Journal of Korea Entertainment Industry Association (한국엔터테인먼트산업학회논문지)

The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
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Effect of Swiss Ball Exercise Combined with Taping on Pain, Disability, and Quality of Life in Women with Pregnancy-Related Low Back Pain

테이핑과 병행한 스위스볼 운동이 임신성 요통 환자의 통증과 기능장애 및 삶의 질에 미치는 효과

  • Jung, Kyoung-Sim (Department of Physical Therapy, Gimcheon University) ;
  • In, Tae-Sung (Department of Physical Therapy, Gimcheon University)
  • 정경심 (김천대학교 물리치료학과) ;
  • 인태성 (김천대학교 물리치료학과)
  • Received : 2020.07.22
  • Accepted : 2020.08.27
  • Published : 2020.08.31
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Abstract

The purpose of this study was to determine whether swiss ball exercise combined with taping would improve low back pain, disability and quality of life in women with pregnancy-related Low Back Pain (PR-LBP). Sixteen patients with PR-LBP were recruited and were randomly divided into two groups: taping and swiss ball exercise group (n=8) and taping and stretching group (n=8). The taping and swiss ball exercise group was treated with swiss ball exercise with kinesio taping, while the taping and stretching group received only taping. The taping and swiss ball exercise group performed swiss ball exercise for 30 minutes a day, 5 times a week for 4weeks, while the taping and stretching group conducted stretching exercise for the same amount of time. VAS was used to assess pain level of low back. Disability was measured using a Roland Morris Disability Questionnaire(RMDQ). Quality of life were measured by SF-36. The pain intensity of low back in the taping and swiss ball exercise group improved significantly greater than the taping and stretching group (p<0.05). Significant improvement in the disability was observed in the taping and swiss ball exercise group compared to the taping and stretching group (p<0.05). The SF 36 in the taping and swiss ball exercise group improved significantly greater than the taping and stretching group (p<0.05). Our findings indicate that swiss ball exercise combined with taping is beneficial and effective to improve low back health and quality of life in women with PR-LBP.

본 연구는 4주간 테이핑을 병행한 스위스 볼 운동이 임신성 요통환자의 통증과 기능장애 및 삶의 질에 미치는 효과를 규명하기 위하여 실시되었다. 단일 맹검 및 사전 무작위 임상시험으로 진행되었으며, 16명의 임신성 요통 환자는 무작위로 테이핑과 스위스 볼 운동군(n=8)과 테이핑과 신장 운동군(n=8)으로 배정되었다. 모든 대상자는 허리에 테이핑을 적용하였다. 추가적으로 테이핑과 스위스 볼 운동군은 스위스 볼 운동을 하루 30분, 주 5회, 4주간 시행하였고 테이핑과 신장 운동군은 같은 시간동안 스트레칭 운동을 적용하였다. 통증은 시각사상척도(VAS)를 사용하여 측정하였고, 기능장애는 Roland Morris Disability Questionnaire (RMDQ), 삶의 질은 Short-Form 36 items (SF-36)을 사용하였다. 훈련 후 테이핑과 스위스 볼 운동군이 테이핑과 신장 운동군에 비해 통증과 기능장애, 삶의 질이 유의하게 개선되었다(p<.05). 본 연구는 테이핑을 병행한 스위스 볼운동이 임산부의 요통과 기능장애 및 삶의 질을 효과적으로 향상시킴을 증명하였다.

Keywords

Acknowledgement

본 논문은 2017년(2017R1C1B507659714) 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 생애 첫 연구 사업임.

