The Effect of Sling Exercise and Conservative Treatment on Cross-section Area Change of Lumbar Muscles

슬링 운동과 보존적 치료가 요부근육의 횡단면적 변화에 미치는 영향

  • Lee, Woo-Hyung (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Jeong, Seong-Gwan (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Park, Rae-Jun (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 이우형 (대구대학교 대학원 재활과학과) ;
  • 정성관 (대구대학교 대학원 재활과학과) ;
  • 박래준 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2010.03.31
  • Accepted : 2010.05.21
  • Published : 2010.05.31

Abstract

Purpose : This study aimed to examine the effects of sling exercise therapy on the relief of low back pain and the cross-sectional area change of lumbar muscles by CT analysis for chronic low back pain patients. Methods : Forty-one patients with diagnosis of chronic low back pain was divided sling exercise therapy group(SEG) 19 subjects and conservative physical therapy group(CPG) 22 subjects. we randomized and treated them(subjects) for 12 weeks. As using visual analogue scale(VAS), we evaluated recovery accuracy of pain, and for investigating cross-section area change of lumbar muscles for before and after treatment we used computed tomography(CT). Results : This study were summarized as follows : 1) As treatment period, in each compared testing on VAS of SEG and CPG, the both group was significantly different(p<.05). 2) Compared testing on VAS of between-subject groups(SEG and CPG) were not significantly different(p>.05). 3) At SEG of before and after treatment, in compared testing on cross-section area size of lumbar muscles, All muscles of psoas major, quadratus lumborum, erector spinae and multifidus were significantly different(p<.05). At CPG, psoas major was significantly different(p<.05). But other muscles were not significantly different(p>.05). Conclusion : From this result, both sling exercise therapy and the conservative physical therapy are effect on decrease of pain for chronic low back pain patients. but Increasing of the cross-section area being proportioned with muscular strengthening of low back muscle is noticeable difference in SEG. Therefore, sling exercise therapy have affect both decreasing of pain for chronic low back pain patients and lumbar muscles strengthening.

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