Browse > Article
http://dx.doi.org/10.18857/jkpt.2017.29.4.181

Effects of 3D Stabilization Exercise on the Muscle Activity and Static Balance of Patients with Lumbar Instability  

Kang, Jeong-Il (Department of Physical Therapy, Sehan University)
Choi, Hyun-Ho (Department of Physical Therapy, Graduate School, Sehan University)
Publication Information
The Journal of Korean Physical Therapy / v.29, no.4, 2017 , pp. 181-186 More about this Journal
Abstract
Purpose: The paper presents an intervention for clinical applications in the future by examining the effects of 3D stabilization exercise on patients with lumbar instability, which causes problems in the muscles and balance, and analyzing the effects of balanced lumbar muscles on the static balance. Methods: After collecting samples randomly from thirty patients with lumbar instability, fifteen patients selected for 3D stabilization exercise were placed in the stability group and fifteen patients selected for Swiss ball exercise were placed in the ball exercise group. The intervention program was applied for thirty minutes a session, once a day, three days a week for four weeks. Before the intervention, the lumbar muscle activity and static balance were measured. After four weeks, they were re-measured in the same way and the data were analyzed. Results: In relation to the within-group changes in muscle activity, all groups except for the LEO and REO groups showed significant differences. Regarding the between-group changes in muscle activity depending on the left and right difference, ES, RA, and TrA but not EO showed significant differences. In addition, there were significant differences in the between-group change in static balance. Conclusion: 3D stabilization exercise improves the muscle activity by promoting a balanced posture of lumbar muscles and changing senses, such as a proprioceptor but this had a positive influence on the static balance by controlling the balance of muscles.
Keywords
Lumbar stabilization exercise; Lumbar instability; Muscle activity; Static balance;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Chang M, Slater LV, Corbett RO et al. Muscle activation patterns of the lumbo-pelvic-hip complex during walking gait before and after exercise. Gait Posture. 2017;52:15-21.   DOI
2 Park SD, Yu SH. The effects of abdominal draw-in maneuver and core exercise on abdominal muscle thickness and Oswestry disability index in subjects with chronic low back pain. J Exerc Rehabil. 2013;9(2):286-91.   DOI
3 Blenkinsop GM, Pain MT, Hiley MJ. Evaluating feedback time delay during perturbed and unperturbed balance in handstand. Hum Mov Sci. 2016;48:112-20.   DOI
4 Rackwitz B, de Bie R, Limm H et al. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil. 2006;20(7):553-67.   DOI
5 Son HH. The effects of stabilization exercise with abdominal breath on balance and Oswestry disability index for low back pain patients. J Korean Soc Phys Med. 2015;10(1):107-13.   DOI
6 Wirth K, Hartmann H, Mickel C et al. Core stability in athletes: a critical analysis of current guidelines. Sports Med. 2017;47(3):401-14.   DOI
7 Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-9.   DOI
8 Kim S, Kim H, Chung J. Effects of spinal stabilization exercise on the cross-sectional areas of the lumbar multifidus and psoas major muscles, pain intensity, and lumbar muscle strength of patients with degenerative disc disease. J Phys Ther Sci. 2014;26(4):579-82.   DOI
9 Huebner A, Faenger B, Schenk P et al. Alteration of surface EMG amplitude levels of five major trunk muscles by defined electrode location displacement. J Electromyogr Kinesiol. 2015;25(2):214-23.   DOI
10 Kim GY, Ahn CS, Kim SS. The effects of 3-dimensional lumbar stabilization exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with low back pain. J Korean Soc Phys Med. 2003;6(2):235-46.
11 Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85:86-92.
12 Seo HK, Kim JW, Hwang BJ. The effect of 3D NEWTON exercise on lumbar strength and endurance. J Korean Acad Orthop Man Physi Ther. 2011;17(2):33-9.
13 Anders C, Brose G, Hofmann GO et al. Evaluation of the EMG-force relationship of trunk muscles during whole body tilt. J Biomech. 2008;41(2):333-9.   DOI
14 Criswell E. Cram's introduction to surface electromyography. Burlington, Jones & Bartlett Publishers, 2010.
15 Queiroz BC, Cagliari MF, Amorim CF et al. Muscle activation during four Pilates core stability exercises in quadruped position. Arch Phys Med Rehabil. 2010;91(1):86-92.   DOI
16 Soderberg GL, Knutson LM. A guide for use and interpretation of kinesiologic electromyographic data. Phys Ther. 2000;80(5):485-98.
17 Kang JI, Jeong DK, Choi H. Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. J Phys Ther Sci. 2016;28(11):3125-30.   DOI
18 Lee HO. Activation of trunk muscles during stabilization exercises in four-point kneeling. J Kor Soc Phys Ther. 2010;22(5):33-8.
19 Zapata KA, Wang-Price SS, Sucato DJ. Six-month follow-up of supervised spinal stabilization exercises for low back pain in adolescent idiopathic scoliosis. Pediatr Phys Ther. 2017;29(1):62-6.   DOI
20 Choi DK, Kim YH, Kim KS. Influence of ligament deficits and isthmic defects on instability in lumbar spine. Transactions of the KSME, A. 2011;35(10):1205-10.   DOI
21 Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005;85(3):209-25.
22 Schwartz S, Segal O, Barkana Y et al. The effect of cataract surgery on postural control. Invest Ophthalmol Vis Sci. 2005;46(3):920-4.   DOI
23 Kwon WA, Yang KH, Lee JH. The effects on 3-dimensional exercise of lumber stabilization for chronic low back pain. J Kor Soc Phys Ther. 2006;18(5):25-34.   DOI
24 Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a Swiss ball. Chiropr Osteopat. 2005;13:14.   DOI
25 Borghuis J, Hof AL, Lemmink KA. The importance of sensory-motor control in providing core stability. Sports medicine. 2008;38(11):893-916.   DOI
26 Kim SB, Chang YH, Kim SK et al. Activation pattern of trunk muscles during whole body tilt with axial rotation in 3D spine stabilizer. J of KSPE. 2011;6:1407-8.
27 Escamilla RF, Lewis C, Pecson A, Imamura R et al. Muscle activation among supine, prone, and side position exercises with and without a Swiss ball. Sports Health. 2016;8(4):372-9.   DOI
28 Kang JI, Jeong DK. The effect of lumbosacral stabilization exercise on Oswestry disability index and gait velocity of patients with chronic low back pain. J Digit Converg. 2013;11(8):243-50.   DOI
29 van Dieen JH, Cholewicki J, Radebold A. Trunk muscle recruitment patterns in patients with low back pain enhance the stability of the lumbar spine. Spine. 2003;28(8):834-41.   DOI
30 Kim, HR, Kim YS. The effects of spinal stabilization exercise using gravity on patients with degenerative disc disease. J Kor Soc Phys Ther. 2008;20(1):23-31.   DOI