• Journal of Korean Neurosurgical Society
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• 제53권3호
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• pp.174-179
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• 2013

Objective : Many studies have investigated paraspinal muscle changes after posterior lumbar surgery, including lumbar fusion. However, no study has been performed to investigate back muscle changes after pedicle based dynamic stabilization in patients with degenerative lumbar spinal diseases. In this study, the authors compared back muscle cross sectional area (MCSA) changes after non-fusion pedicle based dynamic stabilization. Methods : Thirty-two consecutive patients who underwent non-fusion pedicle based dynamic stabilization (PDS) at the L4-L5 level between February 2005 and January 2008 were included in this retrospective study. In addition, 11 patients who underwent traditional lumbar fusion (LF) during the same period were enrolled for comparative purposes. Preoperative and postoperative MCSAs of the paraspinal (multifidus+longissimus), psoas, and multifidus muscles were measured using computed tomographic axial sections taken at the L4 lower vertebral body level, which best visualize the paraspinal and psoas muscles. Measurements were made preoperatively and at more than 6 months after surgery. Results : Overall, back muscles showed decreases in MCSAs in the PDS and LF groups, and the multifidus was most affected in both groups, but more so in the LF group. The PDS group showed better back muscle preservation than the LF group for all measured muscles. The multifidus MCSA was significantly more preserved when the PDS-paraspinal-Wiltse approach was used. Conclusion : Pedicle based dynamic stabilization shows better preservation of paraspinal muscles than posterior lumbar fusion. Furthermore, the minimally invasive paraspinal Wiltse approach was found to preserve multifidus muscles better than the conventional posterior midline approach in PDS group.

• The Journal of Korean Physical Therapy
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• 제15권3호
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• pp.346-360
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• 2003

The purpose of this study was to evaluate effects of education and stabilization exercise of lumbar neutral zone is range of motion and pain of lumbar spine on the with non-specific low back pain. And the randomly selected each twenty patients out of the forty non-specific low back pain patients were classified as an stabilization exercise group and the other the patients were in a control group. stabilization exercise group in non-specific low back pain patients participated in exercise program of Richardson & Jull (1995) four week from October 1st, 2002 to February 28st, 2003 in Daegu 00 hospital. The conclusion were as follows: 1. After 4 weeks of therapy, Visual analogue scale in stabilization exercise group and control group with non-specific low back pain patients were not significantly decreased(p>.05). 2. Remodified Schober test in range of motion lumbar spine of stabilization exercise group and control group with non-specific low back pain patients were significantly increased(p<.05). 3. Finger-to-Floor test in range of motion whole spine of stabilization exercise group and control group with non-specific low back pain patients were not significantly increased(p>.05). 4. Visual analogue scale, Remodified Schober test and Finger-to-Floor test in pre and post treatment of stabilization exercise group and control group with non-specific low back pain patients were significant different(p<.05). 5. Visual analogue scale, Remodified Schober test and Finger-to-Floor test in stabilization exercise group and control group with non-specific low back pain patients were not significant different(p>.05).

• The Journal of Korean Physical Therapy
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• 제13권3호
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• pp.495-507
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• 2001

The purpose of this study was to find the effects of the dynamic lumbar stabilization exercise on functional recovery of low back pain patients. The subjects were consisted of sixty patients who had nonspecific subacute low back pain. All subjects randomly assigned to dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group. The dynamic lumbar stabilization exercise group received modalities treatment with dynamic lumbar stabilization exercise. Williams exercise group received modalities treatment with Williams flexion exercise and modalities treatment group received modalities treatment without exercise. The Oswestry low back pain disability questionnaire was used to measure disability of low back pain. Assessment was carried out before treatment fur obtain baseline measurement of low back pain and reassessment were carried out at after 20 and 40 treatment sessions. The results of this study were as following: 1. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in dynamic lumber stabilization exercise group(p<.05). 2. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in Williams exercise group(p<.05). 3. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in modalities treatment group(<.05). 4. There were no statistical difference between the 3 groups at pre-treatment with Oswestry low back pain disability questionnaire scores(p>.05). 5. There were no statistical difference between the 3 groups after 20th treatment with Oswestry low back pain disability questionnaire scores(p>.05). 6. There were statistical difference between the 3 groups after 40th treatment with Oswestry low back pain disability questionnaire scores(p<.05). 7. The Oswestry low back pain disability questionnaire scores were significantly decreased after 40th treatment in all 3 groups and the decrement were greater in order of dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group.

