치료적 스포츠 마사지가 지연유발근육통의 통증과 근손상지표에 미치는 영향
Effects of Therapeutic Sports Massage on the Pain and Indicators of Muscle Damage in Delayed Onset Muscle Soreness
초록/요약
Abstract Effects of Therapeutic Sports Massage on the Pain and Indicators of Muscle Damage in Delayed Onset Muscle Soreness Park, Chil-Seong Department of Exercise Prescription Graduate School DongShin University (Directed by Professor Joo, Dong Yeup) The purpose of this study was to analyze the effects of therapeutic sports massage on the delayed onset muscle soreness(DOMS) after exercise and pain and indicators of muscle damage. Subjects of this study were 20 male students. They were distribute into two groups: therapeutic sports massage group and control group and then measured some enzymes and others(CK, LDH, GOT, ALD, CRP in serum, WBC, ESR) known as the indicators of muscle damage. After eccentric exercise by Downhill Running, same indicators were measured at the before DOMS, just after exercise, after 24hr, after 48hr, after 72hr, after 96hr. Also delayed onset muscle soreness level was evaluated at same intervals by making use of VAS-I and VAS-U. The data of measurement was analyzed by using SPSS-PC 10.0 Ver. Window program. To analyze the difference among two groups used General Repeated Measure ANOVA. The results were as follows: 1. There was significant between control and therapeutic sports massage groups for CK,CRP and ESR(p<.01), but CK, CRP, ESR of within groups was significant for measurement time-courses(p<.001). 2. There was no significant between control and therapeutic sports massage groups for LDH, GOT, ALD and WBC, but LDH, GOT, ALD and WBC of within groups was significant for measurement time-courses(p<.001). 3. There was significant between control and therapeutic sports massage groups for VAS-I and VAS-U(p<.001), but groups was significant for measurement time-courses(p<.001). 4. There was significant decrease in the intensity of pain after therapeutic sports massage(p<.001). There was significant decrease in the unpleasantness of pain after therapeutic sports massage(p<.001). 5. They were no relationships between delayed onset muscle soreness and the indicators of muscle damage but CK and LDH, GOT, WBC and CK and LDH, CK and ALD was the most important indicator that can be explained the delayed onset muscle soreness very well(p<.05). Summed up, it can be generally concluded that therapeutic sports massage is an effective treatment to rid the patients with DOMS of pains safely and promptly. From the above outcomes, it was revealed that therapeutic sports massage has proven to reduce the pains and indicators of muscle damage. It is, therefore, suggested to continue and expand the study on the cure of DOMS and to motivate patients, orthopedists, physiatrists, physiotherapists, and sports massagists etc. to consider therapeutic sports massage as safest and most efficient pain remedy. A further research is also needed to develop and diffuse the therapeutic sports massage program for the DOMS.
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국문초록 ⅵ
I. 서 론 1
1. 연구의 필요성 1
2. 연구목적 6
3. 연구가설 6
4. 연구의 제한점 6
Ⅱ. 이론적 배경 7
1. 근육통 7
2. 지연유발근육통(DOMS) 9
3. DOMS와 운동 11
4. 근손상지표 12
5. 통증지표 14
Ⅲ. 연구방법 17
1. 연구대상 17
2. 실험설계 17
3. 실험방법 18
1) DOMS 유발 방법 18
2) 치료적 스포츠 마사지 19
3) 통증 측정 방법 20
4) 혈액채취 및 근손상지표 분석 방법 21
4. 자료처리 22
Ⅳ. 연구결과 23
1. 근손상지표의 변화 23
1) CK의 변화 23
2) LDH의 변화 24
3) GOT의 변화 26
4) ALD의 변화 27
5) CRP의 변화 29
6) WBC의 변화 30
7) ESR의 변화 31
2. 통증지표의 변화 33
1) VAS-I의 변화 33
2) VAS-U의 변화 34
3. 시기별 항목간의 상관관계 37
1) DOMS 유발전의 상관관계 37
2) DOMS 유발직후의 상관관계 38
3) DOMS 유발 24시간후의 상관관계 39
4) DOMS 유발 48시간후의 상관관계 41
5) DOMS 유발 72시간후의 상관관계 43
6) DOMS 유발 96시간후의 상관관계 44
Ⅴ. 논 의 47
1. 근손상지표의 변화 47
2. 통증지표의 변화 53
3. 시기별 항목간의 상관관계 56
Ⅵ. 결 론 60
참고문헌 62
Abstract 73