5분 동안 바로 앉은 자세와 구부린 앉은 자세 시 허리 관절재위치 오류의 비교
Comparison of Lumbar Joint Reposition Error When Sitting in Upright and Slouched Positions for Five Minutes
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The purpose of this study was to compare the slouched and upright sitting positions on lumbar joint reposition error (LJRE). Twenty subjects without low back pain were recruited for this study and, using a random number table, were randomly assigned to two groups; the upright sitting position group (UP group) and the slouched sitting position group (SP group). UP group was first asked to sit in an upright position and the SP group to sit in a slouched position as an intervention, and then the LJRE of both groups was measured at the neutral sitting position (lumbar flexion 0°). The measurement of the LJRE was repeated after one day. The sitting positions were performed for five minutes each and the LJRE was measured using an electronic goniometer. An independent t-test was used to compare the LJRE of both groups after each sitting position and after one day. The results of this study showed that the LJRE after an intervention in the UP group was lower than in the SP group (p<.05) and the LJRE after one day in the UP group was lower than in the SP group (p<.05). The findings of this study indicate that the upright sitting position can be applied to decrease LJRE, compared with the slouched sitting position. These findings also support that the upright sitting position reduces the potential for proprioceptive loss.
Abstract
The purpose of this study was to compare the slouched and upright sitting positions on lumbar joint reposition error (LJRE). Twenty subjects without low back pain were recruited for this study and, using a random number table, were randomly assigned to two groups; the upright sitting position group (UP group) and the slouched sitting position group (SP group). UP group was first asked to sit in an upright position and the SP group to sit in a slouched position as an intervention, and then the LJRE of both groups was measured at the neutral sitting position (lumbar flexion 0°). The measurement of the LJRE was repeated after one day. The sitting positions were performed for five minutes each and the LJRE was measured using an electronic goniometer. An independent t-test was used to compare the LJRE of both groups after each sitting position and after one day. The results of this study showed that the LJRE after an intervention in the UP group was lower than in the SP group (p<.05) and the LJRE after one day in the UP group was lower than in the SP group (p<.05). The findings of this study indicate that the upright sitting position can be applied to decrease LJRE, compared with the slouched sitting position. These findings also support that the upright sitting position reduces the potential for proprioceptive loss.
참고문헌 (35)
- Adams MA, "Time-dependent changes in the lumbar spine’s resistance to bending", Clin Biomech (Bristol, Avon), 11(4), pp.194~200 (1996)
- Brumagne S, "The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain", Spine (Phila Pa 1976), 25(8), pp.989~994 (2000)
- Cholewicki J, "Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain", Clin Biomech (Bristol, Avon), 11(1), pp.1~15 (1996)
- Cholewicki J, "Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture", Spine (Phila Pa 1976), 22(19), pp.2207~2212 (1997)
- Cholewicki J, "Delayed trunk muscle reflex responses increase the risk of low back injuries", Spine (Phila Pa 1976), 30(23), pp.2614~2620 (2005)
- Crisco JJ, "Euler stability of the human ligamentous lumbar spine. PartII: Experiment", Clin Biomech (Bristol, Avon), 7(1), pp.27~32 (1992)
- Dolan KJ, "Lumbar spine reposition sense: The effect of a ‘slouched’ posture", Man Ther, 11(3), pp.202~207 (2006)
- Feipel V, "Development of kinematics tests for the evaluation of lumbar proprioception and equilibration", Clin Biomech (Bristol, Avon), 18(7), pp.612~618 (2003)
