The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Comparing the Effects on Elderly Women of Bearing Weights and Lumbar Stabilization Using Lumbar Muscle Exercises-Group vs. Individual Sessions with a Physical Therapist

여성 노인에서 집단과 개별 요부 운동이 요부 안정화 및 체중 부하에 미치는 효과

  • You, Young-Youl (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Kim, Hee-Soo (Graduate School of Medical & Therapy Science, Hallym University)
  • 유영열 (삼육대학교 대학원 물리치료학과) ;
  • 김희수 (한림대학교 치료과학대학원)
  • Received : 2010.06.05
  • Accepted : 2010.09.19
  • Published : 2010.10.25
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Abstract

Purpose: The purpose of this study was to compare the effects, in elderly women, of (a) physical therapy with (b) individual and group lumbar muscle exercise Methods: Forty-two elderly women took part in this study. Their average age was 52.59 years. All subjects participated in the study for 8 weeks, doing exercises 3 days per week. All participants were assessed on the Oswestry disability index (ODI), Gaitview. The data were analyzed using paired t-tests. Results: Foot pressure and ODI scores showed statistically significant pre- to post-exercise differences for both groups. We also found significant differences between group therapy and individual therapy. There were changes in mean ODI scores, but these were not significant. Conclusion: Eight weeks participation in an was found to be effective in improving the health of older women. Individual therapy with a physical therapist is more effective than group therapy in creating harmonious movement of the lower extremity and lumbar stability. The results of our study suggests the benefit of an exercise program with a physical therapist.

