휠체어 추진 속도가 견부 충돌증후군에 미치는 영향

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of this study was to investigate the effects of wheelchair propulsion speed changes on the shoulder impingement syndrome.
Method: EMG activity of 5 muscles (biceps brachii, pectoralis major, deltoid anterior, triceps brachii, and trapezius) were recorded with surface electrodes in 24 males during propulsion of
three different speed levels on a motor-driven wheelchair treadmill. EMG signal was analysed
using root mean square (RMS) values. In order to assure the statistical significance of the results, the one-way ANOVA and a Post Hoc Multiple Comparison were applied at the 0.05 level of significance.
Results: The results of this study were as follows: Biceps brachii, and pectoralis RMS value variations of wheelchair propulsion speed between 45m/min and 60m/min, and between 60m/min
and 75m/min were not statistically different (p>0.05). Triceps brachii, deltoid anterior and trapezius RMS value variations of wheelchair propulsion speed between 45m/min and 75m/min were statistically different (p<0.05).
Conclusions: The risk of impingement syndrome has increased from deltoid muscle contraction growth and trapezoid, triceps brachial muscle endurance decrease when wheelchair propulsion speed rises. To prevent from impingement syndrome wheelchair users should strengthen and endure shoulder muscles. Besides we need education on propulsion posture and suitable position for wheelchair users.

목차 (Table of Contents)

• Ⅰ. 서 론
• Ⅱ. 연구 방법
• 1. 연구대상 및 연구기간
• 2. 측정 도구
• 3. 실험 방법
• 4. 분석 방법
• Ⅲ. 연구 결과
• 1. 연구대상자의 일반적 특성
• 2. 휠체어 추진속도에 따른 근육별 RMS값 평균변화량
• 3. 휠체어 추진속도에 따른 근육별 RMS값 변화량의 일원배치분산분석
• 4. 휠체어 추진속도와 대흉근 RMS값 변화량의 사후 다중비교
• 5. 휠체어 추진속도와 상완이두근 RMS값 변화량의 사후 다중비교
• 6. 휠체어 추진속도와 상완삼두근 RMS값 변화량의 사후 다중비교
• 7. 휠체어 추진속도와 삼각근 전부섬유 RMS값 변화량의 사후 다중비교
• 8. 휠체어 추진속도와 승모근 RMS값 변화량의 사후 다중비교
• 9. 휠체어 추진 시간대별 RMS값 변화량의 변화 추이
• Ⅳ. 고 찰
• Ⅴ. 결 론