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    The meaning of music education in terms of interest theory: Centered on Herbart and Dewey's Interest Theory

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ํ˜‘๋™๊ณผ์ •(์Œ์•…๊ต์œก์ „๊ณต), 2014. 8. ์˜คํฌ์ˆ™.๋ณธ ๋…ผ๋ฌธ์€ ๊ต์œกํ•™์ž ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ(J. F. Herbart, 1776๏ฝž1841)์™€ ๋“€์ด(J. Dewey, 1859๏ฝž1952)์˜ ํฅ๋ฏธ ์ด๋ก ์„ ๋ถ„์„ํ•จ์œผ๋กœ์จ ํฅ๋ฏธ์˜ ์ด๋ก ์  ์˜๋ฏธ๋ฅผ ์ดํ•ดํ•˜๊ณ , ํฅ๋ฏธ ์ด๋ก ์˜ ์Œ์•… ๊ต์œก์  ์˜๋ฏธ๋ฅผ ๋ชจ์ƒ‰ํ•œ ์—ฐ๊ตฌ์ด๋‹ค. ํฅ๋ฏธ ๊ต์œก์€ ์ค‘์š”์„ฑ์ด ๊ฐ•์กฐ๋˜๊ณ  ๋„๋ฆฌ ๋ฐ›์•„๋“ค์—ฌ์ง€๊ณ  ์žˆ์ง€๋งŒ ์šฐ๋ฆฌ๋Š” ํฅ๋ฏธ๊ฐ€ ๋ฌด์—‡์ธ์ง€ ๊ทธ ๊ต์œก์  ์˜๋ฏธ์— ๋Œ€ํ•ด ์ œ๋Œ€๋กœ ์ธ์‹ํ•˜์ง€ ๋ชปํ•œ๋‹ค. ์ด๋Š” ์Œ์•…๊ต๊ณผ ์„ฑ๊ฒฉ ์ž์ฒด์— ๋Œ€ํ•œ ์ดํ•ด์˜ ๋ถ€์กฑ์œผ๋กœ ์ด์–ด์ ธ์„œ ํฅ๋ฏธ๋ฅผ ์กด์ค‘ํ•˜๋Š” ๊ต์œก์œผ๋กœ์„œ ์Œ์•… ๊ต์œก์˜ ์ค‘์š”์„ฑ๋„ ๊ฐ„๊ณผํ•˜๊ฒŒ ํ•œ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋Š” ์ด๋Ÿฌํ•œ ์ธ์‹์˜ ๋ฌธ์ œ์ ์„ ๋ฐ”ํƒ•์œผ๋กœ, ํฅ๋ฏธ์˜ ๊ฐœ๋…๊ณผ ์›๋ฆฌ์— ๋Œ€ํ•œ ์ด๋ก ์  ์˜๋ฏธ๋ฅผ ๋ช…ํ™•ํ•˜๊ฒŒ ์ดํ•ดํ•˜๊ณ , ์Œ์•… ๊ต์œก์ด ํฅ๋ฏธ ์ด๋ก ๊ณผ ๊ด€๋ จํ•˜์—ฌ ์–ด๋–ค ์˜๋ฏธ๋ฅผ ๊ฐ€์ง€๋Š”๊ฐ€๋ฅผ ๋ฐํ˜€๋ณด๊ณ ์ž ํ•˜์˜€๋‹ค. ์—ฐ๊ตฌ ๋Œ€์ƒ์œผ๋กœ ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ์™€ ๋“€์ด์˜ ํฅ๋ฏธ๋ก ์„ ์„ ์ •ํ•˜๊ณ , ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ์˜ ใ€Œ์ผ๋ฐ˜ ๊ต์œกํ•™(The Science of Education)ใ€๊ณผ ์ดํ™˜๊ธฐ์˜ใ€Œํ—ค๋ฅด๋ฐ”๋ฅดํŠธ์˜ ๊ต์ˆ˜์ด๋ก ใ€๊ทธ๋ฆฌ๊ณ  ๋“€์ด์˜ใ€Œํฅ๋ฏธ์™€ ๋…ธ๋ ฅ(Interest and Effort of Education)ใ€๊ณผ ใ€Œ๋ฏผ์ฃผ์ฃผ์˜์™€ ๊ต์œก(Democracy and Education)ใ€์„ ์ค‘์‹ฌ์œผ๋กœ ์–‘์ž์˜ ํฅ๋ฏธ ์ด๋ก ์„ ๊ณ ์ฐฐํ•˜๊ณ , ์Œ์•… ๊ต์œก์  ์˜๋ฏธ๋ฅผ ๋ชจ์ƒ‰ํ•˜์˜€๋‹ค. ์ผ๋ฐ˜์ ์œผ๋กœ ํฅ๋ฏธ๋Š” ํ•™์ƒ๋“ค์˜ ํ˜ธ๊ธฐ์‹ฌ์„ ์ž๊ทนํ•˜๊ฑฐ๋‚˜ ์‹ฌ๋ฆฌ์  ๋งŒ์กฑ์„ ๋Š๋ผ๋Š” ์ผ์‹œ์ ์ธ ๊ฐ์ •์œผ๋กœ ์—ฌ๊ฒจ์ง„๋‹ค. ํ•˜์ง€๋งŒ ํฅ๋ฏธ๋Š” ๊ฐ€์‹œ์ ์œผ๋กœ ๋“œ๋Ÿฌ๋‚˜๋Š” ๊ฒฐ๊ณผ๋‚˜ ์ผ์‹œ์ ์ธ ๊ฐ์ • ๊ทธ ์ด์ƒ์˜ ์˜๋ฏธ๋ฅผ ๊ฐ€์ง„๋‹ค. ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ๋Š” ํฅ๋ฏธ๋ฅผ ํ†ต๊ฐ์˜ ๊ณผ์ •์ด ์ผ์–ด๋‚  ๋•Œ์˜ ๋งˆ์Œ์˜ ์ƒํƒœ ํ˜น์€ ๋‚ด์šฉ์ด๋ฉฐ, ๋Œ€์ƒ์˜ ์žˆ๋Š” ๊ทธ๋Œ€๋กœ์— ๋Œ€ํ•œ ์ฃผ์˜์™€ ๊ธฐ๋Œ€๋ผ๊ณ  ๊ทœ์ •ํ•˜๊ณ , ์š•๋ง์œผ๋กœ ๋‚˜์•„๊ฐ€์ง€ ์•Š์•„์•ผ ํ•œ๋‹ค๊ณ  ๊ฐ•์กฐํ•œ๋‹ค. ํฅ๋ฏธ๋Š” ๋‹ค์–‘ํ•œ ๊ต๊ณผ๋ฅผ ๋‚ด๋ฉดํ™”ํ•จ์œผ๋กœ์จ ํ˜•์„ฑ๋  ์ˆ˜ ์žˆ์œผ๋ฉฐ, ์ด๋ฅผ ํ†ตํ•œ ๊ต์œก์˜ ๊ถ๊ทน์ ์ธ ๋ชฉ์ ์€ ๋„๋•์„ฑ์˜ ํ˜•์„ฑ์ด์—ˆ๋‹ค. ํ•œํŽธ, ๋“€์ด๋Š” ํฅ๋ฏธ๋ฅผ ์œ ๋ชฉ์ ์ ์ธ ๊ฒฝํ—˜ ์•ˆ์—์„œ ๋Œ€์ƒ์ด ์šฐ๋ฆฌ์˜ ๋งˆ์Œ์„ ์›€์ง์ด๋Š” ํž˜์ด๋ผ๊ณ  ๋ณด์•˜๋‹ค. ์ฆ‰ ํฅ๋ฏธ๋Š” ๋Œ€์ƒ(๋ชฉ์ )๊ณผ ์ž์•„์˜ ๋–จ์–ด์ ธ ์žˆ๋Š” ๊ฑฐ๋ฆฌ๋ฅผ ์ขํžˆ๊ณ  ๋Œ€์ƒ์„ ์„ฑ์ทจํ•˜๊ธฐ ์œ„ํ•ด ๋Šฅ๋™์ ์œผ๋กœ ๋ชฐ์ž…ํ•˜๊ฒŒ ํ•˜๋Š” ๊ฒƒ์ด๋‹ค. ํฅ๋ฏธ๋Š” ๋Œ€์ƒ๊ณผ ์ž์‹ ๊ณผ์˜ ์—ฐ๊ฒฐ๊ณ ๋ฆฌ๋ฅผ ์ฐพ๊ณ , ๋Œ€์ƒ์ด ์ž์‹ ์˜ ๊ฒฝํ—˜์„ฑ์žฅ์— ๋„์›€์ด ๋œ๋‹ค๋Š” ๊ฒƒ์„ ์ธ์‹ํ•˜๋„๋ก ํ•จ์œผ๋กœ์จ ์œ ๋ฐœ์‹œํ‚ฌ ์ˆ˜ ์žˆ๋‹ค. ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ๋Š” ๋Œ€์ƒ ์ž์ฒด์— ๋Œ€ํ•œ ํ˜ธ๊ธฐ์‹ฌ์— ๋จธ๋ฌผ ์ˆ˜ ์žˆ๋„๋ก ๊ต์ˆ˜๋ฅผ ํ†ตํ•ด ํฅ๋ฏธ๋ฅผ ํ˜•์„ฑ์‹œํ‚ค๋ ค ํ–ˆ๋˜ ๋ฐ˜๋ฉด ๋“€์ด๋Š” ๋ฌธ์ œ ์ƒํ™ฉ์— ๋ถ€๋”ชํ˜”์„ ๋•Œ ๊ทธ๊ฒƒ์„ ํ•ด๊ฒฐํ•˜๊ธฐ ์œ„ํ•œ ๋™๊ธฐ๋กœ์„œ ์‹ค์งˆ์ ์ธ ์˜ํ–ฅ๋ ฅ์„ ๋ฐœํœ˜ํ•  ์ˆ˜ ์žˆ๋„๋ก ํ•˜๋Š”๋ฐ ์˜๋„๋ฅผ ๊ฐ€์ง€๊ณ  ์žˆ์—ˆ๋‹ค. ์ด์ฒ˜๋Ÿผ ์–‘์ž์˜ ํฅ๋ฏธ์— ๋Œ€ํ•œ ๊ฒฌํ•ด๋Š” ์ƒ์ดํ–ˆ์ง€๋งŒ ์šฐ๋ฆฌ๊ฐ€ ๋ฐฐ์›Œ์•ผํ•  ๊ต๊ณผ ๋‚ด์— ํฅ๋ฏธ๊ฐ€ ๋‚ด์žฌ๋˜์–ด ์žˆ๋‹ค๋Š” ์ ์—์„œ๋Š” ๊ณตํ†ต๋œ ์ž…์žฅ์„ ๋ณด์˜€๋‹ค. ์–‘์ž์˜ ํฅ๋ฏธ์˜ ํŠน์„ฑ์„ ๊ณ ๋ คํ–ˆ์„ ๋•Œ ํฅ๋ฏธ ์ด๋ก ์—์„œ ๋‹ค์Œ๊ณผ ๊ฐ™์€ ์Œ์•… ๊ต์œก์  ์˜๋ฏธ๋ฅผ ์ฐพ์•„๋ณผ ์ˆ˜ ์žˆ๋‹ค. ์ฒซ์งธ, ์Œ์•…์˜ ์‹ฌ๋ฏธ์  ๊ฒฝํ—˜์€ ํฅ๋ฏธ์˜ ๊ตฌ์„ฑ์š”๋กœ์†Œ์„œ ์˜๋ฏธ๊ฐ€ ์žˆ๋‹ค. ์‹ฌ๋ฏธ์  ๊ฒฝํ—˜์€ ํฅ๋ฏธ๋ฅผ ๊ตฌ์„ฑํ•˜๋Š” ์—ฌ์„ฏ ๊ฐ€์ง€ ์ค‘ ํ•˜๋‚˜๋กœ ๋‚˜๋จธ์ง€ ๋‹ค์„ฏ ๊ฐ€์ง€ ํฅ๋ฏธ์™€ ์กฐํ™”๋ฅผ ์ด๋ฃจ๋ฉด์„œ ํฅ๋ฏธ๋ฅผ ์ตœ๊ณ ์˜ ์ˆ˜์ค€์œผ๋กœ ์ด๋ฃจ๊ฒŒ ํ•œ๋‹ค. ์Œ์•…์˜ ์‹ฌ๋ฏธ์  ๊ฒฝํ—˜์€ ์–ธ์–ด๋กœ ๊ธฐ์ˆ ๋˜๊ฑฐ๋‚˜ ๋Œ€์ƒ์˜ ์‹คํ˜„์„ ์š”๊ตฌํ•˜์ง€ ์•Š๊ธฐ ๋•Œ๋ฌธ์— ๋‹ค๋ฅธ ์˜ˆ์ˆ ์˜ ๊ฒฝํ—˜๊ณผ ๋น„๊ตํ•ด์„œ ๊ฐ€์น˜๊ฐ€ ์žˆ๋‹ค. ๋‘˜์งธ, ์Œ์•…์  ์‚ฌ๊ณ ๋Š” ํฅ๋ฏธ์˜ ์—ญํ• ๋กœ์„œ ์˜๋ฏธ๊ฐ€ ์žˆ๋‹ค. ์Œ์•…์  ์‚ฌ๊ณ ๋Š” ๋ชฉ์ ์„ ๋‹ฌ์„ฑํ•˜๊ธฐ ์œ„ํ•œ ์ˆ˜๋‹จ์œผ๋กœ ์ž‘์šฉํ•˜๋ฉฐ, ์™ธ์ ์ธ ๊ฐ•์š”๊ฐ€ ์•„๋‹Œ ๋‚ด์ ์ธ ๋™๊ธฐ์— ์˜ํ•ด ์ž๋ฐœ์ ์œผ๋กœ ์ด๋ฃจ์–ด์ง€๊ธฐ ๋•Œ๋ฌธ์— ๋ชฉ์ ์— ๋ชฐ์ž…ํ•˜๊ธฐ ์œ„ํ•œ ํฅ๋ฏธ์˜ ํ™œ๋™์„ ๊ฐ€์žฅ ์ž˜ ๋ณด์—ฌ์ค€๋‹ค. ์…‹์งธ, ์Œ์•…์„ ์ง์ ‘ ํ–‰์œ„ ํ•˜๋Š” ์Œ์•…ํ•˜๊ธฐ๋Š” ํฅ๋ฏธ์˜ ํ˜•์„ฑ์œผ๋กœ์„œ ์˜๋ฏธ๊ฐ€ ์žˆ๋‹ค. ์Œ์•…ํ•˜๊ธฐ๋Š” ํฅ๋ฏธ๋ฅผ ํ˜•์„ฑํ•˜๊ธฐ ์œ„ํ•œ ์กฐ๊ฑด๊ณผ ํŠน์„ฑ์„ ์ถฉ์กฑํ•œ๋‹ค. ๋˜ํ•œ ์Œ์•… ๊ต๊ณผ๋ฅผ ํ†ตํ•ด์„œ ๋‚ด๋ฉดํ™”๋œ ํฅ๋ฏธ๋ฅผ ๊ตฌํ˜„ํ•œ๋‹ค๋Š” ์ ์—์„œ ์˜๋ฏธ๊ฐ€ ์žˆ๋‹ค. ์ด์ƒ์˜ ์Œ์•…์  ์˜๋ฏธ๋ฅผ ๋ฐ”ํƒ•์œผ๋กœ ํฅ๋ฏธ๋ฅผ ์ถ”๊ตฌํ•˜๊ธฐ ์œ„ํ•œ ์Œ์•…๊ต์œก์˜ ๋ฐฉํ–ฅ์„ ๋ชจ์ƒ‰ํ•˜๋ฉด ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ์Œ์•… ๊ต์œก์€ ์Œ์•…์„ ์ฒดํ—˜ํ•˜๊ณ  ๊ฒฝํ—˜ํ•˜๋Š๋ƒ์— ์žˆ์–ด์„œ ๋ฏธ์  ์š”์†Œ์— ์ฃผ์•ˆ์ ์„ ๋‘๊ณ  ๋ฏธ์  ์˜๋ฏธ์˜ ์ฒดํ—˜์„ ๊ฐ•์กฐํ•ด์•ผ ํ•œ๋‹ค. ๋‘˜์งธ, ์Œ์•…๊ต์œก์€ ๊ฐ์ • ์ˆœํ™”๋‚˜ ์ •์„œ ํ•จ์–‘ ๋“ฑ ๊ฐ์ •์  ์˜์—ญ์—์„œ์˜ ์Œ์•…์˜ ์—ญํ• ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ๋ชฐ์ž…, ์‚ฌ๊ณ ๋ ฅ ๊ณ„๋ฐœ, ๋ฌธ์ œ ํ•ด๊ฒฐ๋ ฅ ํ–ฅ์ƒ ๋“ฑ ์ดํ•ด์˜ ์˜์—ญ์—์„œ์˜ ์Œ์•…์˜ ์—ญํ• ์— ๋Œ€ํ•ด์„œ ์ฃผ๋ชฉํ•˜๊ณ  ์Œ์•…์  ์‚ฌ๊ณ ๋ฅผ ๋†’์ด๋Š” ํ•™์Šต์„ ํ•ด์•ผ ํ•œ๋‹ค. ์…‹์งธ, ์Œ์•…๊ต์œก์€ ์ž‘ํ’ˆ์ด๋‚˜ ์ด๋ก  ํ•™์Šต๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ๊ฐ๊ฐ, ์‹ ์ฒด๊ธฐ๊ด€, ์•…๊ธฐ ๋“ฑ์„ ์‚ฌ์šฉํ•˜์—ฌ ์ง์ ‘ ํ–‰์œ„ ํ•˜๋Š” ํ™œ๋™์„ ํ•™์ƒ๋“ค์—๊ฒŒ ์œ ๋„ํ•ด์•ผํ•œ๋‹ค. ๊ต์œก์— ์žˆ์–ด์„œ์˜ ํฅ๋ฏธ๋Š” ์ผ์ƒ์  ๊ฐ์ •์ด๋‚˜ ๋‹จ์ˆœํ•œ ์ •์„œ์  ํ˜„์ƒ์œผ๋กœ ํŒŒ์•…ํ•ด์„œ๋Š” ์•ˆ ๋œ๋‹ค. ๊ต์‚ฌ๋Š” ์ด ์ ์„ ์—ผ๋‘ ํ•˜๊ณ , ํฅ๋ฏธ ํ˜•์„ฑ์„ ์œ„ํ•œ ์Œ์•… ๊ต์œก์  ๊ฐ€์น˜๋ฅผ ์ดํ•ดํ–ˆ์„ ๋•Œ ํ•™์ƒ๋“ค์˜ ์ง„์ •ํ•œ ํฅ๋ฏธ๋ฅผ ๋ฐœํ˜„์‹œํ‚ฌ ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋‹ค.๊ตญ๋ฌธ์ดˆ๋ก โ…ฐ โ… . ์„œ๋ก  1 1. ์—ฐ๊ตฌ์˜ ํ•„์š”์„ฑ 1 2. ์—ฐ๊ตฌ์˜ ๋ชฉ์  2 3. ์—ฐ๊ตฌ์˜ ๋ฐฉ๋ฒ• ๋ฐ ๋‚ด์šฉ 5 II. ํฅ๋ฏธ ์ด๋ก  7 1. ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ์˜ ํฅ๋ฏธ๋ก  7 (1) ํฅ๋ฏธ์˜ ๊ทœ์ • 7 1) ํฅ๋ฏธ์˜ ์‹ฌ๋ฆฌํ•™์  ์˜๋ฏธ 7 2) ํฅ๋ฏธ์˜ ๊ตฌ๋ถ„์  ์˜๋ฏธ 10 3) ํฅ๋ฏธ์˜ ์กฐ๊ฑด 15 4) ํฅ๋ฏธ์˜ ์—ญํ• ์  ์˜๋ฏธ 18 (2) ํฅ๋ฏธ์˜ ์œ ํ˜• 22 (3) ํฅ๋ฏธ์˜ ํ˜•์„ฑ 28 1) ๊ต์œก ๋‚ด์šฉ: ์‚ฌ๊ณ ๊ถŒ 29 2) ๊ต์œก ๋ฐฉ๋ฒ•: ๊ต์ˆ˜์˜ ๋‹จ๊ณ„ 31 2. ๋“€์ด์˜ ํฅ๋ฏธ๋ก  36 (1) ํฅ๋ฏธ์˜ ๊ทœ์ • 36 1) ํฅ๋ฏธ์˜ ์–ด์›์  ์˜๋ฏธ 36 2) ํฅ๋ฏธ์˜ ์‹ฌ๋ฆฌํ•™์  ์˜๋ฏธ 38 3) ํฅ๋ฏธ์˜ ์—ญํ• ์  ์˜๋ฏธ 41 (2) ํฅ๋ฏธ์˜ ์œ ํ˜• 44 1) ์‹ ์ฒด์  ํฅ๋ฏธ 44 2) ์กฐ์ž‘์  ํฅ๋ฏธ 46 3) ์ง€์„ฑ์  ํฅ๋ฏธ 47 4) ์‚ฌํšŒ์  ํฅ๋ฏธ 48 (3) ํฅ๋ฏธ์˜ ํ˜•์„ฑ 51 1) ๊ต์œก ๋‚ด์šฉ: ๋‚ด์ ์ธ ํ˜•์„ฑ 52 2) ๊ต์œก ๋ฐฉ๋ฒ•: ์‚ถ ๊ทธ ์ž์ฒด 54 3. ํ—ค๋ฅด๋ฐ”๋ฅดํŠธ์™€ ๋“€์ด์˜ ํฅ๋ฏธ๋ก  ๋น„๊ต 57 โ…ข. ํฅ๋ฏธ๋ก ์˜ ์Œ์•… ๊ต์œก์  ์˜๋ฏธ 62 1. ํฅ๋ฏธ์˜ ๊ตฌ์„ฑ์š”์†Œ๋กœ์„œ ์Œ์•…์˜ ์‹ฌ๋ฏธ์  ๊ฒฝํ—˜ 63 2. ํฅ๋ฏธ์˜ ์—ญํ• ๋กœ์„œ ์Œ์•…์  ์‚ฌ๊ณ  69 3. ํฅ๋ฏธ์˜ ํ˜•์„ฑ์œผ๋กœ์„œ ์Œ์•…ํ•˜๊ธฐ 74 โ…ฃ. ๊ฒฐ๋ก  80 ์ฐธ๊ณ ๋ฌธํ—Œ 83 Abstract 87Maste

    The Acute Effect of Electromyography Biofeedback Training on the Proprioception, Dynamic Stability and Pain in Adults with Patellofemoral Pain

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    Introduction: Patellofemoral pain can be caused by abnormal lateral movement of the patella due to decreased muscle activation of the vastus medialis oblique muscle. Pain greatly affects movement activity and control. Proprioception, which controls body movement, posture, and stability, requires training to restore proprioception because it may not return to normal even after the pain is relieved. Electromyography (EMG) is a common technique used in clinical settings, which utilizes visual biofeedback to correct muscle activation during exercise. However, it is unclear whether the correction of muscle activation by the EMG biofeedback training restores proprioception, dynamic stability and pain. In addition, to our knowledge, no study has investigated acute EMG biofeedback training on proprioception in adults with patellofemoral pain. Objectives: This study aimed to investigate