Effects of Lumbar Strengthening Exercise in Lower-Limb Amputees With Chronic Low Back Pain
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective To analyze the effect of lumbar strengthening exercise in lower-limb amputees with chronic low back pain. Methods We included in this prospective study 19 lower-limb amputees who had experienced low back pain for longer than 6 months. Participants were treated with 30-minute lumbar strengthening exercises, twice weekly, for 8 weeks. We used the visual analog scale (VAS), and Oswestry low back pain disability questionnaire, and measured parameters such as iliopsoas length, abdominal muscle strength, back extensor strength, and back extensor endurance. In addition, we assessed the isometric peak torque and total work of the trunk flexors and extensors using isokinetic dynamometer. The pre- and post-exercise measurements were compared. Results Compared with the baseline, abdominal muscle strength (from 4.4±0.7 to 4.8±0.6), back extensor strength (from 2.6±0.6 to 3.5±1.2), and back extensor endurance (from 22.3±10.7 to 46.8±35.1) improved significantly after 8 weeks. The VAS decreased significantly from 4.6±2.2 to 2.6±1.6 after treatment. Furthermore, the peak torque and total work of the trunk flexors and extensors increased significantly (p<0.05). Conclusion Lumbar strengthening exercise in lower-limb amputees with chronic low back pain resulted in decreased pain and increased lumbar extensor strength. The lumbar strengthening exercise program is very effective for lower-limb amputees with chronic low back pain.
Abstract
Objective To analyze the effect of lumbar strengthening exercise in lower-limb amputees with chronic low back pain. Methods We included in this prospective study 19 lower-limb amputees who had experienced low back pain for longer than 6 months. Participants were treated with 30-minute lumbar strengthening exercises, twice weekly, for 8 weeks. We used the visual analog scale (VAS), and Oswestry low back pain disability questionnaire, and measured parameters such as iliopsoas length, abdominal muscle strength, back extensor strength, and back extensor endurance. In addition, we assessed the isometric peak torque and total work of the trunk flexors and extensors using isokinetic dynamometer. The pre- and post-exercise measurements were compared. Results Compared with the baseline, abdominal muscle strength (from 4.4±0.7 to 4.8±0.6), back extensor strength (from 2.6±0.6 to 3.5±1.2), and back extensor endurance (from 22.3±10.7 to 46.8±35.1) improved significantly after 8 weeks. The VAS decreased significantly from 4.6±2.2 to 2.6±1.6 after treatment. Furthermore, the peak torque and total work of the trunk flexors and extensors increased significantly (p<0.05). Conclusion Lumbar strengthening exercise in lower-limb amputees with chronic low back pain resulted in decreased pain and increased lumbar extensor strength. The lumbar strengthening exercise program is very effective for lower-limb amputees with chronic low back pain.
참고문헌 (29)
- Rozenberg S, "Chronic low back pain: definition and treatment", Rev Prat, 58, pp.265~272 (2008)
- Lawrence JP, "Back pain in athletes", J Am Acad Orthop Surg, 14, pp.726~735 (2006)[DOI]
- 이태임, "만성 요통 환자에서 척추 안정화 운동과 요추부 신전근 강화 운동의 효과", Annals of Rehabilitation Medicine, 32(5), pp.570~575 (2008), 대한재활의학회
- Hye Jin Moon, "Effect of Lumbar Stabilization and Dynamic Lumbar Strengthening Exercises in Patients With Chronic Low Back Pain", Annals of Rehabilitation Medicine, 37(1), pp.110~117 (2013), 대한재활의학회
- Kim DH, "The effect of core program exercise for lumbar extensor strength and pain of the patient with chronic low back pain", Proceedings of the 4th International Conference on Convergence Technology (2014)
