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상지의 움직임과 저항 적용에 따른 Formetric 4D를 이용한 척추의 3차원적 분석

Three-dimensional Analysis of the Spine using Formetric 4D according to Upper Limb Movement and Resistance Application

대한물리의학회지 2020년 15권 3호 p.69 ~ 77
김현진, 신원섭,
소속 상세정보
김현진 ( Kim Hyun-Jin ) - Daejeon University Graduate School of Health and Medicine Department of Physical Therapy
신원섭 ( Shin Won-Seob ) - Daejeon University College of Health and Medical Science Department of Physical Therapy

Abstract


PURPOSE: The aim of this study was to measure changes in spine inclination and thoracolumbar structure and morphology according to upper-extremity movements with and without resistance in order to evaluate the spine stability in workers.

METHODS: Forty-eight middle-aged male workers (mean age, 40.48 ± 6.27 years) participated in this study. Using the spine analysis system, changes in the inclination of the spine and structure as well as shape of the thoracolumbar spine were measured. For posture measurement, the postures of standing, lifting the right and left arms (shoulder joint 90° flexion), and lifting with both arms were measured in random order. In addition, variables were measured using a resistance of 3 kg for each posture. The statistical significance level was set at α = .05 for all variables.

RESULTS: There were statistically significant differences between the front and back inclinations of the spine, kyphotic curve of the thoracic spine, lordotic curve of the lumbar spine, rotation changes in the thoracolumbar spine, and rotation changes in the T4 vertebra (p < .05). However, there was no significant difference in the left and right tilts of the spine. In the post-hoc analysis, rotation changes in the T4 vertebra showed a significant difference in posture when resistance was applied to the left and right sides

CONCLUSION: Causes of musculoskeletal diseases include excessive thoracic spine rotation, torsion, and hyperlordosis of the lumbar spine. Therefore, it is necessary to improve the working environment in order to ensure a healthy posture and prevent musculoskeletal diseases that can reduce the ability to carry various and/or excessive loads.

키워드

Upper extremity deformity; Spine; Workload; Thoracic disease

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