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플랭크 운동이 경한 만성 요통 대상자의 복부 근육 두께와 장애에 미치는 영향

Effects of Plank Exercise on Abdominal Muscle Thickness and Disability in Subjects With Mild Chronic Low Back Pain

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주제분류물리치료학

초록

Background: Chronic low back pain (CLBP) causes morphological changes in muscles, reduces muscle strength, endurance and flexibility, negatively affects lumbar stability, and limits functional activity. Plank exercise strengthens core muscles, activates abdominal muscles, and improves intra-abdominal pressure to stabilize the trunk in patients with CLBP. Objects: We investigated the effect of plank exercise on abdominal muscle thickness and disability in patients with CLBP. Methods: We classified 33 subjects into 2 groups: An experimental (n1=17) and a control group (n2=16). Patients in the experimental group participated in plank exercise and those in the control group participated in stretching exercise. Patients in both groups attended 20-minute exercise sessions thrice a week for 4 weeks. Abdominal muscle thickness in each subject was evaluated ultrasonographically, and disabilities were assessed using the Oswestry disability index (ODI). Results: Four weeks later, abdominal muscle thickness showed a significant increase over baseline values in both groups (p<.05). Patients in the experimental group reported a more significant increase in the thickness of the external oblique muscle than that in the control group (p<.05). ODI scores in the experimental group were significantly lower after intervention than before intervention (p<.05). Conclusion: Plank exercise increases the thickness of the external oblique muscle and reduces disability secondary to mild CLBP. Therefore, plank exercise is needed to improve lumbar stability and functional activity in patients with mild CLBP.

Abstract

Background: Chronic low back pain (CLBP) causes morphological changes in muscles, reduces muscle strength, endurance and flexibility, negatively affects lumbar stability, and limits functional activity. Plank exercise strengthens core muscles, activates abdominal muscles, and improves intra-abdominal pressure to stabilize the trunk in patients with CLBP. Objects: We investigated the effect of plank exercise on abdominal muscle thickness and disability in patients with CLBP. Methods: We classified 33 subjects into 2 groups: An experimental (n1=17) and a control group (n2=16). Patients in the experimental group participated in plank exercise and those in the control group participated in stretching exercise. Patients in both groups attended 20-minute exercise sessions thrice a week for 4 weeks. Abdominal muscle thickness in each subject was evaluated ultrasonographically, and disabilities were assessed using the Oswestry disability index (ODI). Results: Four weeks later, abdominal muscle thickness showed a significant increase over baseline values in both groups (p<.05). Patients in the experimental group reported a more significant increase in the thickness of the external oblique muscle than that in the control group (p<.05). ODI scores in the experimental group were significantly lower after intervention than before intervention (p<.05). Conclusion: Plank exercise increases the thickness of the external oblique muscle and reduces disability secondary to mild CLBP. Therefore, plank exercise is needed to improve lumbar stability and functional activity in patients with mild CLBP.

참고문헌 (36)

