대한정형도수물리치료학회지 (The Journal of Korean Academy of Orthopedic Manual Physical Therapy)

  • 제25권2호
  • /
  • Pages.21-29
  • /
  • 2019
  • /
  • 1226-3680(pISSN)
  • /
  • 2508-7282(eISSN)
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manual Physical Therapy)
권호 표지

허리 불안정성을 가진 성인에게 적용한 복합운동프로그램이 정적균형능력에 미치는 영향

The Effect of the Combined Exercise Program on the Static Balance Ability of the Lumbar Instability of Adults

  • 오윤중 (대전필한방병원 물리치료실) ;
  • 박종항 (광양보건대학교 물리치료과) ;
  • 김윤환 (군장대학교 물리치료과) ;
  • 김태원 (광주우일신경외과 물리치료실)
  • Oh, Yoon-joong (Dept. of Physical Therapy, Daejeon Phil Korea Medicine Hospital) ;
  • Park, Jong-hang (Dept. of Physical Therapy, GwangYang Health Sciences University) ;
  • Kim, Yoon-hwan (Dept. of Physical Therapy, KunJang University College) ;
  • Kim, Tae-won (Dept. of Physical Therapy, Wooill Neurosurgeon)
  • 투고 : 2019.06.15
  • 심사 : 2019.10.23
  • 발행 : 2019.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The purpose of this study is to investigate the effect of the combined exercise program on the static balance ability of the lumbar instability of adults. Methods: The experimental group was divided into two groups and randomly. The experimental group 1 (Exp 1) applied the combined exercise program for the lumbar stabilization exercise and strengthening exercises and the experimental group 2 (Exp 2) applied the combined exercises program for the lumbar stabilization exercises and active stretching exercises. Each experiment group performed exercise program for 4 weeks, 3 times a week, 30 minutes a day. Static balance ability was measured using GOOD BALANCE system. Results: As the comparing results of static balance ability, normal standing eye open was Ant-Post and Med-Lat showed significant differences in Exp 1 (p<.05). One leg left eye open was velocity moment showed significant differences in Exp 1 (p<.05). and one leg right eye open was Med-Lat showed significant differences in Exp 1 (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.

