• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.129-141
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• 2004

The purpose of Lumbar Stabilization is to recover the ability of regulating movement of muscular strength, which currently becomes an essential approach to the treatment for lumbago. Sling exercise is a dynamic exercise and a method of active exercise for the patients to take part in their own treatment. This research is to develop the correlation between Lumbar Stabilization and muscular strength as well as Sling exercise. The subjects of this experiment are 12 healthy and normal male and female lasting for 4 weeks. EMG and Postural Med were used as measuring apparatuses. After experiment of 4 weeks exercises, there was not a meaningful result in the measured result of EMG(P>0.05), But there was a significant increase in the result of Postural Med after the experiment(P<0.05). According to this result, we can find out that there is a significant correlation between Sling exercise and muscular strength as well as Lumbar Stabilization. The increase in the lumbar region augments Lumbar Stabilization and the reaction speed of muscle power. So it recovers the stabilization of spine. This Sling exercise program is efficient for the treatment and prevention of back pain.

• 디지털융복합연구
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• 제12권12호
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• pp.651-658
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• 2014

본 연구는 천장관절 증후군으로 진단받은 중년남성 17명을 대상으로 슬링을 이용한 요부 안정화 운동이 근체형 및 주관적 통증에 영향을 주는지를 규명하여 슬링을 이용한 요부안정화 운동의 효과성을 증명하는데 있다. 본 연구의 대상자는 C시에 소재한 S정형외과에서 X-Ray 등의 검사를 통하여 천장관절 증후군으로 진단 받은 6개월 이상의 병력이 있는 만성 요통환자를 대상으로 슬링을 이용한 요부안정화 운동을 8주간 주 3회씩 1회 30분 통 24회 실시한 후 3차원 Moire 근체형검사기를 사용하여 근체형의 변화와 변형된 VAS통증 자각도를 이용하여 주관적 통증정도의 전 후 변화를 다음과 같은 결과를 얻었다. 근체형의 변화는 운동전과 운동 후 통계적으로 유의하게 향상됐고 주관적 통증정도 역시 통계적으로 유의한 감소를 나타내었다. 따라서 슬링을 이용한 요부안정화 운동은 천장관절 증후군 환자의 근체형 및 통증개선에 긍정적인 영향을 주는 것으로 판명되었다.

• 대한정형도수물리치료학회지
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• 제7권2호
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• pp.23-39
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• 2001

Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

• 한국산학기술학회논문지
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• 제13권7호
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• pp.3074-3084
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• 2012

본 연구의 목적은 청소년기 특발성 척추측만증 환자를 대상으로 슬링을 이용한 요부안정화 운동프로그램이 정적 선 자세의 균형에 미치는 영향을 알아보고자 하였다. 본 연구의 대상자는 특발성 척추측만증을 진단 받은 환자 40명을 무작위로 두군으로 나눈 후 실험군(n=20)은 슬링 요부안정화 운동, 대조군(n=20)은 단지 자세교육만 실시하였다. 두군 모두 실험 전 후 균형 수행 모니터(Balance performance monitor)을 이용하여 눈을 감은 상태에서의 양발서기 자세와 눈을 뜬 상태에서의 양발서기에서 동요거리(총, 좌우방향, 전후방향)와 동요속도(총, 좌우방향, 전후방향)를 측정하였다. 운동프로그램 적용 후에 두그룹간에 모든 변수에서 유의한 차이를 보였다. 실험군은 운동 전 후 모든 변수에서 유의한 감소를 보였다. 그러나 대조군에서는 유의한 차이를 보이지 않았다. 이상의 결과를 통해서 슬링 요부안정화 운동프로그램은 특발성 척추측만증 환자의 체중심 동요거리와 동요속도를 감소시켜 정적 선 자세 균형능력을 향상시켰으며 슬링 요부안정화 운동프로그램이 청소년기 특발성 척추측만증 환자의 균형 증진 중재가 될 수 있을 것으로 보인다.

