수중요법을 통한 ACL 재건술 환자의 근기능에 미치는 영향

Abstract

The purpose of this study was to identify effects of an aquatic therapy swimming program on patients with anterior cruciate ligament injuries. All of the patients responded to notices containing a description of the study that were posted in the rehabilitation center where the study were conducted. Participants registered for the program in the rehabilitation center, obtained physicians`s permissions to participated, and completed required registration forms. 12 participants were randomly assigned into two groups: an aquatic swimming program(N=6), a physical therapy group(N=6). All of the participants completed the exercises during one hour a day, three days a week for 12 weeks. The following results were found in this study: 1. Changes of flexor and extensor at 60°/sec Although no significant difference was found between two groups, an aquatic swimming group and a physical therapy group with respect to the measures of peak torque, there were significant increases between two groups over training time. While there were progressively increases between two groups with respect to the measures of peak torque on the uninvolved side at 60°/sec, there was not found significant difference between two groups over training time. No significant difference was found in both involved side and uninvolved side by the training period. The training group showed a quick recovery from the muscle functions, followed by a aquatic swimming group, and a physical therapy group. This study also revealed significant differences Training Period X both Involved and Uninvolved sides X Group interaction. 2. Changes of flexor and extensor at 180°/sec Although no significant difference was found between two groups with respect to the measures of peak torque on the flexor of the involved side at 180°/sec. While there were progressively increases between two groups an aquatic groups and a physical therapy group with respect to the measures of peak torque on the uninvolved side at 180°/sec, there were not found significant differences between two groups over training time. As a result of the treatments during the course of this study, there were significant differences Training Period X both Uninvolved and Involved Side interaction for peak torque. This study also revealed significant differences Training Period X both Involved and Uninvolved sides X Group interaction. This study also revealed significant differences Training Period X both Involved and Uninvolved Sides X Group interaction. In summary, as a result of 12 weeks of rehabilitation program, there were differences between two groups muscular functions, while not significantly different from each other. This study showed differences in the muscular functions of both involved and uninvolved sides between two groups by the treatment period. Although aquatic swimming group showed a quick recovery from the muscular functions, followed by physical therapy group, there was no significant difference. These findings suggest that aquatic swimming program is more effective interventions to the patients with anterior cruciate ligament injuries than physical therapy program.