DOI QR코드

DOI QR Code

The Effect of Pilates Exercise for Lumbar Stabilization focused on Body Shape Improvement and Pain Relief of Senior Women with Chronic Back Pain

요부안정화 중심의 필라테스 운동이 만성요통을 가진 여성노인의 체형 및 통증에 미치는 영향

  • Boon-Hong Yeon (School of Sports, Soongsil University) ;
  • Eul-Seob An (Department of Sports Training, Daelim University college)
  • 연분홍 (숭실대학교 스포츠학부) ;
  • 안을섭 (대림대학교 스포츠지도과)
  • Received : 2023.01.31
  • Accepted : 2023.02.27
  • Published : 2023.02.28

Abstract

The purpose of this study is to figure out the effect of 12 weeks pilates program for body shape improvement and lumbar stabilization of senior women with chronic back pain and to provide data for developing excercise program which is appropriate for senior women to make aging delayed and to have more physical activity domain by inquiring into their pain reducing. The subjects of this study were 16 senior women with chronic back pain which were classified into two group with experimental group(n=8) and control group(n=8) by applying simple random sampling after conducting Visual Analogue Scale(VAS). Their motion range of pain was from 3 centimeters to 5 centimeters. Pilates excercise for lumbar stabilization in this study was originated the previous literature of Lee et al(2011) and the excercise was modified in the form of pilates. The program in the study was performed under the guidance of a professional pilates trainer. The results are as follows. Firstly, the experimental group showed positive improvement in making vertebra slope but the control group showed pain increased. Secondly, the lumbar pain decreased in the experimental group but it increased in the control group. As a result, the pilates program for lumbar stabilization can be considered as a program for pain relief and body shape improvement of senior women with chronic back pain.

본 연구에서는 만성요통을 가진 여성노인의 체형 및 요부안정화를 위해 12주간 필라테스 운동 프로그램을 적용한 후 체형에 미치는 영향을 알아보고, 통증의 변화를 규명함으로써 노화를 늦추고 신체활동 영역을 높일 수 있는 노인에게 적합한 운동 프로그램 개발에 필요한 자료를 제공하고자 하였다. 이에 3~5cm 중증도 통증범위의 만성요통을 가진 16명여성노인을 대상으로 주관적 통증척도지를 통해 실험집단 8명, 통제집단 8명을 단순무선표집(Simple Random Sampling)으로 선정하였다. 요부안정화 필라테스 운동 프로그램은 주 2회씩 총 12주간 50~60분간 실시하였으며, 1세트 종료 시 1분 휴식을 주는 방식으로 실시하였다. 그 결과 첫째, 체형 및 통증에서는 경추 기울기에서 요부안정화 운동그룹의 경우 운동 전에 비해 감소하였으나 통제집단은 증가하였다. 둘째, 요부 통증의 결과 운동집단의 경우 운동에 비해 감소하였으나 통제집단은 증가하였다. 결론적으로 요부안정화 필라테스 운동은 만성요통을 가진 여성노인에게 있어서 통증을 감소시킬 수 있는 프로그램으로 적용될 수 있으며, 체형을 개선시키는데 도움을 줄 수 있는 것으로 확인되었다.

