Page 65 - journal_13-3_Full

249

¡“μ√∞“π (SD) ·≈– ∂‘μ‘∑’Ë„™â„π°“√∑¥ Õ∫ ¡¡μ‘∞“π ‡À¬’¬¥μ√ß·≈â«°â¡μ—«‰ª¥â“πÀπâ“ ‚¥¬«“ß¡◊Õ‡À¬’¬¥

‰¥â·°à paired t - test Õ“ “ ¡—§√‡ªìπºŸâªÉ«¬ª«¥ μ√ß≈ß∫π Sit and reach box ´÷Ëß¡’§à“∫Õ°√–¬–
9
À≈—ß™à«ß≈à“ß∑’Ë¡“√—∫∫√‘°“√°“√√—°…“∑’Ë‚√ß欓∫“≈ àß ∑“ß∑’ˬ◊¥‰¥â ¥—ß√Ÿª∑’Ë 2
‡ √‘¡ ÿ¢¿“æμ”∫≈∫â“π ÿ¢‡°…¡ μ”∫≈‰ŒÀ¬àÕß 3. À≈—ß®“°∑”°“√ª√–‡¡‘π‡ √Á® Õ“ “ ¡—§√ ‰¥â

Õ”‡¿Õæ—ß‚§π ®—ßÀ«—¥ °≈π§√ Õ“ “ ¡—§√¡’ ®”π«π √—∫°“√Ωñ°ƒÂ…’¥—¥μπ∑’Ë»“≈“°≈“ßÀ¡Ÿà∫â“π ‚¥¬ºŸâ«‘®—¬
7
40 §π §”π«≥®“° Ÿμ√∑“‚√ଓ¡“‡π ‚§√ß°“√«‘®—¬ “∏‘μ«‘∏’°“√ÕÕ°°”≈—ß°“¬√«¡∑—È߇ªî¥ CD „À⥟√à«¡
‰¥â√—∫°“√√—∫√Õß®“°§≥–°√√¡°“√æ‘®“√≥“ß“π«‘®—¬ ¥â«¬„π°“√Ωñ°§√—Èß·√° À≈—ß®“°π—Èπ·®°·ºàπæ—∫

®“° “¢“·æ∑¬å·ºπ‰∑¬ §≥–∑√—欓°√∏√√¡™“μ‘ ·≈â«„Àâ°≈—∫‰ª∑”μàÕ∑’Ë∫â“π ‚¥¬ºŸâ«‘®—¬®–‰ªμ‘¥μ“¡
¡À“«‘∑¬“≈—¬‡∑§‚π‚≈¬’√“™¡ß§≈Õ’ “π «‘∑¬“‡¢μ °“√Ωñ°∑’Ë∫â“πÕ“∑‘μ¬å≈–§√—Èß ‚¥¬„ÀâÕ“ “ ¡—§√®¥

°≈π§√ ·≈–ºŸâÕ”π«¬°“√‚√ß欓∫“≈ à߇ √‘¡ ÿ¢¿“æ ∫—π∑÷°«—π·≈–‡«≈“∑’Ë∑”°“√Ωñ° ‚¥¬„Àâ°≈—∫‰ªΩñ°
4
∫â“π ÿ¢‡°…¡ ‚¥¬¡’«‘∏’°“√∑¥≈Õߥ—ßμàÕ‰ªπ’È ƒÂ…’¥—¥μπ 10 ∑à“ ‡ªìπ‡«≈“ 50 π“∑’μàÕ§√—Èß —ª¥“Àå
1. Õ“ “ ¡—§√·≈–ºà“π‡°≥±å°“√§—¥‡¢â“ ≈– 3 §√—Èß ‡ªìπ√–¬–‡«≈“ 4 —ª¥“Àå ·≈–À≈—ß®“°

(Inclusion criteria) ¥—ßμàÕ‰ªπ’È ∫ÿ§§≈Õ“¬ÿ√–À«à“ß π—ÈπÕ“ “ ¡—§√∑—Èß 40 §π ‰¥â√—∫°“√ª√–‡¡‘π°“√
20-50 ªï ¡’Õ“°“√ª«¥À≈—ß™à«ß≈à“߉¡àπâÕ¬°«à“ 6 ‡§≈◊ËÕπ‰À«¢ÕßÀ≈—ß·≈–§«“¡¬◊¥À¬ÿàπ¢ÕßÀ≈—ߴȔՒ°

—ª¥“Àå ¡’§«“¡¬‘π¥’„À⧫“¡√à«¡¡◊Õ„π°“√»÷°…“ §√—Èß„π«—π√ÿàߢ÷Èπ
ߥ°“√ÕÕ°°”≈—ß°“¬·∫∫Õ◊Ëπ Ê ¢≥–‡¢â“√à«¡‚§√ß°“√
ߥ¬“·°âª«¥Õ¬à“ßπâÕ¬ 2 —ª¥“Àå ‡°≥±å°“√§—¥ÕÕ°

(Exclusion criteria) ‰¥â·°à ¡’‚√§ª√–®”μ—«À√◊Õ
§«“¡º‘¥ª°μ‘∑“ß√–∫∫ª√– “∑ À—«„®·≈–À≈Õ¥‡≈◊Õ¥
À√◊Õ‰¡à “¡“√∂‡¢â“√à«¡‚§√ß°“√μ“¡∑’Ë°”À𥉫â

√–À«à“ß™à«ß‡«≈“∑’ˇ¢â“√à«¡‚§√ß°“√
2. „ÀâÕ“ “ ¡—§√°√Õ°·∫∫ Õ∫∂“¡¢âÕ¡Ÿ≈
∑—Ë«‰ª·≈–¢âÕ¡Ÿ≈‡°’ˬ«°—∫‚√§ À≈—ß®“°π—Èπª√–‡¡‘π

°“√‡§≈◊ËÕπ‰À«¢ÕßÀ≈—ß (Movement) ‚¥¬„™â “¬«—¥
·≈–°“√∑¥ Õ∫‡æ◊ËÕª√–‡¡‘𧫓¡¬◊¥À¬ÿàπ¢ÕßÀ≈—ß

(Flexibility) „™â Sit and reach test ∑—Èß°àÕπ·≈–
À≈—ßÕÕ°°”≈—ß°“¬ ‚¥¬∑”°“√«—¥∑—ÈßÀ¡¥ 3 §√—Èß
·≈â«®÷ßÀ“§à“‡©≈’ˬ ´÷Ëß°“√∑¥ Õ∫°“√‡§≈◊ËÕπ‰À«

¢ÕßÀ≈—ß‚¥¬„™â “¬«—¥®–∑”°“√«—¥√–¬–∑“ß√–À«à“ß
Spinous process ¢Õß C7 ∂÷ß S1 „π∑à“¬◊πμ√ß
8
·≈–∑à“°â¡‡μÁ¡∑’Ë ¥—ß√Ÿª∑’Ë 1 à«π°“√∑¥ Õ∫‚¥¬„™â √Ÿª∑’Ë 1 ∑à“ª√–‡¡‘π°“√‡§≈◊ËÕπ‰À«¢ÕßÀ≈—ß (Move-
Sit and reach test „ÀâÕ“ “ ¡—§√π—Ëß∫πæ◊Èπ¢“ ment) ‚¥¬„™â “¬«—¥