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¿îµ¿¼Õ»ó ÁõÈıºÀÇ Áø´Ü°ú Ä¡·á
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Diagnosis and Treatment of Movement Impairment Syndromes
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- Á¦ÈÞ¸ô ÁÖ¹® ½Ã °í°´º¸»ó, ÀϺΠÀ̺¥Æ® Âü¿© ¹× ÁõÁ¤Ç° ÁõÁ¤, ÇÏ·ç/´çÀÏ ¹è¼Û¿¡¼ Á¦¿ÜµÇ¹Ç·Î Âü°í ¹Ù¶ø´Ï´Ù.
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ÀÌ Ã¥Àº °ú°ÅÀÇ ÀÌ·ÐÀ̳ª °³³ä¿¡¼ ¹þ¾î³ª »õ·Î¿î °³³äµé·Î ¿îµ¿¼Õ»óÀÇ ¿øÀÎÀ» ã±â À§ÇÑ ³í¸®¸¦ Àü°³Ç߱⠶§¹®¿¡ óÀ½ ÀÌ·¯ÇÑ ÀÌ·ÐÀ» Á¢ÇÏ´Â µ¶ÀÚ¿¡°Ô´Â ¾à°£ ÀÌÇØÇϱâ Èûµé°Å³ª ¾î·Á¿î ºÎºÐµµ ÀÖÀ» °ÍÀÌ´Ù. ÇÏÁö¸¸ »õ·Î¿î À̷еéÀ» ÇнÀÇÏ°í ¿îµ¿°è ±ÕÇü ÀÌ·Ð(movement system balance theory)¿¡ ´ëÇÑ °³³äÀ» ÀÌÇØÇÑ´Ù¸é ¿îµ¿¼Õ»óÀÇ ¿øÀÎÀ» ã¾Æ Áø´ÜÀ» ÇÑ ÈÄ¿¡ Áø´Ü¿¡ ±âÃÊÇÑ Ä¡·á¹æ¹ýÀ» ¼±ÅÃÇÏ¿© ȯÀÚ¿¡°Ô Á¦°øÇØ ÁÙ ¼ö ÀÖ´Â À¯¿ëÇÑ Ã¥ÀÌ´Ù.
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¿ªÀÚ ¸Ó¸®¸» .....................................................................................iii
¼¹® .................................................................................................. v
¸Ó¸®¸» .............................................................................................vii
°¨»çÀÇ ±Û .........................................................................................xi
CHAPTER 1
¼·Ð Introduction ................................................................................... 1
¿îµ¿°è ±ÕÇü °³³äÀÇ ¹ß´Þ Development of the movement system balance concept ........................ 1
Á¦1½Ã´ë: ¸»ÃÊ ½Å°æ±Ù°è¿Í ±Ù°ñ°Ý°èÀÇ ±â´ÉºÎÀü¿¡ ÃÊÁ¡ ......... 1
Á¦2½Ã´ë: ÁßÃ߽Űæ°èÀÇ ±â´ÉºÎÀü¿¡ ÃÊÁ¡ ................................... 2
Á¦3½Ã´ë: °üÀý ±â´ÉºÎÀü¿¡ ÃÊÁ¡ ................................................... 2
Çö ½Ã´ë: ¿îµ¿°è¿¡ ÃÊÁ¡ .................................................................. 3
ÅëÁõ ÁõÈıºÀ» À¯¹ßÇÏ´Â °ÍÀÌ ¿îµ¿À̶ó´Â ±âº» ...ÀüÁ¦
Underlying premise of movement as a cause of pain syndromes ............. 4
°³¿ä Overview ............................................................................................... 4
°³³ä°ú ¿ø¸® ..................................................................................... 4
¿îµ¿¼Õ»ó ÁõÈıº Movement impairment syndromes ........................................................ 5
Á¤ÀÇ .................................................................................................. 5
Áø´Ü°ú °ü¸® ..................................................................................... 6
¼Õ»ó¹ÞÀº ±¸Á¶ ................................................................................. 7
ÁßÀç¿¡ ±âÃÊÇÑ Ä¡·á Á¢±Ù ............................................................... 7
¿øÀΠã±â¿Í Áõ»ó °¨¼Ò ºñ±³ .......................................................... 8
ºÐ·ùÀÇ Çʿ伺 Need for classification ............................................................................ 8
CHAPTER 2
¿îµ¿ÀÇ °³³ä°ú ¿øÄ¢ Concepts and Principles of Movement ...................................... 11
¿îµ¿ÇÐÀû ¸ðµ¨ Kinesiologic model ............................................................................... 11
¸ðµ¨ÀÇ ±¸¼º ................................................................................... 11
¸ðµ¨ÀÇ ÀÓ»óÀû °ü·Ã¼º .................................................................. 12
º´¸®¿îµ¿ÇÐÀû ¸ðµ¨ Pathokinesiologic model ...................................................................... 13
