목적 : 본 연구는 장애인의 낙상 사고경험 및 장애유형과 독립적인 일상생활활동 간의 관계를 규명하고, 장애인의 낙상 예 방 및 회복을 위한 지원과 교육의 필요성을 강조하며, 효과적인 프로그램 개발의 기초자료를 제공함으로써 장애인의 삶의 질 향상에 기여하고자 하였다. 연구방법 : 한국장애인개발원의 장애인삶 패널조사 4차 데이터(2021년)를 활용하여 장애인의 낙상 사고경험, 장애유형, 독 립적인 일상생활활동 항목을 분석하였다. 장애인 3,595명의 조사 자료를 분석하였으며 일반적 특성, 낙상 사고경험에 따른 독립적인 일상생활활동의 평균 차이를 확인하기 위해 독립표본 T-검정, 일원 분산분석을 실시하였다. 주요 변수들의 상관 관계를 알기 위해 피어슨 상관분석을 진행하였으며 이후 낙상 사고경험과 일반적 특성 중 장애유형이 독립적인 일상생활활 동에 미치는 영향력을 알아보기 위해 단순선형회귀분석과 다중선형회귀분석을 실시하였다. 추가로 독립적인 일상생활활동 에 대한 장애유형과 낙상 사고경험의 상호작용 효과를 알아보기 위해 이원 분산분석을 실시하였다. 결과 : 성별을 제외한 일반적 특성과 낙상 사고경험 모두에서 독립적인 일상생활활동의 평균 차이가 나타났으며, 장애유 형과 낙상 사고경험이 각각 독립적인 일상생활활동에 유의한 영향을 미치는 것으로 확인되었다. 추가로 독립적인 일상생 활활동에 대해 장애유형과 낙상 사고경험의 유의미한 상호작용 효과가 있는 것으로 나타났다. 결론 : 본 연구는 장애인의 낙상 사고경험, 장애유형과 독립적인 일상생활활동 간의 유의미한 관계를 확인하였다. 연구 결 과는 장애유형별 특성을 고려한 개인별 맞춤형 지원 정책 및 낙상 예방 방안의 필요성을 시사하며, 궁극적으로 장애인의 독립적 일상생활활동을 위한 정책적 개입의 중요성을 강조한다. 향후 보다 포괄적인 연구를 통해 장애인의 삶의 질 향상 에 기여할 것으로 기대된다.

Background: Most non-pharmacological interventions for tension-type headache (TTH) focus on direct intervention in areas associated with headaches, with limited research exploring the indirect effects of interventions utilizing the fascia. Objectives: To investigate the effects of superficial back line (SBL) stretching and head-neck massage interventions on the range of motion (ROM) and neck disability index (NDI) of TTH. Design: Randomized controlled trial. Methods: The study participants were randomly allocated into three groups: SBL stretching group (n=9), head-neck massage group (n=9), and combined group (n=9). Prior to the intervention, measurements were taken for neck flexion ROM, straight leg raising test (SLRT) ROM, and NDI. The intervention consisted of 30-minute sessions conducted twice a week for 8 weeks. The second measurement took place 4 weeks after the intervention, followed by a third measurement conducted after an additional 4 weeks of intervention. Results: Comparing neck flexion ROM within each group, a significant increase was observed in the SBL stretching group after 8 weeks compared to before the intervention (P<.05). Regarding the comparison of SLRT ROM within each group, a significant increase was noted after 8 weeks compared to before the intervention in the SBL stretching, head-neck massage, and combined groups (P<.05). In terms of the comparison of NDI within each group, a significant decrease was observed in all three group after the intervention compared to before the intervention (P<.05). Conclusion: 8-week intervention involving SBL stretching, head-neck massage, and their combined application demonstrated effectiveness in improving neck flexion ROM, SLRT ROM, and the NDI for individuals with TTH.

Background:Active trigger points (TrPs) of the suboccipital muscles greatly contribute to the occurrence of chronic tension-type headache, with increased sensitivity of TrPs and facilitated referred pain.Objects:This study aimed to investigate whether the integration of high-frequency diathermy into suboccipital release is more beneficial than the use of suboccipital release alone.Methods:Thirty subjects were assigned to either experimental group-1 (EG-1) to undergo suboccipital release combined with high-frequency diathermy (frequency: 0.3 MHz, and electrode type: resistive electronic transfer), or EG-2 to undergo suboccipital release alone, or the control group (CG) with no intervention, with 10 subjects in each group. The assessment tools included the headache impact test 6 (HIT-6), perceived level of tenderness, neck disability index, and neck mobility. Intervention was performed for 10 minutes, twice per week, for 4 weeks, and measurements were performed before and after the interventions.Results:The between-group comparison of the post-test values and changes between pretest and post-test showed significant differences for all parameters at p<.05, except for the left-to-right lateral bending range. In the post hoc test, EG-1 showed significant differences for the parameters in comparison with the CG, while no significant differences in the perceived tenderness level, on both temporal regions, were found between EG-2 and CG. Furthermore, the HIT-6 score and perceived tenderness level, in the right temporal region, showed significant differences between EG-1 and EG-2. In the within-group comparison, EG-1 and EG-2 appeared to be significantly different between pretest and post-test (p<.05), except for the perceived tenderness level in the right temporal region, with significance for the EG-1 group only (p<.05).Conclusion:These findings suggest that the suboccipital release technique may be advantageous to improve headache, tenderness, and neck function and mobility, with more favorable effects with the incorporation of high-frequency diathermy.