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http://dx.doi.org/10.5762/KAIS.2020.21.3.206

A Study on the Usefulness of Subjective Lumbar Instability Factor for Respiratory Pattern Change and Abdominal Mobility in Peoples with CLBP  

Ki, Chul (Gwangju M training center)
Lee, Kwan-Woo (Department of Physical Therapy, Ulsan college)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.3, 2020 , pp. 206-214 More about this Journal
Abstract
This study examined the correlation between the respiratory pattern change (RPC) and abdominal mobility (AM) according to the positive result of the subjective lumbar instability factor (SLIF) in people with chronic low back pain (CLBP). Thirty-six adults with CLBP participated in this study. Twenty-eight items of the SLIFs were examined, and the subjects were divided into three groups according to the positive response numbers (PRN). After the change lists were scored, three RPC scores [costo-diaphragmatic RPC (CDRPC), breath hold change (BHC), and total RPC (TRPC)] were obtained. The abdominal mobility (AM) was measured between the maximal inspiration and exhalation at the xiphoid (AM1) and the 10th rib (AM2) level of the trunk. The results showed that the RPC score and AM were compared according to the positive response number of SLIF, and the relationship between them was analyzed. A positive correlation was observed between the SLIF positive response number and CDRPC score, BHC score, and total RPC score, and a negative correlation was observed between the SLIFs positive response number and AM1 and AM2. Based on the results of this study, the combination of SLIF positive responses can be a predictor of non-physiological respiratory pattern changes in people with CLBP. Clinically, this prediction is expected to help save time for screening and improve the efficiency of therapy.
Keywords
CLBP; Lumbar Instability; Subjective Lumbar Instability Factor; Respiratory Pattern Change; Abdominal Mobility;
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1 S. K. Grimstone, P. W. Hodges, "Impaired postural compensation for respiration in people with recurrent low back pain", Exp Brain Res, vol. 151, No.2, pp.218-224, Jul. 2003. DOI: https://doi.org/10.1007/s00221-003-1433-5   DOI
2 A. Hamaoui, M. C. Do, L. Poupard, S. Bouisset, "Does respiration perturb body balance more in chronic low back pain subjects than in healthy subjects?", Clinical Biomechan, vol.17, No.7, pp.548-550, Aug. 2002. DOI: https://doi.org/10.1016/s0268-0033(02)00042-6   DOI
3 L. Chaitow, "Breathing pattern disorders, motor control and low back pain", Journal of Osteopathic Medicine, vol.7, No.1, pp.33-40, Apr. 2004. DOI: https://doi.org/10.1016/S1443-8461(04)80007-8   DOI
4 P. B. O'Sullivan, "Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism", Man Ther, vol.10, No.4, pp.242-255, Nov. 2005. DOI: https://doi.org/10.1016/j.math.2005.07.001   DOI
5 N. Roussel, J. Nijs, S. Truijen, L. Vervecken, S. Mottram, et al. "Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case-control study", Eur Spine J, vol.18, No.7, pp.1066-1073, Jul. 2009. DOI: https://doi.org/10.1007/s00586-009-1020-y   DOI
6 K. S. Kim, O. Y. Kwon, C. H. Yi, "Effect of abdominal drawing-in maneuver on peak expiratory flow, forced expiratory volume in 1 second and pain during forced expiratory pulmonary function test in patients with chronic low back pain", Physical Therapy Korea, vol.16, No.1, pp.10-17, Feb. 2009.
7 D. J. Park, Altered Respiratory Pattern of individual with LBP and Effects of Abdominal Exhalation Maneuver, Doctor's Degree, University of Pusan Catholic, Pusan, Korea, pp.37-46, 2013.
8 C. Ki, The effect of breathing pattern correction and strengthening exercise on trunk of lumbar instability patients. Doctor's Degree. Dong shin University, Naju, Korea, pp.50-63, 2018.