¸ðµ¨ÀÇ ±¸¼º ................................................................................... 13
¸ðµ¨ÀÇ ÀÓ»óÀû °ü·Ã¼º .................................................................. 13
¿îµ¿º´¸®ÇÐÀû ¸ðµ¨ Kinesiopathologic model ..................................................................... 14
¸ðµ¨ÀÇ ³í¸® ................................................................................... 14
¸ðµ¨ÀÇ ÀÓ»óÀû °ü·Ã¼º .................................................................. 16
±ÙÀ°°èÀÇ ±âº» ¿ä¼Ò ¼Õ»ó Base element impairments of the muscular system ............................... 19
±Ù·Â ................................................................................................ 19
±ÙÀ° ±æÀÌ ....................................................................................... 23
»ç·Ê¹ßÇ¥ 1 ..................................................................................... 23
»ç·Ê¹ßÇ¥ 2 ..................................................................................... 25
»ç·Ê¹ßÇ¥ 3 ..................................................................................... 28
»ç·Ê¹ßÇ¥ 4 ..................................................................................... 31
±×¸² 2-21 ¿¡ ´ëÇÑ ¼³¸í Explanation of Figure 2-21 ................................................................... 37
°ñ°Ý°èÀÇ ±âº» ¿ä¼Ò ¼Õ»ó : °üÀý Á¤·ÄÀÇ ±¸Á¶Àû º¯Çü
Base element impairments of the skeletal system: structural variations in joint alignment ................................................................................ 38
°í°üÀý Àü³ä ................................................................................... 38
»ç·Ê¹ßÇ¥ ........................................................................................ 39
°í°üÀý Èijä ................................................................................... 39
½Å°æ°èÀÇ Á¶Àý ¿ä¼Ò ¼Õ»ó Modular element impairments of the nervous system .......................... 40
µ¿¿ø ÆÐÅÏÀÇ º¯È .......................................................................... 40
Çù·Â±ÙµéÀÇ µ¿¿ø ÆÐÅÏ¿¡¼ ¿ì¼¼ º¯È ........................................ 40
µ¿¿ø°ú »ó´ëÀû À¯¿¬¼º .................................................................. 45
¿ø½É¼º ¼öÃà ÆÐÅÏ .......................................................................... 46
»ýü¿ªÇÐÀû ¿ä¼Ò ¼Õ»ó Biomechanical element impairments ................................................... 47
Á¤¿ªÇÐ: Áß·ÂÀÇ ¿µÇâ ..................................................................... 47
µ¿¿ªÇÐ: µ¿ÀÛ°ú µ¿ÀÛÀ» ¹ß»ýÇÏ´Â Èû°úÀÇ »óÈ£°ü°è ....................... 50
¿îµ¿Çü»óÇÐ: ½Åü µ¿ÀÛÀÇ ±â¼ú .................................................... 50
¿îµ¿¿ªÇаú °üÀý±â´ÉÀÇ ¼Õ»ó ...................................................... 51
½½°³°ñ´ëÅð°üÀý ±â´ÉºÎÀü¿¡ ¿îµ¿º´¸®ÇÐÀû ¸ðµ¨ÀÇ Àû¿ë ........ 52
¿îµ¿¿ä¼Ò Áß º¹ÇÕ¼Õ»ó Multiple impairments of the components of movement ....................... 53
»ç·Ê¹ßÇ¥ ........................................................................................ 53
ÁöÁö¿ä¼Ò ¼Õ»ó Support element impairments ............................................................. 55
¿ä¾à Summary .............................................................................................. 55
CHAPTER 3
¿äÃßÀÇ ¿îµ¿¼Õ»ó ÁõÈıº Movement Impairment Syndromes of the Lumbar Spine ....... 59
¼·Ð Introduction ......................................................................................... 59
