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Effects of Lumbar Strengthening Exercise in Lower-Limb Amputees With Chronic Low Back Pain

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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)

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Effect of Lumbar Stabilization and Dynamic Lumbar Strengthening Exercises in Patients With Chronic Low Back Pain김하정, 최경효, Dae Ha Kim, Hye Jin Moon, Jung Hoo Kim, Kwang Hee Lee, Yoo Jung Choi, Young Ki Cho대한재활의학회 · Annals of Rehabilitation Medicine2013 · 제37권 제1호다중운동 프로그램이 만성 요통 환자의 통증 강도, 몸통 근력 및 오스웨스트리 장애지수에 미치는 영향김재철, 박찬호, 양영식대한정형도수물리치료학회 · 대한정형도수물리치료학회지2020 · 제26권 제2호만성 요통 환자에서 척추 안정화 운동과 요추부 신전근 강화 운동의 효과구혜경, 김대환, 김주섭, 박준성, 이영정, 이재환, 이태임대한재활의학회 · Annals of Rehabilitation Medicine2008 · 제32권 제5호The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability고대식, 정대인한국디지털정책학회 · 디지털융복합연구2017 · 제15권 제5호체간 안정화 운동과 고관절 운동이 만성 요통 환자의 허리가동범위, 통증, 장애정도에 미치는 영향박찬호, 양영식, 정용식대한정형도수물리치료학회 · 대한정형도수물리치료학회지2022 · 제28권 제2호Dose Weight loss and Core Exercise improve Oswestry disability index, Trunk Extensor and Flexor Muscle Strength in Obese Middle-Aged Women with Chronic Low Back Pain?김철호, 이광지, 이윤환, 이지은, 이호성대한운동학회 · 아시아 운동학 학술지2024 · 제26권 제1호

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