근골격계 손상의 치료를 위한 새로운 물리치료 접근법: 최근 패러다임에 기반한 ‘신경근육 조절 및 재설정’ 개념 (New Physiotherapeutic Approach for Treating Musculoskeletal Impairments: ‘Neuromuscular Control and Reset’ Concept Based on Current Paradigm)

서지정보

· 발행기관 : 한국신경근육물리치료학회
· 수록지 정보 : 한국신경근육재활학회지 / 11권 / 2호 / 64 ~ 82페이지
· 저자명 : 원상희, 오덕원, 원종오

초록

In recent, physical therapists undergo rapid paradigm shift toward dynamic perspectives based on therapeutic efforts to restore functional problems rather than focusing on medi cal diagnosis of disease in treating a variety of musculoskeletal impairments. This con ception emphasizes on the evaluation of postural aberrations and their causes, and then the treatment of functional limitations to relieve the symptoms related to musculoskeletal impairments. Based on current trends, the ‘Neuromuscular Control and Reset (NCR)’ concept supports the use of the 4R, which includes the reset of joint malalignment, reset of muscle imbalance, reset of impaired joint stability, and reset of impaired sensory-motor control, as specific option to identify physical factors related to functional limitations and to facilitate therapeutic effects. The NCR concept highlights that the precise evaluation on posture and movement should be a proceeding condition to provide the treatment of musculoskeletal impairments. Therefore, a best idea in the physical therapy of musculoskeletal impairments needs to promote the understanding of kinesiopathology associated with joint malalignment and muscle imbalance as well as the analysis of physical movements. Further studies re quire to provide detailed guidelines and algorithm in the evaluation and treatment for clin ical application of the NCR concept, and to evidence its clinical feasibility and effects.

영어초록

In recent, physical therapists undergo rapid paradigm shift toward dynamic perspectives based on therapeutic efforts to restore functional problems rather than focusing on medi cal diagnosis of disease in treating a variety of musculoskeletal impairments. This con ception emphasizes on the evaluation of postural aberrations and their causes, and then the treatment of functional limitations to relieve the symptoms related to musculoskeletal impairments. Based on current trends, the ‘Neuromuscular Control and Reset (NCR)’ concept supports the use of the 4R, which includes the reset of joint malalignment, reset of muscle imbalance, reset of impaired joint stability, and reset of impaired sensory-motor control, as specific option to identify physical factors related to functional limitations and to facilitate therapeutic effects. The NCR concept highlights that the precise evaluation on posture and movement should be a proceeding condition to provide the treatment of musculoskeletal impairments. Therefore, a best idea in the physical therapy of musculoskeletal impairments needs to promote the understanding of kinesiopathology associated with joint malalignment and muscle imbalance as well as the analysis of physical movements. Further studies re quire to provide detailed guidelines and algorithm in the evaluation and treatment for clin ical application of the NCR concept, and to evidence its clinical feasibility and effects.

참고자료

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