¿äÃßÀÇ Á¤»óÀûÀÎ Á¤·Ä Normal alignment of the lumbar spine ................................................. 60
¼± ÀÚ¼¼ ........................................................................................... 60
¾ÉÀº ÀÚ¼¼ ....................................................................................... 64
¿äÃßÀÇ ¿îµ¿ Motions of the lumbar spine ................................................................ 66
¼ø°£È¸ÀüÁ߽ɰæ·Î ........................................................................ 66
±¼°î: Àü¹æ±¼°î .............................................................................. 67
±¼°îÀ¸·ÎºÎÅÍ º¹±Í ....................................................................... 69
½ÅÀü ................................................................................................ 69
ȸÀü ................................................................................................ 70
¿ÜÃà±¼°î ¶Ç´Â ¿·À¸·Î ±¸ºÎ¸®±â ................................................. 72
º´Áø¿îµ¿ ........................................................................................ 72
¾Ð¹Ú ................................................................................................ 73
¿ä¾à ................................................................................................ 73
¿äÃßÀÇ ±ÙÀ° ÀÛ¿ë Muscular actions of the lumbar spine ................................................... 74
µî¹è±ÙÀ° ........................................................................................ 74
º¹±Ù ................................................................................................ 78
¿ä¾à ................................................................................................ 83
¿äºÎÀÇ ¿îµ¿¼Õ»ó ÁõÈıº Movement impairment syndromes of the low back .............................. 84
¹æ»çÁõ»óµéÀÌ ÀÖ´Â ¶Ç´Â ¾ø´Â ¿äÃßȸÀü½ÅÀü ÁõÈıº ............... 84
»ç·Ê¹ßÇ¥ 1 ..................................................................................... 96
»ç·Ê¹ßÇ¥ 2 ..................................................................................... 99
¿äÃß½ÅÀü ÁõÈıº ......................................................................... 101
»ç·Ê¹ßÇ¥ ...................................................................................... 104
¿äÃßȸÀü ÁõÈıº ......................................................................... 107
»ç·Ê¹ßÇ¥ ...................................................................................... 111
¿äÃßȸÀü±¼°î ÁõÈıº ................................................................. 112
»ç·Ê¹ßÇ¥ ...................................................................................... 115
¿äÃß±¼°î ÁõÈıº ......................................................................... 118
»ç·Ê¹ßÇ¥ ...................................................................................... 121
õÀå ±â´ÉºÎÀü ............................................................................. 123
¾Ð¹Ú .............................................................................................. 124
Ãß°¡ÀûÀÎ °í·Á»çÇ× ..................................................................... 124
ºÎ·Ï Appendix ........................................................................................... 128
¿äÃß±¼°î ÁõÈıº ......................................................................... 128
¿äÃß½ÅÀü ÁõÈıº ......................................................................... 130
