도수 촉진과 막대를 이용한 몸통의 전방 굴곡 운동에 따른 요추와 고관절 굴곡 각도의 변화

• Published in: Han'guk Chŏnmun Mulli Ch'iryo Hakhoe chi = Journal of the Korean Academy of University Trained Physical Therapists Vol. 18; no. 1; pp. 57 - 63
• Main Authors: 정성대, Sung Dae Choung, 박규남, Kyue Nam Park, 홍지아, Ji A Hong, 조민수, Min Sue Cho, 손동휘, Dong Hwi Son, 신헌석, Heon Seock Cynn
• Format: Journal Article
• Language: Korean
• Published: 한국전문물리치료학회 28.02.2011; Korean Academy Of University Trained Physical Therapy
• Subjects: Forward bending; Hip flexion; Lumbar spine flexion; Manual facilitation; Stick; 물리치료학; Hip flexion; Forward bending; Manual facilitation; Lumbar spine flexion; Stick
• ISSN: 1225-8962; 2287-982X

The purpose of this study was to identify the effects of manual facilitation and a stick on lumbar and hip joint flexion angles in subject with lumbar flexion syndrome during forward bending from a sitting position. Fifteen subjects with lumbar flexion syndrome were recruited for this study. As a pretest, all subjects performed three repetitions of bending the trunk forward until the tips of their fingers touched the target bar. After this pretest, the subjects practiced the forward bending of the trunk 10 times, using either manual facilitation or a stick. Then, as a posttest, all subjects repeated the pretest procedure. The flexion angles of lumbar spine and hip joint during forward bending in a sitting position were measured using a three-dimensional motion analysis system. A paired t-test was used to determine the statistical differences between pre-test and post-test flexion angles and pre- and post-test flexion angle differences between forward bending with manual facilitation and forward bending with a stick. The level of statistical significance was set at p=.05. The results of the study showed that the angle of the lumbar flexion decreased significantly and the bilateral hip flexion angle increased significantly when performing forward bending with stick and manual facilitation. Furthermore, the angle of lumbar flexion decreased significantly and the angle of bilateral hip flexion increased significantly in forward bending with a stick compared to forward bending with manual facilitation. The findings of this study indicate that both forward bending with manual facilitation and sticks could be used to prevent excessive lumbar flexion and increase hip flexion, and that forward bending with a stick is more effective than forward bending with manual facilitation for inducing lumbar spine and hip joint angle changes.