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The Effect of the Combined Exercise Program on the Static Balance Ability of the Lumbar Instability of Adults  

Oh, Yoon-joong (Dept. of Physical Therapy, Daejeon Phil Korea Medicine Hospital)
Park, Jong-hang (Dept. of Physical Therapy, GwangYang Health Sciences University)
Kim, Yoon-hwan (Dept. of Physical Therapy, KunJang University College)
Kim, Tae-won (Dept. of Physical Therapy, Wooill Neurosurgeon)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.25, no.2, 2019 , pp. 21-29 More about this Journal
Abstract
Background: The purpose of this study is to investigate the effect of the combined exercise program on the static balance ability of the lumbar instability of adults. Methods: The experimental group was divided into two groups and randomly. The experimental group 1 (Exp 1) applied the combined exercise program for the lumbar stabilization exercise and strengthening exercises and the experimental group 2 (Exp 2) applied the combined exercises program for the lumbar stabilization exercises and active stretching exercises. Each experiment group performed exercise program for 4 weeks, 3 times a week, 30 minutes a day. Static balance ability was measured using GOOD BALANCE system. Results: As the comparing results of static balance ability, normal standing eye open was Ant-Post and Med-Lat showed significant differences in Exp 1 (p<.05). One leg left eye open was velocity moment showed significant differences in Exp 1 (p<.05). and one leg right eye open was Med-Lat showed significant differences in Exp 1 (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.
Keywords
Balance; Combined exercise program; Lumbar instability;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Alqarni AM, Schneiders AG, Hendrick PA. Clinical tests to diagnose lumbar segmental instability: A systematic review. Journal of Orthopaedic & Sports Physical Therapy. 2011;41(3):130-140. https://doi.org/10.2519/jospt.2011.3457   DOI
2 Barr KP, Griggs M, Cadby T. Lumbar stabilization: Core concepts and current literature, Part 1. Am J Phys Med Rehabil. 2005;84(6): 473-480.   DOI
3 Bu KH, Oh TY. Effects of visual information on joint angular velocity of trunk and lower extremities in sitting and squat motion. J Kor Phys Ther, 2015;27(2):89-95. https://doi.org/10.18857/jkpt.2015.27.2.89   DOI
4 Byuon SH. The Effects of PNF and Stabilizing Exercise on the Low Back Stability. Rehabilitation Science Graduate School, Daegu University. 2009.
5 Cho SH. The Effect of Lumbar Stabilization Exercise on Lumbar Muscle Strength and Body Balance in Patients with Chronic Low Back Pain. Graduate School of Public Health, Kosin University. Master Thesis. 2012.
6 David J. Magee. Orthopedic physical assessment. Hyunmoon Publishing Co. 2006.
7 Decker MJ, Hintermeister RA, Faber KJ, et al. Serratus anterior muscle activity during selected rehabilitation exercise. Am J Sports Med, 1999;27(6):784-791. https://doi.org/10.1177/03635465990270061601   DOI
8 Hughes CJ, Hurd K, Jones A, Springle S. "Resistance properties of thera-band tubing during shoulder abduction exercise". J Orthop Sports Phys Ther 1999;29(7):413-420. https://doi.org/10.2519/jospt.1999.29.7.413   DOI
9 Hicks GE, Fritz JM, Delitto A, et al. Interrater reliability of clinical examination measures for identification of lumbar segmental instability. Arch Phys Med Rehabil. 2003;84(12):1858-1864. https://doi.org/10.1016/s0003-9993(03) 00365-4   DOI
10 Hicks GE, Fritz JM, Delitto A, et al. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005;86(9):1753-1762. https://doi.org/10.1016/j.apmr.2005.03.033   DOI
11 Hoffman SL, Johnson MB, Zou D, et al. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16(4):344-350. https://doi.org/10.1016/j.math.2010.12.007   DOI
12 Kang SG. Analysis of Characteristic of The Isokinetic Muscle Strength Related to Lean Body Mass and Fat Distribution of Chronic Low-Back Pain Patients. Deajeon University. Thesis of Master' degree. 2003.