¿äÃßȸÀü ÁõÈıº ......................................................................... 132
¿äÃßȸÀü±¼°î ÁõÈıº ................................................................. 134
¿äÃßȸÀü½ÅÀü ÁõÈıº ................................................................. 136
CHAPTER 4
°í°üÀýÀÇ ¿îµ¿¼Õ»ó ÁõÈıº Movement Impairment Syndromes of the Hip ....................... 139
¼·Ð Introduction ....................................................................................... 139
°í°üÀýÀÇ Á¤»ó Á¤·Ä Normal alignment of the hip .............................................................. 140
°ñ¹Ý .............................................................................................. 140
°í°üÀý .......................................................................................... 142
½½°üÀý .......................................................................................... 148
¹ß .................................................................................................. 150
°í°üÀýÀÇ ¿òÁ÷ÀÓ Motions of the hip joint ...................................................................... 153
°ñ¹Ý´ë ¿òÁ÷ÀÓ ............................................................................. 153
°í°üÀý ¿òÁ÷ÀÓ ............................................................................. 153
°í°üÀýÀÇ ºÎ¼öÀû µ¿ÀÛ ................................................................ 154
°í°üÀýÀÇ ±ÙÀ° ÀÛ¿ë Muscular actions of the hip ................................................................. 154
°ñ¹Ý¿¡ ÀÛ¿ëÇÏ´Â ¾ÕÂÊ ¸öÅë ±ÙÀ° .............................................. 154
°ñ¹Ý¿¡ ÀÛ¿ëÇÏ´Â µÚÂÊ ±ÙÀ° ....................................................... 155
°í°üÀý¿¡ ÀÛ¿ëÇÏ´Â ¾ÕÂÊ ±ÙÀ° ................................................... 155
°í°üÀý¿¡ ÀÛ¿ëÇÏ´Â µÚÂÊ ±ÙÀ° ................................................... 156
°í°üÀý¿¡ ÀÛ¿ëÇÏ´Â ³»Ãø ±ÙÀ° ................................................... 157
°í°üÀý°ú ½½°üÀý¿¡ ÀÛ¿ëÇÏ´Â ¾ÕÂÊ ±ÙÀ° .................................. 158
°í°üÀý°ú ½½°üÀý¿¡ ÀÛ¿ëÇÏ´Â µÚÂÊ ±ÙÀ° .................................. 158
½½°üÀý°ú Á·°üÀý¿¡ ÀÛ¿ëÇÏ´Â µÞ´Ù¸® ±ÙÀ° .............................. 159
Á·°üÀý¿¡ ÀÛ¿ëÇÏ´Â ¾Õ´Ù¸® ±ÙÀ° ............................................... 160
¹ß¿¡ ÀÛ¿ëÇÏ´Â ¿ÜÃø ´Ù¸® ±ÙÀ° .................................................. 161
¹ß¿¡ ÀÛ¿ëÇÏ´Â ´Ù¸®µÚÂÊ ±ÙÀ° ................................................... 161
¹ß¿¡ ºÎÂøµÈ ±ÙÀ° ........................................................................ 162
±ÙÀ°°ú ¿îµ¿¼Õ»ó ......................................................................... 162
°í°üÀýÀÇ ¿îµ¿¼Õ»ó ÁõÈıº ........................................................ 164
´ëÅðÀü¹æÈ°ÁÖ ÁõÈıº ................................................................. 164
»ç·Ê¹ßÇ¥ 1 ................................................................................... 168
»ç·Ê¹ßÇ¥ 2 ................................................................................... 170
¿ÜȸÀüÀ» µ¿¹ÝÇÑ ´ëÅðÀü¹æÈ°ÁÖ ÁõÈıº ................................... 172
»ç·Ê¹ßÇ¥ ...................................................................................... 173
°í°üÀý ³»Àü ÁõÈıº .................................................................... 175
»ç·Ê¹ßÇ¥ 1 ................................................................................... 177
