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등뼈와 엉덩관절 가동성운동을 겸한 허리 안정성 운동이 만성 허리통증 여성 환자들의 통증과 균형에 미치는 영향

Effects of Thoracic and Hip Joint Mobility Exercise and Lumbar Stability Exercise on Pain and Balance in Women with Chronic Back Pain

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Background: The purpose of this study was to evaluate the pain, static balance, and dynamic balance abilities of women with chronic low back pain by performing thoracic and hip joint mobility exercises and lumbar stability exercises. Methods: The subjects of this study were 20 adult women with low back pain who lived in C city for more than 12 weeks. The experimental group performed the thoracic and hip mobility exercises with lumbar stability exercises and the control group performed the lumbar stability exercise with general exercise program. Both groups participated in the exercise program three times a week for six weeks, from December 20, 2022 to March 7, 2023. The balance ability were measured using BT4, and pain was measured using visual analog scale (VAS). The collected data were analyzed by independent sample t-test and paired t-test using SPSS version 23.0 program. Results: After 6 weeks of intervention, there was a significant change in VAS between the experimental group and the control group, and there was no difference between the two groups (p>.05). In the case of balance ability, there was a no significant increase in the experimental group (p>.05). Conclusion: Thoracic and hip joint mobility exercises and lumbar stability exercises for adult female patients with chronic low back pain may be partially effective in static balance and dynamic balance.

Abstract

Background: The purpose of this study was to evaluate the pain, static balance, and dynamic balance abilities of women with chronic low back pain by performing thoracic and hip joint mobility exercises and lumbar stability exercises. Methods: The subjects of this study were 20 adult women with low back pain who lived in C city for more than 12 weeks. The experimental group performed the thoracic and hip mobility exercises with lumbar stability exercises and the control group performed the lumbar stability exercise with general exercise program. Both groups participated in the exercise program three times a week for six weeks, from December 20, 2022 to March 7, 2023. The balance ability were measured using BT4, and pain was measured using visual analog scale (VAS). The collected data were analyzed by independent sample t-test and paired t-test using SPSS version 23.0 program. Results: After 6 weeks of intervention, there was a significant change in VAS between the experimental group and the control group, and there was no difference between the two groups (p>.05). In the case of balance ability, there was a no significant increase in the experimental group (p>.05). Conclusion: Thoracic and hip joint mobility exercises and lumbar stability exercises for adult female patients with chronic low back pain may be partially effective in static balance and dynamic balance.

참고문헌 (50)