13 Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil. 2004;83(2):81-87. https://doi.org/10.1097/01.phm.0000107486.99756.c7   DOI
14 Kwon MY, U YB. The Effects of lumbar stabilization exercise and strengthening exercise of lower extremity on pain and muscle strength of leg in patients with chronic low back pain. Korea Society of Intergration Medicine. 2015;3(2):47-54. https://doi.org/10.15268/ksim.2015.3.2.047   DOI
15 Kim CS. The Effect of Stretching and Core Exercise for 8 Weeks on Pelvic Correction. Graduate School of Education of Kyungnam University. Master Thesis. 2015.
16 Kim K, Kim EK, Lee DG. Effects of PNF patterns exercise on pain, functional disability and fear avoidance belief in chronic low back pain patients. J Kor Phys Ther, 2014;26(2):110-116.
17 Lee JJ, Song BB. The effects of the passive and active stretching exercises of Iliopsoas muscles on low back pain patients. Journal of Special Education & Rehabilitation Science. 2015;54(2):291-301.   DOI
18 Kim SY, Sa JM. The reliability and validity of the passive lumbar extension test and the prone instability test. Korean Research Society of Physical Therapy. 2011;18(3):85-93.
19 Kim YH, Park JH, Choi WJ, et al. The effect of hip abductor strengthening exercise using elastic band on static balance. Journal of Korean Academy of Orthopaedic Manual Therapy. 2009;15(1):49-57.
20 Lee DG, Ahn SH, Oh JK, et al. The effects of swiss ball lumbar stabilization exercise on the strength and flexibility, balance. Journal of the Korean Academy of Clinical Electrophysiology. 2009;7(1):35-42.   DOI
21 Marvin C, Tanigawa MA. Comparison of the hold-relax procedure and passive mobilization on increasing muscle length. American Physical Therapy Association, Inc. 1972;52(7):725-735. https://doi.org/10.1093/ptj/52.7.725
22 Ministry of Employment and Labor. IACI Business Yearbook 2009. Seoul, 2009.
23 Park JH, Son GH, Kim GY, et al. Therapeutic exercise for musculoskeletal system, Panmuneducation, 2017.
24 Panjabi MM. The stabilizing system of the spine. part . function, dysfunction, I adaptation, and enhancement. Journal of Spinal Disorders, 1992;5(4):383-389. https://doi.org/10.1097/00002517-199212000-00001   DOI
25 Wiltse L, Rothman S. Spondylolisthesis: Classification, diagnosis and natural history. Semin Spine Surg. 1989;1(1):78-94.
26 Sim JH. The Effects of Gluteal Muscles Strength and Lumbar Stabilization Exercise on Lumbar Strengthening and Balance in Chronic Low Back Pain Patients. Sport & Orthopedic Physical Therapy Graduate School of Rehabilitation Science, Daegu University. Master Thesis. 2015.
27 Statistics Korea. Incidence of Musculoskeletal and Connective Tissue Diseases. 2016, 2015, 2014, 2013.
28 Travell G, Simon G. Myofacial pain and dysfunction; The trigger point manual the lower extremity. Baltmore: William and Wikins. 1992.
29 Yu CW, Kim SY. Comparison of lumbopelvic rotation angle during active straight leg raise in patients with chronic low back pain with and without lumbar segmental instability. Journal of the Korean Society of Physical Medicine. 2015;10(4):40-49. https://doi.org/10.13066/kspm. 2015.10.4.39
30 Woodal WR, Welsh J. A biomechanical basis for rehabilitation programs involving the patellofemoral joint. J Orthop Sports Phys Ther. 1990;11(11):535-542. https://doi.org/10.2519/jospt.1990.11.11.535   DOI