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http://dx.doi.org/10.5392/JKCA.2010.10.9.285

Effect of 8 Direction Incline and Rotation Exercise on Pain and Dynamic Balance in the Patients with Chronic Low Back Pain  

Goo, Bong-Oh (부산가톨릭대학교 물리치료학과)
Park, Min-Chull (부산대학교병원)
Song, Yoo-Yik (부산가톨릭대학교 생명과학대학원)
Cho, Ye-Rim (부산가톨릭대학교 생명과학대학원)
Publication Information
Abstract
The purpose of this study is to investigate the effect of 8 direction incline and rotation exercise on pain and dynamic balance in the patients with chronic low back pain(CLBP). 20 patients who were diagnosed with CLBP were included for the study. 10 patients(experimental group) were treated by modality{Hot Pack(H/P), Transcutaneous Electric Nerve Stimulation(TENS), Ultra Sound(U/S)} and then performed 8 direction incline and rotation exercise. The other 10 patients(control group) were only treated by modality. The therapeutic intervention was taken three times a week for 6 weeks. Dynamic balance was assessed by Star Excursion Balance Test(SEBT) and pain was assessed by Visual Analog Scale(VAS). VAS scores of both groups were decreased. However, the experimental group was more significantly decreased than the control group. The dynamic balance of both groups was significantly increased in anterior, posterior, medial, lateral direction. But experimental group was more significantly increased than the control group. In conclusion, 8 direction incline and rotation exercise was effective on pain and dynamic balance in CLPB.
Keywords
8 Direction Incline and Rotation Exercise; Chronic Low Back Pain; Pain; Dynamic Balance;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 M. Ogon , B. R. Bender, and D. M. Hooper, “A dynamic approach to spinal instability : part 1 : Sensitization of inter-segmental motion profiles to motion direction and load condition by instability,” Spine, Vol.22, No.24, pp.2841-2858, 1997.   DOI   ScienceOn
2 B. Chok, R. Lee, J. Latimer, and S. B. Tan “Endurance training of the trunk extensor muscle in people with subacute low back pain,” Physi Ther, Vol.79, No.11, pp.1032-1042, 1999.
3 J. P. Arokoski, T. Valta, O. Airaksinen and M. Kankaanpaa, “Back and abdominal muscle function during stabilization exercise,” Arch Phys Med Rehabil, Vol.82, No.8, pp.1089-1098, 2001.   DOI   ScienceOn
4 G. B. Anders, “Activation characteristics of trunk muscle during whole body tilt with unsupported trunk.” Institute for Pathophysiology and Pathobiochemistry, Motor Research Group; Friendrich-Schiller-University Jena, 2005.
5 J. Hertel, S. J. Miller, and C. R. Daneger, “Intratester and intertester reliability during the Star Excursion Balance Test,” J Sport Rehabil, Vol.9, No.2, pp.104-116, 2000.   DOI
6 P. A. Gribble and J. Hertel, “Considerations for Normalizing Measures of the star excursion balance test,” Measure Phys Educ Exerc Sci, Vol.7, No.2, pp.89-100, 2003.   DOI   ScienceOn
7 P. B. O'sullivan, G. D. Phyty, L. T. Twomey, and G. T. Allison, “Evaluation of specific stabilizing exercise in the treatment chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis,” Spine, Vol.22, No.24, pp.2959-2967, 1997.   DOI   ScienceOn
8 P. W. Hodges and S. C. Gandevia, “Activation of the human diaphragm during a repetitive postural task,” J Physiol, Vol.522, pp.165-175, 2000.   DOI
9 김명준, “안정화운동이 퇴행성 디스크환자의 요부 위치감각 인지력과 불안정 및 근피로도에 미치는 영향”, 건국대학교대학원 박사학위논문, 2005.
10 P. Boucher, N. Teasdale, R. Countermanche , C. Bard, and M. Fleury “Postural stability in diabetic neuropathy,” Diabetes Care, Vol.18, No.5, pp.638-645, 1995.   DOI   ScienceOn
11 S. Luoto, H. Aalto, and S. Taimela, “One-footed and externally disturbed two-footed postural control inpatients with chronic low back pain and healthy control subject : A controlled study with follow-up,” Spine, Vol.23, No.19, pp.2081-2090, 1998.   DOI   ScienceOn
12 이동규, “추간판 탈출증 환자에 대한 운동치료가 체간근력에 미치는 효과”, 계명대학교 대학원 석사학위논문, 2008.
13 형인혁, 하미숙, “메이트란드 도수치료가 만성요통환자의 즉각적인 동적 균형 능력에 미치는 영향”, 한국콘텐츠학회논문지, 제9권, 제6호, pp.207-215, 2009.
14 민경환, “윌리암 & 맥켄지 운동에 스위스 볼을 접목한 운동이 요부유연성, 요부근력, 요부 평형감각 향상에 미치는 영향”, 국민대학교 대학원 석사학위논문, 2009.
15 N. Nies and P. L. Sinnott, “Vatiations in balance and body sway in middle-aged: Subjects with healthy backs compared with subjects with low back dysfunction,” Spine, Vol.16, No.3, pp.325-330, 1991.   DOI
16 M. Janko and J. V. Trontelj, “Transcutaneous electrical nerve stimulation : A microneurographic and peripherla study,” Pain, Vol.9, No.2, pp.219-230, 1980.   DOI   ScienceOn
17 김호준, “미세전류 전침이 요통에 미치는 영향”, 경희대학교 대학원 석사학위논문, 2001.
18 C. G. Maher, “Effective physical treatment for chronic low back pain,” Othop Clin North Am, Vol.35, No.1, pp.57-64, 2004.   DOI   ScienceOn
19 정연우, 배성수, “요부 안정화 운동이 요통환자의 기능회복과 가동범위에 미치는 영향”, 대한물리치료학회지, 제16권, 제1호, pp.153-169, 2004.
20 M. Hagins, K. Adler, M. Cash, J. Daugherty, and G. Mitrani, “Effects of practice on the ability to perform lumbar stabilization exercise,” J Orthop Sports Phys Ther, Vol.29, No.9, pp.546-555, 1999.   DOI
21 A. H. Wheeler, “Diagnosis and management of low back pain and Sciatica,” Am Fam Physician, Vol.52, No.5, pp.1333-1341, 1995.
22 J. A. Hides, C. A. Richardson, and G. A. Jull, “Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain,” Spine, Vol.21, No.23, pp.2763-2769, 1996.   DOI
23 J. A. Saal, “Dynamic muscular stabilization in the nonoperative treatment of lumbar pain syndrome,” Orthop Rev, Vol.19, No.9, pp.691-700, 1990.
24 S. M. McGill, “Low back stability: from formal description to issue for Performance and Rehabilitation,” Exerc sport, Sci. Rew, Vol.29, No.1, pp.26-31, 2001.   DOI
25 H. J. Christie, S. Kummer, and S. Warren, “Postural aberrations in low back pain,” Arch phys Med Rehabil, Vol.76, No.3, pp.218-224, 1995.   DOI   ScienceOn
26 A. Melleby, “The Y's way to a healthy back piscataway,” New century Publishers, 1982.
27 양대중, “요통환자의 정적기립균형과 동적기립균형에 관한 연구”, 원불대학교 보건대학원 석사학위논문, 2003.