the acute effects of EMG biofeedback training in the quadriceps femoris muscle on knee joint proprioception, dynamic stability, and pain in adults with patellofemoral pain. Methods: The participants were twenty-nine adults (23 males and 6 females) aged โ‰ฅ 20 years with patellofemoral pain. We randomly assigned participants to either the EMG biofeedback training (EBT) group (n=15, mean age: 20.13ยฑ1.55 years) or the control group (n=14, mean age: 20.93ยฑ2.43 years). Proprioception of the knee joint was measured using joint position sense (30ยฐ, 45ยฐ, and 60ยฐ) and force sense tests. A Y-balance test was performed to test the dynamic stability of the lower extremities. A visual analog scale (VAS) was used to confirm the level of knee pain. The intervention group received EMG biofeedback training to increase the muscle activation of the vastus medialis oblique muscle, providing visual biofeedback using EMG. Results: The positional error evaluated in the 45ยฐ joint position was significantly decreased after the intervention (EBT: pre= 3.76ยฑ2.33ยฐ, post= 2.11ยฑ1.85ยฐ, P=0.020), with an interaction between time and group (P=0.028), but not other joint positions (30ยฐ and 60ยฐ). There was no significant change in the force sense tests and the Y-balance test after the intervention. The VAS score reduced (EBT: pre= 3.87ยฑ2.20, post= 2.00ยฑ1.46, P=0.001), with a significant interaction between time and group (P=0.001). We also confirmed significantly increased muscle activation in vastus medialis oblique (EBT: pre= 57.84ยฑ38.97 ฮผV, post= 88.44ยฑ58.46 ฮผV, P=0.019) and vastus lateralis (EBT: pre= 53.01ยฑ30.53 ฮผV, post= 64.97ยฑ33.67 ฮผV, P=0.006). Conclusions: The findings suggest that acute EMG biofeedback training reduced knee pain in young adults with patellofemoral pain. The improvement of positional error was observed in the 