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Lumbar Combined Rehabilitation Exercise for Lumbar Reposition Sense, Static Balance and Pain of the Patient's with Chronic Low Back Pain

만성요통환자의 복합재활운동이 통증과 정적균형, 재위치감각인지에 미치는 영향

  • Kim, Deahun (Department of Physical Therapy, Faculty of Health Science, Kyungdong University)
  • 김대훈 (경동대학교 물리치료학과)
  • Received : 2019.09.30
  • Accepted : 2019.11.20
  • Published : 2019.11.28

Abstract

The purpose of this study is to identify the effects of the apply of lumbar stabilization exercises and lumbar strengthening exercises using Medx machine on back functions such as static balance, lumbar reposition sense, and back pain(VAS) in chronic low back pain. This study divided 30 chronic low back pain patients who experienced only lumbar back pain(male: 5, female: 10) into a lumbar stabilization exercise group and a complex exercise group, and then performed their respective exercise programs for three times a week over a 8-week period. The lumbar static balance, lumbar reposition sense, and lumbar back pain were measured using a pair t-test within each group, and were also compared between two groups using an independent t-test. The results of the present study were as follows: Both groups exhibited statisti cally significant increases after performing their own exercise program in the static balance, lumbar reposition sense, and lumbar back pain(p<.05). However, the comparison of two groups confirmed that the complex exercise group resulted in greater effects than the lumbar stabilization exercise group(p<.05). In conclusion, muscle strengthening and stabilization exercises in chronic low back pain patients are considered to not only relieve back pain, but also improve various back functions.

만성요통환자를 대상으로 근력강화운동과 안정화운동을 적용한 복합운동이 정적균형, 요부 재위치감각인지, 요부통증에 미치는 영향을 알아보았다. 연구방법은 만성요통환자 30명을 복합운동그룹과 안정화운동그룹 등 두 그룹으로 나누워 8주간 주 3회씩 운동을 실시하였다. t-test를 이용하여 그룹전, 후와 그룹간을 비교한 결과 정적균형, 요부 재위치감각인지, 요부통증 모두 두 그룹 운동전, 후에 유의한 결과가 나타났지만(p<.05), 그릅간에 있어서는 근력강화운동과 안정화운동을 적용한 복합운동그릅이 더 효과적인 것으로 나타났다(p<.05). 결론적으로 근력강화운동과 안정화운동을 실시한 복합운동이 요통 뿐만 아니라 다양한 요부의 기능을 향상시키는 것으로 생각된다.

Keywords

References

  1. B. T. Saragiotto, C. G. Maher, T. P. Yamato, L. O. Costa, L. C. Menezes Costa, R. W. Ostelo & L. G. Macedo. (2016). Motor control exercise for chronic non-specific low-back pain. Cochrane Database Syst Rev, (1), CD012004.
  2. I. Cho, C. Jeon, S. Lee, D. Lee. & G. Hwangbo. (2015). Effects of lumbar stabilization exercise on functional disability and lumbar lordosis angle in patients with chronic low back pain. J Phys Ther Sci, 27(6), 1983-5. https://doi.org/10.1589/jpts.27.1983
  3. W. N. Mok,, E. W. Yeung, J. C. Cho, S. C. Hui, K. C. Liu & C. H. Pang. (2015). Core muscle activity during suspension exercises. J Sci Med Sport, 18(2), 189-94. https://doi.org/10.1016/j.jsams.2014.01.002
  4. O. Vasseljen, C. Westad & P. J. Mork. (2012). Effect of core stability exercises on feed-forward activation of deep abdominal muscles in chronic low back pain. Spine, 37(13), 1101-8. https://doi.org/10.1097/BRS.0b013e318241377c
  5. S. C. Gandevia, D. I. McCloskey & D. Burke. (1992). Kinaesthetic signals and muscle contraction. Trends in Neuroscience, 15, 62-65. https://doi.org/10.1016/0166-2236(92)90028-7
  6. J. Borghuis, A. L. Hof & K. A. Lemmink. (2008). The importance of sensory-motor control in providing core stability: implications for measurement and training. Sports Med, 38(11), 893-916. https://doi.org/10.2165/00007256-200838110-00002
  7. L. A. Forwell & H. Carnahan. (1996). Proprioception during manual aiming in individuals with shoulder instability and controls. Journal of Orthopaedic and Spot Physical Therapy, 23, 111-119. https://doi.org/10.2519/jospt.1996.23.2.111
  8. P. B. O'Sullivan, A. Burnett, A. N. Floyd & K. Gadsdon. (2003). Lumbar repositioning deficit in a specific low back pain population. Spine, 28(10), 1074-1079. https://doi.org/10.1097/01.BRS.0000061990.56113.6F
  9. R. Perlau, C. Frank & G. Fick. (1995). The effect of elastic bandages on human knee proprioception in the uninjured proprioception in the uninjured population. Am Jsports Med, 23, 251-255. https://doi.org/10.1177/036354659502300221
  10. K. L. Newcomer, E. R. Laskowski & B. Yu. (2000). Difference in repositioning error among patient with low back pain compared with control subjects. Spine, 25 , 2488-2493. https://doi.org/10.1097/00007632-200010010-00011
  11. Y. Zhang, S. Tang, G. Chen & Y. Liu. (2015). Chinese massage combined with core stability exercises for nonspecific low back pain: a randomized controlled trial. Complement Ther Med, 23(1), 1-6. https://doi.org/10.1016/j.ctim.2014.12.005
  12. C. M. Norris. (2001). Functional load abdominal training: Part 2. Physical Therapy in Sport, 12(2), 149-156. https://doi.org/10.1054/ptsp.2001.0033
  13. A. N, Garcia, C. Costa Lda, T. M. da Silva, F. L. Gondo, F. N. Cyrillo, R. A. Costa & L. O. Costa. (2013). Effectiveness of back school versus mckenzie exercises in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther, 93(6), 729-747. https://doi.org/10.2522/ptj.20120414
  14. K. A. Zielinski, S. M. Henry, R. H. Ouellette-Morton & M. J. DeSarno. (2013). Lumbar multifidus muscle thickness does not predict patients with low back pain who improve with trunk stabilization exercises. Arch Phys Med Rehabil, 94(6), 1132-1138. https://doi.org/10.1016/j.apmr.2012.12.001
  15. L. A. Danneels, G. G. Vanderstraeten & D. C. Cambier. (2000). CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J, 9(4), 266-272. https://doi.org/10.1007/s005860000190
  16. J. A. Hides & G. A. Jull. (2001). Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine, 26(11), 243-248. https://doi.org/10.1097/00007632-200106010-00004
  17. F. R. Franca, T. N. Burke, E. S. Hanada & A. P. Marques. (2010). Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics, 65(10), 1013-7. https://doi.org/10.1590/S1807-59322010001000015
  18. F. R. Franca, T. N. Burke, R. R. Caffaro, L. A. Ramos & A. P. Marques. (2012). Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain: a randomized, controlled trial. J Manipulative Physiol Ther, 35(4), 279-85. https://doi.org/10.1016/j.jmpt.2012.04.012