  1. Akuthota V, "Core strengthening", Arch Rehabil Res Clin Transl, 85, pp.S82~S92 (2004)[DOI]
  2. Alqarni AM, "Clinical tests to diagnose lumbar segmental instability : A systematic review", JOSPT Cases, 41(3), pp.130~140 (2011)[DOI]
  3. Baek IH, "The Effects of Indirect Thoracic Joint Mobilization on Thoracolumbar Proprioception, Active Range of Motion, Pain, and Disability in Patients with Chronic Low Back Pain", Doctor, pp.2015
  4. Boonstra AM, "Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain", Int J Rehabil Res, 31(2), pp.165~169 (2008)[DOI]
  5. Burns SA, "Clinical decision making in a patient with secondary hip-spine syndrome", Physiother Theory Pract, 27(5), pp.384~397 (2011)[DOI]
  6. Choi JS, "The Effect of Thoracic Vertebrae Mobility through Sling on Static and Dynamic Balance in Patients with Chronic Low Back Pain", Master, pp.2015
  7. Chuter VH, "Proximal and distal contributions to lower extremity injury : A review of the literature", Gait Posture, 36(1), pp.7~15 (2012)[DOI]
  8. Desai I, "Acute effect of labile surfaces during core stability exercises in people with and without low back pain", J Electromyogr Kinesiol, 20(6), pp.1155~1162 (2010)[DOI]
  9. Donelson R, "Is your client's back pain “Rapidly reversible”? improving low back care at its foundation", Prof Case Manag, 13(2), pp.87~96 (2008)[DOI]
  10. Fon GT, "Thoracic kyphosis : Range in normal subjects", AJR Am J Roentgenol, 134(5), pp.979~983 (1980)[DOI]
  11. GO JH, "Effect of Combined Intervention of Lumbar Stabilization and Lower Extremity Strength Exercise on Lumbar Pain-related and Physical Function Factors of Middle-aged Women with Chronic Back Pain", Master, pp.2021
  12. Grimshaw PN, "Case report : Reduction of low back pain in a professional golfer", Med Sci Sports Exerc, 32(10), pp.1667~1673 (2000)[DOI]
  13. Hart JM, "Quadriceps inhibition after repetitive lumbar extension exercise in persons with a history of low back pain", J Athl Train, 41(3), pp.264~ (2006)
  14. 한준호, "불안정지지면과 안정지지면에서의 발목균형훈련이 비만중년여성의 고유수용성감각, 균형 및 근력에 미치는 영향", 대한통합의학회지, 6(3), pp.59~71 (2018), 대한통합의학회
  15. Heneghan NR, "Clinical reasoning framework for thoracic spine exercise prescription in sport : A systematic review and narrative synthesis", BMJ Open Sport Exerc Med, 6(1), pp.e000713~ (2020)[DOI]
  16. Hibbs AE, "Optimizing performance by improving core stability and core strength", Sports Med, 38(12), pp.995~1008 (2008)[DOI]
  17. Hides JA, "Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain", Spine, 21(23), pp.2763~2769 (1996)
  18. Hoy D, "The global burden of low back pain : Estimates from the global burden of disease 2010 study", Ann Rheum Dis, 73(6), pp.968~974 (2014)[DOI]
  19. Hwang DG, "Effects of Thoracic Mobility Exercise on the Range of Motion, Pain, Disability Index, and Quality of Life of Middle-Aged Women with Chronic Low Back Pain", Master, pp.2022
  20. Janda V, "Muscle Function Testing", pp.13~43 (2013), Elsevier
  21. Jang SH, "An Exercise Program to Improve Hip Mobility has an Immediate Effect on the Pain of Amateur Golfers with Chronic Back Pain, Hip and Trunk Rotation Range of Motion Golf performance", Master, pp.2018
  22. Kim WD, "Correlation among Hip Extension range of motion, Hip Extension asymmetry, Pain Intensity, Disability Index, Compensatory Lumbar Movement in Nonspecific Chronic Low Back Pain Patients", Master, pp.2020
  23. Kisner C, "Therapeutic Exercise. Foundations and Techniques", pp.491~545 (2017), FA Davis
  24. Koes BW, "Diagnosis and treatment of low back pain", BMJ, 332(7555), pp.1430~1434 (2006)[DOI]
  25. Kwon SJ, "The Effects of Spinal Mobility Exercise and Lumbar Stabilization Exercise on the range of motion and Balance of the Lumbar Segment in Chronic Back Pain Patients", Master, pp.2020
  26. Luoto S, "One-footed and externally disturbed two-footed postural control in patients with chronic low back pain and healthy control subjects. A controlled study with follow-up", Spine, 23(19), pp.2081~2089 (1998)
  27. Magee DJ, "Orthopedic Physical Assessment-E-Book", pp.765~868 (2020), Elsevier Health Sciences
  28. Mormile M, "Reliability and Validity of the GWalk for Use in Postural Control", Master, pp.2017
  29. Moseley GL, "Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements", Spine, 27(2), pp.E29~E36 (2002)
  30. Panjabimm, "The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement", J Spinal Disord, 5, pp.383~383 (1992)
  31. 박동환, "흉추 가동성 운동프로그램이 만성 요통 환자의 통증 및 심박 변이도, 우울증에 미치는 영향", 대한통합의학회지, 7(4), pp.161~170 (2019), 대한통합의학회
  32. Park SW, "Effects of Autologous Muscle Relaxation and Backbone Mobility Exercise on Pain Disability Index and Backbone Joint Mobility Range of Chronic Back Pain Patients", Master, pp.2020
  33. Park TS, "Chronic low back pain : A mini-review on pharmacological management and pathophysiological insights from clinical and pre-clinical data", Inflmmopharmacology, 26(4), pp.881~898 (2018)[DOI]
  34. Piirainen JM, "Age dependency of neuromuscular function and dynamic balance control", Eur J Sport Sci, 10(1), pp.69~79 (2010)[DOI]
  35. Pinto RS, "Effect of range of motion on muscle strength and thickness", The Journal of Strength & Conditioning Research, 26(8), pp.2140~2145 (2012)[DOI]
  36. Pradhan BB, "Evidence-informed management of chronic low back pain with watchful waiting", Spine, 8(1), pp.253~257 (2008)[DOI]
  37. Reiman MP, "The hip’s influence on low back pain a distal link to a proximal problem", J Sport Rehabil, 18(1), pp.24~32 (2009)[DOI]
  38. Richardson C, "Muscle control–pain control : What exercises would you prescribe?", Man Ther, 1(1), pp.2~10 (1995)[DOI]
  39. Sadeghisani M, "Correlation between hip rotation range-of -motion impairment and low back pain. A Literature Review", Ortop Traumatol Rehabil, 17(5), pp.455~462 (2015)[DOI]
  40. Sahrmann S, "Diagnosis and treatment of movement system impairment syndromes", Braz J Phys Ther, 21(6), pp.391~399 (2017)[DOI]
  41. Shamsi M, "Modeling the effect of static stretching and strengthening exercise in lengthened position on balance in low back pain subject with shortened hamstring; A randomized controlled clinical trial", BMC Musculoskelet Disord, 21(1), pp.1~9 (2020)[DOI]
  42. Shum GL, "Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit", Spine, 30(17), pp.1998~2004 (2005)[DOI]
  43. Singer K, "Manual therapy considerations at the thoracolumbar junction : An anatomical and functional perspective", J Manipulative Physiol Ther, 13(2), pp.83~88 (1990)
  44. Sung YB, "Effects of Thoracic Mobilization and Manipulation on the Function and Psychology of Patients with Chronic Low Back Pain", Master, pp.2013
  45. Tully EA, "Lumbofemoral rhythm during hip flexion in young adults and children", Spine, 27(20), pp.E432~E440 (2002)
  46. Van Dillen LR, "Hip rotation range of motion in people with and without low back pain who participate in rotation-related sports", Phys Ther Sport, 9(2), pp.72~81 (2008)[DOI]
  47. Wagner H, "Musculoskeletal support of lumbar spine stability", Pathophysiology, 12(4), pp.257~265 (2005)[DOI]
  48. Ward SR, "Architectural analysis and intraoperative measurements demonstrate the unique design of the multifidus muscle for lumbar spine stability", J Bone Joint Surg Am, 91(1), pp.176~ (2009)[DOI]
  49. YU MH, "The Effects of Lumbar Stabilization Exercise on Pain, Joint Range of Motion, Muscular Thickness, and Lumbar Function Index of Chronic Back Pain Patients with Lumbar Instability and Lumbar Stabilization", Master, pp.2017
  50. YU JH, "The Effects of Hip Manual Therapy on Pain, Static, Dynamic Balance, and Psychological Factors of Chronic Low Back Pain Patients", Master, pp.2014

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