45ยฐ joint position but not in others. Moreover, there were no significant changes in lower extremity dynamic stability after acute EMG biofeedback training. Further research is needed to evaluate whether short- and long-term biofeedback training with EMG used in the treatment of patellofemoral pain is associated with outcomes of proprioception.|์„œ๋ก : ๋ฌด๋ฆŽ๋„™๋‹ค๋ฆฌ ํ†ต์ฆ์€ ์•ˆ์ชฝ๋„“์€๊ทผ์˜ ๊ทผ ํ™œ์„ฑ ์ €ํ•˜๋กœ ์ธํ•œ ๋ฌด๋ฆŽ๋ผˆ์˜ ๋น„์ •์ƒ์ ์ธ ํšก๋ฐฉํ–ฅ ์›€์ง์ž„์„ ์ผ์œผ์ผœ ๋ฐœ์ƒํ•  ์ˆ˜ ์žˆ์œผ๋ฉฐ, ํ†ต์ฆ์€ ์›€์ง์ž„ ํ™œ๋™๊ณผ ์กฐ์ ˆ์— ํฐ ์˜ํ–ฅ์„ ๋ฏธ์นœ๋‹ค. ์‹ ์ฒด ์›€์ง์ž„๊ณผ ์ž์„ธ, ์•ˆ์ •์„ฑ ๋“ฑ์„ ๊ด€์žฅํ•˜๋Š” ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์€ ํ†ต์ฆ์ด ํšŒ๋ณต๋˜๋”๋ผ๋„ ์ž์—ฐ์Šค๋Ÿฝ๊ฒŒ ์ •์ƒ์ ์œผ๋กœ ๋Œ์•„๊ฐ€์ง€ ์•Š์„ ์ˆ˜ ์žˆ์–ด ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์„ ํšŒ๋ณตํ•˜๋Š” ํ›ˆ๋ จ์ด ํ•„์š”ํ•˜๋‹ค. ์ตœ๊ทผ ๊ทผ ํ™œ์„ฑ๋„๋ฅผ ๋†’์ด๋Š” ํšจ๊ณผ์ ์ธ ํ›ˆ๋ จ ๋ฐฉ๋ฒ•์œผ๋กœ ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ์ด ์ œ์•ˆ๋˜๊ณ  ์žˆ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์œผ๋กœ ์ธํ•œ ๊ทผ ํ™œ์„ฑ ๋น„์œจ์˜ ๊ต์ •์ด ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ, ๋™์  ์•ˆ์ •์„ฑ ๋ฐ ํ†ต์ฆ์„ ํšŒ๋ณต์‹œํ‚ค๋Š”์ง€๋Š” ์•„์ง๊นŒ์ง€ ๋ถˆ๋ถ„๋ช…ํ•˜๋‹ค. ํŠนํžˆ, ์ผํšŒ์„ฑ ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์˜ ๋ณ€ํ™”์— ๊ธฐ์—ฌํ•˜๋Š”์ง€์— ๋Œ€ํ•œ ์—ฐ๊ตฌ๋Š” ๋ณด๊ณ ๋˜์–ด ์žˆ์ง€ ์•Š๋‹ค. ์—ฐ๊ตฌ ๋ชฉ์ : ๋ณธ ์—ฐ๊ตฌ์˜ ๋ชฉ์ ์€ ๋ฌด๋ฆŽ๋„™๋‹ค๋ฆฌ ํ†ต์ฆ์ด ์žˆ๋Š” ์„ฑ์ธ์„ ๋Œ€์ƒ์œผ๋กœ ๋„™๋‹ค๋ฆฌ๋„ค๊ฐˆ๋ž˜๊ทผ์— ์ผํšŒ์„ฑ์œผ๋กœ ์‹ค์‹œํ•œ ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ๋ฌด๋ฆŽ ๊ด€์ ˆ์˜ ๊ณ ์œ ์ˆ˜์šฉ์„ฑ ๊ฐ๊ฐ๊ณผ ๋™์  ์•ˆ์ •์„ฑ, ํ†ต์ฆ์— ๋ฏธ์น˜๋Š” ๊ธ‰์„ฑ ํšจ๊ณผ๋ฅผ ๊ทœ๋ช…ํ•˜๋Š” ๊ฒƒ์ด๋‹ค. ์—ฐ๊ตฌ ๋ฐฉ๋ฒ•: ๋ณธ ์—ฐ๊ตฌ์˜ ๋Œ€์ƒ์ž๋Š” ๋ฌด๋ฆŽ๋„™๋‹ค๋ฆฌ ํ†ต์ฆ์„ ๊ฐ€์ง„ 20~30๋Œ€ ์„ฑ์ธ ๋‚จ๋…€ 29๋ช…(๋‚จ: 23, ์—ฌ: 6) ์ด์—ˆ์œผ๋ฉฐ, ๋ฌด์ž‘์œ„ ๋ฐฐ์ • ๋ฐฉ์‹์œผ๋กœ ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ๊ตฐ(n=15, ๋‚˜์ด: 