국제물리치료학회지 (Journal of International Academy of Physical Therapy Research)

  • 제12권2호
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  • Pages.2314-2322
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  • 2021
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  • 2092-8475(pISSN)
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  • 2714-0148(eISSN)
국제물리치료연구학회 (International Academy of Physical Therapy Research)
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Effects of Sensorimotor Training on Postural Stability and Pain in Patients with Chronic Low Back Pain

  • Kang, Kwonyoung (Department of Physical Therapy, Wonkwang Health Science University)
  • 투고 : 2021.03.05
  • 심사 : 2021.04.11
  • 발행 : 2021.06.30
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초록

Background: Back pain is associated with a high risk of recurrence. Various physical therapy techniques for back pain have been studied, including reprogramming the central nervous system by integrating sensation and motion with sensory exercise training. Objectives: To aimed verify the effectiveness of sensorimotor training in improving postural stability and pain levels. Design: A randomized controlled trial. Methods: The study population was randomized into a sensory exercise training group and trunk stabilization training group and treated three times a week for 4 weeks. Each group took part in sensorimotor training for 15 minutes or lumbar stabilization exercise for 15 minutes. Results: After the intervention both groups showed Improvements in the variables. There was a significant difference in the dynamic postural stability, limit of stability, and modified visual analog scale scores in the sensorimotor training group compared to the lumbar stabilization exercise group (P<.05). Conclusion: Sensorimotor training appears to be an effective physical therapy exercise program that can be applied in patients with low back pain to improve muscle control ability.

키워드

과제정보

This paper was supported by Wonkwang Health Science University in 2021.

