Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
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Effect of Lumbar Stabilization and Isometric Lumbar Strengthening Exercises on Lumbar Strength and Extension Range in Healthy Young Adults

등척성 요부 근력강화 운동과 요부 안정화운동이 요부 근력과 신전 범위에 미치는 영향

  • Kim, Inseob (Dept. of Physical Therapy, Daejeon Health Science College) ;
  • Kim, Changyong (Dept. of Health Science, The Graduate School, Korea University)
  • 김인섭 (대전보건대학교 물리치료과) ;
  • 김창용 (고려대학교 일반대학원 보건과학과)
  • Received : 2014.09.03
  • Accepted : 2014.09.30
  • Published : 2014.09.30
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Abstract

Purpose : The purpose of this study was to identify the effect of lumbar stabilization exercise (LSE) and isometric lumbar strengthening exercise (ILSE) on lumbar strength and lumbar extension range in healthy young adults. Method : Ten healthy young adults (six males and four females) volunteered to carry out the LSE and ILSE program for two weeks. The subjects were randomly allocated to two groups: the LSE group (n=5) and the LSE plus ILSE group (n=5). The LSE consisted of 20 minutes of exercise related to lumbar stabilization, and the ILSE was composed of five minutes of isometric stabilization exercise with a specific device. Each group exercised three times per week for two weeks. Assessment tools were made using the subjects' isometric lumbar strength and lumbar extension range before and after the interventions. Results : Statistical analysis revealed significant differences in isometric lumbar strength and the lumbar extension range between before and after the interventions in each group (p<.05). Also, the lumbar extension range improved significantly in the LSE plus ILSE group compared to the LSE group; however, there was no statistically significant difference in the two groups' isometric lumbar strength (p>.05). Conclusion : The findings suggest that ILSE might be feasible in clinical settings by offering benefits for lumbar function. Future studies will be continued.