References

  1. Forrester, M. Low back pain in pregnancy. (2003). Acupuncture in Medicine, 21(1-2): 36-41. https://doi.org/10.1136/aim.21.1-2.36
  2. Vermani, E., Mittal, R., & Weeks, A.(2010). Pelvic girdle pain and low back pain in pregnancy: A review. Pain Practice, 10(1): 60-71. https://doi.org/10.1111/j.1533-2500.2009.00327.x
  3. Liddle, SD., & Pennick, V.(2015). Interventions for preventing and treating low-back and pelvic pain during pregnancy. The Cochrane Database of Systematic Reviews, 9:CD001139.
  4. Bishop, A., Holden, M.A., Ogollah, R.O., & Foster, N,E.,:EASE Back Study Team.(2016). Current management of pregnancy-related low back pain. A national cross-sectional survey of UK physiotherapists. Physiotherapy, 102(1): 78-85. https://doi.org/10.1016/j.physio.2015.02.003
  5. Wang, S.M., Dezinno, P., Maranets, I., Berman, M.R., Caldwell-Andrews, A.A., & Kain, Z.N. (2004). Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstetrics and Gynecology, 104(1): 65-70. https://doi.org/10.1097/01.AOG.0000129403.54061.0e
  6. Ho, S.S.M., Yu, W.W.M., Lao, T.T., Chow, D.H.K., Chung, J.W.Y., & Li, Y.(2009). Effectiveness of maternity support belts in reducing low back pain during pregnancy:a review. Journal of Clinical Nursing, 18(11): 1523-1532. https://doi.org/10.1111/j.1365-2702.2008.02749.x
  7. Mota, M.J., Cardoso, M., Carvalho, A., Marques, A., Sa-Couto, P., & Demain, S. (2015). Women's experiences of low back pain during pregnancy. Journal of Back and Musculoskeletal Rehabilitation, 28(2): 351-357 https://doi.org/10.3233/bmr-140527
  8. Prosser, R., Hancock, M.J., Nicholson, L.L., Harvey, L.A., LaStayo, P., Hargreaves I., & Herbert, R.(2012). Prognosis and prognostic factors for patients with persistent wrist pain who proceed to wrist arthroscopy. Journal of Hand Therapy, 25(3): 264-270. https://doi.org/10.1016/j.jht.2012.03.001
  9. Mostafavifar, M., Wertz, J., & Borchers, J. (2012). A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. The Physician and Sportsmedicine, 40(4): 33-40. https://doi.org/10.3810/psm.2012.11.1986
  10. Williams, S., Whatman, C., Hume, P.A., & Sheerin, K.(2012). Kinesio taping in treatment and prevention of sports injuries. A meta-analysis of the evidence for its effectiveness. Sports Medicine, 42(2): 153-164. https://doi.org/10.2165/11594960-000000000-00000
  11. Kachanathu, S.J., Alenazi, A.M., Sief, H.E., Hafez, A.R., & Alroumim, M.A.(2014). Comparison between kinesio taping and a traditional physical therapy program in treatment of nonspecific low back pain. Journal of Physical Therapy Science, 26(8): 1185-1188. https://doi.org/10.1589/jpts.26.1185
  12. 노용구, 안근희, 윤영선(2019). 건강한 삶을 위한 중년여성의 일상움직임과 신체조성의 관계. 한국엔터테인먼트협회논문지, 13(8): 401-409.
  13. 이민선, 백일영, 곽이섭, 노희태, 진화은(2010). Kinesio taping이 근력, 혈중 피로물질 및 근손상 물질 농도변화에 미치는 영향. 생명과학회지, 20(6): 870-876. https://doi.org/10.5352/JLS.2010.20.6.870
  14. Kalinowski, P., & Krawulska. A.(2017). Kinesio Taping vs. Placebo in Reducing Pregnancy-Related Low Back Pain: A Cross-Over Study. Medical Science Monitor, 26(23): 6114-6120. https://doi.org/10.12659/MSM.904766
  15. Kaplan, S., Alpayci, M., Karaman, E., Cetin, O., Ozkan, Y., Ilter, S., Sah, V., & Sahin, H.G.(2016). Short-Term Effects of Kinesio Taping in Women With Pregnancy-Related Low Back Pain: A Randomized Controlled Clinical Trial, Medine Science Monitor, 18(22): 1297-1301.
  16. Nelson, N.L.(2016). Kinesio taping for chronic low back pain: A systematic review. Journal of Bodywork and Movement Therapies, 20(3): 672-681. https://doi.org/10.1016/j.jbmt.2016.04.018
  17. Menta, R., Randhawa, K., Cote, P. et al.(2015). The Effectiveness of Exercise for the Management of Musculoskeletal Disorders and Injuries of the Elbow, Forearm, Wrist, and Hand: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Journal of Manipulative and Physiological Therapeutics, 38(7): 507-520. https://doi.org/10.1016/j.jmpt.2015.06.002
  18. Juhl, M. Andersen, P.K., Olsen, J., Madsen, M., Jorgensen, T., Nohr, E.A., & Andersen, A.M. (2008). Physical exercise during pregnancy and the risk of preterm birth:a study within the Danish National Birth Cohort. American Journal of Epidemiology, 1;167(7): 859-866. https://doi.org/10.1093/aje/kwm364
