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자이로키네시스 운동이 사무직 종사 여성의 하지 부종, 하지 근력, 피로 및 수면의 질에 미치는 영향

Effects of Gyrokinesis exercise on lower extremity edema, lower extremity strength, fatigue, and sleep quality in office workers

  • 민경빈 (Min Kyoung Bin, 대학원 사회체육학과 스포츠과학전공)

초록/요약

Purpose: The purpose of this study was to analysis the effects of Gyrokinesis exercise on lower extremity edema, lower extremity muscle strength, fatigue, and sleep quality compared in office workers. Method: Twenty-seven adults (age range 20s to 40s) who have been working in office workers were participated in this study. The subjects were all women with sedentary lifestyle and were randomly assigned to an exercise group (n = 14) or a control group (n = 13). Exercise groups performed a gyrokinesis exercise 60 min a day, 2 times a week for 8 weeks. The control groups wore elastic compression stockings during working hours for 8 weeks. Two-way repeated measure ANOVA was conducted to determine the mean difference by group and measurement time. When an interaction effect appeared, an Independent samples t-test was conducted to determine differences between groups, and a Paired samples t-test was performed to examine change within the group. Results: 1. Changes in lower extremity edema after applying Gyrokinesis exercise 1) Result of calf circumference measured in the morning, there was a statistically significant difference between group (p<.05), and time (p<.001). Changes in calf circumference measured in the afternoon, there was a statistically significant difference between group (p<.05) and time (p<.001). Changes in calf circumference for the difference values between morning and afternoon showed statistically significant differences between group (p<.05) and time (p<.001). Regarding the changes in ankle circumference measured in the morning, there was a significant difference in the interaction between group and time (p<.05). As a result of the post-hoc test, a significant difference was found between the groups (p<.05), and a significant difference was found between the control group (p<.005) and the exercise group (p<.001) for within-group changes. Also, there was a significant in the time (p<.001). Regarding the changes in ankle circumference measured in the afternoon, there was a significant difference in the interaction between group and time (p<.005). As a result of the post-hoc test, a significant difference was found between the groups (p<.05), and a significant difference was found between the control group (p<.005) and the exercise group (p<.001) for within-group changes. Also, there was a significant in the time (p<.001). Regarding the change in the ankle circumference for the difference value between morning and afternoon, a significant difference was observed only in the measurement time (p<.05). 2) Lower extremity extracellular water/total body water was shown to have a significant interaction between group and time appeared (p<.005), and In post-hoc test significant differences in exercise groups revealed (p<.005). Also, lower extremity extracellular water/total body water was shown to have a statistically significant difference between groups (p<.05) and time (p<.05). 2. Changes in lower extremity muscle strength after applying Gyrokinesis exercise 1) For knee extension muscle strength, there was a significant difference in the interaction between group and time (p<.001). As a result of the post-hoc test, a significant difference appeared between group (p<.05), and a significant difference only in the exercise group (p<.001). Also, there was a significant difference in the time (p<.001). Regarding knee flexion strength, there were statistically significant differences in interaction between group and time (p< .001). In post-hoc test, there was revealed significant differences between group (p<0.05). and, showed a significant difference in the exercise group (p<.001). Also, there was a significant difference in the time (p<.001). and There was a significant difference in dorsi flexion strength only at the time of measurement (p<.001). For plantar flexion strength, there was a significant difference in the interaction between group and time (p<.005). The results of post-hoc test was showed significant differences in within-group changes only in the exercise group (p<.001). Also, there was a significant difference in the time (p<.005). 2) Changes in soleus muscle stiffness showed statistically significant differences in the interaction between group and time (p<.001). For post-hoc test, there was showed significant differences between group (p<.05) and only the exercise group in within-group change (p<.05). Also, there was a significant difference in both group (p<.005), time (p<.005). There was a statistically significant difference in the change in medial gastrocnemius muscle stiffness between groups (p<.05) and time (p<.005). There was a significant difference in the change in biceps femoris muscle stiffness depending on time (p<.05). There was a significant difference in the change in tibialis anteiror muscle stiffness in the group and time interaction (p<.05). The result of post-hoc test was showed a significant difference in within-group change only in the exercise group (p<.05). Regarding changes in rectus femoris muscle stiffness, a significant difference appeared only in measurement time (p<.05). 3. Changes in fatigue after applying Gyrokinesis exercise 1) Changes in cortisol hormone showed a significant difference between group (p<.005) 2) There was a significant difference in the change in fatigue index due to the interaction between group and time (p<.005). Post-hoc test with interaction effects showed significant differences in within-group changes only in the exercise group (p<.001). Also, there was significant differences in the measurement time (p<.001). 4. Changes in sleep quality after applying Gyrokinesis exercise 1) Changes in serotonin hormone showed significant differences in the interaction between group and time (p<.05). In post-hoc test, there was showed a significant difference in within-group change only in the exercise group (p<.05). Also, there was significant differences in the time (p<.05). 2) Changes in sleep quality index showed a significant difference only in time (p<.05). Conclusion: Based on the result of this study, Gyrokinesis exercise is associated with positive impact of lower limb edema in body water, changes in lower limb circumference, lower extremity muscle strength, changes in mechanical properties of lower extremity muscles, serotonin hormone, fatigue index, quality of sleep index. Various motions in Gyrokinesis exercise is associated with increase physical activity and it affect positive effects on several factors included lower extremity edema and chronic fatigue, resulting in improve lower extremity edema and quality of life in sedentary adult office workers. However, there are a little studies on the result of exercise effect for improve lower extremity edema and quality of sleep in office workers. Therefore, future study is needed to confirm our result throughout various studies on the effects of exercise related to lower extremity edema. Keywords: lower extremity edema, lower extremity muscle strength, fatigue, sleep quality, Gyrokinesis exercise, elastic compression stockings

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목차

I. 서론 1
1. 연구의 필요성 1
2. 연구 목적 6
3. 연구가설 6
4. 연구의 제한점 7
II. 이론적 배경 8
1. 좌업생활 양식의 특성과 건강 8
2. 하지 부종 9
3. 피로 12
4. 수면 15
5. 자이로키네시스 운동 18
III. 연구 방법 22
1. 연구대상자 22
2. 연구 기간 23
3. 측정 도구 24
4. 실험 절차 25
5. 실험방법 27
1) 하지 둘레 측정 27
2) 체수분 측정 27
3) 하지 근력 측정 29
4) 하지 근육의 기계적 특성 측정 31
5) 혈액 성분 검사 33
6) 피로도 및 수면의 질 설문지 35
7) 자이로키네시스 운동프로그램 36
8) 탄력 압박 스타킹 38
6. 자료처리 39
IV. 연구 결과 40
1. 자이로키네시스 운동 중재 후 하지 부종의 변화 40
1) 하지 둘레의 변화 40
2) 체수분의 변화 44
2. 자이로키네시스 운동 중재 후 하지 근력의 변화 46
1) 하지 근력의 변화 46
2) 하지 근육의 기계적 특성의 변화 48
3. 자이로키네시스 운동 중재 후 피로도의 변화 56
1) 젖산의 변화 56
2) 코르티솔 호르몬의 변화 57
3) 피로도 지수의 변화 58
4. 자이로키네시스 운동 중재 후 수면의 질 변화 59
1) 세로토닌 호르몬의 변화 59
2) 수면의 질 지수의 변화 60
V. 논의 62
1. 하지 부종의 변화 62
2. 하지 근력의 변화 64
3. 피로도의 변화 66
4. 수면의 질 변화 69
VI. 결론 및 제언 72
참고문헌 79
부록 97

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