Browse > Article
http://dx.doi.org/10.26862/jkpts.2018.06.25.1.1

The Effects of Core Program Exercise on Balance in Patients with Chronic Low Back Pain  

Choi, Won-Jye (Department of Physical Therapy, Hanlyo University)
Park, Beom-Seok (Funhan Health Care)
Yoo, Byung-Kook (Department of Physical Therapy, Hanlyo University)
Jeon, Jae-Keun (Department of Physical Therapy, Hanlyo University)
Son, Kyung-Hyun (Department of Physical Therapy, Hanlyo University)
Publication Information
Journal of Korean Physical Therapy Science / v.25, no.1, 2018 , pp. 1-10 More about this Journal
Abstract
Background: The purpose of this study was to ascertain the effects of core program exercise on balance in patients with chronic low back pain. Thirty-four subjects participated in this study, these subjects were assigned into two groups, a control group(n=17) and an experimental group(n=17). Methods: The subjects in the control group were received a conservative physical therapy and in the experimental group carried out the core program exercise for 30 minutes per day, three times a week during 6 weeks. In order to evaluate the progresses of balance ability, corresponding variables were measured at two times, pre and 6th week. The balance ability was assessed using GOOD BALANCE system. The collected data were analyzed by using the paired t-test and ANCOVA. In all statistical analyses, significance level, ${\alpha}$ was set by 0.05. Results: The results of this study were as follows: 1) In the position of left standing eye closed, there were significant difference of Y in the control group and X, Y, V in the experimental group. 2) In the position of right standing eye closed, there were significant difference of Y in the control group and X, Y, V in the experimental group. 3) In the position of dynamic balance 1, there were significant difference APV in experimental groups. 4) In the position of dynamic balance 2, there were significant difference MLV in experimental groups. 5) There were significances between the two group of X, V in static balance and APV in dynamic balance. Conclusion: The above results indicated that a core program exercise improved balance abilities in patients with chronic low back. The further studies should be focused at development of various modified forms of the core program exercise in keeping up the improvement effect of this exercise.
Keywords
Balance; Core program; GOOD BALANCE system;
Citations & Related Records
연도 인용수 순위
  • Reference
1 강채연. 요통환자의 운동치료. 임상운동사 연수 자료집, 임상운동사협회, 1999:155-163.
2 김대훈, 코어프로그램이 만성요통환자의 요부신전 근려과 통증에 미치는 영향 [석사학위논문]. 고려대학교; 2005.
3 김병곤, 서현규, 정연우. 슬링운동이 요부안정화와 근력에 미치는 영향. 대한물리치료학회지. 2004;16(4):603-612.
4 김선엽, 권재확. 슬링(Sling) 시스템을 이용한 요부안 정화운동. 대한정형물리치료학회지. 2001;7(2):29-39.
5 김익삼. 도수교정과 요부 굴.신 운동이 만성요통 환자의 통증 완화와 근력에 미치는 영향 [석사학위논문]. 고려대학교; 2002.
6 김희란, 코어 트레이닝이 요통을 가진 엘리트 운동선수들의 골반 경사와 통증에 미치는 영향 [석사학위논문]. 한국체육대학교; 2015.
7 박승균, 이정필, 천성용 등. Gym ball 운동이 만성 요통환자의 요부 근 활성도에 미치는 영향. 한국스포츠리서치. 2007;18(2):757-766.
8 이강우, 양회송. 만성요통환자와 정상인의 균형반응 비교. 한국전문물리치료학회지. 2002;9(2):1-8.
9 이경희, 정향미. 코어프로그램이 간호사의 요통, 배근력, 유연성에 미치는 효과. Journal of the Korean Data Analysis Society, 2007;9(4):1693-1706.
10 이승균. 코어 운동 프로그램이 요부 근력 및 비만에 미치는 영향 [석사학위논문]. 고신대학교; 2009.
11 조용혁. 등장성운동 프로그램과 코어운동 프로그램이 만성요통 유소년 축구선수의 등속성 근력, 유연성, 균형능력, 주관적 통증강도에 미치는 효과 [석사학위논문], 경희대학교; 2010.
12 Adams MA. Biomechanics of back pain. Acupuncture in medicine. 2004;22(4):178-188.   DOI
13 Anthony HW. Diagnosis and management of low back pain and sciatica. American Family Physician. 1995;52(5):133-134.
14 Berger L, Klein C, Commandeur M. Evaluation of the immediate and midterm effects of mobilization in hot spa water on static and dynamic balance in elderly subject. Annales de readaptation et de medecine physique. 2008;51(2):84-95.   DOI
15 Brill PW, Couzen GS. The core program. 1st ed. New York, Bantam Book. 2002.
16 박관순. 요가수련이 여성의 척추기능 및 요통완화에 미치는 영향 [석사학위논문]. 원광대학교; 2005.
17 Cailliet R. Low back pain syndrome. F. A. Davis, Philadelphia. 1998.
18 Carr JH, Shepherd RB. Stroke rehabilitation. Butterworth-Heinemann, London. 2003.
19 Chandler JM, Duncan PW. Balance and falls in the elderly. In : Guccione AA, ed. Geriatric. Physical Therapy, Mosby, St. Louis. 1992.
20 Dunn KM, Croft PR. Epidemiology and natural history of low back pain. Eur Med. 2004;40(1):9-13.
21 Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. American journal of physical medicine & rehabilitation, 2004;83(2):81-87.   DOI
22 Fordyce WE, Brockway JA, Bergman JA. Acute back pain : A control-group comparison of behavioral vs traditional management methods. Journal of Behavioral Medicine. 1986;9(2):127-140.   DOI
23 Good balance user's manual. Metitur Oy, Palokka, Finland(www.metitu.com). 2000.
24 Hubley-Kozey CL, Vezina MJ. Muscle activation during exercises to improve trunk stability in men with low back pain. Archives of physical medicine and rehabilitation. 2002;83(8):1100-1108.   DOI
25 Kisner C, Colby LA. Therapeutic exercise : Foundations and techniques 4. F. A. Davis, Philadelphia. 2002.
26 Maffeyward L, Jull G, Wellington L. Toward a clinical test of lumbar spine kinesthesia. J Orthop Sport Phys Ther. 1996;6:354-358.
27 Nadler SF, Malanga GA, Bartoli LA, et al. Hip muscle imbalance and low back pain in athletes: Influence of core strengthening. Medicine & Science in Sports & Exercise. 2002;34(1):9-16.   DOI
28 Nichols DS, Glenn TM, Mutchinson KJ. Changes in the mean center of balance during balance testing in young adults. Journal of the American Physical Therapy Association. 1995;75(8):699-706.
29 Panjabi M, Abumi K, Duranceau J, et al. Spinal stability and intersegmental muscle forces : A biomechanical model. Spine. 1989;14:194-200.   DOI
30 Ragnarsdottir M. The concept of balance. Physiotherapy. 1996;82(6):368-375.   DOI
31 Sihvonen SE, Sipila S, Era PA. Changes in postural balance in frail elderly women during a 4-week visual feedback training: A randomized controlled trial. Gerontology. 2004;50(2):87-95.   DOI