Physical Therapy Rehabilitation Science

  • 제11권3호
  • /
  • Pages.370-375
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  • 2022
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Comparison of Hip Joint Strength between Young Woman Patient with Chronic Low Back Pain with Lumbar Instability and Normal Subjects

  • 투고 : 2022.09.24
  • 심사 : 2022.09.28
  • 발행 : 2022.09.30
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초록

Objective: The purpose of this study was to compare the hip joint muscle strength of patients with chronic back pain with lumbar instability and normal subjects. Design: A case control study. Methods: Five types of lumbar instability test were conducted on forty young women with chronic low back pain for more than six months, and those who had 3 or more positive tests were selected as subjects. To select chronic back pain patients with lumbar instability group, aberrant movement patterns during lumbar flexion test (FMT), prone instability test (PIT), posterior-anterior mobility test (PAT), passive lumbar extension test (PLE), and pressure bio-feedback (PBF) were applied. In addition, a digital muscle strength meter was used to measure the hip flexor, extensor, adductor, and abductor muscles of chronic low back pain patients with lumbar instability group (n=20) and normal subject group (n=20). Results: As a result of comparing the hip joint muscle strength between the chronic back pain patient group with lumbar instability and the normal group, there were significant differences in the hip extensor, abductor, and adductor muscles (p<0.05). Conclusions: Patients of chronic back pain with lumbar instability were found to have weak hip joint muscle strength. Therefore, this study suggest that include hip joint strength exercise for functional recovery of chronic back pain patients.

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과제정보

이 논문은 2021년도 중부대학교 학술연구비 지원에 의하여 이루어진 것임

참고문헌

  1. Vanti C, Andreatta S, Borghi S, Guccione AA, Pillastrini P, Bertozzi L. The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials. Disabil Rehabil. 2019;41(6):622-632. https://doi.org/10.1080/09638288.2017.1410730
  2. Gedin F, Skeppholm M, Burstrom K, Sparring V, Tessma M, Zethraeus N. Effectiveness, costs and cost-effectiveness of chiropractic care and physiotherapy compared with information and advice in the treatment of non-specific chronic low back pain: study protocol for a randomised controlled trial. Trials. 2017;18(1):613. https://doi.org/10.1186/s13063-017-2351-3
  3. Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. https://doi.org/10.3233/BMR-210097
  4. Inman VT. Functional aspects of the abductor muscles of the hip. J Bone Joint Surg Am 1947;29(3):607-19.
  5. Akaki S Ms Pt, Kaneoka K PhD Md, Okubo Y PhD Pt, Otsuka S Ms, Tatsumura M PhD Md, Shiina I PhD Md, Miyakawa S PhD Md. Analysis of muscle activity during active pelvic tilting in sagittal plane. Phys Ther Res. 2016;19(1):50-57. https://doi.org/10.1298/ptr.E9900
  6. Govil K, Noohu MM. Effect of EMG biofeedback training of gluteus maximus muscle on gait parameters in incomplete spinal cord injury. NeuroRehabilitation. 2013;33(1):147-52. https://doi.org/10.3233/NRE-130939
  7. Kendall KD, Schmidt C, Ferber R. The relationship between hip-abductor strength and the magnitude of pelvic drop in patients with low back pain. J Sport Rehabil. 2010;19(4):422-35. https://doi.org/10.1123/jsr.19.4.422
  8. Dubey L, Karthikbabu S, Mohan D. Effects of Pelvic Stability Training on Movement Control, Hip Muscles Strength, Walking Speed and Daily Activities after Stroke: A Randomized Controlled Trial. Ann Neurosci. 2018;25(2):80-89. https://doi.org/10.1159/000486273
  9. Jimenez-Del-Barrio S, Mingo-Gomez MT, Estebanezde-Miguel E, Saiz-Cantero E, Del-Salvador-Miguelez AI, Ceballos-Laita L. Adaptations in pelvis, hip and knee kinematics during gait and muscle extensibility in low back pain patients: A cross-sectional study. J Back Musculoskelet Rehabil. 2020;33(1):49-56. https://doi.org/10.3233/BMR-191528
  10. Beattie P. Current understanding of lumbar inter- vertebral disc degeneration: A review with emphasis upon etiology, pathophysiology, and lumbar magnetic resonance imaging findings. J Orthop Sports Phys Ther. 2008;38(6):329-40. https://doi.org/10.2519/jospt.2008.2768
  11. Solana-Tramunt M. Ortegoon A, Morales J, et al. Diagnostic accuracy of lumbopelvic motor control tests using pressure biofeedback unit in professional swimmers: A cross-sectional study. J Orthop. 2019;16(6):590-5. https://doi.org/10.1016/j.jor.2019.06.002
  12. Wiltse L, Rothman L. Spondylolisthesis: Classification, diagnosis and natural history. Semin Spine Surg. 1989;1(1):78.
  13. Kasai Y, Morishita K, Kawakita E, Kondo T, Uchida A. A new evaluation method for lumbar spinal instability: passive lumbar extension test. Phys Ther. 2006;86(12):1661-7. https://doi.org/10.2522/ptj.20050281
  14. Koh E, Park K, Jung D. Effect of feedback techniques for lower back pain on gluteus maximus and oblique abdominal muscle activity and angle of pelvic rotation during the clam exercise. Phys Ther Sport. 2016;22:6-10. https://doi.org/10.1016/j.ptsp.2016.04.004
  15. Thorborg K, Bandholm T, Holmich P. Hip- and knee-strength assessments using a hand-held dynamometer with external belt-fixation are inter-tester reliable. Knee Surg Sports Traumatol Arthrosc. 2013;21(3):550-5. https://doi.org/10.1007/s00167-012-2115-2
  16. Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to astabilization exercise program. Arch Phys Med Rehabil. 2005;86(9):1753-62. https://doi.org/10.1016/j.apmr.2005.03.033
  17. Sadeghisani M, Manshadi FD, Kalantari KK, Rahimi A, Namnik N, Karimi MT, Oskouei AE. Correlation between Hip Rotation Range-of-Motion Impairment and Low Back Pain. A Literature Review. Ortop Traumatol Rehabil. 2015;17(5):455-62. https://doi.org/10.5604/15093492.1186813
  18. de Sousa CS, de Jesus FLA, Machado MB, Ferreira G, Ayres IGT, de Aquino LM, Fukuda TY, Gomes-Neto M. Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis. J Musculoskelet Neuronal Interact. 2019;19(1):69-78.
  19. Leinonen V, Kankaanpaa M, Airaksinen O, Hanninen O. Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation. Arch Phys Med Rehabil. 2000;81(1):32-7. https://doi.org/10.1016/S0003-9993(00)90218-1
  20. Cohen MJ, Swanson GA, Naliboff BD, Schandler SL, McArthur DL. Comparison of electromyographic response patterns during posture and stress tasks in chronic low back pain patterns and control. J Psychosom Res. 1986;30(2):135-41. https://doi.org/10.1016/0022-3999(86)90042-5
  21. Kankaanpaa M, Taimela S, Laaksonen D, Hanninen O, Airaksinen O. Back and hip extensor fatigability in chronic low back pain patients and controls. Arch Phys Med Rehabil. 1998;79(4):412-7. https://doi.org/10.1016/S0003-9993(98)90142-3
  22. Arab AM, Nourbakhsh MR. The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain. Chiropr Osteopat. 2010;18:1. https://doi.org/10.1186/1746-1340-18-1
  23. Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, Sluka KA. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J. 2016;25(4):1258-65. https://doi.org/10.1007/s00586-015-4027-6