참고문헌

  1. Haldeman S. North American Spine Society: failure of the pathology model to predict back pain. Spine (Phila Pa 1976).1990;15(7):718-724. https://doi.org/10.1097/00007632-199007000-00019
  2. Park JY. Review: Diagnosis and management of chronic low back pain. Korean J Fam Med. 2001;22(9):1349-1362.
  3. Ferreira PH, Ferreira ML, Maher CG, Herbert RD, Refshauge K. 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
  4. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-379. https://doi.org/10.1016/S1050-6411(03)00044-0
  5. Hyoung HK. Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain. J Korean Acad Nurs. 2008;38(6):902-913. https://doi.org/10.4040/jkan.2008.38.6.902
  6. 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
  7. Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural Adaptation of the Korean Version Of the Oswestry Disability Index (ODI). J Korean Soc Spine Surg. 2005;12(2):146-152. https://doi.org/10.4184/jkss.2005.12.2.146
  8. Davis KG, Marras WS, Heaney CA, Waters TR, Gupta P. The impact of mental processing and pacing on spine loading: 2002 Volvo Award in biomechanics. Spine (Phila Pa 1976). 2002;27(23):2645-2653. https://doi.org/10.1097/00007632-200212010-00003
  9. Kankaanpaa 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
  10. 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
  11. Chiang JH, Wu G. The influence of foam surfaces on biomechanical variables contributing to postural control. Gait Posture. 1997;5(3):239-245. https://doi.org/10.1016/S0966-6362(96)01091-0
  12. Page P. Sensorimotor training: A "global" approach for balance training. JBMT. 2006;10(1):77-84.
  13. Jung KM. Effects of Whole Body Tilt Exercise with Visual Feedback on Trunk Control, Strength, and Balance in Patients with Acute Stroke: a Randomized Controlled Pilot Study. J Korean Soc Phys Med. 2018;13(4):75-84. https://doi.org/10.13066/kspm.2018.13.4.75
  14. Jeong TG, Park JS, Choi JD, Lee JY, Kim JS. The Effects of Sensorimotor Training on Balance and Muscle Activation During Gait in Older Adults. J Kor Soc Phys Ther. 2011;23(4):29-36. https://doi.org/10.1589/jpts.23.29
  15. McCaskey MA, Wirth B, Schuster-Amft C, de Bruin ED. Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial. PLoS ONE. 2018;13(3):e0193358. https://doi.org/10.1371/journal.pone.0193358
  16. Janda V, Vavrova M. Sensory motor stimulation. In: Libenson C, Rehabilitation of the spine: A practitioner's manual. Baltimore: Willams & Wilkins, 1996:319-328.
  17. Koes BW, van Tulder M, Lin CWC, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of nonspecific low back pain in primary care. Eur Spine J. 2010;19(12):2075-2094. https://doi.org/10.1007/s00586-010-1502-y
  18. Cachupe WJC, Shifflett B, Kahanov L, Wughalter EH. Reliability of Biodex balance system measures. Meas Phys Educ Exerc Sci. 2001;5(2):97-108. https://doi.org/10.1207/S15327841MPEE0502_3
  19. Ganesan M, Pasha SA, Pal PK, Yadav R, Gupta A. 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
  20. Kim KT, An JD, Lee HI, Ahn CB. Reliability and Validity of Modified Visual Analogue Scale for Measuring Pain. J Korean Assoc Pain Med. 2003;2(1):75-80.
  21. Shin SH, Yu M, Jeong GY, et al. Effect on the Balance Ability after Four Week Training Using the System for 3-D Dynamic Exercise Equipment. J of RWEAT. 2012;6(2):1-8.
  22. Son CH, Moon Y, Choi JD. The Effects of Integrating Vibration Into Stabilization Exercise on Balance and Disability in Patients With Chronic Low Back Pain. Phys Ther Korea. 2019;26(1):19-27. https://doi.org/10.12674/ptk.2019.26.1.019
  23. Myer GD, Ford KR, Brent JL, Hewett TE. The effects of plyometric vs. dynamic stabilization and balance training on power, balance, and landing force in female athletes. J Strength Cond Res. 2006;20(2):345-353. https://doi.org/10.1519/R-17955.1
  24. Beck S, Taube W, Gruber M, Amtage F, Gollhofer A, Schubert M. Task-specific changes in motor evoked potentials of lower limb muscles after different training interventions. Brain Res. 2007;1179(7):51-60. https://doi.org/10.1016/j.brainres.2007.08.048
  25. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  26. McMurdo ME, Millar AM, Daly F. A randomized controlled trial of fall prevention strategies in old peoples' homes. Gerontology. 2000;46(2):83-87. https://doi.org/10.1159/000022139
  27. Horak FB, Macpherson JM. Postural Orientation and Equilibrium. New York: Oxford University Press, 1996:255-292.
  28. Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965;47(4):678-685. https://doi.org/10.1302/0301-620X.47B4.678
  29. Paterno MV, Myer GD, Ford KR, et al. Neuromuscular training improves single-limb stability in young female athletes. J Orthop Sports Phys Ther. 2004;34(6):305-316. https://doi.org/10.2519/jospt.2004.34.6.305
  30. Kang JH, Bang HS, Kim JS. Review of the changes of proprioceptive sensory information. J of the Korean Proprioceptive Neuromuscular Facilitation Association. 2007;5(1):19-28.
  31. Kim GY, Ahn CS, Kim SS. The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain. J Korean Soc Phys Med. 2011;6(2);235-246.
  32. Min IG, Kim SY. Effects of Cervical Sensorimotor Control Training on Pain, Function and Psychosocial Status in Patients With Chronic Neck Pain. Phys Ther Korea. 2021;28(1):36-46. https://doi.org/10.12674/ptk.2021.28.1.36
  33. Gallego Izquierdo T, Pecos-Martin D, Lluch Girbes E, et al. Comparison of cranio-cervical flexion training versus cervical proprioception training in patients with chronic neck pain: a randomized controlled clinical trial. J Rehabil Med. 2016;48(1):48-55. https://doi.org/10.2340/16501977-2034
  34. Falla D, Jull G, Dall'Alba P, Rainoldi A, Merletti R. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther. 2003;83(10):899-906. https://doi.org/10.1093/ptj/83.10.899
  35. Park JB, An SH. The Effects of exercise on lumbar stabilization and a complex exercise in muscle, pains and index of disabilities in activities of chronic low back pain. KJSS. 2017;26(3):1019-1031.
  36. Kim JW, Lee DY. The Effect of Resistive and Stability Exercises for Lumbar Muscles on the Strength, Cross-sectional Area and Balance. J sports leisure studies. 2010;39(2):737-745. https://doi.org/10.51979/KSSLS.2010.02.39.737
  37. Breen PP, Nisar A, Olaighin G. Evaluation of a single accelerometer based biofeedback system for real-time correction of neck posture in computer users. Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:7269-7272.
  38. Armstrong B, McNair P, Taylor D. Head and neck position sense. Sports Med. 2008;38(2):101-117. https://doi.org/10.2165/00007256-200838020-00002
  39. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008;13(1):2-11. https://doi.org/10.1016/j.math.2007.06.003
  40. Sung PS. Multifidi muscles median frequency before and after spinal stabilization exercises. Arch Phys Med Rehabil. 2003;84(9):1313-1318. https://doi.org/10.1016/S0003-9993(03)00139-4
  41. Kuukkanen T, Malkia E. Muscular performance after a 3 month progressive physical exercise program and 9 month follow-up in subjects with low back pain. A controlled study. Scand J Med Sci Sports. 1996;6(2):112-121. https://doi.org/10.1111/j.1600-0838.1996.tb00078.x