만성 허리통증 환자의 관성 센서 기반 허리 안정화 훈련이 몸통 근육 활성도와 두께에 미치는 영향
Effect of IMU Sensor Based Trunk Stabilization Training on Muscle Activity and Thickness with Non-specific Chronic Low Back Pain
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초록
The purpose of this study was to present the IMU sensor based trunk stabilization exercise and to eval- uate the changes in the muscle activity and thickness with non-specific low back pain patients (N=30). They were classified into two groups; lumbar stabilization exercise using IMU sensor (ILS), (n1=20) and general lumbar sta- bilization exercise (GLS), (n2=10). By comparing the difference between pre and post intervention via trunk muscle activity and muscle thickness, the significant differences were identified. Muscle activity was measured on external oblique (EO), internal oblique (IO), and multifidus (MF) by using surface electromyography (sEMG). Muslce thick- ness was measured on external oblique, internal oblique, transverse abdominis (TrA), and multifidus (MF) by using ultrasonography. sEMG activity was recorded at right side-bridge position. Each group performed the proposed lum- bar stabilization exercise for 30 minutes a day, 5 times a week for 4 weeks. Trunk muscle activity was observed with a significant increase in the IO of ILS (p<.05) and a decrease in the MF of GLS (p<.05). Trunk muscle thickness was significantly increased in left EO and both IO of GLS (p<.05), and also significant increased right EO, both IO, both TrA, and both MF of the ILS (p<.05). In the future, a convergence approach of rehabilitation and engineering is needed to select a sensor suitable for rehabilitation purposes, study the validity and reliability of data, and produce appropriate rehabilitation contents.
Abstract
The purpose of this study was to present the IMU sensor based trunk stabilization exercise and to eval- uate the changes in the muscle activity and thickness with non-specific low back pain patients (N=30). They were classified into two groups; lumbar stabilization exercise using IMU sensor (ILS), (n1=20) and general lumbar sta- bilization exercise (GLS), (n2=10). By comparing the difference between pre and post intervention via trunk muscle activity and muscle thickness, the significant differences were identified. Muscle activity was measured on external oblique (EO), internal oblique (IO), and multifidus (MF) by using surface electromyography (sEMG). Muslce thick- ness was measured on external oblique, internal oblique, transverse abdominis (TrA), and multifidus (MF) by using ultrasonography. sEMG activity was recorded at right side-bridge position. Each group performed the proposed lum- bar stabilization exercise for 30 minutes a day, 5 times a week for 4 weeks. Trunk muscle activity was observed with a significant increase in the IO of ILS (p<.05) and a decrease in the MF of GLS (p<.05). Trunk muscle thickness was significantly increased in left EO and both IO of GLS (p<.05), and also significant increased right EO, both IO, both TrA, and both MF of the ILS (p<.05). In the future, a convergence approach of rehabilitation and engineering is needed to select a sensor suitable for rehabilitation purposes, study the validity and reliability of data, and produce appropriate rehabilitation contents.
