8주간의 수중운동이 유방암 환자의 어깨관절가동범위, 통증역치 및 어깨 기능 장애에 미치는 영향

강양훈; 서연순; 송인영

doi:10.21097/ksw.2021.11.16.4.405

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저널정보

한국웰니스학회
한국웰니스학회지 학술저널
한국웰니스학회지 제16권 제4호
2021.11 405 - 410 (6page)
DOI : 10.21097/ksw.2021.11.16.4.405

저자정보

강양훈 (목포과학대학교)
서연순 (목포과학대학교)
송인영 (목포과학대학교)

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초록·키워드

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본 연구는 유방암 환자의 수중운동 후 어깨관절가동범위와 통증 역치, 어깨기능장애에 미치는 영향을 조사하여 유방암 환자에게 효과적인 운동 방법을 제시하고자 한다. 전남 소재 암재활 병원에서 2019년 3월부터 2020년 3월까지 3개월간 59명의 유방암 환자를 대상으로 8주간 수중운동을 적용하여 어깨관절가동범위와 통증 역치, 어깨기능을 비교 분석했다. 그 결과 수중운동 프로그램 적용 후 견관절의 굴곡, 신전, 외전의 가동범위가 유의하게 증가하였고(p<.001), 통증 정도가 감소하였으며(p<.001), 어깨 관절 기능이 유의하게 향상되었다(p<.001). 따라서 이 연구의 결론은 유방암 환자의 치료에 효과적인 운동 방법에 대한 증거를 제공하는 것으로 생각된다. 향후 연구에서는 유방암 환자의 주요 증상과 신체적 후유증을 치료하기 위한 다양한 물리치료 중재의 효과를 계속 연구해야 할 필요가 있을 것이다.

This study investigated the Effect of 8 weeks of aquatic exercise on range of motion of shoulder joint, pain threshold and shoulder dysfunction in breast cancer patients after surgical treatment and adjuvant therapy. To this end, the researcher recruited 59 female patients aged over 45 who had been diagnosed with stage one or two breast cancer, had been under or had completed chemotherapy after surgical treatment, and had been hospitalized for rehabilitation. The research subjects were divided into two groups: an aquatic exercise group(29) and a land-based exercise group(30). For shoulder function, a goniometer was used to measure the range of motion of shoulder joint, and Pain View was used to measure pain. For shoulder function disability, Shoulder Pain And Disability Index (SPADI) was used to assess the level of shoulder disability. And the differences in range of motion of shoulder joint, pain threshold and shoulder dysfunction were analyzed between the two groups. The results showed that the range of motion for shoulder joint flexion, extension, and abduction increased significantly(p<.001). Further more, the level of pain after aquatic exercise decreased(p<.001) and shoulder joint function was enhanced significantly(p<.001). The findings in this study are thus thought to provide evidence for an efficient method of exercise in the treatment of breast cancer patients. Future studies should continue to investigate the effects of various physical therapy interventions for treating the main symptoms of breast cancer patients, as well as the physical aftereffects. By having breast cancer patients do aquatic exercise for eight weeks, this study found that it is effective for improving the range of motion of shoulder joint, pain threshold and shoulder dysfunction in breast cancer patients. This study contributed to enhancing quality of life in breast cancer patients by restoring not only physical health but also psychological and social health and is expected to provide basic data for the improvement of physical function and activity.

#aquatic exercise #breast cancer #range of motion of shoulder joint #SPADI