• 대한통합의학회지
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• 제3권3호
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• pp.9-16
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• 2015

Purpose : The purpose of this study was to demonstrate the effects of lumbar stabilization exercise on static and dynamic balance performance with unstable supporting surface and an even surface. Methods : The subjects of this experimental study were 30 patients among hospitalized stroke patients. They were randomly divided into two groups: unstable supporting surface group(USS; n=15) and an even surface group(ES; n=15). The lumbar stabilization exercise program for patients in two groups went through 40 minute exercise sessions three times a week for 8 weeks. To analyze the effects of a variety of supporting surface, Functional reaching test(FRT), Berg's balance scale(BBS), and Overall stability index(static balance) were measured before and after the exercise. The paired t-test was used to compare mean differences between before and after exercis and the independent t-test was used to compare mean differences between groups. Results : After 8 weeks exercise program, there were significant differences between before and after exercise in FRT, BBS, and static balance. But there were not significant differences in balance between two groups. Conclusion : This study suggest that lumbar stabilization exercise on unstable supporting surface and an even surface can improve FRT, BBS, and a static balance.

• The Journal of Korean Physical Therapy
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• 제30권1호
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• pp.1-7
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• 2018

Objective: This study aimed to determine the efficacy of flexible pole training combined with lumbar stabilization in improving trunk muscle activities and to investigate the difference according to posture in young adults. Methods: Twenty-five participants were enrolled in this study. The subjects were randomly allocated into either the flexible pole group or the rigid pole group. Participants performed lumbar stabilization exercises on quadruped and curl-up, with the flexible pole or rigid pole. Electromyography was used to assess the percent maximal voluntary isometric contracion (%MVIC) of the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spine (ES) muscles. All participants completed one 30-minute session per day, 3 days per week, for 6 weeks. The evaluation was performed before and 6 weeks after the training, and follow-up. The data were analyzed using independent t-test and two-way repeated measure analysis of variance to determine the statistical significance. Results: The flexible pole in curl-up showed significant differences in EO and IO muscle activities compared with the rigid pole. The flexible pole in quadruped showed significant differences in IO and ES muscle activities compared with the rigid pole. The RA, EO, IO, and ES muscle activities of both groups were significantly higher after 6 weeks training. Conclusion: The flexible pole in curl-up and quadruped showed an improvement in trunk muscle activation. The flexible pole combined with lumbar stabilization will be useful as an exercise tool to improve activity of trunk muscles.

• 대한물리치료과학회지
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• 제18권3호
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• pp.25-32
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• 2011

Background : The aim of this study is to effect of lumbar stabilization exercise on double limb support, balance ability and risk of fall index in elderly people. Methods : A six-week lumbar stabilization program training for improvement of balance ability and prevention of fall down were applied by dividing into ten people of experimental group and ten people of control group for elderly aged below sixty-five more than eighty years who were capable of independent activity of daily living. for double limb support, balance ability and fall index assessment, the TETRAX were used. Results : The double limb support, balance ability and fall index in experimental group indicating changes in statistical significance(p<0.05), But changes in significance were not found of all parts in control group(p>0.05). Conclusion : The above results mean that the lumbar stabilization exercise was effective for promotion of elderly people's double limb support, balance ability and fall index and further study considered need to be more the study relative to effect of fall prevention exercise program.

• The Journal of Korean Physical Therapy
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• 제29권5호
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• pp.234-240
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• 2017

Purpose: The aim of this study was to determine the effectiveness of breathing exercises and lumbar segmental exercises on the segmental stability of patients with chronic back pain. Methods: Fifty-nine patients, who suffered from chronic low back pain, were enrolled in this examination. They were divided randomly into three groups: experiment group 1 underwent breathing and segmental stabilization exercises (n=20), experiment group 2 experienced segmental stabilization exercises (n=20), and the control group was given the modality treatment (n=19). The measurements were assessed through an Oswestry disability questionnaire (ODQ), as well as a lumbar segmental instability test (LSIT). Results: The ODQ results for experimental groups 1 and 2 were similar (p<0.05), both before and after six weeks of exercise, but different among the three groups (p>0.05). The differences in segmental instability of each of the three groups were similar (p<0.05), and also similar among the three groups (p<0.05). Conclusion: These findings suggest that lumbar segmental stabilization exercises are efficient in increasing the segmental stability and alleviating pain in patients with chronic back pain. Additional studies on this subject will be needed to improve the clinical applications in the future.