참고문헌 (29)
- Wheeler AH, "Diagnosis and management of low back pain and sciatica", Am Fam Physician, 52(5), pp.1333~1341 (1995)
- Hides J, "Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain", Journal of orthopaedic & sports physical therapy, 38(3), pp.101~108 (2008)
- Reeves NP, "Muscle reflex classifi-cation of low-back pain", J Electromyogr Kinesiol, 15(1), pp.53~60 (2005)
- Arab AM, "The relationship between hip abductor muscle strength and iliotibial band tightness in indi-viduals with low back pain", Chiropr Osteopat, 18(1), pp.1~ (2010)
- Comerford MJ, "Movement and stability dys-function-contemporary developments", Man Ther, 6(1), pp.15~26 (2001)
- Alvarez-Alvarez S, "Effects of kinesio(R) tape in low back muscle fatigue: randomized, controlled, doubled-blinded clinical trial on healthy subjects", J Back Musculoskelet Rehabil, 27(2), pp.203~212 (2014)
- Selhorst M, "Lumbar manipulation and exercise for the treatment of acute low back pain in adolescents: a ran-domized controlled trial", J Man Manip Ther, 23(4), pp.226~233 (2015)
- Ajimsha MS, "Effectiveness of myofas-cial release in the management of chronic low back pain in nursing professionals", J Bodyw Mov Ther, 18(2), pp.273~281 (2014)
- Hodges PW, "Core stability exercise in chronic low back pain", Orthop Clin North Am, 34(2), pp.245~254 (2003)
- Henry SM, "The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects", J Orthop Sports Phys Ther, 35(6), pp.338~345 (2005)
- Cynn HS, "Effects of lumbar stabi-lization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying", Arch Phys Med Rehabil, 87(11), pp.1454~1458 (2006)
- Imai A, "Trunk muscle activity during lumbar stabiliza-tion exercises on both a stable and unstable surface", J Orthop Sports Phys Ther, 40(6), pp.369~375 (2010)
- Hugli AS, "Adherence to home exer-cises in non-specific low back pain. A randomised controlled pilot trial", J Bodyw Mov Ther, 19(1)), pp.177~185 (2015)
- 임종헌, "근전도 및 자이로스코프 신호를 활용한 의료용 재활게임개발과 재활치료 가능성", 한국통신학회논문지, 40(1), pp.171~182 (2015), 한국통신학회
- Porro CA, "Enhancement of force after action observation: behavioural and neurophys-iological studies", Neuropsychologia, 45(13), pp.3114~3121 (2007)
- O'Donovan KJ, "An inertial and magnetic sensor based technique for joint angle mea-surement", J Biomech, 40(12), pp.2604~2611 (2007)
- Nitzsche N, "Zur Durchführbarkeit eines regelmäßigen Trainings mit der Nintendo Wii Fit Plus bei Frauen nach der Schwangerschaft", Journal für Gynäkologische Endokrinolo-gie, 5(1), pp.32~36 (2011)
- Whittaker JL, "Ultrasound imaging of the lateral abdominal wall muscles in individuals with lumbopelvic pain and signs of concurrent hypocapnia", Man Ther, 13(5), pp.404~410 (2008)
- Teyhen DS, "Ultrasound char-acteristics of the deep abdominal muscles during the active straight leg raise test", Arch Phys Med Rehabili, 90(5), pp.761~767 (2008)
- McMeeken J, "The relationship between EMG and change in thickness of transversus abdominis", Clin Biomech, 19(4), pp.337~342 (2004)
- Koppenhaver SL, "Reliability of rehabilitative ultrasound imag-ing of the transversus abdominis and lumbar multifidus mus-cles", Arch Phys Med Rehabil, 90(1), pp.87~94 (2008)
- 고대식, "8주간의 요부안정화운동 시 여성노인의 균형능력 및 복횡·다열근 두께의 변화", 한국운동역학회지, 19(4), pp.689~696 (2009), 한국운동역학회
- Kang JH, "The Effect of Five Different Trunk Stabilization Exercise on Thickness of Abdominal Mus-cle Using an Ultrasonography Imaging in Normal People", Physicah Therapy Korea, 19(3), pp.1~10 (2012)
- Richardson C, "Ther-apeutic exercise for spinal segmental stabilization in low back pain: scientific basis and clinical approach", pp.61~76 (1999), Churchill Living-stone
- Lange B, "Development and evaluation of low cost game-based bal-ance rehabilitation tool using the Microsoft Kinect sensor", Annual International Conf Proc IEEE Eng Med Biol Soc, pp.1831~1834 (2011)
- 방대혁, "만성 뇌졸중환자의 상지 기능 및 일상생활동작에 동작관찰훈련과 과제지향훈련의 효과 비교", 디지털융복합연구, 10(9), pp.409~416 (2012), 한국디지털정책학회
- 안명환, "만성편마비 환자에게 반복과제와 피드백 과제의운동프로그램이 하지운동기능과 낙상효능감에 미치는 효과", 대한물리의학회지, 6(1), pp.9~17 (2011), 대한물리의학회
- Proffitt R, "Feasibility of a Customized, In-Home, Game-Based Stroke Exercise Program Using the Microsoft Kinect? Sensor", Int J Rerehabil, 7(2), pp.23~34 (2015)
- Levin MF, "Emergence of virtual reality as a tool for upper limb rehabilitation: incorporation of motor control and motor learning principles", Phys Ther, 95(3), pp.415~425 (2015)