자가 탄성밴드 운동이 요양보호사의 근골격계질환 자각증상에 미치는 영향

Abstract

As the number of senior people has been increasing, korea has implemented long-term care insurance policy to meet various welfare demands since 2008. Although a career of caregivers was created to provide proper service for this policy and caregivers accounted for 91% of all employees in long-term institutions(the number of them was 310,000 in 2016), many problems about how they have been treated have been constantly raised. Caregivers tasks are known to require much of physical activities. be repetitive and impose a lot of burden at muscles and joints. To make matters worse, most of caregivers consist of middle-aged women who are likely to have high risk of musculoskeletal disorders burden. This study was conducted to analyze how self-elastic band exercise has effect on symptoms of musculoskeletal disorders in caregivers. The participants consisted of 76 caregivers who had worked in long-term institutions in busan, according to whether they wanted to participate in the program, they were divided into exercise group and control group (non-exercise group). In the exercise group, exercise program was performed for 6months, and evaluated using Visual Analogue Scale(VAS) and Musculoskeletal Disorders Symptoms Questionnaire before and after exercise. The control group was evaluated on the same scale at the same time as the exercise group. The exercise program was composed of stretching and strengthening using elastic band. The time required for exercise program was about 1 hour and they exercised twice a week voluntarily. For effective exercise, physical therapist re-educated them every second week and manager by institutions assisted the program. As a result of study, exercise group showed significant difference in pre-test and post-test on VAS, and non-exercise group had no significant difference. There was also a significant difference in the difference of VAS score between exercise group and control group pre-test and post-test. Musculoskeletal Disorders Symptoms Questionnaire result showed that in the exercise group, post-test was a 13.9% decrease in a number of suspicious person(managed object and complained of pain) compared to the pre-test. Particularly, arm/elbow, hand/wrist/fingers, waist showed more than 10% improvement on the basis of number of people in the exercise group. In the post-test of the control group, the number of suspected persons was increase by 2.5% compared to the pre-test. Also, the incidence of new suspicious person was 23.9% higher than the exercise group. Through this study results, introduction of self-elastic band exercise as one of the intervention methods for the prevention of musculoskeletal diseases of the caregivers is considered to be effective in prevention and management.