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http://dx.doi.org/10.21598/JKPNFA.2021.19.1.43

The Effects of Contract Relaxation and a Combination of Isotonics on the Hip and Lumbopelvic Motions in Patients with Chronic Low Back Pain  

Kim, Chi-Hwan (Department of Physical Therapy, Haeundae Jaseng Hospital of Korean Medicine)
Lee, Ju-Hun (Department of Physical Therapy, Graduate School, Kyungsung University)
Han, Jin-Tae (Department of Physical Therapy and Institute for Rehabilitation Science, Kyungsung University)
Publication Information
PNF and Movement / v.19, no.1, 2021 , pp. 43-55 More about this Journal
Abstract
Purpose: The purpose of this study was to determine the effects of contract relaxation and a combination of isotonics in proprioceptive neuromucular facilitation (PNF) on hip and lumbopelvic motions of male patients with chronic low back pain. Methods: As the subjects of this study, a total of 45 male patients with chronic low back pain were divided into groups: 15 who underwent contract relaxation (CR) of the PNF of their hip joints, 15 who underwent a combination of isotonics (CI) of the PNF, and 15 who underwent both techniques. A device for analyzing three-dimensional motion was used to measure hip medial rotation angles, lumbopelvic rotation angles, and hip medial rotation angles at the start of lumbopelvic rotation during hip medial rotation. A two-way repeated measures ANOVA was used to compare the average values. Results: There were interactions in the hip medial rotation angles, lumbopelvic rotation angles and hip medial rotation angles at the start of lumbopelvic rotation based on the methods and periods of exercise (p < 0.05). The CR and the CR+CI groups displayed more increased hip medial angles when compared to the CI group. The CR+CI group had more decreased lumbopelvic rotation angles when compared to the CR and the CI groups. The CR+CI group had more increased hip medial rotation angles at the start of lumbopelvic rotation when compared to the CR and the CI groups. Conclusion: It can be concluded that the combination of stretching and stability exercises was effective in male patients with chronic low back pain who showed limited hip medial rotation.
Keywords
Active stretching; Stability exercise; Chronic low back pain;
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