키워드

참고문헌

  1. Alqarni AM, Schneiders AG, Hendrick PA. Clinical tests to diagnose lumbar segmental instability: A systematic review. Journal of Orthopaedic & Sports Physical Therapy. 2011;41(3):130-140. https://doi.org/10.2519/jospt.2011.3457
  2. Barr KP, Griggs M, Cadby T. Lumbar stabilization: Core concepts and current literature, Part 1. Am J Phys Med Rehabil. 2005;84(6): 473-480. https://doi.org/10.1097/01.phm.0000163709.70471.42
  3. Bu KH, Oh TY. Effects of visual information on joint angular velocity of trunk and lower extremities in sitting and squat motion. J Kor Phys Ther, 2015;27(2):89-95. https://doi.org/10.18857/jkpt.2015.27.2.89
  4. Byuon SH. The Effects of PNF and Stabilizing Exercise on the Low Back Stability. Rehabilitation Science Graduate School, Daegu University. 2009.
  5. Cho SH. The Effect of Lumbar Stabilization Exercise on Lumbar Muscle Strength and Body Balance in Patients with Chronic Low Back Pain. Graduate School of Public Health, Kosin University. Master Thesis. 2012.
  6. David J. Magee. Orthopedic physical assessment. Hyunmoon Publishing Co. 2006.
  7. Decker MJ, Hintermeister RA, Faber KJ, et al. Serratus anterior muscle activity during selected rehabilitation exercise. Am J Sports Med, 1999;27(6):784-791. https://doi.org/10.1177/03635465990270061601
  8. Hughes CJ, Hurd K, Jones A, Springle S. "Resistance properties of thera-band tubing during shoulder abduction exercise". J Orthop Sports Phys Ther 1999;29(7):413-420. https://doi.org/10.2519/jospt.1999.29.7.413
  9. Hicks GE, Fritz JM, Delitto A, et al. Interrater reliability of clinical examination measures for identification of lumbar segmental instability. Arch Phys Med Rehabil. 2003;84(12):1858-1864. https://doi.org/10.1016/s0003-9993(03) 00365-4
  10. Hicks GE, Fritz JM, Delitto A, et al. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005;86(9):1753-1762. https://doi.org/10.1016/j.apmr.2005.03.033
  11. Hoffman SL, Johnson MB, Zou D, et al. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16(4):344-350. https://doi.org/10.1016/j.math.2010.12.007
  12. Kang SG. Analysis of Characteristic of The Isokinetic Muscle Strength Related to Lean Body Mass and Fat Distribution of Chronic Low-Back Pain Patients. Deajeon University. Thesis of Master' degree. 2003.
  13. Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil. 2004;83(2):81-87. https://doi.org/10.1097/01.phm.0000107486.99756.c7
  14. Kwon MY, U YB. The Effects of lumbar stabilization exercise and strengthening exercise of lower extremity on pain and muscle strength of leg in patients with chronic low back pain. Korea Society of Intergration Medicine. 2015;3(2):47-54. https://doi.org/10.15268/ksim.2015.3.2.047
  15. Kim CS. The Effect of Stretching and Core Exercise for 8 Weeks on Pelvic Correction. Graduate School of Education of Kyungnam University. Master Thesis. 2015.
  16. Kim K, Kim EK, Lee DG. Effects of PNF patterns exercise on pain, functional disability and fear avoidance belief in chronic low back pain patients. J Kor Phys Ther, 2014;26(2):110-116.
  17. Kim SY, Sa JM. The reliability and validity of the passive lumbar extension test and the prone instability test. Korean Research Society of Physical Therapy. 2011;18(3):85-93.
  18. Kim YH, Park JH, Choi WJ, et al. The effect of hip abductor strengthening exercise using elastic band on static balance. Journal of Korean Academy of Orthopaedic Manual Therapy. 2009;15(1):49-57.
  19. Lee DG, Ahn SH, Oh JK, et al. The effects of swiss ball lumbar stabilization exercise on the strength and flexibility, balance. Journal of the Korean Academy of Clinical Electrophysiology. 2009;7(1):35-42. https://doi.org/10.5627/KACE.2009.7.1.035
  20. Lee JJ, Song BB. The effects of the passive and active stretching exercises of Iliopsoas muscles on low back pain patients. Journal of Special Education & Rehabilitation Science. 2015;54(2):291-301. https://doi.org/10.15870/jsers.2015.06.54.2.291
  21. Marvin C, Tanigawa MA. Comparison of the hold-relax procedure and passive mobilization on increasing muscle length. American Physical Therapy Association, Inc. 1972;52(7):725-735. https://doi.org/10.1093/ptj/52.7.725
  22. Ministry of Employment and Labor. IACI Business Yearbook 2009. Seoul, 2009.
  23. Park JH, Son GH, Kim GY, et al. Therapeutic exercise for musculoskeletal system, Panmuneducation, 2017.
  24. Panjabi MM. The stabilizing system of the spine. part . function, dysfunction, I adaptation, and enhancement. Journal of Spinal Disorders, 1992;5(4):383-389. https://doi.org/10.1097/00002517-199212000-00001
  25. Sim JH. The Effects of Gluteal Muscles Strength and Lumbar Stabilization Exercise on Lumbar Strengthening and Balance in Chronic Low Back Pain Patients. Sport & Orthopedic Physical Therapy Graduate School of Rehabilitation Science, Daegu University. Master Thesis. 2015.
  26. Statistics Korea. Incidence of Musculoskeletal and Connective Tissue Diseases. 2016, 2015, 2014, 2013.
  27. Travell G, Simon G. Myofacial pain and dysfunction; The trigger point manual the lower extremity. Baltmore: William and Wikins. 1992.
  28. Yu CW, Kim SY. Comparison of lumbopelvic rotation angle during active straight leg raise in patients with chronic low back pain with and without lumbar segmental instability. Journal of the Korean Society of Physical Medicine. 2015;10(4):40-49. https://doi.org/10.13066/kspm. 2015.10.4.39
  29. Woodal WR, Welsh J. A biomechanical basis for rehabilitation programs involving the patellofemoral joint. J Orthop Sports Phys Ther. 1990;11(11):535-542. https://doi.org/10.2519/jospt.1990.11.11.535
  30. Wiltse L, Rothman S. Spondylolisthesis: Classification, diagnosis and natural history. Semin Spine Surg. 1989;1(1):78-94.