9 J. M Fritz, S. R. Piva, J. D. Childs, "Accuracy of the clinical examination to predict radiographic instability of the lumbar spine", Eur Spine J, vol.14, No.8, pp.743-750, Oct. 2005. DOI: https://dx.doi.org/10.1007/s00586-004-0828-8   DOI
10 M. A. Perri, E. Halford, "Pain and faulty breathing: a pilot study", J Bodyw Mov Ther, vol.8, No.4, pp.297-306, Oct. 2004. DOI: https://doi.org/10.1016/s1360-8592(03)00085-8   DOI
11 G. E. Hicks, J. M. Fritz, A. Delitto, S. M. Mc Gill, "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, vol.86, No.9, pp.1753-1762, Sep. 2005. DOI: https://doi.org/10.1016/j.apmr.2005.03.033   DOI
12 S. L. Koppenhaver, J. M. Fritz, J. J. Hebert JJ, G. N. Kawchuk, E. C. Parent, et al, "Association between history and physical examination factors and change in lumbar multifidus muscle thickness after spinal manipulation in patients with low back pain", J Electromyog Kinesiol, vol.22, No.5, pp.724-731, Oct. 2012. DOI: https://doi.org/10.1016/j.jelekin.2012.03.004   DOI
13 J. J. Hebert, S. L. Koppenhaver, J. S. Magel, J. M. Fritz, "The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study", Arch Phys Med Rehabil, vol.91, No.1, pp.78-85, Jan. 2010. DOI: https://doi.org/10.1016/j.apmr.2009.08.146   DOI
14 J. K. Seo, S. Y. Kim, "The relationship between hip abductor muscle strength and lumbar instability in patients with chronic low back pain", J Kor Soc Phys Ther, vol.23, No.4, pp.15-21, Aug. 2011.
15 P.B. O'Sullivan, D. J. Beales, "Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: a case series", Man The. vol.12, No.3, pp.209-218, Aug. 2007. DOI: https://doi.org/10.1016/j.math.2006.06.006   DOI
16 P. P. Ostwal, S. K. Wani, "Breathing pattern in patients with low back pain", International Journal of Physiotherapy and Research, vol.2, No.1, pp. 347-353, Feb. 2014. www.ijmhr.org/ijpr.html
17 C. Ki, K. W. Nam, "Correlation Analysis between Lumbar Instability Test Positive Response Number and Breathing Pattern Change Rate and Pain in Young Peoples with Chronic Low Back Pain", J Korean Soc Phys Med, vol.14, No.3, pp.73-80, Aug. 2019. DOI: https://doi.org/10.13066/kspm.2019.14.3.73   DOI
18 M. J. Comerford, S. L. Mottram, "Functional stability retraining: principles and strategies for managing mechanical dysfunction", Man Ther, vol.6, No.1, pp. 3-14, Feb. 2001. DOI: https://doi.org/10.1054/math.2000.0389   DOI
19 A. M. Davis, P. Bridge, J. Miller, E. Nelson-Wong, "Interrater and intrarater reliability of the active hip abduction test", J Orthop Sports Phys Ther, vol.41, No.12, pp.953-960, Dec. 2011. DOI: https://doi.org/10.2519/jospt.2011.3684   DOI
20 J. H. Lee, S. Y. Kim, "Comparative effectiveness of Schroth therapeutic exercise versus sling therapeutic exercise in flexibility, balance, spine angle and chest expansion in patient with scoliosis", J Korean Soc Phys Med, vol.9, No.1, pp.11-23, Feb. 2014. DOI: http://dx.doi.org/10.13066/kspm.2014.9.1.11   DOI
21 J. R. Beazell, M. Mullins, T. L. Grindstaff, "Lumbar instability: an evolving and challenging concept", J Man Manip Ther, vol.18, No.1, pp.9-14, 2010. DOI: https://doi.org/10.1179/106698110X12595770849443   DOI
22 C. Cook, J. M. Brismee, P. S. J Sizer, "Subjective and objective descriptors of clinical lumbar spine instability: a Delphi study", Man Ther, vol.11, No.1, pp.11-21, Feb. 2006. DOI: https://doi.org/10.1016/j.math.2005.01.002   DOI
23 E. Nelson-Wong, T. Flynn, J. P. Callaghan, "Development of active hip abduction as a screening test for identifying occupational low back pain", J Orthop Sports Phys Ther, vol.39, No.9, pp.649-657, Sep. 2009. DOI: https://doi.org/10.2519/jospt.2009.3093   DOI
24 L. Vogt, K. Pfeifer, W. Banzer, "Neuromuscular control of walking with chronic low back pain", Man Ther, vol.8, No.1, pp.21-28, Feb. 2003. DOI: https://doi.org/10.1054/math.2002.0476   DOI
25 J. P. Lawrence, H. S. Greene, J. N. Grauner, "Back pain in athletes", J Am Acad Orthp Surg, vol.14, No.13, pp.726-735, Dec. 2006. PMID: 17148620   DOI
26 H. O. Lee, "Activation of trunk muscle during stabilization exercises in four‐point kneeling", J Kor Soc Phys Ther, vol.22, No.5, pp.33-38, Oct. 2010.