  1. Akuthota V, "Core strengthening", Arch Phys Med Rehabil, 85(3 suppl 1), pp.S86~S92 (2004)
  2. Behm DG, "Muscle force and activation under stable and unstable conditions", J Strength Cond Res, 16(3), pp.416~422 (2002)
  3. Joaquin Calatayud, "Trunk muscle activity during different variations of the supine plank exercise", Musculoskeletal Science and Practice, 28, pp.54~58 (2017), Elsevier BV[DOI]
  4. Cosio-Lima LM, "Effects of physioball and conventional floor exercises on early phase adaptations in back and abdominal core stability and balance in women", J Strength Cond Res, 17(4), pp.721~725 (2003)
  5. Brian J. Coulombe, "Core Stability Exercise Versus General Exercise for Chronic Low Back Pain", Journal of Athletic Training, 52(1), pp.71~72 (2017), Journal of Athletic Training[DOI]
  6. W.A. Cuellar, "Test-retest reliability of measurements of abdominal and multifidus muscles using ultrasound imaging in adults aged 50–79 years", Musculoskeletal Science and Practice, 28, pp.79~84 (2017), Elsevier BV[DOI]
  7. Rafael F. Escamilla, "Core Muscle Activation During Swiss Ball and Traditional Abdominal Exercises", Journal of Orthopaedic & Sports Physical Therapy, 40(5), pp.265~276 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  8. Rafael F. Escamilla, "Muscle Activation Among Supine, Prone, and Side Position Exercises With and Without a Swiss Ball", Sports Health: A Multidisciplinary Approach, 8(4), pp.372~379 (2016), SAGE Publications[DOI]
  9. Julie A. Hides, "Ultrasound Imaging Assessment of Abdominal Muscle Function During Drawing-in of the Abdominal Wall: An Intrarater Reliability Study", Journal of Orthopaedic & Sports Physical Therapy, 37(8), pp.480~486 (2007), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  10. Hodges PW, "Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task", Neurosci Lett, 265(2), pp.91~94 (1999)
  11. J. Hoffman, "Expanding Panjabi’s stability model to express movement: A theoretical model", Medical Hypotheses, 80(6), pp.692~697 (2013), Elsevier BV[DOI]
  12. Mohammad Hosseinifar, "The Effects of Stabilization and Mckenzie Exercises on Transverse Abdominis and Multifidus Muscle Thickness, Pain, and Disability: A Randomized Controlled Trial in NonSpecific Chronic Low Back Pain", Journal of Physical Therapy Science, 25(12), pp.1541~1545 (2013), Society of Physical Therapy Science[DOI]
  13. D. Hoy, "The Epidemiology of low back pain", Best Practice & Research Clinical Rheumatology, 24(6), pp.769~781 (2010), Elsevier BV[DOI]
  14. Atsushi Imai, "Trunk Muscle Activity During Lumbar Stabilization Exercises on Both a Stable and Unstable Surface", Journal of Orthopaedic & Sports Physical Therapy, 40(6), pp.369~375 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  15. Johannsen F, "Exercises for chronic low back pain : A clinical trial", J Orthop Sports Phys Ther, 22(2), pp.52~59 (1995)
  16. 강경우, "Changes in Abdominal Muscle Thickness and Balance Ability on Plank Exercises with Various Surfaces", 대한물리치료학회지, 28(5), pp.264~268 (2016), 대한물리치료학회
  17. Markku Kankaanpää, "Back extensor muscle oxygenation and fatigability in healthy subjects and low back pain patients during dynamic back extension exertion", Pathophysiology, 12(4), pp.267~273 (2005), Elsevier BV[DOI]
  18. Kyle B. Kiesel, "A Comparison of Select Trunk Muscle Thickness Change Between Subjects With Low Back Pain Classified in the Treatment-Based Classification System and Asymptomatic Controls", Journal of Orthopaedic & Sports Physical Therapy, 37(10), pp.596~607 (2007), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
  19. 김정현, "체간안정화운동이 농구선수의 체간 회전근의 근력과 근 활성도 비율에 미치는 영향", 코칭능력개발지, 16(3), pp.115~122 (2014), 한국코칭능력개발원
  20. Ji Hae Kim, "The Effect of the Neurac Sling Exercise on Postural Balance Adjustment and Muscular Response Patterns in Chronic Low Back Pain Patients", Journal of Physical Therapy Science, 25(8), pp.1015~1019 (2013), Society of Physical Therapy Science[DOI]
  21. Yong-Soo Kong, "The effects of prone bridge exercise on the Oswestry disability index and proprioception of patients with chronic low back pain", Journal of Physical Therapy Science, 27(9), pp.2749~2752 (2015), Society of Physical Therapy Science[DOI]
  22. Yong-Soo Kong, "The effects of prone bridge exercise on trunk muscle thickness in chronic low back pain patients", Journal of Physical Therapy Science, 27(7), pp.2073~2076 (2015), Society of Physical Therapy Science[DOI]
  23. Jin Lee, "Comparison of three different surface plank exercises on core muscle activity", Physical Therapy Rehabilitation Science, 5(1), pp.29~33 (2016), 물리치료재활과학회[DOI]
  24. Pawel Linek, "Body Mass Normalization for Lateral Abdominal Muscle Thickness Measurements in Adolescent Athletes", Journal of Ultrasound in Medicine, 36(9), pp.1851~1857 (2017), Wiley[DOI]
  25. Mousavi SJ, "The Oswestry disability index, the Roland-Morris disability questionnaire, and the Quebec back pain disability scale: Translation and validation studies of the Iranian versions", Spine, 31(14), pp.E454~E459 (2006)
  26. Peter B. O’Sullivan, "Lumbar Repositioning Deficit in a Specific Low Back Pain Population", Spine, 28(10), pp.1074~1079 (2003), Ovid Technologies (Wolters Kluwer Health)[DOI]
  27. Panjabi MM, "Clinical spinal instability and low back pain", J Electromyogr Kinesiol, 13(4), pp.371~379 (2003)
  28. 박성두, "The effects of abdominal draw-in maneuver and core exercise on abdominal muscle thickness and Oswestry disability index in subjects with chronic low back pain", Journal of exercise rehabilitation, 9(2), pp.286~291 (2013), 한국운동재활학회[DOI]
  29. Rafael Z. Pinto, "Effect of 2 Lumbar Spine Postures on Transversus Abdominis Muscle Thickness During a Voluntary Contraction in People With and Without Low Back Pain", Journal of Manipulative and Physiological Therapeutics, 34(3), pp.164~172 (2011), Elsevier BV[DOI]
  30. Snarr RL, "Electromyographical comparison of plank variations performed with and without instability devices", J Strength Cond Res, 28(11), pp.3298~3305 (2014)[DOI]
  31. Starkey DB, "Effect of resistance training volume on strength and muscle thickness", Med Sci Sports Exerc, 28(10), pp.1311~1320 (1996)
  32. Staron RS, "Skeletal muscle adaptations during early phase of heavy-resistance training in men and women", J Appl Physiol, 76(3), pp.1247~1255 (1994)
  33. Stokes GM, "Is thoraco-abdominal phase relationship an indicator of sleep state?", Eur J Pediatr, 151(7), pp.526~527 (1992)
  34. Claudio Tampier, "Progressive Disc Herniation", Spine, 32(25), pp.2869~2874 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  35. Xue-Qiang Wang, "A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain", PLoS ONE, 7(12), pp.e52082~ (2012), Public Library of Science (PLoS)[DOI]
  36. Saira Waqqar, "Mackenzie Treatment versus Mulligan SNAGs for Chronic Mechanical Low back pain", Pakistan Journal of Medical Sciences, 32(2), pp.476~479 (1969), Pakistan Journal of Medical Sciences[DOI]

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