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http://dx.doi.org/10.5392/IJoC.2013.9.4.072

Effects of Sling Bridge Exercise with Rhythmic Stabilization Technique on Trunk Muscle Endurance and Flexibility in Adolescents with Low Back Pain  

Kim, Kyung-Yoon (Department of Physical Therapy Dongshin University)
Sim, Ki-Chol (Department of Physical Therapy Dongshin University)
Kim, Tae-Gon (Department of Physical Therapy Dongshin University)
Bae, Sea-Hyun (Department of Physical Therapy Dongshin University)
Lee, Jun-Cheol (Department of Physical Therapy Samil Jungpoong Hospital)
Kim, Gi-Do (Department of Physical Therapy International University of Korea)
Publication Information
International Journal of Contents / v.9, no.4, 2013 , pp. 72-77 More about this Journal
Abstract
The purpose of this study was to examine the effects of general sling-bridge exercise (GSE) and sling-bridge exercise with rhythmic stabilization technique (SER) on trunk muscle endurance and flexibility in adolescents with low back pain (LBP). 30 adolescents who had complaints of LBP were randomly assigned to one of the two groups: the GSE group (n=15) and SER group (n=15). Subjects performed each exercise programs for 4 weeks with the aim of improving trunk muscle stability; GSE group trained general bridge exercise with sling, SER group trained rhythmic stabilization bridge exercise with sling. The static and dynamic trunk muscle endurance and flexibility were measured before and at the end of the exercise program. The static and dynamic trunk muscle endurance were significantly improved in both groups (p<.05) and the SER group showed significant difference from the GSE group after the exercise (p<.05). The trunk muscle flexibility was significantly improved in both groups (p<.05) and the SER group were significantly different from GSE group post-exercise (p<.05). The results of this study showed that sling bridge exercise with rhythmic stabilization technique may be appropriate for improving trunk muscle stability in adolescents with LBP.
Keywords
Low Back Pain; Sling-Bridge Exercise; Rhythmic Stabilization Exercise; Muscle Endurance; Flexibility;
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1 K. Shimura and T. Kasai, "Effects of proprioceptive neuromuscular facilitation on the initiation of vohmtary movement and motor evoked potentials in upper limb muscles," Hum Mov Sci, vol. 21, no. 1, 2002, pp. 101-113.   DOI   ScienceOn
2 F. C. Trevelyan and S. J. Legg, "The prevalence and characteristics of back pain among school children in New Zealand," Ergonomics, vol. 53, no. 12, 2010, pp. 1455-1460.   DOI   ScienceOn
3 D. L. Skaggs, S. D. Early, P. D'Ambra, V. T. Tolo, and R. M. Kay, "Back pain and backpacks in school children," J Pediatr Orthop, vol. 26, no. 3, 2006, pp. 358-363.   DOI   ScienceOn
4 G. M. Cardon, D. L. de Clercq, E. J. Geldhof, S. Verstraets, and I. M. Bourdeaudhuij, "Back education in elementary schoolchildren: the effects of adding a physical activity promotion program to a back care program," Eur Spine J, vol. 16, no. 1, 2007, pp. 125-133.   DOI   ScienceOn
5 G. L. Fanucchi, A. Stewart, R. Jordaan, and P. Becker, "Exercise reduces the intensity and prevalence of low back pain in 12-13 year old children: a randomized trial," Aust J Physiother, vol. 55, no. 2, 2009, pp. 97-104.   DOI
6 N. Kofotolis and M. Sambanis, "The influence of exercise on musculoskeletal disorders of the lumbar spine," J Sports Med Phys Fitness, vol. 45, no. 1, 2005, pp. 84-92.
7 J. K. Freburger, T. S. Carey, G. M. Holmes, A. S. Wallace, L. D. Castel, J. D. Darter, and A. M. Jackman, "Exercise prescription for chronic back or neck pain: who prescribes it?, who gets it? What is prescribed?," Arthritis Rheum vol. 61, no. 2, 2009, pp. 192-200.   DOI   ScienceOn
8 J. A. Hides, G. A. Jull, and C. A. Richardson, "Long-term effects of specific stabilizing exercises for first-episode low back pain," Spine, vol. 26, no. 11, 2001, pp. 243-248.   DOI   ScienceOn
9 S. A. Saliba, T. Croy, R. Guthrie, D. Grooms, A. Weltman, and T. L. Grindstaff, "Differences in transverse abdominis activation with stable and unstable bridging exercise in individuals with low back pain," N Am J Sports Phys Ther, vol. 5, no. 2, 2010, pp. 63-73.
10 A. E. Ljunggren, H. Weber, O. Kogstad, E. Thom, and G. Kirkesola, "Effect of exercise on sick leave due to low back pain. A randomized, comparative, long-term study," Spine, vol. 22, no. 14, 1997, pp. 1610-1616.   DOI   ScienceOn
11 M. Unsgaard-Tondel, A. M. Fladmark, O. Salvesen, and O. Vasseljen, "Motor control exercise, sling exercise, and general exercise for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up," Phys Ther, vol. 90, no. 10, 2010, pp. 1426-1440.   DOI   ScienceOn
12 K. B. Hindle, T. J. Whitcomb, W. O. Briggs, and J. Hong, "Proprioceptive neuromuscular facilitation (PNF): Its mechanisms and effects on range of motion and muscular function," J Hum Kinet, vol. 31, 2012, pp. 105-113.
