Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지

The Effect of Home Exercise Program on Pelvic Alignment and Lumbar Scoliosis of Chronic Low Back Pain

가정 운동 프로그램이 만성요통환자의 요추측만과 골반정렬에 미치는 영향

  • Jung, Young-Dae (Dept. of Physical Therapy, Joongang jeil medical) ;
  • Lee, Hyun-Ok (Dept. of Physical Therapy, Busan Cathiloic University) ;
  • Song, Min-Young (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University)
  • Published : 2009.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose：To investigate the effect of the home exercise program on pain, scoliosis, pelvic alignment of low back in chronic back pain patients, and suggest optimal method for home exercise program. Methods：I divided into two groups who has chronic back pain; one is control group who was given a treatment at the hospital only and the other is experimental group who did another exercise after treatment at the hospital, and there were 10 people in each group. The manual therapy were given to all the patients in each group after applying a stupe and an electric treatment, but the experimental group conducted another exercise program at homes. All the exercise programs were applied to patients 12 times for 4 weeks totally. Results：SPSS for win version 12 was used for statistic analysis and independent t-test was used to find changes between two groups. VAS scale was used to show changes in pain between each group. The grade of pain was decreased between pre&post test to -5.60 in control group and -4.80 in experimental group but there wasn't significant difference between each group. Cobb's degree was used to compare the changes of scoliosis in lumbar and it was improved in each group but there wasn't significant difference between each group. The measurement of pelvic misalignment was decreased between pre&post test to -1.00 in control group and -2.00 in experimental group but it wasn't enough to show significant difference between each group. Conclusion：As you read the results above, for a chronic low back pain patient, application of the manual therapy showed that it has effect on decrease of low back pain, improvement of scoliosis in lumbar and pelvic misalignment. However, the effect of home exercise treatment was not sure about improvements for chronic low back pain patient. So I think there should need further study about the effect of home exercise treatment except the treatments at hospital and the thorough education for the exercise of lumbar should be done before the study for the accurate experiment.

Keywords

References

  1. 권휘련. 요부 자가 운동프로그램이 만성 요통환자들의 체력, 통증 및 활동 장애 감소에 미치는 영향. 이화여자대학교 대학원. 석사학위 논문. 2005.
  2. 김명준, 석혜경. 추간판탈출증 환자중 레이져시술과 비시술 그룹간의 12주 운동의효과. 대한스포츠의학학회지. 1998;16(2):165-76.
  3. 김진산, 이창현, 김선엽 등. 만성 요통환자의 복부 심부근과 표재근을 중심으로 한 운동 효과 비교. 대한정형도수치료학회지. 2005;11(1):1-10.
  4. 전차선, 유경석, 김택연. Dysfunction Syndrome을 가진 만성 요통환자의 요천골 도수교정에 의한 자세변화. 대한정형도수치료학회지. 2003;9(2):79-86.
  5. 한상완, 공성아, 이준희. 만성요통환자의 점증적 요통 운동과 교육이 근력과 근지구력, 유연성에 미치는 효과. 대한물리치료사학회지. 2002;9(2):27-36.
  6. 허진강, 송재철, 노영만 등. 만성 요통근로자의 능동적 운동프로그램 효과. 대한산업의학회지. 2005; 17(1):44-57.
  7. McKenzie RA. 메켄지에 의한 요통의 진단과 치료. 대학서림, 1992;16-32.
  8. Allan PB, Waddell G. An historical perspective on low back pain and disalility. Acta Orthop Scand supple. 1989;60(1):1-32. https://doi.org/10.3109/17453678909150078
  9. Arnardottir S, Aexanderson H, Lundberg IE et al. Sporadic inclusion body myositis: pilot study on the effects of a home exercise program on muscle function, histpathology and inframmatory reaction. J Rehabil Med. 2003;35(1):31-5. https://doi.org/10.1080/16501970306110
  10. Chiradejnant A, Maher CG, Latimer J et al. Efficacy of "therapist-selected" versus "randomly selected" mobilisation techniques for the treatment of low back pain: A randomised controlled trial. Aust J Physiother. 2003;49(4):233-41. https://doi.org/10.1016/S0004-9514(14)60139-2
  11. Descarreaux M, Normand MC, Laurencelle L et al. Evaluation of a Specific Home Exercise Program for Low Back Pain. J Manipulative Phys Ther. 2002;25(8):497-503. https://doi.org/10.1067/mmt.2002.127078
  12. Graves JE, Pollock ML, David M. Quantitative assessment of full range of motion isometric lumbar extension strength. Spine. 1990;15(4): 289-94. https://doi.org/10.1097/00007632-199006000-00029
  13. Greenman PE. Principle of manual medicine. Williams Wilkins. 2001;279-304.
  14. Harvey E, Burton AK, Moffett JK et al. Spinal manipulation for low-back pain: a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations. Man Ther. 2003;8(1):46-51. https://doi.org/10.1054/math.2002.0472
  15. Henry KD, Rosemond C, Eckert LB. Effect of number of home exercise on compliance and performance in adults over 65 years of age. Phys therapy. 1998;78(3):270-7.
  16. Jayson MIV. ABC of work related disorder. back. 1998;BMJ 313:355-8.
  17. Kisner C, Colby LA. Therapeutic exercise foundations and techni- ques, Philadelphia: F. A Davis. 1990; 223-677.
  18. Kuukkanen T, Malkia E. Effects of a three-month therapeutic exercise programme on flexibility in subjects with low back pain. Phys Res Int. 2000; 5(1):46-61. https://doi.org/10.1002/pri.183
  19. Liebenson C. The quadratus lumborum and spinal stability. J Bodywork Movement Therapies. 2000; 4(1):49-54. https://doi.org/10.1054/jbmt.1999.0149
  20. Maitland GD. Vertical manipulation. Fifth edition. Butterworths. 1986;93-102.
  21. Oka RK, DeMarco T, Haskell WL. Effect of treadmill testing and exercise training on self-efficacy in patients with heart failure. European J Cardiovascular Nursing. 2005;15(4):215-9.
  22. O'sullivan PB, Phyty GD, Twomey LT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondlylolysis or spondylolisthesis. Spine. 1997; 22(24):2959-67. https://doi.org/10.1097/00007632-199712150-00020
  23. Paul WM, Marshall, PG, Bernadette DS et al. Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a swiss ball: a pilot study. J Manipulative Phys Thera. 2006;29(7):550-60. https://doi.org/10.1016/j.jmpt.2006.06.025
  24. Saal JA, Saal JS. Nonoperative theatment of herniated lumbar intervertebral disk white radicuopathy. Spine. 1989;14(4):431-7. https://doi.org/10.1097/00007632-198904000-00018
  25. Sahrmann A. Diagnosis and treatment of movement impairment syndromes. St Louis. Mosby. 2002; 27-80.
  26. Tulder MW, Koes BW. Metsemaker JFM. Management of chronic nonspecific low back pain in primary care, a descriptive study. Spine. 1997;22(1):76-82. https://doi.org/10.1097/00007632-199701010-00013
  27. Yurtkuran M, Alp A, Yurtkuran M et al. A modified yoga-based exercise program in hemodialsis patients: A randomized controlled study. Complementary Therapies in Medicine. 2006;8:1-8.