표제지
목차
국문초록 12
Ⅰ. 서론 14
1. 연구의 필요성 14
2. 연구의 목적 16
3. 연구의 문제 16
4. 연구의 제한점 16
5. 용어의 정의 17
1) 퇴행성관절염(osteoarthritis) 17
2) 신체조성(body composition) 17
3) 골밀도 수준(bone mineral density) 18
4) 등속성 근기능(isokinetic muscular function) 18
5) 수중 운동치료(underwater exercise therapy) 18
6) 수중 밖 운동치료(outwater exercise therapy) 18
Ⅱ. 이론적 배경 19
1. 퇴행성관절염의 특성 19
2. 퇴행성관절염과 운동 19
1) 퇴행성관절염과 수중 운동프로그램 22
2) 퇴행성관절염과 수중 밖 운동프로그램 25
3. 퇴행성관절염과 신체조성 27
4. 퇴행성관절염과 골밀도 수준 28
5. 퇴행성관절염과 등속성 근기능 29
Ⅲ. 연구방법 31
1. 연구대상 31
2. 측정도구 32
3. 연구절차 32
4. 측정항목 및 측정 방법 33
1) 신체조성 검사 33
2) 골밀도 검사 34
3) 등속성 근기능 검사 35
4) 지상 재활운동치료 프로그램 36
5) 수중 재활운동치료 프로그램 38
5. 자료처리 38
Ⅳ. 결과 및 논의 40
1. 결과 40
1) 신체조성의 변인 40
2) 골밀도 변인의 변화 45
3) 등속성 근기능 변인의 변화 62
2. 논의 82
Ⅴ. 결론 및 제언 87
1. 결론 87
2. 제언 88
Ⅵ. 참고 문헌 89
ABSTRACT 96
Table 1. Walking in the water 23
Table 2. ROM exercise in the water 24
Table 3. Adaptations to Aerobic Conditioning in Older Men and Women 26
Table 4. Physical characteristics of subjects 31
Table 5. Testing equipments 32
Table 6. The rehabilitation exercise programs for the patients knee degenerative arthritis 37
Table 7. aqua-exercise program 38
Table 8. Changes of body composition in pre and post exercise 40
Table 8-1. The results of two-way repeated measured ANOVA on Body Weight 41
Table 8-2. The results of two-way repeated measured ANOVA on Muscle mass 42
Table 8-3. The results of two-way repeated measured ANOVA on Fat mass 44
Table 9. Changes of BMD variables in pre and post exercise 45
Table 9-1. The results of two-way repeated measured ANOVA on Total BMD 46
Table 9-2. The results of two-way repeated measured ANOVA on T-score 47
Table 9-3. The results of two-way repeated measured ANOVA on Calcium 49
Table 9-4. The results of two-way repeated measured ANOVA on Head 51
Table 10. Changes of BMD variables in pre and post exercise 52
Table 10-1. The results of two-way repeated measured ANOVA on Arm 52
Table 10-2. The results of two-way repeated measured ANOVA on Leg 54
Table 10-3. The results of two-way repeated measured ANOVA on Trunk 55
Table 11. Changes of BMD variables in pre and post exercise 57
Table 11-1. The results of two-way repeated measured ANOVA on Ribs 57
Table 11-2. The results of two-way repeated measured ANOVA on Pelvis 59
Table 11-3. The results of two-way repeated measured ANOVA on Spine 60
Table 12. Changes of isokinetic muscular functions pre and post exercise 62
Table 12-1. The results of two-way repeated measured ANOVA on Rt Flexor 60°/s 62
Table 12-2. The results of two-way repeated measured ANOVA on Rt Extensor 64
Table 12-3. The results of two-way repeated measured ANOVA on Lt Flexor 60°/s 65
Table 12-4. The results of two-way repeated measured ANOVA on Lt Extensor 60°/s 67
Table 13. Changes of isokinetic muscular functions pre and post exercise 68
Table 13-1. The results of two-way repeated measured ANOVA on Rt Flexor 180°/s 69
Table 13-2. The results of two-way repeated measured ANOVA on Rt Extensor 180°/s 70
Table 13-3. The results of two-way repeated measured ANOVA on Lt Flexor 180°/s 72
Table 13-4. The results of two-way repeated measured ANOVA on Lt extensor 180°/s 73
Table 14. Changes of isokinetic muscular functions pre and post exercise 75
Table 14-1. The results of two-way repeated measured ANOVA on Rt Flexor 240°/s 75
Table 14-2. The results of two-way repeated measured ANOVA on Rt Extensor 240°/s 77
Table 14-3. The results of two-way repeated measured ANOVA on Lt Flexor 240°/s 78
Table 14-4. The results of two-way repeated measured ANOVA on Lt extensor 240°/s 80
Figure 1. 대퇴사두근 강화운동 21
Figure 2. 하지 뒷부분 강화운동 21
Figure 3. An example of isokinetic strength of a knee degenerative arthritis patien pain history's 7 years. In the picture, the lower-line is the involved kne side and the upper-line is the uninvolved knee side 30
Figure 4. Study Process 33
Figure 5. Body composition test 34
Figure 6. Isokinetic knee test position 36
Figure 7. Changes of body weight among three groups before and after 12 weeks 41
Figure 8. Changes of muscle mass among three groups before and after 12 weeks 43
Figure 9. Changes of fat mass among three groups before and after 12 weeks 44
Figure 10. Changes of total BMD among three groups before and after 12 weeks 46
Figure 11. Changes of T-score among three groups before and after 12 weeks 48
Figure 12. Changes of Calcium among three groups before and after 12 weeks 49
Figure 13. Changes of head among three groups before and after 12 weeks 51
Figure 14. Changes of arm among three groups before and after 12 weeks 53
Figure 15. Changes of leg among three groups before and after 12 weeks 54
Figure 16. Changes of trunk among three groups before and after 12 weeks 56
Figure 17. Changes of ribs among three groups before and after 12 weeks 58
Figure 18. Changes of pelvis among three groups before and after 12 weeks 59
Figure 19. Changes of spine among three groups before and after 12 weeks 61
Figure 20. Changes of Rt Flexor 60°/s among three groups before and after 12 weeks 63
Figure 21. Changes of Rt Extensor 60°/s among three groups before and after 12 weeks 64
Figure 22. Changes of Lt Flexor 60°/s among three groups before and after 12 weeks 66
Figure 23. Changes of Lt Extensor 60°/s among three groups before and after 12 weeks 67
Figure 24. Changes of Rt Flexor 180°/s among three groups before and after 12 weeks 69
Figure 25. Changes of Rt Extensor 180°/s among three groups before and after 12 weeks 71
Figure 26. Changes of Lt Flexor 180°/s among three groups before and after 12 weeks 72
Figure 27. Changes of Lt Extensor 180°/s among three groups before and after 12 weeks 74
Figure 28. Changes of Rt Flexor 240°/s among three groups before and after 12 weeks 76
Figure 29. Changes of Rt Extensor 240°/s among three groups before and after 12 weeks 77
Figure 30. Changes of Lt Flexor 240°/s among three groups before and after 12 weeks 79
Figure 31. Changes of Lt Extensor 240°/s among three groups before and after 12 weeks 80