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The Effect of Exercise Therapy on Pain, Muscle Function and Radiological Evaluation in a Female Youth Golf Player with Low Back Pain: Case Report

치료적 운동이 허리통증을 가진 여자 청소년 골프선수의 통증, 근기능 및 방사선학적 평가에 미치는 영향: 증례보고

  • Lee, Ho-Seong (Dept. of Kinesiologic Medical Science, Graduate, Dankook University)
  • 이호성 (단국대학교 대학원 운동의과학과)
  • Received : 2018.03.27
  • Accepted : 2018.05.17
  • Published : 2018.08.31

Abstract

PURPOSE: The purpose of this study was to determine the effect of exercise therapy on low back pain (LBP), the function of paraspinal and abdominis muscles, and the sacrohorizontal angle as seen on the radiographs of the lumbar spine in a young female golf player with LBP. METHODS: This case report describes an 11-year-old female golfer who presented with LBP. The exercise therapy program comprised lumbar joint mobilization, lumbar spine flexion distraction, abdominal bridge, plank, side plank, and single-leg extensions from a 4-point kneeling position for 40 min/day; this was done twice a week for 8-weeks. LBP [visual analog scale (VAS) and Oswestry disability index (ODI)] and function of paraspinal and abdominis muscles [Ito test, curl-up test, $90^{\circ}$ stop test, squat test, opened eye one leg stance test (OEOL), and closed eye one leg stance test (CEOL)] were measured before and after 4 and 8 weeks of exercise therapy. The radiographs were analyzed for the lumbar Cobb's angle and sacrohorizontal angle before and after 8 weeks of exercise therapy. RESULTS: After 4 and/or 8 weeks of exercise therapy, VAS and ODI scores decreased; results for the Ito test, curl-up test, $90^{\circ}$ stop test, squat test, and OEOL and CEOL of muscle function improved; and the lumbar Cobb's angle and sacrohorizontal angle improved. CONCLUSION: These results suggest that exercise therapy improves LBP, muscle function, and radiographic parameters associated with LBP in young golf players. These findings have clinical implications for exercise therapy in young female golf players who have LBP.