13 S. M. Marek, J. T. Cramer, A. L. Fincher, L. L. Massey, S. M. Dangelmaier, S. Purkayastha, K. A. Fitz, and J. Y. Culbertson, "Acute effects of static and proprioceptive neuromuscular facilitation stretching on muscle strength and power output," J Athl Truin, vol. 40, no. 2, 2005, pp. 94-103.
14 A. G. Nelson, J. Kokkonen, and D. A. Arnall, "Acute muscle stretching inhibits muscle strength endurance performance," J Strength Cond Res, vol. 19, no. 2, 2005, pp. 338-343.
15 N. Kofotolis and E. Kellis, "Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and function perfonnance in women with chronic low back pain," Phys Ther, vol. 86, no. 7, 2006, pp. 1001-1012.
16 E. Malkia and A. E. Ljunggren, "Exercise programs for subj ects with low back disorders," Scand J Med Sci Sports, vol. 6, no. 2, 1996, pp. 73-81.
17 M. Von Korff, "Studying the natural history of back pain," Spine, vol. 19, 1994, pp. 2041S-2046S.   DOI
18 S. B. O'Sullivan and T. J. Schmitz, Physical rehabilitation laboratory manual focus on functional training, Philadelphia, F. A. Davis company, 1999, pp. 79-82.
19 N. Maniadakis and A. Gray, "The economic burden of back pain in the UK," Pain, vol. 84, no. 1, 2000, pp. 95-103.   DOI   ScienceOn
20 Q. A. Louw, L. D. Morris, and K. Grimmer-Somers, "The prevalence of low back pain in Africa: a systemic review," BMC Musculoskelet Disord, vol. 8, 2007, pp. 105.   DOI   ScienceOn
21 F. Balague, A. F. Mannion, F. Pellise, and C. Cedraschi, "Non-specific low back pain," Lancet, vol. 379, no. 9814, 2012, pp. 482-491.   DOI   ScienceOn
22 F. Pellise, F. Balague, L. Rajmil, C. Cedraschi, M. Aguirre, C. G. Fontecha, M. Pasarin, and M. Ferrer, "Prevalence of low back pain and its effect on health-related quality of life in adolescents," Arch Pediatr Adolesc Med, vol. 163, no. 1, 2009, pp. 65-71.   DOI   ScienceOn
23 P. Malleson and J. Clinch, "Pain syndromes in children," Curr Opin Rheumatol, vol. 15, no. 5, 2003, pp. 572-580.   DOI   ScienceOn
24 G. T. Jones and G. J. Macfarlane, "Predicting persistent low back pain in schoolchildren: a prospective cohort study," Arthritis Rheum, vol. 61, no. 10, 2009, pp. 1359-1366.   DOI   ScienceOn
25 M. M. Panjabi, "The stabilizing system of the spine. Part I function, dysfunction, adaptation, and enhancement," J Spinal Disord, vol. 5, no. 4, 1992, pp. 383-389.   DOI   ScienceOn
26 D. Voss, M. lonta, and B. Meyers, Proprioceptive neuromuscular facilitation: patterns and techniques, 3rd ed, New York, Harper & Row, 1985, pp. 298-307.
27 L. I. Strand, B. Anderson, H. Lygren, J. S. Skouen, R. Ostelo, and L. H. Magnussen, "Responsiveness to change of 10 physical tests used for patients willi back pain," Phys Ther, vol. 91, no. 3, 2011, pp. 404-415.   DOI   ScienceOn
28 C. Perret, S. Poiraudean, J. Fermanian, M. M. Colau, M. A. Benhamon, and M. Revel, "Validity, reliability, and responsiveness of the fingertip-to-floor test," Arch Phys Med Rehabil, vol. 82, no. 11, 2001 , pp. 1566-1570.   DOI   ScienceOn
29 J. M. McMeeken, I. D. Beith, D. J. Newham, P. Milligan, and D. J. Critchley, "The relalionship between EMG and change in thickness of transversus abdominis," Clin Biomech, vol. 19, no. 4, 2004, pp. 337-342.   DOI   ScienceOn
30 F. Biering-Sorensen, "Physical measurements as risk indicators for low-back trouble over a one-year period," Spine, vol. 9, no. 2, 1984, pp. 106-119.   DOI   ScienceOn
31 B. Stuge, E. Laerum, G. Kirkesola, and N. Vollestad, "The efficacy of a treatment program focusing on specific stabilizing exercise for pelvic girdle pain after pregnancy: a randomized controlled trail," Spine, vol. 29, no. 4, 2004, pp.351-359.   DOI   ScienceOn
32 M. G. Gauvin, D. L. Riddle, and J. M. Rothstein, "Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method," Phys Ther, vol. 70, no. 7, 1990, pp. 443-447.   DOI
33 S. J. Fleck and L. S. Dean, "Resistance-training experience and the pressor response during resistance exercise," J Appl Physiol, vol. 63, no. 1, 1987, pp. 116-120.   DOI