체간 안정화 운동과 고관절 운동이 만성 요통 환자의 허리가동범위, 통증, 장애정도에 미치는 영향
Effects of trunk stability exercise and hip exercise on lumbar Range of motion , VAS, disability chronic low back pain patients
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.
Abstract
Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.
참고문헌 (59)
- Adams MA, "Biomechanics of back pain", Acupunct Med, 22(4), pp.178~188 (2004)[DOI]
- Ammar A, "McGill Exercises versus conventional exercises in chronic low back pain", J Life Sci, 9(2), pp.393~397 (2012)
- Ammar A, "Stabilization exercises in postnatal low back pain", Indian Journal of Physiotherapy & Occupational Therapy, 5(1), pp.122~124 (2011)
- Ardalan S, "Home-based fundamental approach to alleviate low back pain using myofascial release, stretching, and spinal musculature strengthening during the COVID-19 pandemic", Work, 67(1), pp.11~19 (2020)[DOI]
- Arokoski JP, "Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients", Arc Phys Med Rehabil, 85, pp.823~832 (2004)[DOI]
- Bade M, "Effects of manual therapy and exercise targeting the hips in patients with low-back pain: A randomized controlled trial", J Eval Clin. Pract, 23, pp.734~740 (2017)[DOI]
- Benjamin L, "Periodization of a Torso "Stabilization" Training Program in Rehabilitation and Performance Optimization", pp.1~59 (2019), Wolters Kluwer
- Chan KY, "The effects of therapeutic hip exercise with abdominal core activation on recruitment of the hip muscles", BMC Musculoskelet Disord, 18(313), pp.1~11 (2017)[DOI]
- Chan EWM, "The short-term effects of progressive vs conventional core stability exercise in rehabilitation of nonspecific chronic low back pain", Sains Malaysiana, 49(10), pp.2527~2537 (2020)[DOI]
- Clark JM, "Anatomy of the abductor muscles of the hip as studied by computed tomography", J Bone Joint Surg Am, 69, pp.1021~1031 (1987)
- Cooper NA, "Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls", Eur Spine, 25(4), pp.1258~1265 (2016)[DOI]
- Cresswell AG, "The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing", Exp Brain Res, 98(2), pp.336~341 (1994)[DOI]
- Delitto A, "Low back pain", J Orthop Sports Phys Ther, 42, pp.A1~A57 (2012)[DOI]
- Delp SL, "Variation of rotation moment arms with hip flexion", J Biomech, 32(5), pp.493~501 (1999)[DOI]
- Ewert T, "The comparative effectiveness of a multimodal program versus exercise alone for the secondary prevention of chronic low back pain and disability", PMR, 1(9), pp.798~808 (2009)[DOI]
- Ferreira, PH, "Specific stabilisation exercise for spinal and pelvic pain : A systematic review", Aust J Physiother, 52, pp.79~88 (2006)[DOI]
- Gillan M, "The natural history of trunk list, its associated disability and the influence of McKenzie management", Eur Spine, 7(6), pp.480~483 (1998)[DOI]
- Hayden JA, "Exercise therapy for treatment of non-specific low back pain", Cochrane Database Syst Rev, (3), pp.CD000335~ (2005)[DOI]
- Hayden J, "Exercise therapy for treatment of non-specific low back pain", Cochrane Database Syst Rev, 20(3), pp.CD000335~ (2005)[DOI]
- Hodges PW, "Activation of the human diaphragm during a repetitive postural task", J Physiol, 522, pp.165~175 (2000)[DOI]
- Hoffman MD, "Does aerobic exercise improve pain perception and mood? A review of the evidence related to healthy and chronic pain subjects", Curr Pain Headache Rep, 11(2), pp.93~97 (2007)[DOI]
- Holcomb WR, "Effect of hamstring emphasized resistance training onhamstring : Quadriceps strength ratios", J Strength Cond Res, 21(1), pp.41~47 (2007)[DOI]
- Ito T, "Lumbar trunk muscle endurance testing : An inexpensive alternative to a machine for evaluation", Arch Phys Med Rehabil, 77(1), pp.75~79 (1996)[DOI]
- Jill A, "Meta-Analysis : Exercise therapy for nonspecific low back pain", Ann Intern Med, 142, pp.765~775 (2005)[DOI]
- Julie, A, "Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain", Spine, 21(23), pp.2763~2769 (1996)[DOI]
- Jung DE, "Comparison of muscle activities using a pressure biofeedback unit during abdominal muscle training performed by normal adults in the standing and supine positions", J Phys Ther Sci, 26, pp.191~193 (2014)[DOI]
- Kader DF, "Correlation between the MRI changes in the lumbar multifidus muscles and leg pain", Clin Radiol, 55, pp.145~149 (2000)[DOI]
- Kendall FP, "Muscles:Testing and Function" (1993), Williams & Wilkins
- Kendall, KD, "The effect of the addition of hip strengthening exercises to a lumbopelvic exercise programme for the treatment of non-specific low back pain : A randomized controlled trial", J Sci Med Sport, 18, pp.626~631 (2015)[DOI]
- Kim, CR, "Electromyographic changes in trunk muscles during graded lumbar stabilization exercises", PMR, 8(10), pp.979~989 (2016)[DOI]