- Friel K, "Physical and functional measures related to low back pain in individuals with lower-limb amputation: an exploratory pilot study", J Rehabil Res Dev, 42, pp.155~166 (2005)[DOI]
- Ehde DM, "Back pain as a secondary disability in persons with lower limb amputations", Arch Phys Med Rehabil, 82, pp.731~734 (2001)[DOI]
- Stam HJ, "Prevalence of low back pain after transfemoral amputation related to physical activity and other prosthesis-related parameters", Disabil Rehabil, 26, pp.794~797 (2004)[DOI]
- Hendershot BD, "Three-dimensional joint reaction forces and moments at the low back during over-ground walking in persons with unilateral lowerextremity amputation", Clin Biomech (Bristol, Avon), 29, pp.235~242 (2014)[DOI]
- Aluko A, "The effect of core stability exercises on variations in acceleration of trunk movement, pain, and disability during an episode of acute nonspecific low back pain: a pilot clinical trial", J Manipulative Physiol Ther, 36, pp.497~504 (2013)[DOI]
- O'Sullivan PB, "Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis", Spine (Phila Pa 1976), 22, pp.2959~2967 (1997)[DOI]
- Akuthota V, "Core stability exercise principles", Curr Sports Med Rep, 7, pp.39~44 (2008)[DOI]
- Jeon CH, "Crosscultural adaptation of the Korean version of the Oswestry Disability Index (ODI)", J Korean Soc Spine Surg, 12, pp.146~152 (2005)[DOI]
- Demoulin C, "Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature", Joint Bone Spine, 73, pp.43~50 (2006)[DOI]
- Lee SH, "Isokinetic evaluation of the trunk flexors and extensors in chronic low back pain", J Korean Acad Rehabil Med, 18, pp.248~255 (1994)
- Suh DS, "Effect of isokinetic back training for patients with chronic low back pain", J Korean Acad Rehabil Med, 19, pp.853~859 (1995)
- Kim YC, "Isokinetic measurement of trunk strength and analysis of related factors in healthy subjects", J Korean Acad Rehabil Med, 20, pp.929~938 (1996)
- 신정빈, "만성요통 환자에서 동심성 및 편심성 등속성 운동평가", Annals of Rehabilitation Medicine, 25(6), pp.1016~1022 (2001), 대한재활의학회
- 박상용, "12주간의 코어운동프로그램이 만성요통환자의 요부신전근력 및 안정화 능력 변화에 미치는 영향", 한국체육과학회지, 21(3), pp.1221~1230 (2012), 한국체육과학회[DOI]
- Barnett F, "The use of lumbar spinal stabilization techniques during the performance of abdominal strengthening exercise variations", J Sports Med Phys Fitness, 45, pp.38~43 (2005)
- Biering-Sorensen F, "Physical measurements as risk indicators for low-back trouble over a one-year period", Spine (Phila Pa 1976), 9, pp.106~119 (1984)[DOI]
- Chok B, "Endurance training of the trunk extensor muscles in people with subacute low back pain", Phys Ther, 79, pp.1032~1042 (1999)
- Moffroid M, "Some endurance measures in persons with chronic low back pain", J Orthop Sports Phys Ther, 20, pp.81~87 (1994)[DOI]
- Nourbakhsh MR, "Relationship between mechanical factors and incidence of low back pain", J Orthop Sports Phys Ther, 32, pp.447~460 (2002)[DOI]
- Kujala UM, "Subject characteristics and low back pain in young athletes and nonathletes", Med Sci Sports Exerc, 24, pp.627~632 (1992)
- Vigotsky AD, "The modified Thomas test is not a valid measure of hip extension unless pelvic tilt is controlled", PeerJ, 4, pp.e2325~ (2016)[DOI]
- Mayer TG, "A prospective short-term study of chronic low back pain patients utilizing novel objective functional measurement", Pain, 25, pp.53~68 (1986)[DOI]
- Reid S, "Isokinetic trunkstrength deficits in people with and without low-back pain: a comparative study with consideration of effort", J Spinal Disord, 4, pp.68~72 (1991)
- Devan H, "Physical activity and lower-back pain in persons with traumatic transfemoral amputation: a national cross-sectional survey", J Rehabil Res Dev, 49, pp.1457~1466 (2012)[DOI]
