노인에서 요부 안정화 운동이 어깨의 통증 및 관절 가동 범위에 미치는 영향

Abstract

Purpose : This research was conducted to investigate the effects of lumbar stabilization exercise programs on shoulder pain and range of motion among some elderly. Method : The study subjects were 28 elderly patients who administered in C hospital, Gochang Jeollabukdo. The study subjects were randomly allocated into 3 groups: lumbar stability exercise group, passive upper arm exercise group, and conservative therapy group. Exercise program and conservative therapy were conducted for 4 weeks. Pain on shoulder and range of motion were measured both before and after the exercise. The homogeneity of study subjects was analyzed with the chi-square and Kruskal-Wallis tests. For the pre-/post-status comparison, Wilcoxon's signed-ranks tests and Kruskal-Wallis tests were operated. Result : The general characteristics such as age, sex and disease history of 3 groups were not different. After 4 weeks exercise program, shoulder pain was significantly reduced in lumbar stability exercise group (6.4±2.9 vs 3.6±3.1, p=0.026). Range of motion was significantly increased in lumbar stability exercise group: range of right flexion (121.1±12.0 vs 137.9±11.9, p=0.008), right abduction (96.6±21.8 vs 129.7±50.7, p=0.008) and left abduction (92.0±21.8 vs 110.3±21.2, p=0.038) were significantly increased. On the other hand, pain and range of motion were not changed in passive upper arm exercise group and conservative therapy group. Conclusion : Shoulder pain and range of motion were significantly improved in lumbar stability exercise group. Further study is needed to find out longer effect of lumbar stability exercise program with more subjects.