Keywords

References

  1. Statics Korea. Population projections. 2006.
  2. Kim H, Kyo H, Song JC et al. Development of guidelines and a manual for safety and health of aging workers. Korea Occupational Safety and Health Agency. 2007:29-31.
  3. Yang KH, Kim HS, Noh KH et al. Elderly health care practices and prospect. Seoul, Soomoonsa, 2001.
  4. Wolfson L, Judge J, Whipple R et al. Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol A Biol Sci Med Sci. 1995;50:64-67.
  5. Park BR. Physiology of the vestibular organs. Dizziness. Dankook University Publishing Department. 2007:61-74.
  6. Gauchard GC, Gangloff P, Jeanel C et al. Physical activity improve gaze and posture control in the elderly. Neurosci Res. 2003;45(4):409-17. https://doi.org/10.1016/S0168-0102(03)00008-7
  7. Horak FB. Clinical measurement of postural controlin adults. Phys Ther. 1987;67(12):1881-5.
  8. Anderson GB. Epidemiologic aspects on low-back pain in industry. Spine (Phila Pa 1976). 1981;6(1):53-60. https://doi.org/10.1097/00007632-198101000-00013
  9. Frymoyer JW, Rosen JC, Clements J et al. Psychologic factors in low-back-pain disability. Clin Orthop Relat Res. 1985; (195):178-84.
  10. Bingefors K, Isacson D. Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculosk eletal pain--a gender perspective. Eur J Pain. 2004;8(5):435-50. https://doi.org/10.1016/j.ejpain.2004.01.005
  11. Jacobs JM, Hammerman-Rozenberg R, Sterssman J. Longevity and chronic back pain in older people. J Am Geriatr Soc. 2005;53(9):1636-7. https://doi.org/10.1111/j.1532-5415.2005.53487_5.x
  12. Shirado O, Ito T, Kaneda K et al. Concentric and eccentric of trunk muscle: Influence of test posture on strength and characteristics of patients with chronic low-back pain. Arch Phys Med Rehabil. 1995;76(7):604-11. https://doi.org/10.1016/S0003-9993(95)80628-8
  13. Bauer JA, Cauraugh JH, Tillman MD. An insole pressure measurement system: repeatability of postural data. Foot Ankle Int. 2000;21(3):221-6.
  14. George A Koumantakis, Paul J Watson, Jacqueline A Oldham. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005;85(3): 209-25.
  15. Hyoung HK. Effects of a strengthening program for lower back in older women with chronic low back pain. J Korean Acad Nurs. 2008;38(6):902-13. https://doi.org/10.4040/jkan.2008.38.6.902
  16. Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000;25(24):3115-24. https://doi.org/10.1097/00007632-200012150-00006
  17. Yi SJ. Oswestry low back pain disability index and related factors in patients with low back pain. J Kor Soc Phys Ther. 2008;20(4):21-8.
  18. Jeon CH, Kim DJ, Kim DJ et al. Cross-contural adaptation of the Korean version of the oswestry disability index (ODI). Journal of Korean Society of Spine Surgery. 2005;12(2): 146-52. https://doi.org/10.4184/jkss.2005.12.2.146
  19. Jeong YS. Reliability of measures of mid femoral slice BMD and isometric and isokinetic leg muscle strength in master athletes. The Korean Journal of Physical Education. 2001;40(3):603-11.
  20. Kim HR, Kim YS. The effects of spinal stabilization exercise using gravity on patients with degenerative disc disease. J Kor Soc Phys Ther 2008;20(1):23-31. https://doi.org/10.1589/jpts.20.23
  21. Ratti N, Piling K. Back pain in the workplace. Br J Rheumatol. 1997;36(2):260-4. https://doi.org/10.1093/rheumatology/36.2.260
  22. Carpenter DM, Graves JE, Pollock ML et al. Effect of 12 and 20 weeks of resistance training on lumbar extension torque production. Phys Ther. 1991;71(8):580-8.
  23. Moffroid MT. Endurance of trunk muscle in persons with choronic low back pain: assessment, performance, training. J Rehabil Res Dev. 1997;34(4):440-7.
  24. Jessup JV, Home C, Vishen RK et al. Effects of exercise on bone density, balance, and self-efficacy in older women. Biol Res Nurs. 2003;4(3):171-80. https://doi.org/10.1177/1099800402239628
  25. Rogers ME, Rogers NL, Takeshima N et al. Method to assess and improve the physical parameters associated with fall risk in older adults. Prev Med. 2003;36(3):255-64. https://doi.org/10.1016/S0091-7435(02)00028-2
  26. Tollison CD, Kriegel ML. Pain clinic #9. Physical exercise in the treatment of low back pain. Part I: A review. Orthop Rev. 1988;17(9):724-9.
  27. Brotzman SB. Clinical orthopedic rehabilitation. St Louis, Mosby-Year Book, 1996.
  28. Charles BC, Ruth L. Concepts of fitness and wellness with laboratories. Madison, Brown & Benchmark Publishers, 1994.
  29. Kim SY, Kwon JH. Lumbar stabilization exercises using the sling system. The Journal Korean Academy of Orthopaedic Manual Physical Therapy. 2001;7(2):23-39.
  30. Hwang SH, Kim YE, Kim YH. Biomechanical analysis of lower limb joint motions and lumbar lordosis during squat and stoop lifting. Journal of the Korea Society for Precision Engineering. 2008;25(11):107-18.
  31. Noh JS, Lee CH, Jung BI et al. The effect of pelvic tilting and the valsalva maneuver on electromyographic activity of erector spinae during spuat lifting and lowering. KAUTPT. 1998;5(1):30-43.
  32. Lee KK. The effects of elastic band, Swiss ball and lumbar stabilizing exercise on weight contribution, lumbar strength and pain degree in middle-aged women with chronic lower back pain. Sejong University. Dissertation of Master's Degree. 2009.
  33. Min KH. The exercise effect of improve the waist flexibility, the waist muscular strength, and the waist sense of equilibrium which grafted in William ＆ McKenzie exercise with swiss ball. Kookmin University. Dissertation of Master's Degree. 2009.
  34. Hur JG, Song JC, Roh YM et al. Effect on active exercise programs in employees with chronic low back pain. Korean J Occup Environ Med. 2005;17(1):44-57.
  35. Kim HS. The effect of back pain relieve exercise program on the pain and depression of the elderly with chronic low back pain. Gyeongsang University. Dissertation of Master's Degree. 2000.
  36. Mailloux J, Finno M, Rainville J. Long-term exercise adherence in the elderly with chronic low back pain. Am J Phys Med Rehabil. 2006;85(2):120-6. https://doi.org/10.1097/01.phm.0000197580.64079.3d
  37. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):86-92.
  38. Mahar RK, Kirby RL, MacLeod DA. Simulated leg length discrepancy: its effect on mean center-of-pressure position and postural sway. Arch Phys Med Rehabil. 1985;66(12): 822-4.
  39. Jo SK, Lee JP, Oh JK et al. The effect of 12 weeks strengthening and stretching combined exercise for balancing ability in elderly women. Journal of Korean Physical Education Association for Women. 2006;20(1):53-64.