DOI QR코드

DOI QR Code

The Effects of Integrating Vibration Into Stabilization Exercise on Balance and Disability in Patients With Chronic Low Back Pain

진동자극 환경에서의 요부 안정화 운동이 만성요통환자의 균형능력 및 기능장애수준에 미치는 영향

  • Son, Chang-hwan (Dept. of Physical Therapy, YUSEONG HANGAJOK hospital) ;
  • Moon, Young (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Choi, Jong-duk (Dept. of Physical Therapy, College of Health & Medical Science, Daejeon University)
  • 손창환 (유성한가족병원) ;
  • 문영 (대전대학교 대학원 물리치료학과) ;
  • 최종덕 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2018.11.06
  • Accepted : 2018.12.05
  • Published : 2019.02.19

Abstract

Background: Compared to healthy people, patients with chronic lower back pain have reduced balance abilities which may cause proprioception problems, patients with chronic lower back pain avoid physical activities due to pain, and reduced activity levels lead to muscle weakening, which can further exacerbate pain. Recently, there have been many studies on the use of sensory stimulation; and among these studies, interventions that use vibrational stimulation have shown functional improvements in the patients. Objects: This study examined the effects of a stabilization exercise with vibration stimulation on the balance ability and disability in patients with chronic back pain. Methods: The subjects of the study were 30 persons who were randomly assigned to the experimental group and the control group, with 15 subjects in each. The subjects were evaluated before and after intervention via a balance ability test, the Korean Oswestry disability index (KODI) test, a pain test, and a proprioceptive sensory test. Both groups received general physical therapy. The experimental group performed the stabilization exercise with vibration stimulation, and the control group performed a general stabilization exercise, three times a week for six weeks. Results: After the intervention, both groups showed significant improvements in the balance ability test, the KODI test, the pain test, and the proprioceptive sensory test. The experimental group showed statistically significant, higher improvements than the control group in the balance ability test, the KODI test, and the proprioceptive sensory test. Conclusions: The stabilization exercise with vibration stimulation for patients with chronic back pain has been reported to provide greater functional improvements than the conventional intervention method. Therefore, the stabilization exercise in a vibration stimulation environment could be a useful intervention for patients with chronic back pain.