• 대한통합의학회지
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• 제10권2호
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• pp.73-83
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• 2022

Purpose : Low back pain (LBP) is reported as a risk of experiencing musculoskeletal disorders due to muscle stiffness and hypokinetics. The lumbar spine in an unstable state causes imbalance and lumbar instability. Therefore, This study examined the effects of lumbar stabilization exercise and self-complex exercise program on pain, function, psychosocial level, static balance ability, and transverse abdominal muscle (TrA) thickness and contraction ratio in patients with lumbar instability. Methods : The design of this is a randomized controlled trial (RCT). Twenty-six LBP patients participated in this study. Screening tests were performed and assigned to the experimental group (n=13) and control group (n=13) using a random allocation program. Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the self-complex exercise program. All interventions were applied three times per week for four weeks. The quadruple visual analog (QVAS), the Korean version of the Oswestry disability index (K-ODI), Korean version of fear-avoidance belief questionnaire (FABQ), static balance ability, TrA thickness, and contraction ratio were compared to evaluate the effect on intervention. Statistical significance was set at 𝛼=.05. Results : Both groups showed significant differences before and after the intervention in QVAS, K-ODI, FABQ, static balance ability, and TrA thickness in contraction (p<.05). In addition, significant differences in K-ODI and FABQ were observed between the experimental group and control group (p<.05). Conclusion : A lumbar stabilization exercise and self-complex exercise program resulted in reduced dysfunctions, psychosocial stability in patients with lumbar instability. Therefore, Lumbar stabilization exercise and self-complex exercise program for patients with lumbar instability are effective method with clinical significance in improving the function and psychosocial stability.

• 대한정형도수물리치료학회지
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• 제18권1호
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• pp.65-72
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• 2012

Background: The purpose of this study is on finding the effects of the lumbar stabilization exercise applied with the proprioceptive neuromuscular facilitation technique (PNF) to the balance and the gait of chronic stroke patients. Methods: An experiment was conducted using two sets of behavioral measures with 30 chronic stroke hospitalized patients in the rehabilitation center located in Incheon city. The 15 participants in group A were instructed to apply the traditional exercise therapy. And the other 15 participants were assigned to apply the lumbar stabilization exercise with the PNF technique. It was conducted for 30 minutes per three days for six weeks, which had eighteen times. Using the balance system, it was checked about the static and dynamic balance. Using the Gaitrite, it was checked about the ability of the gait. Results: There was a better effect on both groups especially with the static balance. Those who were applied the lumbar stabilization exercise with the PNF technique had a better result on the dynamic balance and the gait than those applied the traditional exercise therapy. Conclusion: This research shows that the Lumbar Stabilization Exercise applied with the PNF technique is more effective on dynamic balance and the gait performance ability of the chronic stroke patients.

• 대한물리의학회지
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• 제13권3호
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• pp.81-89
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• 2018

PURPOSE: This study was conducted to monitor the performance of breathing exercises by patients with lumbar instability who had altered breathing patterns. METHODS: To investigate the effects of breathing exercises on spinal posture, mobility, and stabilization in patients with lumbar instability with altered breathing patterns, 30 adult participants were enrolled on the basis of the selection criteria and randomly assigned to the breathing exercise group (BEG) or trunk stabilization exercise group (SEG). A pre-test was performed prior to the intervention exercise program. The intervention exercise program consisted of 15 sessions (three sessions per week for 5 weeks) between August and September of 2016. The post-test was performed on the 6th week of intervention. RESULTS: Pre- and post-test comparisons of BEG and SEG revealed significant improvements in all tested items in the SEG, except for spinal mobility, while significant improvements in spinal postures 1 and 2, spinal mobility, and stabilization were found in the BEG. Between-group comparisons revealed that there were no significant differences in spinal posture 1, spinal posture 2, spinal mobility, or stabilization, whereas significant differences were found in spinal posture 2 and spinal mobility, with the BEG showing greater improvements than the SEG. CONCLUSION: Based on the findings in the present study, it is believed that breathing exercises have important effects on spinal posture, mobility, and stabilization in patients with lumbar instability who have altered breathing patterns.