DOI QR코드

DOI QR Code

Effect of Rehabilitation Exercise on Lumbar Muscle Function and Pain Relife for the Middle-Aged Women with Low Back Pain

중년여성 요통환자들의 재활운동이 요부 근기능과 통증완화에 미치는 영향

  • Published : 2007.09.30

Abstract

This study is aimed at determining the effects of rehabilitation training on lumbar extension strength and relief of back pain in middle-aged women of low back pain. Twenty-nine subjects(total 29 people; CLBP 16, HLD 13) were trained twice per week for eight weeks and completed a maximum isometric test at various flexion angle(the degree of $0^{\circ}$, $12^{\circ}$, $24^{\circ}$, $36^{\icrc}$, $48^{\circ}$, $60^{\circ}$, $72^{\circ}$) by lumbar extension machine. The result showed that. 1. Patient group of CLBP were increased the maximum lumbar extension strength at a range of 7 flexion angles after rehabilitation rather than no rehabilitation(on the average 60.75%). The operated patient group in HLD also showed an increase of 56.55%. In view of these cases, all of two groups showed a significant increase of muscle strength(p<.05). But there is no difference between pre-exercise and post-exercise groups. 2. Patient group of CLBP were increased higher rate than 41% for maximum lumbar extension strength(91.79% at $0^{\circ}$, 79.41% at $12^{\circ}$, 65.89% at $24^{\circ}$) at all angles after 8 weeks training. Both groups indicated a significant increase(p<.05) of lumbar extension strength at all degrees. There is no difference between pre-exercise and post-exercise groups. 3. Relief of back pain in Patient group of CLBP showed a decrease of average 105.2% and patient group of HLD indicated a decrease of average 64.57% two groups showed a significant reduction (p<.05, p<.05). But in case of a decrease of pain, CLBP group got 3.44 points and HLD group got 4.77 points. In view of these results, two groups showed remarkable reduction of back pain, however HLD group had residual pain relatively.