  19. Petrofsky, J.S. Batt, J., Brown, J., Stacey, L., Bartelink, T., & Moine, M.L.(2008). Improving the outcomes after back injury by a core muscle strengthening program. Journal of Applied Research, 8(1): 62-75.
  20. Yan, C.F., Hung, Y,C., Gau, M.L., & Lin K.C. (2014). Effects of a stability ball exercise programme on low back pain and daily life interference during pregnancy. Midwifery, 30(4): 412-419. https://doi.org/10.1016/j.midw.2013.04.011
  21. Marshall, P.W.M., & Murphy, B.A.(2006). Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a swiss ball: a pilot study. Journal of Manipulative and Physiological Therapeutics, 29(7); 550-560. https://doi.org/10.1016/j.jmpt.2006.06.025
  22. Sindhu, B.S. Shechtman, O. & Tuckey L. (2011). Validity, reliability, and responsiveness of a digital version of the visual analog scale. Journal of Hand Therapy, 24(4): 356-363. https://doi.org/10.1016/j.jht.2011.06.003
  23. Lee, J.S. Lee, H.L. Suh, K.T. Kim, J.I. Lim, J.M. & Goh, T.S.(2011). Validation of the korean version of the Roland-Morris Disability Questionnaire. European Spine Journal, 20(12): 2115-2119. https://doi.org/10.1007/s00586-011-1788-4
  24. Brazier, J.E., Harper, R., Jones, N.M., O'Cathain, A., Thoma, K.J., Usherwood, T., & Westlake, L.(1992). Validating the SF-36 health survey queationnaire: new outcome measure for primary care. The British Medical Journal, 305(6846): 160-164. https://doi.org/10.1136/bmj.305.6846.160
  25. Halseth, T., McChesney, J.W., DeBeliso, M., Vaughn, R., & Lien, J.(2004). The effects of kinesio taping on proprioception of the ankle. Journal of Sports Science and Medicine, 3(1): 1-7.
  26. Kluge, J., Hall, D., Louw, Q., Theron, G., & Grove, D.(2011). Specific exercises to treat pregnancy-related low back pain in a South African population. International Journal of Gynaecology & Obstetrics, 113(3): 187-191. https://doi.org/10.1016/j.ijgo.2010.10.030
  27. Perez, P. Birth Balls: Use of Physical Therapy Balls in Maternity Care.(2000). Cutting Edge Press, Johnson.
  28. Watkins, S.S.(2001). Getontheball-the 'birth ball'that is!. International Journal of Childbirth Education1, 6: 17-19.
  29. Marshall, P.W.M., & Murphy, B.A.(2005). Core stability exercise on and off a swiss ball. Arch Phys Med Rehabil, 86(2): 242-249. https://doi.org/10.1016/j.apmr.2004.05.004
  30. Timmann, D., & Horak, F.B.(2011). Perturbed step initiation in cerebellar subjects: 2. Modification of anticipatory postural adjustments. Exp Brain Res, 141(1): 110-120. https://doi.org/10.1007/s002210100858
  31. 이경훈, 김주영, 유재현(2012). 게임바이크를 이용한 가상현실 운동프로그램 적용이 지적 장애인의 건강관련체력과 정신건강에 미치는 영향-탐색연구. 한국엔터테인먼트산업학회논문지, 14(2): 119-129.
  32. Montoya Arizabaleta, A.V., Orozco Buitrago, L., Aguilar de Plata, A.C., Mosquera, Escudero, M., & Ramirez-Velez, R.(2010). Aerobic exercise during pregnancy improves health related quality of life: a randomised trial. Journal of Physiotherapy(Australian Physio therapy Association), 56(4): 253-258. https://doi.org/10.1016/S1836-9553(10)70008-4
  33. Ostgaard, H., Zetherman, G., Roos Hansson, E., & Svanberg B.(1994). Reduction of back and posterior pelvic pain in pregnancy. Spine, 15;19(8): 894-900. https://doi.org/10.1097/00007632-199404150-00005
  34. Downs, D.S., & Hausenblas, H.A.(2007). Pregnant women's third trimester exercise behaviors, body mass index, and pregnancy outcomes. Psychology&Health, 22(5): 545-559.
  35. American College of Obstetricians and Gynecologists.(2002). ACOG committee opinion number 267: exercise during pregnancy and the postpartum period. Obstetrics and Gynecology, 99: 171-173. https://doi.org/10.1016/S0029-7844(01)01749-5
  36. Chang, H.Y.(2011). Low Back Pain Intensity and Interference and Related Factors in the Third Trimester Pregnant Women: A Longitudinal Study (Unpublished doctoral dissertation), National Taiwan University, School of Nursing, College of Medicine.
  37. Albright, C.L., Maddock, J.E., & Nigg C.R. (2005). Physical activity before pregnancy and following childbirth in a multiethnic sample of healthy women in Hawaii. Women&Health, 42(3): 95-110. https://doi.org/10.1300/J013v42n03_06