»ç·Ê¹ßÇ¥ 2 ................................................................................... 179
»ç·Ê¹ßÇ¥ 3 ................................................................................... 180
½½°üÀü ½ÅÀüÀ» µ¿¹ÝÇÑ °í°üÀý ½ÅÀü ÁõÈıº ............................ 183
»ç·Ê¹ßÇ¥ ...................................................................................... 185
°í°üÀý ¿ÜȸÀü ÁõÈıº ................................................................ 186
»ç·Ê¹ßÇ¥ ...................................................................................... 187
´ëÅð°ñ ºÎ¼öµ¿ÀÛ °ú¿îµ¿¼º ........................................................ 189
»ç·Ê¹ßÇ¥ ...................................................................................... 190
»ó¹æÈ°ÁÖ°¡ µ¿¹ÝµÈ ´ëÅð°ñÀÇ Àú¿îµ¿¼º ................................... 191
»ç·Ê¹ßÇ¥ ...................................................................................... 193
´ÜÃà½Å¿¬ÀÌ µ¿¹ÝµÈ ´ëÅð¿ÜÃøÈ°ÁÖ ÁõÈıº ............................... 194
»ç·Ê¹ßÇ¥ ...................................................................................... 196
°á·Ð .............................................................................................. 198
ºÎ·Ï Appendix ........................................................................................... 200
³»È¸ÀüÀÌ ¾ø´Â ´ëÅðÀü¹æÈ°ÁÖ ÁõÈıº ....................................... 200
³»È¸ÀüÀÌ µ¿¹ÝµÈ ´ëÅðÀü¹æÈ°ÁÖ ÁõÈıº ................................... 202
¿ÜȸÀüÀÌ µ¿¹ÝµÈ ´ëÅðÀü¹æÈ°ÁÖ ÁõÈıº ................................... 204
³»È¸ÀüÀÌ ¾ø´Â °í°üÀý ³»Àü ÁõÈıº .......................................... 206
³»È¸ÀüÀÌ µ¿¹ÝµÈ °í°üÀý ³»Àü ÁõÈıº ...................................... 208
´ëÅð¿ÜÃøÈ°ÁÖ ÁõÈıº ................................................................. 210
½½°üÀý ½ÅÀüÀÌ µ¿¹ÝµÈ °í°üÀý ½ÅÀü .......................................... 212
³»È¸ÀüÀÌ µ¿¹ÝµÈ °í°üÀý ½ÅÀü ................................................... 214
»óºÎÈ°ÁÖ°¡ µ¿¹ÝµÈ ´ëÅð Àú¿îµ¿¼º ÁõÈıº .............................. 216
´ëÅð°ñ ºÎ¼öµ¿ÀÛ °ú¿îµ¿¼º ÁõÈıº ........................................... 218
°í°üÀý ¿ÜȸÀü ÁõÈıº ................................................................ 220
CHAPTER 5
°ß°©´ëÀÇ ¿îµ¿¼Õ»ó ÁõÈıº Movement Impairment Syndromes of the Shoulder Girdle .. 223
¼·Ð Introduction ....................................................................................... 223
°ß°©´ëÀÇ Á¤»ó Á¤·Ä Normal alignment of the shoulder girdle ........................................... 224
¾î±ú .............................................................................................. 225
°ß°©°ñ .......................................................................................... 225
»ó¿Ï°ñ .......................................................................................... 228
ÈäÃß .............................................................................................. 230
°ß°©´ëÀÇ µ¿ÀÛ Motions of the shoulder girdle ........................................................... 230
°ß°©´ë µ¿ÀÛ¿¡ ´ëÇÑ ¿ë¾î ........................................................... 230
°ß°©´ë ¿îµ¿ ÆÐÅÏ ........................................................................ 233
°ß°©´ëÀÇ ±ÙÀ° ÀÛ¿ë Muscular actions of the shoulder girdle .............................................. 237
Èä°ß°© ±ÙÀ° ................................................................................. 237