- Fontana TL, "The effect of weight-bearing exercise with low frequency, whole body vibration on lumbosacral proprioception: A pilot study on normal subjects", Aust J Physiother, 51(4), pp.259~263 (2005)
- Gill KP, "The measurement of lumbar proprioception in individuals with and without low back pain", Spine (Phila Pa 1976), 23(3), pp.371~377 (1998)
- Goble DJ, "Task-dependent asymmetries in the utilization of proprioceptive feedback for goal-directed movement", Exp Brain Res, 180(4), pp.693~704 (2007)
- Goble DJ, "Proprioceptive sensibility in the elderly: Degeneration, functional consequences and plastic- adaptive processes", Neurosci Biobehav Rev, 33(3), pp.271~278 (2009)
- Gracovetsky S, "Analysis of spinal and muscular activity during flexion", extension and free lifts, 1990, pp.15(12), 1333~1339
- Kendall F, "Muscles: Testing and function", pp.75~85 (1993), Williams & Wilkins
- Laskowski ER, "Refining rehabilitation with proprioception training: Expediting return to play", Phys Sportsmed, 25(10), pp.89~104 (1997)
- Learman KE, "Effects of spinal manipulation on trunk proprioception in subjects with chronic low back pain during symptom remission", J Manipulative Physiol Ther, 32(2), pp.118~126 (2009)
- Lee AS, "Comparison of trunk proprioception between patients with low back pain and healthy controls", Arch Phys Med Rehabil, 91(9), pp.1327~1331 (2010)
- Leinonen V, "Lumbar paraspinal muscle function, perception of lumbar position, and postural control in disc herniation-related back pain", Spine (Phila Pa 1976), 28(8), pp.842~848 (2003)
- Maffey-Ward L, "Toward a clinical test of lumbar spine kinesthesia", J Orthop Sports Phys Ther, 24(6), pp.354~358 (1996)
- McGill SM, "Creep response of the lumbar spine to prolonged full flexion", Clin Biomech (Bristol, Avon), 7(1), pp.43~46 (1992)
- Myers JB, "The role of the sensorimotor system in the athletic shoulder", J Athl Train, 35(3), pp.351~363 (2000)
- Newcomer K, "Repositioning error in low back pain. Comparing trunk repositioning error in subjects with chronic low back pain and control subjects", Spine(Phila Pa 1976), 25(2), pp.245~250 (2000)
- Newcomer K, "The effects of a lumbar support on repositioning error in subjects with low back pain", Arch Phys Med Rehabil, 82(7), pp.906~910 (2001)
- Norris CM, "Back Stability: Integrating science and therapy", pp.39~58 (2008), Human Kinetics Publishers
- O’Sullivan PB, "Lumbar repositioning deficit in a specific low back pain population", Spine (Phila Pa 1976), 28(10), pp.1074~1079 (2003)
- O’Sullivan PB, "Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population", Spine (Phila Pa 1976), 31(19), pp.E707~E712 (2006)
- Panjabi MM, "The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement", J Spinal Disord, 5(4), pp.383~389 (1992)
- Panjabi MM, "The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis", J Spinal Disord, 5(4), pp.390~396 (1992)
- Parkhurst TM, "Injury and proprioception in the lower back", J Orthop Sports Phys Ther, 19(5), pp.282~295 (1994)
- Scannell JP, "Lumbar posture--should it, and can it, be modified? A study of passive tissue stiffness and lumbar position during activities of daily living", Phys Ther, 83(10), pp.907~917 (2003)
- Solomonow M, "Neuromuscular neutral zones associated with viscoelastic hysteresis during cyclic lumbar flexion", Spine (Phila Pa 1976), 26(14), pp.E314~E324 (2001)
- Song CH, "Effects of an exercise program on balance and trunk proprioception in older adults with diabetic neuropathies", Diabetes Technol Ther, 13(8), pp.803~811 (2011)
- Swinkels A, "Spinal position sense and disease progression in ankylosing spondylitis: A longitudinal study", Spine (Phila Pa 1976), 29(11), pp.1240~1245 (2004)
- Taimela S, "The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study", Spine (Phila Pa 1976), 24(13), pp.1322~1327 (1999)
- Wilson SE, "Reposition sense of lumbar curvature with flexed and asymmetric lifting postures", Spine(Phila Pa 1976), 28(5), pp.513~518 (2003)