엉치엉덩관절 통증환자에 관절가동술과 깔창적용이 보행능력, 근활성도와 통증 미치는 효과 : 무작위배정예비임상시험

Abstract

This study was to compare the effects of joint mobilization, Treadmill with insole, and joint mobilization and treadmill with insole on gait ability and muscle activity in patients with sacroiliac joint pain. 24 patients randomly assigned to joint mobilization group(n=8), treadmill with insole group(n=8), or joint mobilization and treadmill with insole group(n=8). Each groups were conducted 30 minutes a day, two days a week for four weeks. Gait ability(cadence, stance phase(heel strike, mid stance, propulsion)) was measured using Gateview AFA-50 and Muscle activity was evaluated using electromyography, and pain was evaluated using visual analogue scale before intervention and after 4 weeks. All groups were significant differences in cadence and pain in intragroup(p<.01). In stance phase, only joint mobilization and treadmill with insole was significant differences in heel strike, mid stance, and propulsion in intragroup(p<.01). also all groups were no significant differences EMG in intragroup (p>.05). Multiple comparisons between intervention methods were significant differences on cadence and stance phase in intergroup(p<.05). In joint mobilization and treadmill with insole group, Cadence was significantly improved than other groups(p<.01) and mid stance was significantly improved in joint mobilization group than other groups(p<.05). All the interventions improve sacroiliac joint pain and cadence. joint mobilization are effective changes in mid stance. This study can be used as a basic data for prevention of injury, posture correction and gait therapy in patients with sacroiliac joint pain, as well as chronic low back pain.