20.13ยฑ1.55์„ธ)๊ณผ ๋Œ€์กฐ๊ตฐ(n=14, ๋‚˜์ด: 20.93ยฑ2.43์„ธ)์œผ๋กœ ๋ฐฐ์ •๋˜์—ˆ๋‹ค. ๋ฌด๋ฆŽ ๊ด€์ ˆ์˜ ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์€ ๊ด€์ ˆ์œ„์น˜๊ฐ๊ฐ ๋ฐ ํž˜๊ฐ๊ฐ ๊ฒ€์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์—ฌ ์ธก์ •ํ•˜์˜€์œผ๋ฉฐ ํ•˜์ง€ ๋™์  ์•ˆ์ •์„ฑ ๊ฒ€์‚ฌ๋ฅผ ์œ„ํ•ด Y-balance test๋ฅผ ์‹ค์‹œํ•˜์˜€๋‹ค. ํ†ต์ฆ์˜ ์ฒ™๋„๋ฅผ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•ด ๋ฌด๋ฆŽ ๊ด€์ ˆ์— ๋Œ€ํ•œ ์‹œ๊ฐ ์ƒ์‚ฌ ์ฒ™๋„ ๊ฒ€์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์˜€๋‹ค. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ๊ตฐ์—๊ฒŒ๋Š” ๊ทผ์ „๋„๋ฅผ ํ™œ์šฉํ•˜์—ฌ ์‹œ๊ฐ์  ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ์„ ์ œ๊ณตํ•˜๋ฉด์„œ ์•ˆ์ชฝ๋„“์€๊ทผ์˜ ๊ทผ ํ™œ์„ฑ๋„๋ฅผ ๋†’์ด๊ธฐ ์œ„ํ•œ ๋“ฑ์ฒ™์„ฑ ๊ทผ์ˆ˜์ถ• ํ›ˆ๋ จ์„ ์‹ค์‹œํ•˜์˜€๋‹ค. ์—ฐ๊ตฌ ๊ฒฐ๊ณผ: ๊ด€์ ˆ์œ„์น˜๊ฐ๊ฐ์€ 45ยฐ์—์„œ ์‹œ๊ธฐ๊ฐ„(EBT: pre= 3.76ยฑ2.33ยฐ, post= 2.11ยฑ1.85ยฐ, p= .020) ๋ฐ ์‹œ๊ธฐ์™€ ๊ทธ๋ฃน ๊ฐ„ ์ƒํ˜ธ์ž‘์šฉ(p= .028) ํšจ๊ณผ์˜ ์œ ์˜ํ•œ ์ฐจ์ด๊ฐ€ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜, ํž˜๊ฐ๊ฐ ๋ฐ ํ•˜์ง€ ๋™์  ์•ˆ์ •์„ฑ์˜ ๊ฒฐ๊ณผ๋Š” ์ค‘์žฌ ์ „ํ›„์— ์œ ์˜ํ•œ ์ฐจ์ด๊ฐ€ ์—†์—ˆ๋‹ค. ์‹œ๊ฐ ์ฒ™๋„๋กœ ์ธก์ •ํ•œ ํ†ต์ฆ์ง€์ˆ˜๋Š” ์ค‘์žฌ ํ›„์— ์œ ์˜ํ•˜๊ฒŒ ๊ฐ์†Œํ•˜์˜€์œผ๋ฉฐ(EBT: pre= 3.87ยฑ2.20, post= 2.00ยฑ1.46, p= .001), ์‹œ๊ธฐ์™€ ๊ทธ๋ฃน๊ฐ„ ์œ ์˜ํ•œ ์ƒํ˜ธ์ž‘์šฉ ํšจ๊ณผ๋ฅผ ๋‚˜ํƒ€๋ƒˆ๋‹ค(p= .001). ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ๊ตฐ์˜ ์•ˆ์ชฝ(EBT: pre= 57.84ยฑ38.97ฮผV, post= 88.44ยฑ58.46 ฮผV, p= .019) ๋ฐ ๊ฐ€์ชฝ๋„“์€๊ทผ(EBT: pre= 53.01ยฑ30.53ฮผV, post= 64.97ยฑ33.67ฮผV, p= .006)์˜ ๊ทผ ํ™œ์„ฑ๋„๋Š” ์œ ์˜ํ•˜๊ฒŒ ํ–ฅ์ƒ๋˜์—ˆ๋‹ค. ๊ฒฐ๋ก : ๋ณธ ์—ฐ๊ตฌ์˜ ๊ฒฐ๊ณผ๋Š” ๋ฌด๋ฆŽ๋„™๋‹ค๋ฆฌ ํ†ต์ฆ์„ ๊ฐ€์ง„ ์ Š์€ ์„ฑ์ธ์— ์žˆ์–ด ์ผํšŒ์„ฑ ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ํ†ต์ฆ ๊ฐ์†Œ์— ํšจ๊ณผ์ ์ž„์„ ์‹œ์‚ฌํ•œ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜, ๊ด€์ ˆ์œ„์น˜๊ฐ๊ฐ ๋ฐ ํž˜๊ฐ๊ฐ์œผ๋กœ ํ‰๊ฐ€ํ•œ ๊ณ ์œ ์ˆ˜์šฉ ๊ฐ๊ฐ๊ณผ ๋™์  ์•ˆ์ •์„ฑ์— ๋Œ€ํ•œ ํšจ๊ณผ๋Š” ํ™•์ธํ•  ์ˆ˜ ์—†์—ˆ๋‹ค.