Keywords

References

  1. 권휘련, 이종하, 박은영(2006). 요부 운동 프로그램이 만성요통환자들의 통증완화와 근기능에 미치는 영향. 한국체육학회지, 45(2), 527-536.
  2. 김건도, 한길수, 김원식(2006). 등장성 재활운동이 만성요통 환자의 요부신전근력 향상 및 신체조성 변화에 미치는 영향. 한국체육과학회지, 15(4), 683-695.
  3. 김선호(2006). 키네시오 테이핑이 요부의 근력, 유연성 및 통증완화에 미치는 영향. 한국사회체육학회지, 28, 261-268.
  4. 김정수(2001). 디스크환자가 환자를 치료한다, 서울: 건강신문사.
  5. 이상호(1999). 허리디스크, 서울: 열음사.
  6. 소재무, 김건도, 한길수(2002). 요추간판탈출증 환자의 수술 전.후 및 트레이닝 후 요부신전근력 발현에 대한 정량적 분석. 한국체육학회지, 41(5), 1027-1035.
  7. 성경훈, 김명준, 석혜경(1999). 추간판탈출증 환자 중 레이져시술과 비 시술 그룹간 12주 운동의 효과. 대한스포츠의학회지, 17(1), 165-175.
  8. 주성법, 이원재(2006). 키네시오테이핑과 운동치료 프로그램의 복합적용이 요추 추간판탈출증 수술환자의 요부신전근력과 통증정도에 미치는 영향. 한국체육학회지, 45(3), 537-546.
  9. 천영일, 김광기, 김건도(2003). 요추간판탈출증 수술환자에 대한 등장성 재활훈련집단과 비훈련집단간요부신근력 변화에 대한 비교연구. 한국체육학회지, 제42권 4호, 655-662.
  10. 최희남, 유재현, 김명화, 지용석(2000). 8주간의 등장성 요부신전 운동프로그램이 만성요통 환자의 요부근력과 주관적 통증정동에 미치는 영향. 운동과학, 9(1), 102-113.
  11. 한길수, 소재무, 이경주, 문훈기(2006). 등장성 운동이 노인 요통환자의 자세변화에 따른 신전근력 비율변화에 미치는 영향. 한국운동역학회지, 16(4), 195-203.
  12. Astin, M., Lawton, D., & Hirst, M. (1996). The prevalence of pain in a disabled population. Soc Sci Med, 42(11), 1457-1464. https://doi.org/10.1016/0277-9536(95)00253-7
  13. Caillent, R. (1988). Low Back Pain Syndrome. Philadelphia, PA: Daves Company.
  14. Carpenter, D. M., Graves, J. E., Pollock, M. L., Leggett, S. H., Dan Foster, Bryon H., & Fulton, M. N. (1991). Effect of 12 and 20 Weeks of resistance training of lumber extension torque production. Physical Therapy, 71: 580-588.
  15. Cherkin, D. C., Deyo, R. A., & Loeser, J. D. (1994). An international comparison of back sugery rates. Spine, 19, 1201-1206. https://doi.org/10.1097/00007632-199405310-00001
  16. Daved, M.C., & Brain, W.N. (1999). Low back strengthening for the prevention and treatment of low back pain. Medicine & science in sport & Exercise, 31(1): 18-24. https://doi.org/10.1097/00005768-199901000-00005
  17. Dettori, J. R., Bullock, S. H., Sutlive, T. G., Franklim, R. J., Patience, T. (1995). The effects of spinal flexion and extension exercises and their associated postures in patients with acute low back pain. Spine, 20:2303-12. https://doi.org/10.1097/00007632-199511000-00008
  18. Estrand, N. (1987). Medical, psychological and social factors associated with back abnormalities and self reported back pain-a cross sectional study of male employees in a Swedish pulp and paper industry. Br. J. Ind, Med, 44, 327-336.
  19. Foster, D., & Pollock, M. (1993). Adaptations in strength and a cross-sectional area of the lumber extensor muscles fowlloing resistance training. Medicine & Science in Sports & Exercise, 25: s47.
  20. Frymoyer, J. W., Cats-Baril. W. L. (1991). An over-view of the incidences and costs of low back pain(review). Orthop Clin North Am. 22. 263-271.
  21. Frymoyer, J. W. (1991). Predcting disability from low back pain. Clin Orthop. 279, 101-109.
  22. Harvey, J., & Tanner, S. (1991). Low Back Pain in young athletes, Sports Med, 12(6):394-406. https://doi.org/10.2165/00007256-199112060-00005
  23. Hasuse, M., Masatoshi, F., & Kikuchi, S. (1980). A new method of quantitative measurement of abdominal and back muscle strength. Spine, 5, 143-148. https://doi.org/10.1097/00007632-198003000-00008
  24. Huskisson, E. C. (1974). Measurement of pain. lancet, 2(7889), 1127-1131.
  25. James, E., Graves, D, C., Webb, M. S., P. T., Michael, L., & Pollock, M. L. (1994). Arch Phys MedRehabil, 75, February.
  26. Kahanovitz, N., Nordin, M., Gallagher, M., Viola, N. (1988). Comparative analysis of post opertive discectomy trunk strength and endurance, presented at the American Academy of Orthopedic Surgeons, Atlanta. Georgia.
  27. Kraus, H., & Nagler, W. (1983). Evaluation an exercise program for back pain, Am. Family Phys, 28: 153-158.
  28. Lawlis, G, F., Cuencas, R., Selby, D., & McCoy, C. E. (1989). The development of the dallas pain questionnaire an assesment of the impact of spinal pain on behavior, Spine, 14: 511-516. https://doi.org/10.1097/00007632-198905000-00007
  29. Lagrana, N. A., Lee, C. K., & Alexander, H. I. (1984). Quantitative assessment of back strength using isokinetic testing, Spine, 9, 287-290. https://doi.org/10.1097/00007632-198404000-00011
  30. Manniche, C., Lundberg, E., Chritensen, I., Bentzen, L., & Hersselroe, G. (1991). Intensive dynamic back exercise for low back pain: a clinical trai. Pain, 47: 53-56. https://doi.org/10.1016/0304-3959(91)90011-L
  31. Mayer, T. (1995). Trunk muscle endurance measurement ; isometric contrasted to isokinetic testing in control subjects, Spine, 20(8), 920-927. https://doi.org/10.1097/00007632-199504150-00007
  32. Millon, R., Hall, W., Nilsen, K., Baker, R. D., Jason, M. I. V. (1982). Assesment of the progress of the back pain patient. Spine, 7:204-212. https://doi.org/10.1097/00007632-198205000-00004
  33. Nelson, B., O' Reilly, E., Miller, M., Hogan, M., Wrgner., J., & Kelly, C. (1995). The clinical effects of intensive, specific exercise on chronic back pain: a controlled study of 895 consecutive patients with 1-yr follow-up. Orthopedics, 18: 971-981.
  34. Pollock, M., Garazarella, L., & Graves, J. (1992). Effects of isolated lumbar extension resistance training on BMD of the eldery. Medicine & Science in Sports 7 Exercise, 24: s66.
  35. Rich, S.V., Norvell, N.K., Pollock, M.L., & Risch, E.D et al. (1993). Lumber strengthening in chronic low back pain patients. Spine, 18: 232-238. https://doi.org/10.1097/00007632-199302000-00010
  36. Shrrrye, V et al., (1993). Lumber strengthening in chronic low back pain patients. Spine, 18(2), 232-238. https://doi.org/10.1097/00007632-199302000-00010
  37. Smith, E. L., Gilligan, C. (1984). Exercise sport and physical activity fir the elderly: Principles and problem of programing. Sport and Aging-The 1984 Olympic Scientipic Congress Proceeding, 5(20, 91-103.
  38. Speroff, L. (2000). The perimenopausal transition. Annuals the New York Academy of Science. 900: 375-392.
  39. Suzuki, N., & Endo, S. (1983). A quantitative study of trunk muscle strength and fatigue ability in the low back pain syndrome. Spine, 8, 1-2. https://doi.org/10.1097/00007632-198301000-00001