근기능의 변화 24
1) 건측 슬관절 신근력의 변화 24
2) 환측 슬관절 신근력의 변화 25
3) 건측 슬관절 굴근력의 변화 27
4) 환측 슬관절 굴근력의 변화 28
5) 건측 슬관절 신근력의 일량 변화 29
6) 환측 슬관절 신근력의 일량 변화 31
7) 건측 슬관절 굴근력의 일량 변화 32
8) 환측 슬관절 굴근력의 일량 변화 33
9) 건측 슬관절 신근력의 평균파워 변화 35
10) 환측 슬관절 신근력의 평균파워 변화 36
11) 건측 슬관절 굴근력의 평균파워 변화 37
12) 환측 슬관절 굴근력의 평균파워 변화 39
13) 슬관절 신근력에서 건측에 환측의 결손율 변화 40
14) 슬관절 굴근력에서 건측에 환측의 결손율 변화 41
2. 반월상연골 봉합술 후 슬관절 기능점수의 변화 43
Ⅴ. 논의 44
1. 반월상연골 봉합술 후 슬관절 근기능의 변화 44
2. 반월상연골 봉합술 후 슬관절 기능점수의 변화 48
Ⅵ. 결론 49
참고문헌 52