Keywords

References

  1. D. I. Seo, Y. R. Han, I. H. Kim, H. O. Oh, S. T. Park, W. Y. So, "The Effect of 8 Weeks of Pilates on Physical Fitness andFall Efficacy in Elderly Women", Korean society for Wellness, Vol.9, No.4 pp. 201-208, (2014).
  2. J. V. Jessup, C. Horne, R. K. Vishen, D. Wheeler, "Effects of exercise on bone density, balance, and self-efficacy in older women", Biological Research for Nursing, Vol.4, No.3 pp. 171-180, (2003). https://doi.org/10.1177/1099800402239628
  3. Tideiksaar, R. Environmental factors in the prevention of falls. pp. 395-412, Gait Disorders of Aging-Falls and Therapeutic Strategies, (1997).
  4. Y. Hong, Y. K. Kim, S. H. Park, "Effects of Lumbar Stabilization Exercise Program Using McGill and Sahrmann on Living Fitness and Activities of Daily Living in Elderly Women", The Asian Journal of Kinesiology, Vol.15, No.2 pp. 23-33, (2013). https://doi.org/10.15758/jkak.2013.15.2.23
  5. W. D. Chang, W. Y. Chang, C. L. Lee, C. Y & Feng, "Va-lidity and reliability of wii fit balance board for the assessment of balance of healthy young adults and the elderly", Journal of physical therapy science, Vol.25, No.10 pp. 1251-1253, (2013).
  6. S. M. McGill, "Low back exercise; Evidence for improving exercise regimens", Physical Therapy, Vol.78, pp. 754-765, (1998). https://doi.org/10.1093/ptj/78.7.754
  7. H. K. Hyeong, "Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain", Journal of Korean Academy of Nursing, Vol.38, No.6 pp. 902-913, (2008). https://doi.org/10.4040/jkan.2008.38.6.902
  8. Matheson, L. N., Leggett, S., Mooney, V., Schneider, K., & Mayer, J. The contribution of aerobic fitness and back strength to lift capacity. pp. 1208-1212, Spine:27, (2002). https://doi.org/10.1097/00007632-200206010-00013
  9. J. D. Mills, J. E. Taunton, & W. A. Mills, "The effects of a 10-week training regimen on lumbo-pelvic stability and athletic perpormꠓance in female athletes: a randomized controlled trail", Physical Therapy in Sports, Vol.6, pp. 60-66, (2005).
  10. Resnik, L., & Dobrykowski, E, "Outcomes measurement for patients with low back pain", Orthopaedic Nursing, Vol.24, No.1 pp. 14-24, (2005).
  11. A. C. Ferreira, J. Fernandes, Y. L. Kuo, L. M. Bernardo, O. Fernandes, L. Laranjo, & A. Silva, "Does Pilates-Based exercise improve postural alignment in adult women?", Women & Health, Vol.53, No.6 pp. 597-611, (2013). https://doi.org/10.1080/03630242.2013.817505
  12. V. Bullo, M. Bergamin, M. Gobbo, S. Sieverdes, J. C. Zaccaria, M. Neunhaeuserer, D. A. Ermolao, "The effects of Pilates exercise training on physical fitness and wellbeing in the elerly: a systematic reivew for future exercise prescription", Preventive medicine, Vol.75, pp. 1-11, (2015). https://doi.org/10.1016/j.ypmed.2015.03.002
  13. Siqueira, F., Rodrigues, B. G., Ali Cader, S., Bento Torres, N. V., Oliveira, E. M., & Martin Dantas, E. H, "Pilates method in personal autononmy, static balance and quality of life of elderly females", Journal Bodyw Mou Ther, Vol.14, No.2 pp. 195-202,
  14. H. R. Lee, S. K. Lee, M. K. Kim, "The Effects of Pilates for Lumbar Stabilization on the Lumbar Muscle Strength and Muscle Activity of Menopausal Women", Journal of Sport and Leisure Studies, No.69 pp. 355-363, (2017).
  15. G. Markovic, N. Sarabon, Z. Greblo, V. Krizanic, "Effects of feedback-based balance and core resistance training vs. Pilates training on balance and muscle function in older wonmen: A randomized-controleed trial", Archives of Gerontology and Geriatrics, Vol.61, No.2 pp. 117-123, (2015). https://doi.org/10.1016/j.archger.2015.05.009
  16. J. H. Park, J. H. Kim, "Effects of the Lumbar Stabilization Exercise on the Body Shape, Pain Index and Longevity Fitness Age in Elderly Women with Chronic Low Back Pain", Korean journal of physical education, Vol.58, No.2 pp. 445-456, (2019). https://doi.org/10.23949/kjpe.2019.03.58.2.445
  17. J. S. Lee, S. Y. S, M. J. Kim, S. J. Moon, S. D. Jang, Y. J. Kim, "Effects of the lumbar stabilization exercise on scoliosis, local muscle area, VAS and muscle function in female university students", Journal of the Exercise Science, Vol.20 No.1 pp. 61-70, (2011). https://doi.org/10.15857/ksep.2011.20.1.61
  18. S. D. Kim, S. H. Hong, J. H. K, K. S. Yoo, I. G. J, "The Effects of Neck.Scapula Corrective Exercise on Static Posture Balance and Muscle Stiffness", Journal of Sport and Leisure Studies, Vol.68, pp. 601-610, (2017). https://doi.org/10.51979/KSSLS.2017.05.68.601
  19. Y. K. Jung, "Effects of 12 Weeks of Aerial Yoga on Body Shape and Functional Movement in Adult Women", The Korea Journal of Sports Science, Vol.29 No.2 pp. 929-940, (2020). https://doi.org/10.35159/kjss.2020.04.29.2.929
  20. S. J. Park, Y. H. Seo, "The Effects of Baseball Players' Complex Body Correction Program on Body Improvement and Shoulder and Trunk Angles", The Korean Society of Sports Science, Vol.29, No.1 pp. 893-898, (2020). https://doi.org/10.35159/kjss.2020.02.29.1.893
  21. U. J. Jin, T. Y. Yoo, Y. H. Jin, J. B. Lee, "Its Usefulness as a Pain Measurement Tool in an Emergency Setting = Visual Analogue Scale in Acute Pain measurement", Journal of the Korean Society of Emergency Medicine, Vol.14, No.1 pp. 61-65, (2003).
  22. H. S. Yoo, S. Y. Hong, "The effect of the 12-week Pilates program on the physical fitness, balance, and fall index of the elderly women", Korean Journal of Adapted Physical Activity, Vol.28, No.3 pp. 89-102, (2020).
  23. S. W. Yang, "Effects of Pilates Stability Exercise Program on Body Composition and Muscular Body Type in Obese Female College Students with Scoliosis", The Korean Journal of Sport, Vol.13, No.3 pp. 307-314, (2015).
  24. G. Markovic, N. Sarabon, Z. Greblo, V. Krizanic, "Effects of feedback-based balance and core resistance training vs. Pilates training on balance and muscle function in older wonmen: A randomizedcontroleed trial", Archives of Gerontology and Geriatrics, Vol.61, No.2 pp. 117-123, (2015). https://doi.org/10.1016/j.archger.2015.05.009
  25. W. R. Frontera, V. A. Hughes, R. A. Fielding, M. A. Iatarone, W. J. Evans, & R. Roubenoff, "Aging of skeletal muscle: A 12-yr longitudinal study", Journal of Applied Physiology, Vol.88, No.4 pp. 1321-1326, (2000).
  26. G, B. Irez, R. A. Ozdemir, R. Evin, S, G. Irez, F. Korkusuz, "Integrating Pilates exercise into an exercise program for 65+ year-old women to reduce falls", Journal of sports Science and Medicine, Vol.10, pp. 105-111, (2011).
  27. F. R. Franca, T. N. Burke, E. S. Hanada, & A. P. Marques, "Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study", Medical Clinics at Morro de San Paulo, Vol.65, pp.1013-1017, (2010).