Keywords

References

  1. 김명화, 최희남, 유재헌 등(2000). 8주간 등장성요부신전 운동 프로그램이 만성요통환자의 요부근력과 주관적 통증정도에 미치는 영향. 운동과학회지, 9(1), 101-113.
  2. 김병곤, 서현규, 정연우(2004). 슬링운동이 요부안정화와 근력에 미치는 영향. 대한물리치료학회지, 16(4), 603-612.
  3. 김선엽, 권재확(2001). 슬링 시스템을 이용한 요부 안정화운동. 대한정형물리치료학회지. 7(2), 23-39.
  4. 김선엽, 김명준, 김택연 등(2008). 최신 근에너지 기법. 제3판, 서울, 군자출판사, 14-15.
  5. 김선엽(1998). 요통의 요골반부 안정화 접근법. 대한정형물리치료사학회지, 4(1), 7-20.
  6. 김선엽(2000). Advanced OMT. ACB course book, 서울, 대한정형물리치료학회.
  7. 김종순, 주무열, 배성수(2001). 동적 요부 안정화 운동 치료법이 요통 환자에 미치는 영향. 대한물리치료학회지, 13(3), 495-507.
  8. 박미애, 이석민, 송창호(2005). 요부안정화운동이 요통환자에게 미치는 영향. 한국스포츠리서치지, 16(6), 329-340.
  9. 석세일(1970). 척추측방 만곡에서의 Milwaukee brace의 사용. 대한정형외과학회지, 5(2), 43-47.
  10. 윤은희(2003). 요통환자의 관절가동범위와 통증에 미치는 요추 안정화(lumbar stabilization) 운동과 요추 신전 (McKenzie) 운동의 효과 비교. 단국대학교 특수교육대학원, 석사학위 논문.
  11. 이숙희, 김종희(1999). 초등학교 5, 6학년을 대상으로 한 척추측만증 실태조사. 한국학교보건학회지, 12(1), 143-148.
  12. 이원재(2005). 6주간의 Sling운동과 Medx운동이 만성요통 환자의 요부근력 안정화에 미치는 영향. 한국체육학회지, 44(5), 485-492.
  13. 장수경, 강순희, 엄기매 등(2006). 근골격계의 평가: 근력 및 관절운동범위검사. 제 2판, 서울, 영문출판사.
  14. Axelgaard J, Nordwall A, Brown JC(1983). Correction of spinal curvatures by transcutaneous electrical muscle stimulation. Spine, 8(5), 463-481. https://doi.org/10.1097/00007632-198307000-00004
  15. Bergmark A(1989). Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl, 60(230), 1-54.
  16. Blood SD(1980). Treatment of the sprained ankle. J Am Osteopath Assoc, 79(11), 680-692.
  17. Cailliet R(1984). Understand your backache: A guide to prevention, treatment, and relief. Philadelphia, F.A. Davis Co.
  18. Chok B, Lee R, Latimer J et al(1999). Endurance training of the trunk extensor muscles in people with subacute low back pain. Phys Ther, 79(11), 1032-1042.
  19. Danneels LA, Vanderstraeten GG, Cambier DC et al(2001). Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain. Br J Sports Med, 35(3), 186-191. https://doi.org/10.1136/bjsm.35.3.186
  20. Erwin GG, Richard SM(1997). The nonsurgical management of acute low back pain: cutting through the AHCPR guidelines. 1st ed, New York, Demos Vermande.
  21. Graves JE, Pollock ML, Carpenter DM et al(1990). Quantitative assessment of full range-of-motion isometric lumbar extension strength. Spine, 15(4), 289-294. https://doi.org/10.1097/00007632-199004000-00008
  22. Graves JE, Pollock ML, Jones AE et al(1989). Specificity of limited range of motion variable resistance training. Med Sci Sports Exerc, 21(1), 84-89. https://doi.org/10.1249/00005768-198902000-00015
  23. Jones A, Pollock M, Graves J et al(1988). The lumbar spine. Santa Barbara, Sequoia Communications, 62-68.
  24. Kisner C, colby LA(2002). Therapeutic exercise. Foundations and techniques. 4th ed, Philadelphia, FA. Davis Co.
  25. Lenehan KL, Fryer G, McLaughlin P(2003). The effect of muscle energy technique on gross trunk range of motion. J Osteopath Assoc, 6(1), 13-18. https://doi.org/10.1016/S1443-8461(03)80004-7
  26. Lewis C, Barrett J, Lopez W, et al(2006). ATM Pilot Study. JMMT, 14(3), 178.
  27. Long DM, BenDebba M, Torgerson WS et al(1996). Persistent back pain and sciatica in the United States: Patient characteristics. J Spinal Disord, 9(1), 40-58.
  28. Mitchell FL, Mitchell PK(1995). The muscle energy manual. vol 1, Michigan, MET Press.
  29. Moran K(2002). The immediate effect of a single exercise session using the Pelvic Restrainer(R) on lumbar symptoms in chronic lumbo-pelvic pain subjects. Dublin, Dublin City University.
  30. Nelson BW, O'Reilly E, Miller M et al(1995). The clinical effects of intensive, specific exercise on chronic low back pain: a controlled study of 895 consecutive patients with 1-year follow up. Orthopedics, 18(10), 971-981.
  31. O'Sullivan PB, Twomey LT, Allison GT(1997). Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine, 22(24), 2959-2967. https://doi.org/10.1097/00007632-199712150-00020
  32. Panjabi MM(1992). The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord, 5(4), 383-389. https://doi.org/10.1097/00002517-199212000-00001
  33. Rosen JC, Johnson C, Frymoyer JW(1983). Identification of excessive back disability with the Faschingbauer Abbreviated MMPI. J Clin Psychol, 39(1), 71-74. https://doi.org/10.1002/1097-4679(198301)39:1<71::AID-JCLP2270390113>3.0.CO;2-W
  34. Schenk RJ, MacDiarmid A, Rousselle J(1997). The effects of muscle energy technique on lumbar range of motion. J Manual Manipulative Ther, 5(4), 179-183. https://doi.org/10.1179/jmt.1997.5.4.179
  35. Skovron ML, Mulvihill MN, Sterling RC(1987). Work organization and low back pain in nursing per sonnel. Ergonomics, 30(2), 359-366. https://doi.org/10.1080/00140138708969719
  36. Souza GM, Baker LL, Powers CM(2001). Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises. Arch Phys Med Rehabil, 82(11), 1551-1557. https://doi.org/10.1053/apmr.2001.26082
  37. Sung PS(2003). Multifidi muscles median frequency before and after spinal stabilization exercises. Arch Phys Med Rehabil, 84(9), 1313-1318. https://doi.org/10.1016/S0003-9993(03)00139-4
  38. Vad VB, Gebeh A, Dines D et al(2003). Hip and shoulder internal rotation range of motion deficits in professional tennis players. J Sci Med Sport, 6(1), 71-75.
  39. Wilk KE, Andrews JR, Arrigo CA et al(1993). The strength characteristics of internal and external rotator muscles in professional baseball pitchers. Am J Sports Med, 21(1), 61-66. https://doi.org/10.1177/036354659302100111