- Koumantakis GA, "Trunk muscle stabilization training plus general exercise versus general exercise only : Randomized controlled trial of patients with recurrent low back pain", Phys Ther, 85, pp.209~225 (2005)[DOI]
- Krismer M, "Low back pain group of the bone and joint health strategies for europe project. strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific)", Best Pract Res Clin Rheumatol, 21, pp.77~91 (2007)[DOI]
- Lee D, "The Pelvic Girdle", pp.41~54 (2004), Churchill Livingstone
- Lee W, "The effect of lumbar strengthening exercise on pain and the cross-sectional area change of lumbar muscles", J Phys Ther Sci, 23, pp.209~212 (2011)[DOI]
- Limke JC, "Randomized trial comparing the effects of one set vs two sets of resistance exercises for outpatients with chronic low back pain and leg pain", Eur J Phys Rehabil Med, 44, pp.399~405 (2008)
- Nadler SF, "The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes", Clin J Sport Med, 10(2), pp.89~97 (2000)[DOI]
- Nadler SF, "Hip muscle imbalance and low back pain in athletes : influence of core strengthening", Med Sci Sports Exerc, 34, pp.9~16 (2002)[DOI]
- Nelson-Wong E, "Gluteus medius muscle activation patterns as a predictor of low back pain during standing", Clin Biomech(Bristol, Avon), 23(5), pp.545~553 (2008)[DOI]
- Nourbakhsh, MR, "Relationship between mechanical factors and incidence of low back pain", J Orthop Sports Phys Ther, 32, pp.447~460 (2002)[DOI]
- Mayer J, "Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises", Spine, 8, pp.96~113 (2008)[DOI]
- McGill SM, "Exercises for spine stabilization : Motion", motor patterns, stability progressions and clinical technique, 2009, pp.90, 118~126
- McGill SM, "Low back stability : from formal description to issues for performance and rehabilitation", Exerc Sport Sci Rev, 29(1), pp.26~31 (2001)[DOI]
- Mellin G, "Correlations of hip mobility with degree of back pain and lumbar spinal mobility in chronic low back pain patients", Spine, 13, pp.668~670 (1988)
- Hye Jin Moon, "Effect of Lumbar Stabilization and Dynamic Lumbar Strengthening Exercises in Patients With Chronic Low Back Pain", Annals of Rehabilitation Medicine, 37(1), pp.110~117 (2013), 대한재활의학회
- Oh JS, "Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt", J Orthop Sports Phys Ther, 37(6), pp.320~324 (2007)[DOI]
- Panjabi MM, "The stabilizing system of the Spine. Part 1. Function, Dysfunction, Adaptation, and Enhancement", J Spinal Disord Tech, 5(4), pp.383~389 (1992)[DOI]
- Pfirrmann CW, "Greater trochanter of the hip : Attachment of the abductor mechanism and a complex of three bursae—MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers", Radiology, 221, pp.469~477 (2001)[DOI]
- Reeves NP, "Modeling the human lumbar spine for assessing loads, stability, and risk of injury", Crit Rev Biomed Eng, 31, pp.73~139 (2003)[DOI]
- Reiman, MP, "Literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises", Physiother Theory Pract, 28(4), pp.257~268 (2012)[DOI]
- Reiman MP, "The hips influence on low back pain : A distal link to a proximal problem", J Sport Rehabil, 18, pp.24~32 (2009)[DOI]
- Richardson, C, "Therapeutic exercise for lumbopelvic stabilization: A motor control approach for the treatment and prevention of low back pain", pp.1~271 (2004), Churchill Livingstone
- Schamberger W., "The malalignment syndrome:Diagnosis and treatment of common pelvic and back pain", pp.431~521 (2012), Elsevier Churchill Livingstone
- Shnayderman I, "An aerobic walking programme versus muscle strengthening programme for chronic low back pain : A randomized controlled trial", Clin Rehabil, 27, pp.207~214 (2013)[DOI]
- Standaert CJ, "Evidence-in-formed management of chronic low back pain with lumbar stabilization exercises", Spine J, 8, pp.114~120 (2008)[DOI]
- Stevens K, "Trunk muscle activity in healthy subjects during bridging stabilization exercises", BMC Musculoskelet Disord, 7, pp.75~82 (2006)[DOI]
- Sueki DG, "A regional interdependence model of musculoskeletal dysfunction : Research, mechanisms, and clinical implications", J Man Manip Ther, 21, pp.90~102 (2013)[DOI]
- Sullivan PB, "Lumbar segmental ‘instability’ : Clinical presentation and specific stabilizing exercise management", Man Ther, 5(1), pp.2~12 (2000)[DOI]
- Van Dillen, LR, "Effect of knee and hip position on hip extension range of motion in individuals with and without low back pain", J Orthop Sports Phys Ther, 30, pp.307~316 (2000)[DOI]
- Van Middelkoop M, "Exercise therapy for chronic nonspecific low-back pain", Best Pract Res Clin Rheumatol, 24(2), pp.193~204 (2010)[DOI]
