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http://dx.doi.org/10.15268/ksim.2019.7.2.121

Comparison of or Changes in the Thicknesses and Ratios of the Deep and Superficial Multifidus Muscles According to the Lumbar Stabilization Exercise Methods  

Choi, Mansoo (Dept. of Physical Therapy, Daeho Pain Clinic)
Lee, Sanyeol (Dept. of Physical Therapy, Kyungsung University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.2, 2019 , pp. 121-131 More about this Journal
Abstract
Purpose : Lower back pain is a common disorder experienced by approximately 90-% of the population at least once in a lifetime. This study examines changes in the thicknesses and ratios of the deep and superficial fibers of the multifidus according to the lumbar stabilization exercise used for spinal stabilization. Methods : Ten different lumbar stabilization exercises were implemented by 20 healthy men in random order, and the thickness of multifidus muscle was measured ultrasound image during each exercise. Results : The surface muscle fibers of the multifidus muscles significantly increased in the exercise method in which the arms and legs were lifted (p<.05), while the deep muscle fibers of the multifidus muscles increased significantly in the exercise in which the arms and legs were not lifted (p<.05). The ratio of the thickness of surface muscle fibers to the total thickness of muscle fibers was higher in the exercise method in which the arms and legs were lifted (p<.05), while the ratio of the thickness of deep muscle fibers to the total thickness of muscle fibers was higher in the hollowing and bracing exercise method in which the arms and legs were not lifted (p<.05). Conclusion : When lumbar stabilization exercise should be performed at clinics to strengthen the deep muscle fibers of the multifidus muscles that have larger effects on the stability of spinal segments, taking the stability of the spine into consideration indicates that, hollowing and bracing exercise methods that do not that cause isotonic extension to the spine are appropriate.
Keywords
bracing; hollowing; lumbar stabilization exercise; multifidus deep muscle fiber; multifidus superficial muscle fiber;
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Times Cited By KSCI : 1  (Citation Analysis)
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