Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effect of Lumbar Stabilizing Exercise SEBT Training on Isometric Lumbar Strength, Dynamic Balance Ability and Range of Motion in Open Laser Lumbar Microdisectomy Patients

미세 현미경 레이저 요추 디스크 절제술 환자의 요부안정화운동과 SEBT 트레이닝이 등척성 요부근력과 동적균형능력, 관절가동범위에 미치는 영향

  • Jeon, Ho-Min (Graduate School of Sports Science, Dankook University) ;
  • Kim, Jung-Hoon (Department of Exercise Prescription & Rehabilitation, Dankook University) ;
  • Lee, Jang-Kyu (Department of Exercise Prescription & Rehabilitation, Dankook University)
  • 전호민 (단국대학교 스포츠과학대학원) ;
  • 김정훈 (단국대학교 운동처방재활학과) ;
  • 이장규 (단국대학교 운동처방재활학과)
  • Received : 2019.12.12
  • Accepted : 2020.02.07
  • Published : 2020.02.29
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Abstract

This study examines the effects on isometric lumbar extension strength, dynamic balance ability, and range of motion, after administering 8 weeks SEBT exercise (dynamic balance exercise) and Lumbar Stabilizing exercise, to open laser lumbar microdiscectomy patients. Totally, 14 patients who underwent preservation treatment for 6 weeks after undergoing open laser lumbar microdiscectomy, were enrolled for the study. Patients were randomly assigned to the Lumbar Stabilizing Exercise Group (LSG, n=7) and SEBT Exercise + Lumbar Stabilizing Exercise Group (SGLS, n=7). Results indicate that isometric lumbar extension strength ratio significantly decreases after 8 weeks rehabilitation exercise in both the LSG (p=0.007) as well as SLSG (p=0.024) groups. Normalized reach distance of the three directions in the Y-balance test to examine the dynamic balance capability showed a significant increase in both groups. The dynamic balance capability showed significant increase to the left (LSG, p=0.010; SLSG, p=0.002) and right (LSG, p=0.002; SLSG, p=0.002). Moreover, significant increase was also obtained in the range of joint operation, in both LSG (p=0.006) and SLSG (p=0.017) groups. These results indicate that both groups of rehabilitation exercise achieve positive outcomes on the isometric lumbar extension strength, range of motion, and dynamic balance ability. However, some results suggest that the SEBT program is likely to have a better efficacy.

본 연구는 미세 현미경 레이저 요추 디스크 절제술을 시행한 환자를 대상으로 기존의 전통적 재활플그램인 요부 안정화 운동에 SEBT 프로그램을 적용한 재활운동이 등척성 요부근력과 동적균형능력 그리고 관절가동범위에 어떠한 영향을 미치는 지를 규명하고자 실시되었다. 연구대상자는 미세 현미경 레이저 요추 디스크 절제술을 받은 후 6주간 보존적 치료를 받은 환자 14명을 대상으로, 요부안정화운동(Lumbar Stabilizing Exercise Group, LSG, n=7)과 SEBT+요부안정화운동그룹(SEBT Exercise +Lumbar Stabilizing Exercise Group, SLSG, n=7)을 8주간 실시하였다. 본 연구의 결과에서, 요부의 등척성 근력 비율(72°와 0°)은 LSG(p=.007)와 SLSG(p=.024) 모두 유의하게 감소하였으며 동적균형능력을 검사하기 위한 Y-balance test의 세 방향 도달 거리에 대한 결과는 SLSG와 LSG의 모든 방향에서 유의한 증가를 보였고 동적균형 능력은 좌측(LSG, p=.010; SLSG, p=.002)과 우측(LSG, p=.002; SLSG, p=.002) 모두 유의하게 증가하였다. 또한 관절가동범위는 LSG(p=.006)와 SLSG(p=.017) 두 집단 모두에서 유의하게 증가하였다. 이상의 결과에서 8주간의 재활운동 후, 전통적인 요부안정화 운동과 요부안정화운동에 SEBT프로그램을 추가한 재활운동 모두 등척성 요부근력과 동적균형능력 그리고 관절가동범위에 긍정적인 효과가 나타났으며 이후에 SEBT 프로그램만의 효과를 검증하는 후속연구가 필요할 것으로 사료된다.

Keywords

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