Keywords

References

  1. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(1):86-92. https://doi.org/10.1053/j.apmr.2003.12.005
  2. Andersson GBJ. In Lumbar Spine: Low back pain in pregnancy. Philadelphia: WB Saunders. 1990
  3. Alexander KM, LaPier TL. Differences in static balance and weight distribution between normal subjects and subjects with chronic unilateral low back pain. J Orthop Sports Phys Ther. 1998;28(6):378-383. https://doi.org/10.2519/jospt.1998.28.6.378
  4. Bogaerts A, Verschueren S, Delecluse C, et al. Effects of whole body vibration training on postural control in older individuals: A 1 year randomized controlled trial. Gait Posture. 2007 26(2):309-316. https://doi.org/10.1016/j.gaitpost.2006.09.078
  5. Behm DG, Drinkwater EJ, Willardson JM, et al. The use of instability to train the core musculature. Appl Physiol Nutr Metab. 2010;35(1):91-108. https://doi.org/10.1139/H09-127
  6. Cachupe, Wendy JC, Shifflett B, et al. Reliability of Biodex balance system measures. Meas Phys Educ Exerc Sci. 2001;5(2):97-108. https://doi.org/10.1207/S15327841MPEE0502_3
  7. Di Giminiani R, Masedu F, Tihanyi J, et al. The interaction between body position and vibration frequency on acute response to whole body vibration. J Electromyogr Kinesiol. 2013;23(1):245-251. https://doi.org/10.1016/j.jelekin.2012.08.018
  8. Ferreira PH, Ferreira ML, Maher CG, et al. Specific stabilisation exercise for spinal and pelvic pain: A systematic review. Aust J Physiother. 2006;52(2):79-88. https://doi.org/10.1016/S0004-9514(06)70043-5
  9. Franca FR, Burke TN, Hanada ES, et al. Segmental stabilization and muscular strengthening in chronic low back pain: A comparative study. Clinics. 2010;65(10):1013-1017. https://doi.org/10.1590/S1807-59322010001000015
  10. Ganesan M, Pasha SA, Pal PK, et al. Direction specific preserved limits of stability in early progressive supranuclear palsy: A dynamic posturographic study. Gait Posture. 2012;35(4):625-629. https://doi.org/10.1016/j.gaitpost.2011.12.012
  11. Hamaoui A, Do MC, Bouisset S. Postural sway increase in low back pain subjects is not related to reduced spine range of motion. Neurosci Lett. 2004;357(2):135-138. https://doi.org/10.1016/j.neulet.2003.12.047
  12. Ibrahim, Marwa M, Eid, et al. Effect of whole-body vibration on muscle strength, spasticity, and motor performance in spastic diplegic cerebral palsy children. Egypt J Med Hum Genet. 2014;15(2):173-179. https://doi.org/10.1016/j.ejmhg.2014.02.007
  13. Jordan MJ, Norris SR, Smith DJ, et al. Vibration training: An overview of the area, training consequences, and future considerations. J Strength Cond Res. 2005;19(2):459-466. https://doi.org/10.1519/13293.1
  14. Kawanabe K, Kawashima A, Sashimoto I, et al. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. Keio J Med. 2007;56(1):28-33. https://doi.org/10.2302/kjm.56.28
  15. Kankaanpää M, Colier WN, Taimela S, et al. Back extensor muscle oxygenation and fatigability in healthy subjects and low back pain patients during dynamic back extension exertion. Pathophysiology. 2005;12(4):267-273. https://doi.org/10.1016/j.pathophys.2005.09.013
  16. Kim DY, Lee SH, Lee HY, et al. Validation of the Korean version of the Oswestry disability index. Spine. 2005;30(5):123-127. https://doi.org/10.1097/01.brs.0000148999.21492.53
  17. Kim MJ, Park JW. Treatment effects of upper body traction (V-trac) for the HIVD. The Korean Academy of Physical Therapy Science. 1995;2(4):749-761.
  18. Kim MC, Kim NJ, Lee MS, et al. Validity and reliability of the knee joint proprioceptive sensory measurements using a smartphone. J Korean Soc Phys Med. 2015;10(4):15-23. https://doi.org/10.13066/kspm.2015.10.4.15
  19. Luoto S, Aalto H, Taimela S. One-footed and externally disturbed two-footed postural in patients with chronic low back pain and healthy control subject. Spine. 1998;23(19):2081-2089. https://doi.org/10.1097/00007632-199810010-00008
  20. Lebedev MA, Poliakov AV. Analysis of the interference electromyogram of human soleus muscle after exposure to vibration. Neirofiziologiia. 1990;23(1):57-65.
  21. Marshall PW, Murphy BA. Core stability exercise on and off a swiss ball. Arch Phys Med Rehabil. 2005;86(2):242-249. https://doi.org/10.1016/j.apmr.2004.05.004
  22. Maher CG, Latimer J, Hodges PW, et al. The effect of motor control exercise versus placebo in patients with chronic low back pain [ACTRN 012605000262606]. BMC Musculoskelet Disord. 2005;6(1):54 https://doi.org/10.1186/1471-2474-6-54
  23. Nies N, Sinnott PL. Variations in balance and body sway in middle aged adults. Subjects with healthy backs compared with subjects with low back dysfunction. Spine. 1991;16(3):325-330. https://doi.org/10.1097/00007632-199103000-00012
  24. O'Sullivan PB, Phyty GD, Twomey LT, et al. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain spondylolisthesis. Spine. 1997;22(24):2959-2967 https://doi.org/10.1097/00007632-199712150-00020
  25. Page P. Sensorimotor training: A "global" approach for balance training. J Bodyw Mov Ther. 2006;10(1):77-84. https://doi.org/10.1016/j.jbmt.2005.04.006
  26. Perlau R, Frank C, Fick G. The effect of elastic bandages on human knee proprioception in the uninjured population. Am J sports Med. 1995;23(2):251-255. https://doi.org/10.1177/036354659502300221
  27. Park IW, Lim OB, Park KN, et al. Intra - and interrater reliability of measuring passive range of shoulder motion with smartphone and goniometer in patients with stroke. Phys Ther Kor. 2014;21(1):1-12. https://doi.org/10.12674/ptk.2014.21.1.001
  28. Rittweger J, Just K, Kautzsch K, et al. Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise: A randomized controlled trial. Spine. 2002;27(17):1829-1834. https://doi.org/10.1097/00007632-200209010-00003
  29. Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol. 2010;108(5):877-904. https://doi.org/10.1007/s00421-009-1303-3
  30. Richardson C, Hodges P, Hides J. Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. 2ed. Edinburgh, Churchill Livingstone, 2004:77-92, 175-219, 233-246.
  31. Torvinen S, Kannus P, Sievanen H, et al. Effect of four-month vertical whole body vibration on performance and balance. Med Sci Sports Exerc. 2002;34(9):1523-1528. https://doi.org/10.1097/00005768-200209000-00020
  32. Tripp BL, Faust D, Jacobs P. elbow joint position sense after neuromuscular training with handheld vibration. J Athl Train. 2009;44(6):617-623. https://doi.org/10.4085/1062-6050-44.6.617
  33. van Nes IJ, Geurts AC, Hendricks HT, et al. Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients: Preliminary evidence. Am J Phys Med Rehabil. 2004;83(11):867-873. https://doi.org/10.1097/01.PHM.0000140801.23135.09
  34. Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082 https://doi.org/10.1371/journal.pone.0052082
  35. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  36. Yazdani S, Farahpour N. The association of chronic low back pain with increased postural sway: A special reference to perturbation of the visual, vestibular and proprioception systems. Gait Posture. 2009;30:24-25.
  37. Yang J, Seo D. The effects of whole body vibration on static balance, spinal curvature, pain, and disability of patients with low back pain. J Phys Ther Sci. 2015;27(3):805-808. https://doi.org/10.1589/jpts.27.805

Cited by

  1. Effects of Sensorimotor Training on Postural Stability and Pain in Patients with Chronic Low Back Pain vol.12, pp.2, 2019, https://doi.org/10.20540/jiaptr.2021.12.2.2314