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학술지

논문검색

발행연도 2026/07/31
14 2
페이지 11-22(12)
제목 ❙필라테스 호흡기반 매트 운동이 만성 요통 환자의 통증과 자율신경 균형에 미치는 영향
저자 ■최하은1, 이명모2*
교신저자 이명모
소속 ■1대전대학교 물리치료학과 보건의료대학원, 2*대전대학교 물리치료학과
Abstract This study investigated the effects of a mat Pilates exercise program incorporating Pilates-specific breathing on pain, functional disability, and autonomic nervous system balance in patients with chronic low back pain. Methods: A randomized controlled trial was conducted involving 24 patients with chronic low back pain, who were randomly assigned to either the Pilates breathing group(n=12) or a general breathing group(n=12). Both groups performed mat Pilates exercises twice weekly for four weeks. Outcome measures, including Pain(VAS), functional disability(ODI), brainwave activity(Alpha, Theta, High Beta), Brain Condition Index, HRV Index, and autonomic nervous activity, were assessed before and after the intervention. Within-group and between-group differences were analyzed using statistical methods. Results: The Pilates breathing group demonstrated significantly greater reductions in pain(VAS) and functional disability(ODI) compared with the general breathing group(p<.05). Autonomic nervous activity also increased significantly in the Pilates breathing group(p<.05). Although EEG variables did not reach statistical significance in either group(p>.05), the Pilates breathing group showed a trend toward increased Alpha and decreased High Beta activity. The HRV Index increased in the Pilates breathing group and decreased in the general breathing group, with a significant between-group difference in change scores(p<.05). Conclusion: Mat Pilates combined with Pilates breathing effectively reduced pain, improved functional ability, and enhanced autonomic regulation in patients with chronic low back pain. These findings support the use of breathing-focused Pilates exercise as an effective intervention for promoting both physical and autonomic recovery in this population.
키워드 Autonomic nervous system, Functional disability, Low back pain, Pilates breathing
첨부파일 #1 02_최하은,_이명모(11-22).pdf