Èä»ó¿Ï ±ÙÀ° ................................................................................. 242
°ß°©»ó¿Ï±Ù .................................................................................. 243
°ß°©°ñ ¿îµ¿¼Õ»ó ÁõÈıº Movement impairment syndromes of the scapula .............................. 248
Á¤·Ä°ú ¿îµ¿°úÀÇ °ü°è ................................................................ 248
°ß°©°ñ ÁõÈıº Áø´ÜÀ» À§ÇÑ ±âÁØ .............................................. 249
°üÂûµÈ ¹ß»ýºóµµ¿¡ ÀÇÇÑ °ß°©°ñ ÁõÈıº .................................. 249
»ç·Ê¹ßÇ¥ 1 ................................................................................... 254
»ç·Ê¹ßÇ¥ 2 ................................................................................... 256
»ç·Ê¹ßÇ¥ 3 ................................................................................... 259
»ç·Ê¹ßÇ¥ 4 ................................................................................... 262
»ó¿Ï°ñÀÇ ¿îµ¿¼Õ»ó ÁõÈıº Movement impairment syndromes of the humerus ............................ 263
Á¤·Ä°ú ¿îµ¿°úÀÇ °ü°è ................................................................ 263
»ó¿Ï°ñ ÁõÈıºÀÇ Áø´ÜÀ» À§ÇÑ ±âÁØ .......................................... 264
°üÂûµÇ´Â »ó¿Ï°ñ ÁõÈıºÀÇ ¹ß»ýºóµµ ¼ø¼ .............................. 264
»ç·Ê¹ßÇ¥ 1 ................................................................................... 266
»ç·Ê¹ßÇ¥ 2 ................................................................................... 269
»ç·Ê¹ßÇ¥ 3 ................................................................................... 273
»ç·Ê¹ßÇ¥ 4 ................................................................................... 277
¿ä¾à Summary ............................................................................................ 278
ºÎ·Ï Appendix ........................................................................................... 280
°ß°©°ñ ÇϹæȸÀü ÁõÈıº ............................................................ 280
°ß°©°ñ ÇÏ° ................................................................................. 282
°ß°©°ñ ¿ÜÀü ÁõÈıº .................................................................... 284
°ß°©°ñ ÀÍ»ó°ú °æ»ç ÁõÈıº ....................................................... 286
»ó¿Ï°ñ Àü¹æÈ°ÁÖ ÁõÈıº ............................................................ 288
»ó¿Ï°ñ »ó¹æÈ°ÁÖ ÁõÈıº ............................................................ 290
°ß°üÀý ³»È¸Àü ÁõÈıº ................................................................ 292
»ó¿Ï°ß°üÀý Àú¿îµ¿¼º ÁõÈıº .................................................... 294
CHAPTER 6
ÇÏºÎ¿Í »óºÎ ¿îµ¿¼Õ»ó Æò°¡ Lower and Upper Quarter Movement Impairment Examinations ............................................................................. 297
¼·Ð Introduction ....................................................................................... 297
¿îµ¿¼Õ»ó: ÇϺÎÆò°¡ lower quarter examination ................................................................ 298
º¸Çà Gait .................................................................................................... 352
¿îµ¿¼Õ»ó: ÇϺÎÆò°¡ üũǥ lower quarter examination ................................................................ 354
¿îµ¿¼Õ»ó: »óºÎÆò°¡ upper quarter examination ................................................................ 362
¿îµ¿¼Õ»ó: »óºÎÆò°¡ üũǥ upper quarter examination ................................................................ 396
