관절 가동술과 안정화 운동이 급성 요통 환자의 유연성과 통증에 미치는 영향

The effect of stabilization exercise and movement with mobilization on flexibility and pain of patients with acute low back pain

  • 김다혜 (순천청암대학 물리치료과) ;
  • 김종범 (순천청암대학 물리치료과) ;
  • 백현경 (순천청암대학 물리치료과) ;
  • 오유나 (순천청암대학 물리치료과) ;
  • 유현화 (순천청암대학 물리치료과) ;
  • 양회영 (순천청암대학 물리치료과) ;
  • 이혜진 (순천청암대학 물리치료과) ;
  • 양회송 (순천청암대학 물리치료과) ;
  • 양기웅 (여수 서울연합의원 물리치료실)
  • Kim, Da-Hye (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Kim, Jong-Beom (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Baek, Hyeon-Kyeong (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Oh, Yu-Na (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Yoo, Hyeon-Hwa (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Yang, Hoe-Young (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Lee, Hye-Jin (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Yang, Hoe-Song (Dept. of Physical Therapy, Suncheon-Cheongam College University) ;
  • Yang, Gi-Woong (Dept. of Physical Therapy, Yeosu Seoul Union Hospital)
  • 발행 : 2008.12.30

초록

Purpose : The purpose of this study was to investigate effects of movement with mobilization(MWM) and stabilization exercise on pain and range of motion of patients with acute low back pain. Methods : The subjects were consisted of 24 patients who had non specific acute low back pain. All subjects randomly assigned to the MWM group and the stabilization exercise group. The MWM group received sustained natural apophyseal glides(SNAGs) with modality treatment and stabilization exercise group received stabilization exercise with modality treatment. The remodified schober test(RST) was used to measure forward flexion and lateral flexion range of motion of lumbar segment. Visual Analogue Scale(VAS) was used to measure subjective pain level of the patients. The Oswestry Low Back Pain Disability Scale was used to measure functional disability level of the patients. Results : The lumbar flexion range of motion of MWM group was significantly increased compared with stabilization exercise group(p<.01). The range of motion of lumbar segment of MWM group was significantly decreased compared with stabilization exercise group(p<.01). The left lateral flexion range of motion of lumbar of MWM group was significantly decreased compared with stabilization exercise group(p<.05). The right lateral flexion range of motion of lumbar of MWM group was significantly decreased compared with stabilization exercise group(p<.05). The VAS of both MWM group and stabilization exercise group was significantly decreased(p<.001). The Oswestry Low Back Pain Disability Scale of stabilization exercise group was significantly increased compared with mobilization group(p<.001). Conclusion : In the result of this study, mobilization with movement and stabilization exercise had significant difference on pain and flexibility of patients with acute low back pain.

키워드