27 M. M. Panjabi, "Clinical spinal instability and low back pain", J Electromyog Kinesiol, vol.13, No.4, pp.371-379, Aug. 2003. DOI: https://doi.org/10.1016/S1050-6411(03)00044-0   DOI
28 J. A. Hides, G. A. Jull, C. A. Richardson, "Long-term effects of specific stabilizing exercises for first-episode low back pain", Spine, vol.26, No.11, pp.e243-e248, Jun. 2001. DOI: https://doi.org/10.1097/00007632-200106010-00004   DOI
29 A. N. SjOlie, A. E. Ljunggren, "The significance of high lumbar mobility and low lumbar strength for current and future low back pain in adolescents", Spine, vol.26, No.23, pp.2629-2636, Dec. 2001. DOI: https://doi.org/10.1097/00007632-200112010-00019   DOI
30 N. J. Petty, Neuromusculoskeletal Examination and assessment, p.406, Elsevier Publishers, 2009, pp.5-38
31 F. M. Kaltenborn, Manual mobilization of the joint, Vol II. The Spine, p.287, Yeong Mun Publishers, 2001, pp.113-162.
32 J. Schomacher, Orthopedic Manual Therapy Assessment and Management, p.317, Yeong Mun Publisher, 2014, pp.8-26.
33 H. Bradley, J. Esformes, "Breathing pattern disorders and functional movement", Int J Sports Phys Ther, vol.9, No.1, pp.28-39, Feb. 2014. PMID: 24567853
34 P. W. Hodges, J. E. Butler, D. K. Mckenzie, S. C. Gandevia, "Contraction of the human diaphragm during rapid postural adjustment", J physiol. vol.505, No.2, pp.539-548, Dec. 1997. DOI: https://doi.org/10.1111/j.1469-7793.1997.539bb.x   DOI
35 M. Perri, Rehabilitation of breathing pattern disorders. In C. Liebenson Rehabilitation of the Spine: a practitioner's manual, Lippincott Williams & Wilkins Publishers, 2007, p.369-387.
36 R. Gilbert, J. H. Jr Auchincloss, D. Peppi, "Relationship of rib cage and abdomen motion to diaphragm function during quiet breathing", Chest, vol.80, No.5, pp.607-612, Nov. 1981. DOI: https://doi.org/10.1378/chest.80.5.607   DOI
37 R. Courtney, J. Van Dixhoorn, M. Cohen, "Evaluation of breathing pattern: comparison of a Manual Assessment of Respiratory Motion(MARM) and respiratory induction plethysmography", Appl Psychophysiol Biofeedback, vol.33, No.2, pp.91-100, Jun. 2008. DOI: https://doi.org/10.1007/s10484-008-9052-3   DOI
38 P. W. Hodges, S. C. Gandevia, "Activation of the human diaphragm during a repetitive postural task", J Physiol, vol.522, No.1, pp.165-175, Jan. 2000. DOI: https://doi.org/10.1111/j.1469-7793.2000.t01-1-00165.xm   DOI
39 P. W. Hodges, I. Heinjnen, S. C. Gandevia, "Postural activity of the diaphragm is reduced in human when respiratory demand increases" J Physiol. vol.537, No.3, pp.999-1008, Aug. 2001. DOI: https://doi.org/10.1111/j.1469-7793.2001.00999.   DOI
40 P. W. Hodges, V. S. Gurfinkel, S. Brumagne, T. C. Smith, P. C. Cordo, "Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration", Exp Brain Res. vol.144, No.3, pp.293-302, Jun. 2002. DOI: https://doi.org/10.1007/s00221-002-1040-x   DOI
41 P. Kolar, J. Sulc, M. Kyncl, J. Sanda, O. Cakrt et. al, "Postural function of the diaphragm in persons with and without chronic low back pain", J of orthopedic & sports physical therapy, vol.42, No.4, pp.352-362, Apr. 2012. DOI: https://doi.org/10.2519/jospt.2012.3830   DOI