CHAPTER 7
±³Á¤¿îµ¿: ¸ñÀû°ú Ưº°È÷ °í·ÁÇÒ »çÇ× Corrective Exercises: Purposes and Special Considerations .. 401
¼·Ð Introduction ....................................................................................... 401
¼± ÀÚ¼¼ ¿îµ¿ Standing exercises .............................................................................. 402
Àü¹æ±¼°î(¿äÃ߸¦ ÆíÆòÇÏ°Ô ÇÏ°í °í°üÀý ±¼°î) ....................... 402
±¸ºÎ¸®¸ç Àü¹æ±¼°î(ôÃß¿Í °í°üÀý ±¼°î) ................................ 403
¿ÜÃøôÃß±¼°î£¨Ãø¹æ±¼°îÀÚ¼¼£© .................................................... 403
Çѹ߷Π¼±â(ÇÑÂÊ °í°üÀý°ú ½½°üÀý ±¼°î) ............................... 404
¸öÅëÀ» °ð°Ô ¼¼¿ì°í Á¦ÇÑµÈ ¹üÀ§·Î °í°üÀý°ú ½½°üÀý ±¼°î (ÀÛÀº ½ºÄõÆ®) .......................................................................... 405
´©¿î ÀÚ¼¼ ¿îµ¿ Supine exercises ................................................................................. 405
°í°üÀý ±¼°î±Ù ½ÅÀå(¹Ý´ëÂÊ °í°üÀý°ú ½½°üÀýÀ» ÃÖ´ë·Î ±¼°î ÇÏ°í °í°üÀý ½½°üÀý ½ÅÀü) ..................................................... 405
ÇÏÁö¿îµ¿ÇÏ¸é¼ °ñ¹Ý Á¶Àý(°í°üÀý°ú ½½°üÀý ±¼°îÀÚ¼¼¿¡¼ °í°üÀý ½½°üÀý ½ÅÀü) .............................................................. 406
´ëµÐ±Ù ½ÅÀå(°í°üÀý°ú ½½°üÀý ½ÅÀü ÀÚ¼¼¿¡¼ °í°üÀý ½½°üÀý ±¼°î) ........................................................................................ 406
´ëµÐ±Ù ½ÅÀå(°í°üÀý°ú ½½°üÀý ½ÅÀü ÀÚ¼¼·ÎºÎÅÍ °í°üÀý ½½°üÀý ±¼°î) ........................................................................................ 406
°í°üÀý°ú ½½°üÀý ±¼°î, °í°üÀý°ú ½½°üÀý ½ÅÀü ÀÚ¼¼·ÎºÎÅÍ ¹ßµÚ ±Á ¾µ±â ..................................................................................... 407
ÇϺ¹±Ù ¿îµ¿ ÁøÀü ........................................................................ 407
¸öÅë ±ÁÈ÷°í À¸öÀÏÀ¸Å°±â(»óºÎ º¹±Ù ÁõÁø) ........................... 410
°í°üÀý ±¼°îÀÚ¼¼¿¡¼ °í°üÀý ¿ÜÀü/¿ÜȸÀü ............................. 412
ÇÏÁö°Å»ó(½½°üÀý ½ÅÀü »óÅ·Π°í°üÀý ±¼°î) ........................... 413
°í°üÀý ±¼°î±Ù ½ÅÀå(µÎ °üÀý) .................................................... 414
±¤¹è±Ù°ú °ß°©»ó¿Ï°ñ ±ÙÀ° ½ÅÀå (ÁÖ°üÀý ½ÅÀü »óÅ¿¡¼ÀÇ °ß°üÀý ±¼°î/»ó½Â) ..................... 415
°ß°üÀý ¿ÜÀü ................................................................................. 416
ÁÖ°üÀý ±¼°îÇÏ°í ¿ÜȸÀü »óÅ·Π°ß°üÀý ¿ÜÀü ......................... 416
°ß°üÀý ȸÀü ................................................................................. 416
¼ÒÈä±Ù ½ÅÀå ................................................................................. 418
¿·À¸·Î ´©¿î ÀÚ¼¼ ¿îµ¿(ÇÏÁö) Side-lying exercises (lower extremity) ................................................ 418
°í°üÀý ¿ÜȸÀü ............................................................................. 418
¿ÜȸÀüÀ» À¯ÁöÇÏ°í, ¿ÜȸÀü ¾øÀÌ °í°üÀý ¿ÜÀü ........................ 419
´ëÅð±Ù¸·Àå±Ù £ Àå°æ°ñ´ë ½ÅÀå ............................................... 420
±Ù·Â ÁõÁøÀ» À§ÇÑ °í°üÀý ³»Àü .................................................. 420
¿·À¸·Î ´©¿î ÀÚ¼¼ ¿îµ¿(»óÁö) Side-lying exercises (upper extremity) ................................................ 421
°ß°üÀý ±¼°î, ¿ÜȸÀü, °ß°©°ñ ³»Àü ............................................ 421
°ß°©°ñ ¿ÜÀü°ú »ó¹æȸÀü ............................................................ 421
¾þµå¸° ÀÚ¼¼ ¿îµ¿(ÇÏÁö) Prone exercises (lower extremity) ....................................................... 422
