비특이적 만성요통 환자의 중재 프로그램 적용에 따른 요부 근기능의 변화
Effects of an Intervention Program on Lumber Muscle Function in Non-Specific Chronic Low Back Pain
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PURPOSE: This study compared the effects of different intervention programs of resistance exercise, stretching, and physical therapy in middle-aged women with nonspecific chronic low back pain. METHODS: The study participants were middle-aged women with nonspecific chronic low back pain (n=31), divided into three groups: resistance exercise (n=11), stretching (n=10) and physical therapy (n=10). They performed regular intervention thrice weekly for 12 weeks. Parameters measured include body composition via impedance, lumbar extensor strength, and lumbar stabilizing muscle strength. RESULTS: There was a significant interaction between group (resistance exercise, stretching, and physical therapy) and time period (pre– post) at 24°, 36°, 48°, 60°, and 72° of lumbar extensor strength (p=.015, p=.040, p=.004, p=.009, p=.003, respectively), and a signisignificantraction between group and time at -135° (p=.022) and +180° (p=.013) for lumbar stabilizing muscle strength. CONCLUSIONS: This study demonstrated that resistance training had a positive effect on chronic low back pain after 12 weeks of intervention in middle-aged women with nonspecific chronic low back pain, with improvements in lumbar extensor and stabilizer strength.
Abstract
PURPOSE: This study compared the effects of different intervention programs of resistance exercise, stretching, and physical therapy in middle-aged women with nonspecific chronic low back pain. METHODS: The study participants were middle-aged women with nonspecific chronic low back pain (n=31), divided into three groups: resistance exercise (n=11), stretching (n=10) and physical therapy (n=10). They performed regular intervention thrice weekly for 12 weeks. Parameters measured include body composition via impedance, lumbar extensor strength, and lumbar stabilizing muscle strength. RESULTS: There was a significant interaction between group (resistance exercise, stretching, and physical therapy) and time period (pre– post) at 24°, 36°, 48°, 60°, and 72° of lumbar extensor strength (p=.015, p=.040, p=.004, p=.009, p=.003, respectively), and a signisignificantraction between group and time at -135° (p=.022) and +180° (p=.013) for lumbar stabilizing muscle strength. CONCLUSIONS: This study demonstrated that resistance training had a positive effect on chronic low back pain after 12 weeks of intervention in middle-aged women with nonspecific chronic low back pain, with improvements in lumbar extensor and stabilizer strength.
참고문헌 (33)
- Patrick N, "Acute and chronic low back pain", Med Clin North Am, 98(4), pp.777~789 (2014)
- Ekman M, "The economic cost of low back pain in Sweden in 2001", Acta Orthop, 76(2), pp.275~284 (2005)
- Becker A, "Low back pain in primary care : costs of care and prediction of future health care utilization", Spine(Phila Pa 1976), 35(18), pp.1714~1720 (2010)
- Will JS, "Mechanical low back pain", Am Fam Physician, 98(7), pp.421~428 (2018)
- Hoy D, "A systematic review of the global prevalence of low back pain", Arthritis Rheum, 64(6), pp.2028~2037 (2012)
- Stubbs B, "The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity : data from 43 low-and middle-income countries", Gen Hosp Psychiatry, 43, pp.63~70 (2016)
- Cooper RG, "Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain", Br J Rheumatol, 31(6), pp.389~394 (1991)
- Rivner MH, "The neurophysiology of myofascial pain syndrome", Curr PainHeadache Rep, 5(5), pp.432~440 (2001)
- Chiarotto A, "Prevalence ofmyofascial trigger points in spinal disorders : a systematic review and metaanalysis", Arch Phys Med Rehabil, 97(2), pp.316~337 (2016)
- Yiengprugsawan V, "Low back pain and limitations of daily living in Asia : longitudinal findings in the thai cohort study", BMC Musculoskelet Disord, 18(1), pp.19~ (2017)
- 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)
- Grabois M, "Management of chronic low back pain", Am J Phys Med Rehabil, 84(3), pp.S29~41 (2005)
- Ko HY, "Diagnosis and treatment of low back pain : a clinical practice guideline from Korean association of pain medicine", Clinical Pain, 10(01), pp.1~37 (2011)
- Department of Veterans Affairs, "Clinical practice guideline for opioid therapy for chronic pain", U. S. Department of Veterans Affairs, ~ (2017)
- Russo M, "Muscle control and non-specific chronic low back pain", Neuromodulation, 21(1), pp.1~9 (2018)
- Saper RB, "Yoga, physical therapy, or education for chronic low back pain : a randomized noninferiority trial", Ann Intern Med, 167(2), pp.85~94 (2017)
- Chang WD, "Core strength training for patients with chronic low back pain", J Phys Ther Sci, 27(3), pp.619~622 (2015)
- Suh JH, "The effect of lumbar stabilization and walking exercises on chronic low back pain : a randomized controlled trial", Medicine, 98(26), pp.e16173~ (2019)
- Cho JH, "Aged lumbar extension strength of chronic low back pain in Korean population of 10-80 years", Iran J Public Health, 49(10), pp.1894~1901 (2020)
- Anders C, "Gender specific activation patterns of trunk muscles during whole body tilt", Eur J Appl Physiol, 101(2), pp.195~205 (2007)
- 조지훈, "요추간판탈출증 환자의 8주간 저항성 트레이닝 적용이 염증성인자 및 근기능에 미치는 영향", 운동학 학술지, 12(2), pp.79~88 (2010), 대한운동사협회
- 조지훈, "저항성 운동프로그램 참여가 60대 여성 요통환자의 요부 신전근력과 골밀도 및 균형능력에 미치는 영향", 운동학 학술지, 12(4), pp.33~43 (2010), 대한운동사협회
- Carpenter DM, "Effect of 12 and 20 weeks of resistance training on lumber extension torque production", Physical Treaty, 71(8), pp.580~588 (1991)
- Carpenter DM, "Low back strengthening for the prevention and treatment of low back pain", Med Sci Sports Exerc, 31, pp.18~24 (1999)
- Graves JE, "Pelvic stabilization during resistance traning : its effect on the development of lumber extension strenght", Arch Phys Med Rehabil, 75, pp.210~215 (1994)
- Mannion AF, "Active therapy for chronic low back pain part 1. Effects on back muscle activation, fatigability, and strength", Spine, 26(8), pp.897~908 (2001)
- Searle A, "Exercise interventions for the treatment of chronic low back pain : a systematic review and meta-analysis of randomized controlled trials", Clin Rehabil, 29(12), pp.1155~1167 (2015)
- Murphy DR, "A non-surgical approach to the management of lumbar spinal stenosis : a prospective observational cohort study", BMC Musculoskelet Disord, 23, pp.7~16 (2006)
- Marshall PW, "Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a swiss ball : a pilot study", J Manipulative Physiol Ther, 29(7), pp.550~560 (2006)
- França FR, "Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain : a randomized, controlled trial", J Manipulative Physiol Ther, 35(4), pp.279~285 (2012)
- Barker KL, "Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability", Spine, 29(22), pp.E515~9 (2004)
- Oliveira CB, "Clinical practice guidelines for the management of non-specific low back pain in primary care : an updated overview", Eur Spine J, 27(11), pp.2791~2803 (2018)
- Bishop A, "Current management of pregnancy-related low back pain: a national cross-sectional survey of U.K. physiotheraphists", Physiotherapy, 102(1), pp.78~85 (2016)