Keywords

References

  1. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(1):86-92.
  2. Allen BA, Hannon JC, Burns RD, et al. Effect of a core conditioning intervention on tests of trunk muscular endurance in school-aged children. J Strength Cond Res. 2014;28(7):2063-70. https://doi.org/10.1519/JSC.0000000000000352
  3. Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, Part 1. Am J Phys Med Rehabil. 2005;84(6):473-80. https://doi.org/10.1097/01.phm.0000163709.70471.42
  4. Been E, Kalichman L. Lumbar lordosis. Spine J. 2014; 14(1):87-97. https://doi.org/10.1016/j.spinee.2013.07.464
  5. Bianco A, Lipo C, Alesi M, et al. The sit up test to exhaustion as a test for muscular endurance evaluation. Springerplus. 2015;4(1):1-8. https://doi.org/10.1186/2193-1801-4-1
  6. Cho IS, Jen CB, Lee SY, et al. Effects of lumbar stabilization exercise on functional disability and lumbar lordosis angle in patients with chronic low back pain. J Phys Ther Sci. 2015;27(6):1983-5. https://doi.org/10.1589/jpts.27.1983
  7. Drzal-Grabiec J, Rachwal M, Podgorska-Bednarz J, et al. The effect of spinal curvature on the photogrammetric assessment on static balance in elderly women. BMC musculoskeletal Disorders. 2014;15(1):1-14. https://doi.org/10.1186/1471-2474-15-1
  8. Faigenbaum AD, Ratamess NA, McFarland J, et al. Effect of rest interval length on bench press performance in boys, teens, and men. Pediatr Exerc Sci. 2008; 20(4):457-69. https://doi.org/10.1123/pes.20.4.457
  9. Fatemi R, Javid M, Najafabadi EM. Effects of william training on lumbosacral muscles function, lumbar curve and pain. J Back Musculoskelet Rehabil. 2015;28(3): 591-7. https://doi.org/10.3233/BMR-150585
  10. Ferreira PH, Ferreira ML, Maher CG, et al. Specific stabilization exercise for spinal and pelvic pain: A systematic review. Aust J Physiother. 2006;52(2):79-88. https://doi.org/10.1016/S0004-9514(06)70043-5
  11. Gluck GS, Bendo JA, Spivak JM. The lumbar spine and low back pain in golf: a literature review of swing biomechanics and injury prevention. Spine J. 2008; 8(5)778-88. https://doi.org/10.1016/j.spinee.2007.07.388
  12. Gosheger G, Liem D, Ludwing K, et al. Injuries and Overuse syndromes in golf. Am J Sports Med. 2003;31(3): 438-43. https://doi.org/10.1177/03635465030310031901
  13. Hawksley H. Pain assessment suing a visual analogue scale. Porf Nurse. 2000;15(9):593-7.
  14. Hellstrom M, Jacobsson B, Sward L, et al. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol. 1990;31(2):127-32. https://doi.org/10.1177/028418519003100202
  15. Ji YS, Choi YS, Bea MH, et al. Advantages and injuries in golf. Journal of coaching development. 2001;3(2): 39-48.
  16. Jung SY, Park AS, Beak JW, et al. The effect of the sling-exercise and the lumbar-exercise on trunk muscle strength and static balance. Archives of Orhopedic and Sports Physical Therapy. 2008;4(1):29-39.
  17. Kim AR. Effects of weight loss and isotonic core exercise of 8 weeks on pain, strength and balance in obese middle aged women with low back pain. Master's Degree. Dankook University. 2013.
  18. Kim HJ, Chung S, Kim S, et al. Influences of trunk muscles on lumbar lordosis and sacral angle. Eur Spine J. 2006;15(4):409-14. https://doi.org/10.1007/s00586-005-0976-5
  19. Kim HJ, Jeon TW, Kim YS, et al. A study on the balance of spine, musculoskeletal. Exercise Science. 2003; 12(3):529-39.
  20. Lee JH, Yoo WG. A Application of posterior pelvic tilt taping for the treatment of chronic low back pain with sacroiliac joint dysfunction and increased sacral horizontal angle. Phy Ther Sport. 2012;13(4):279-85. https://doi.org/10.1016/j.ptsp.2011.10.003
  21. Lee SY, Son GS, Jeon HJ, et al. The effects of therapeutic exercise on the balance and gait in older adults. J Korean Soc Phys Ther. 2007;19(2):1-10.
  22. Lee YH, Kwon WA, Kim HS, et al. Effects of joint mobilization on the range of motion and pain of patient with chronic low back pain. J Korean Soc Phys Med. 2007a;2(2):113-24.
  23. Lim YT, Shin IS. Comparison of lumbar spinal loads between injured and non-injured players during a golf swing. The Korean Journal of Physical Education. 2002;41(3):509-17.
  24. Little DG, MacDonald D. The use of the percentage change in Oswestry Disability Index score as an outcome measure in lumbar spinal surgery. Spine. 1994; 19(19):2139-43. https://doi.org/10.1097/00007632-199410000-00001
  25. Markovic G, Sarabon N, Greblo Z, et al. Effects of feedback-based balance and core resistance training vs. Pilates training on balance and muscle function in older women: a randomized-controlled trial. Arch Gerobtol Geriatr. 2015;61(2):117-23. https://doi.org/10.1016/j.archger.2015.05.009
  26. Moreau CE, Green BN, Johnson CD, et al. Isometric back extension endurance tests: a review of the literature. J Manipulative Physiol Ther. 2001;24(2):110-22. https://doi.org/10.1067/mmt.2001.112563
  27. Mousavi SJ, Parnianpour M, Mehdian H, et al. The oswestry disability index, the roland-morris disability questionnaire, and the quebec back pain disability scale: translation and validation studies of the Iranian versions. Spine. 2006;31(14):454-9. https://doi.org/10.1097/01.brs.0000222141.61424.f7
  28. Nagrale AV, Patil SP, Gandhi RA, et al. Effect of slump stretching versus lumbar mobilization with exercise in subjects with non-radicular low back pain: a randomized clinical trial. J Man Manip Ther. 2012;20(1):35-42. https://doi.org/10.1179/2042618611Y.0000000015
  29. O’Sullivan PB, Mitcheel T, Bulich P, et al. The relationship beween posture and back muscle endurance in industrial workers with flexion-related low back pain. Man Ther. 2006;11(4):264-71. https://doi.org/10.1016/j.math.2005.04.004
  30. Park CG. The study of low back pain self-awareness scale and spinal lateral deformity between unilateral exercise athletics in adolescents. Journal of Coaching Development. 2010;12(3):139-44.
  31. Sarikaya S, Ozdolpa S, Gumustass S, et al. Low back pain and lumbar angle in Turkish coal miners. Am J Ind Med. 2007;50(2):92-6. https://doi.org/10.1002/ajim.20417
  32. Sekendiz B, Altun O, Korkusuz F, et al. Effects of pilates exercise on trunk strength, endurance and flexible in sedentary adult females. J Bodyw Mov Ther. 2007;11(4):318-26 https://doi.org/10.1016/j.jbmt.2006.12.002
  33. Seo DW, Park JM. Effects of core stability exercises on flexibility and balance abilities and driver stability in elementary school golf players. Journal of Learner-Centered Curriculum and Instruction. 2017;17(6):361-74.
  34. Shamsi M, Sarrafzadeh J, Jamshidi A. Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests. Physiother Theory Pract. 2015; 31(2):89-98 https://doi.org/10.3109/09593985.2014.959144
  35. Shum GL, Tsung BY, Lee RY. The immediate effect of posteroanterior mobilization on reducing back pain and the stiffness of the lumbar spine. Arch Phys Med Rehabil. 2013;94(4):673-9. https://doi.org/10.1016/j.apmr.2012.11.020
  36. Springer BA, Marin R, Cyhan T, et al. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther. 2007;30(1):8-15. https://doi.org/10.1519/00139143-200704000-00003
  37. Theriault G, Lachance P. Golf injuries. Sports Med. 1998;26(1):43-57. https://doi.org/10.2165/00007256-199826010-00004
  38. Winnick JP, Short FX. The Brockport physical fitness test manual. Human Kinetics. 1999.
  39. Wojtys EM, Ashton-Miller JA, Huston LS, et al. The association between athletic training time and the sagittal cuvature of the immature spine. Am J Sports Med. 2000; 28(4):490-8. https://doi.org/10.1177/03635465000280040801
  40. Yoo JC, Suh SW, Jung BJ, et al. Asymmetric exercise and scoliosis – A study of volleyball athletes. J of Korean Orthop Assoc. 2001;36(5):455-60. https://doi.org/10.4055/jkoa.2001.36.5.455
  41. Yoon MJ, Kim KJ. Effects of 8 weeks pilates for the body balance, posture and pain in players of tennis, archery, and athletics. The Official Journal of the Korean Association of Certified Exercise Professionals. 2012;14(3):103-13.