성인 뇌성마비의 관절가동범위에 따른 분류와 운동능력 및 유산소능력과의 관계 (Classification by Range of Motion in Adults with Cerebral Palsy and Relationship between Motor Ability and Aerobic Capacity)

서지정보

· 발행기관 : 한국체육교육학회
· 수록지 정보 : 한국체육교육학회지 / 29권 / 1호 / 259 ~ 271페이지
· 저자명 : 유정완, 김희재

초록

목적: 본 연구의 목적은 사전 연구(You et al. 2015)에서 8개의 유의한 요인으로 분류 되어졌던 3개의 그룹이운동능력 및 유산소능력과 어떠한 관계를 가지고 있는지 규명하는데 있다.
방법: 사전연구에서 101명의 뇌성마비의 전신 AROM의 특징으로 분류되어진 3개의 Group(Group 1 55명, Group 2 33명 및 Group 3 13명)을 대상으로 ①악력, ②어깨근력, ③윗몸일으키기, ④좌전굴, ⑤소프트볼던지기, ⑥50m 달리기, ⑦사이드스텝, ⑧눈뜨고 외발서기, ⑨제자리 멀리뛰기 및 ⑩10m Shuttle Run Test의 10 개 항목을 측정하였으며, 유산소 능력은 산소섭취량(VO2), 환기량(VE) 및 호흡교환비(RER) 및 심박수(HR) 를 측정하였다.
결과: 소프트볼 던지기 50m 달리기를 제외한 모든 운동능력 측정항목에서 Group 간 유의한 차이가 인정되었다(p<0.05). GMFCS level 간에서 좌전굴을 제외한 9개의 운동능력 항목에서 유의한 차이가 인정되었다(p<0.05). 유산소능력에서는 Group간 VO2peak 및 VEpeak에서 유의한 차이가 나타났으며(p<0.01), GMFCS level 간 모든 항목에는 유의차는 인정되지 않았다.
결론: 사전연구에서 전신 AROM 중 8개의 요인의로 분류되어진 3개의 Group은 뇌성마비의 운동능력 및 유산소능력에 의하여 분류되어져 있다는 것이 명확하게 되었으며, 운동능력을 바탕으로 뇌성마비를 분류함에있어서 과거에 사용되어져 왔던 GMFCS보다 더욱더 효과적인 것으로 나타났다.

영어초록

Purpose: This study aimed to provide preliminary data for developing new methods for the classification of cerebral palsy by measuring motor ability and Aerobic Capacity in three groups classified into eight significant factors through the measurement and analysis of AROM in the whole body of adults with cerebral palsy in the previous research (You et al.
2015) and by identifying the relationship between those three groups.
Methods: Targeting three groups (55 people in Group 1, 33 people in Group 2, and 13 people in Group 3) classified by the characteristics of AROM in the whole body of 101 adults with cerebral palsy in the previous research, it measured a total of 10 items for motor abilities, including ①Grip Strength, ②Shoulder Strength, ③Sit-Ups, ④Sit and Reach, and ⑤ Softball Throwing ⑥50m Run, ⑦Side Step, ⑧Single-Leg Standing with Eyes Open, ⑨Long Jump in Place, and ⑩10m Shuttle Run. Furthermore, it also measured Oxygen Uptake (VO2), Ventilation (VE), Respiratory Exchange Ratio (RER), and Heart Rate (HR) as Aerobic Capacity.
Results: There were significant differences between the groups in Grip Strength, Shoulder Strength, Sit-Ups, Sit and Reach, Side Step, Long Jump in Place, and 10m Shuttle Run among test measurement items for motor abilities (p<0.05). At the GMFCS level, there were significant differences in terms of 9 motor ability test items excluding Sit and Reach (p<0.05).
In the case of Aerobic Capacity, there were significant differences in VO2peak and VEpeak between groups(p<0.01).
However, there were no significant differences in all items of respiratory response and HR following maximal exercise in Aerobic Capacity between GMFCS levels.
Conclusions: It became clear that three groups classified by eight factors through the measurement and analysis of AROM in the whole body of adults with cerebral palsy in the previous research were classified by motor ability and Aerobic Capacity of patients with cerebral palsy, and it was found to be more effective than GMFCS.

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