DOI QR코드

DOI QR Code

Effects of trunk Muscles Endurance, Hip Joint Muscular Strength, and Pelvic Alignment on Mild Low Back Pain

  • Kim, Wondeuk (Department of physical therapy, graduate school of Kyungnam University) ;
  • Seo, Miryea (Department of physical therapy, College of health sciences, Kyungnam University) ;
  • Park, Dongchun (Department of physical therapy, graduate school of Kyungnam University) ;
  • Shin, Doochul (Department of physical therapy, College of health sciences, Kyungnam University)
  • 투고 : 2021.05.11
  • 심사 : 2021.06.02
  • 발행 : 2021.06.30

초록

Objective: Low back pain easily becomes chronic and has a high recurrence rate. Therefore, it is most important to prevent chronicity and reduce the risk of recurrence in the early stages of back pain or at the stage with mild pain. Therefore, this study was conducted to compare hip joint muscle strength, trunk muscle endurance, and pelvic alignment between subjects with mild low back pain and subjects without back pain. Design: Crossed-sectional study Methods: The study was conducted by recruiting 30 students in their twenties who are enrolled in K University in Gyeongsangnam-do, and classifying them into 15 patients with mild back pain and 15 patients with normal. The subjects who participated in the experiment were measured for hip flexor and extensor muscle strength, trunk flexion and extension muscle endurance, and pelvic alignment. To measure hip joint muscle strength, biodex was used, and muscle endurance of the trunk was recorded at the end range of the trunk flexion and extension. And pelvic alignment was measured using Formetric 4D. Results: There were no significant differences in hip joint muscle strength, pelvic alignment, and trunk extension muscle endurance. The retention time was found to be significantly shorter in the mild low back pain group than in the normal group for trunk flexion muscle endurance. Conclusions: In the early stages of back pain or in the mild pain stage, training to increase muscle endurance of the flexor muscles may be helpful.

키워드

참고문헌

  1. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389:736-47. https://doi.org/10.1016/S0140-6736(16)30970-9
  2. Bardin LD, King P, Maher CG. Diagnostic triage for low back pain: a practical approach for primary care. Med J Aust. 2017;206:268-73. https://doi.org/10.5694/mja16.00828
  3. Von Korff M, Barlow W, Cherkin D, Deyo RA. Effects of practice style in managing back pain. Ann Intern Med. 1994;121:187-95. https://doi.org/10.7326/0003-4819-121-3-199408010-00005
  4. Bergquist-Ullman M, Larsson U. Acute low back pain in industry: a controlled prospective study with special reference to therapy and confounding factors. Acta Orthopaedica. 1977;48:1-117. https://doi.org/10.3109/ort.1977.48.suppl-170.01
  5. Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low back pain. J Orthop Sports Phys Ther. 2012;42:A1-57.
  6. Furtado RN, Ribeiro LH, Abdo Bde A, Descio FJ, Martucci CE, Jr., Serruya DC. Nonspecific low back pain in young adults: associated risk factors. Rev Bras Reumatol. 2014;54:371-7. https://doi.org/10.1016/j.rbr.2014.03.018
  7. Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018;18:1715-21. https://doi.org/10.1016/j.spinee.2018.05.018
  8. Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low back pain. J Orthop Sports Phys Ther. 2012;42:A1-57.
  9. Goubert D, Oosterwijck JV, Meeus M, Danneels L. Structural Changes of Lumbar Muscles in Non-specific Low Back Pain: A Systematic Review. Pain physician. 2016;19:E985-E1000.
  10. Kato S, Murakami H, Demura S, Yoshioka K, Shinmura K, Yokogawa N, et al. Abdominal trunk muscle weakness and its association with chronic low back pain and risk of falling in older women. BMC Musculoskelet Disord. 2019;20:273. https://doi.org/10.1186/s12891-019-2655-4
  11. Alsufiany MB, Lohman EB, Daher NS, Gang GR, Shallan AI, Jaber HM. Non-specific chronic low back pain and physical activity: A comparison of postural control and hip muscle isometric strength: A cross-sectional study. Medicine (Baltimore). 2020;99:e18544. https://doi.org/10.1097/MD.0000000000018544
  12. Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J. 2016;25:1258-65. https://doi.org/10.1007/s00586-015-4027-6
  13. Al-Eisa E, Egan D, Deluzio K, Wassersug R. Effects of pelvic asymmetry and low back pain on trunk kinematics during sitting: a comparison with standing. Spine. 2006;31:E135-43. https://doi.org/10.1097/01.brs.0000201325.89493.5f
  14. Falk Brekke A, Overgaard S, Hrobjartsson A, Holsgaard-Larsen A. Non-surgical interventions for excessive anterior pelvic tilt in symptomatic and non-symptomatic adults: a systematic review. EFORT Open Rev. 2020;5:37-45. https://doi.org/10.1302/2058-5241.5.190017
  15. Pierannunzii L. Pelvic posture and kinematics in femoroacetabular impingement: a systematic review. J Orthop Traumatol. 2017;18:187-96. https://doi.org/10.1007/s10195-016-0439-2
  16. Krol A, Polak M, Szczygiel E, Wojcik P, Gleb K. Relationship between mechanical factors and pelvic tilt in adults with and without low back pain. J Back Musculoskelet Rehabil. 2017;30:699-705. https://doi.org/10.3233/BMR-140177
  17. Jandre Reis FJ, Macedo AR. Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending. Asian Spine J. 2015;9:535-40. https://doi.org/10.4184/asj.2015.9.4.535
  18. de Sousa CS, de Jesus FLA, Machado MB, Ferreira G, Ayres IGT, de Aquino LM, et al. Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis. J Musculoskelet Neuronal Interact. 2019;19:69-78.
  19. Laird RA, Gilbert J, Kent P, Keating JL. Comparing lumbo-pelvic kinematics in people with and without back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2014;15:229. https://doi.org/10.1186/1471-2474-15-229
  20. ShahAli S, Shanbehzadeh S, Ebrahimi Takamjani I. Application of Ultrasonography in the Assessment of Abdominal and Lumbar Trunk Muscle Activity in Participants With and Without Low Back Pain: A Systematic Review. J Manipulative Physiol Ther. 2019;42:541-50. https://doi.org/10.1016/j.jmpt.2019.05.003