์ œ1์žฅ ์„œ๋ก  1 1. ์—ฐ๊ตฌ์˜ ํ•„์š”์„ฑ 1 2. ์—ฐ๊ตฌ์˜ ๋ชฉ์  4 3. ์—ฐ๊ตฌ์˜ ๊ฐ€์„ค 4 ์ œ2์žฅ ์ด๋ก ์  ๋ฐฐ๊ฒฝ 5 1. ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์˜ ์—ญํ• ๊ณผ ๊ธฐ๋Šฅ 5 2. ๋ฌด๋ฆŽ ํ†ต์ฆ๊ณผ ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ 6 3. ๋ฌด๋ฆŽ๋„™๋‹ค๋ฆฌ ํ†ต์ฆ์„ ๊ฐ€์ง„ ์‚ฌ๋žŒ์˜ ๋„™๋‹ค๋ฆฌ๋„ค๊ฐˆ๋ž˜๊ทผ ํ™œ์„ฑํ™” 8 4. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ์„ ์ด์šฉํ•œ ์šด๋™์˜ ํšจ๊ณผ 9 ์ œ3์žฅ ์—ฐ๊ตฌ๋ฐฉ๋ฒ• 11 1. ์—ฐ๊ตฌ๋Œ€์ƒ 11 2. ์—ฐ๊ตฌ์„ค๊ณ„ 13 3. ์ธก์ •ํ•ญ๋ชฉ 14 4. ์ธก์ •๋ฐฉ๋ฒ• 14 4.1 ์‹ ์ฒด์กฐ์„ฑ 14 4.2 ๊ด€์ ˆ์œ„์น˜๊ฐ๊ฐ ๊ฒ€์‚ฌ 15 4.3 ํž˜๊ฐ๊ฐ ๊ฒ€์‚ฌ 16 4.4 ๊ทผ ํ™œ์„ฑ๋„ ๊ฒ€์‚ฌ 17 4.5 ํ•˜์ง€ ๋™์  ์•ˆ์ •์„ฑ ๊ฒ€์‚ฌ 18 4.6 ํ†ต์ฆ ์‹œ๊ฐ ์ƒ์‚ฌ ์ฒ™๋„ ๊ฒ€์‚ฌ 19 5. ์šด๋™ ํ”„๋กœ๊ทธ๋žจ 20 6. ์ž๋ฃŒ์ฒ˜๋ฆฌ 20 ์ œ4์žฅ ๊ฒฐ๊ณผ 22 1. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 22 1.1 ๊ด€์ ˆ์œ„์น˜๊ฐ๊ฐ 22 1.2 ํž˜๊ฐ๊ฐ 22 2. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ํ•˜์ง€ ๋™์  ์•ˆ์ •์„ฑ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 24 3. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ํ†ต์ฆ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 24 4. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ๊ทผ ํ™œ์„ฑ๋„์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 25 ์ œ5์žฅ ๋…ผ์˜ 27 1. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ๊ณ ์œ ์ˆ˜์šฉ๊ฐ๊ฐ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 27 2. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ํ•˜์ง€ ๋™์  ์•ˆ์ •์„ฑ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 31 3. ๊ทผ์ „๋„ ๋ฐ”์ด์˜คํ”ผ๋“œ๋ฐฑ ํ›ˆ๋ จ์ด ํ†ต์ฆ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ 33 4. ์—ฐ๊ตฌ์˜ ๊ฐ•์  ๋ฐ ์ œํ•œ์  34 5. ํ–ฅํ›„ ์—ฐ๊ตฌ๊ณผ์ œ 35 ์ œ6์žฅ ๊ฒฐ๋ก  ๋ฐ ์ œ์–ธ 36 ์ฐธ๊ณ ๋ฌธํ—Œ 37 ๊ตญ๋ฌธ์ดˆ๋ก 44Maste
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