½½°üÀý ±¼°î ................................................................................. 422
°í°üÀý ȸÀü ................................................................................. 422
½½°üÀý ½ÅÀü »óÅ¿¡¼ °í°üÀý ½ÅÀü .......................................... 423
½½°üÀý ±¼°î »óÅ¿¡¼ °í°üÀý ½ÅÀü .......................................... 423
°í°üÀý ¿ÜÀü ................................................................................. 424
¾çÂÊ °í°üÀý ¿ÜÀü°ú ½½°üÀý ±¼°î »óÅ¿¡¼ µîô¼º °í°üÀý ¿ÜȸÀü ...................................................................................... 424
µîô¼º ´ëµÐ±Ù ¼öÃà .................................................................... 425
¾þµå¸° ÀÚ¼¼ ¿îµ¿(»óÁö) Prone exercises (upper extremity) ...................................................... 425
µî¹è ½ÅÀü±Ù È°¼ºÈ£¨µî¹è ½ÅÀü±ÙÀÇ È°¼ºµµ¸¦ À¯¹ßÇϱâ À§ÇÑ °ß°üÀý ±¼°î£© ........................................................................... 425
°ß°üÀý ±¼°î ................................................................................. 425
½Â¸ð±Ù ¿îµ¿ ÁøÀü ........................................................................ 425
°ß°üÀý ȸÀü ................................................................................. 426
³×¹ß±â±â ÀÚ¼¼ ¿îµ¿ Quadruped exercise ........................................................................... 427
³×¹ß±â±â ÀÚ¼¼¿¡¼ ¶ôÅ· ............................................................ 427
³×¹ß±â±â ÀÚ¼¼¿¡¼ÀÇ »çÁöÀÇ ¿îµ¿ ........................................... 429
°í°üÀý ½ÅÀü ................................................................................. 429
°ß°üÀý ±¼°îÇÑ »óÅ¿¡¼ °í°üÀý°ú ½½°üÀý ½ÅÀü ..................... 430
°æÃß ±¼°î°ú ½ÅÀü ........................................................................ 430
°æÃß È¸Àü¿îµ¿ ............................................................................. 431
¾ÉÀº ÀÚ¼¼ ¿îµ¿ Sitting exercises ................................................................................. 431
½½°üÀý ½ÅÀü°ú Á·°üÀý µî¹è±¼°î ............................................... 431
°í°üÀý ±¼°î ................................................................................. 432
¼± ÀÚ¼¼ ¿îµ¿ Standing exercises .............................................................................. 433
°ß°üÀý ±¼°î(µîÀ» º®¿¡ ´ë°í) .................................................... 433
°ß°üÀý ¿ÜÀü(µîÀ» º®¿¡ ±â´ë°í) ................................................ 434
°ß°üÀý ±¼°î(µîÀ» º®¿¡ ´ë´Â ¹æ¹ý°ú ´Ù¸¥ ¿îµ¿) ..................... 435
°ß°üÀý ¿ÜÀü(º®À» ¸¶ÁÖº¸°í ½Â¸ð±Ù ¿îµ¿) ............................... 436
°È±â ¿îµ¿ Walking exercises ............................................................................... 436
°í°üÀý°ú ½½°üÀýÀÇ ³»È¸Àü Á¶Àý ............................................... 436
½½°üÀý °ú½ÅÀü ¹æÁö .................................................................... 437
½½°üÀý ȸÀü Á¦ÇÑ ........................................................................ 438
Á·°üÀý Á·Àú±¼°î ......................................................................... 438
CHAPTER 8
¿îµ¿¼Õ»ó ÁõÈıºÀ» ±³Á¤Çϱâ À§ÇÑ ¿îµ¿ Exercises to Correct Movement Impairment Syndromes ...... 439
ã¾Æº¸±â Index .................................................................................................. 487
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±Ç¿ÀÀ± [Àú]
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