• The Journal of Korean Physical Therapy
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• 제28권6호
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• pp.393-397
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• 2016

Purpose: This study was conducted in an effort to determine the effects of various abdominal drawing-in maneuver (ADIM) on the thickness and length of the transversus abdominis (TrA) when using lumbar stabilization exercises on healthy adults. Methods: 72 healthy adults were divided into four groups of 18 subjects each, to which different ADIM methods were applied. 1) a simple ADIM exercise, 2) an ADIM with pressure bio-feedback units, 3) an ADIM exercise with sling, and 4) an ADIM exercise with sling and vibration. Changes in the thickness and sliding length of TrA were measured when ADIM was conducted in the supine position prior to exercise and again when beginning the exercises. Following exercise, changes in the thickness and sliding length of TrA were measured using the same methods. Differences in group measurements prior to and following exercise were compared using a one-way analysis of variance. A paired t-test was applied to compare the before and after differences within each group. Results: Differences in TrA thickness change revealed that the ADIM exercise with sling and vibration group showed a significant difference in measurements taken prior to and following exercise. Differences in TrA length change revealed that the ADIM exercise with sling and vibration group showed a significant difference in measurements taken prior to and following exercise. Conclusion: ADIM exercise with vibration stimulation conducted in the bridge posture while in a prone position using a sling can be recommended as an effective exercise to improve the function of lumbar TrA.

• Korean Journal of Acupuncture
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• 제27권4호
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• pp.5-13
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• 2010

Objectives : Herniated lumbar intervertebral disc is common reason causing back pain. Lumbar stabilization exercise prevent back pain recurrence by strengthening lumbar muscles. Sling Exercise Therapy(SET) is a system for spinal muscle stabilization and strengthening using fixed string and mobile band. The purpose of this study is to investigate and measure the effectiveness of SET and oriental medicine for Herniated lumbar intervertebral disc. Methods : The subjects for this study are 40 patients suffering from Herniated lumbar intervertebral disc in our clinic. They were measured and compared by Visual Analogue Scale(VAS), 4 grades of recovery degree and sex, age, period of disease, disc herniation type, times of exercise. Results : In the above index, the score(VAS, 4 grades of recovery degree) improved after treatments. But they make no difference between sex, age, period of disease, disc herniation type and times of exercise. Conclusions : These results suggest that SET may be used for Herniated lumbar intervertebral disc for pain management and muscle strengthening as an essential treatment regardless of sex, age, period of disease and disc herniation type.

• 대한물리의학회지
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• 제8권3호
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• pp.295-302
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• 2013

PURPOSE: The purpose of this study was to investigate the effect of short-term lumbar stabilization exercise to patients suffering from chronic low back pain(CLBP) on the strength of their lumbar flexor and extensor and the postural balance of them and to suggest effective treatment duration for them. METHODS: Study subjects were 20 patients with CLBP who's been reported the pain for more than 12 weeks. For these subjects, muscle strength of both extensor and flexor of lumbar and the balancing ability were measured before and after the intervention. Lumbar stabilization exercise was composed of matt, ball and sling exercise. The intervention was applied for total 12 sessions for 4 weeks (3 times a week) and each session was for 40 minutes. RESULT: For muscle strength of both extensor and flexor of lumbar, there was significant differences after the application of lumbar stabilization exercise(p<.05). For balancing ability, stabilization shows significant differences in all of the positions except PC(eyes closed on pillows)(p<.05). Distribution of weight shows no significant differences but it was generally distributed within normal range after the exercise and Fall index shows significant differences between before and after the exercise(p<.05). CONCLUSION: These results could have positive effect on deciding different periods of therapeutic intervention.

• 대한물리의학회지
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• 제11권4호
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• pp.115-125
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• 2016

PURPOSE: This study aimed to compare the effects of lumbar stabilization exercise with those of the neurodynamic technique on low back pain in patients with lumbar instability. METHODS: The subjects included those with more than three tests with positive results for lumbar instability and those with a positive sign during the neurodynamic test, all of whom had low back pain. For the lumbar stabilization exercise group (n=15), lumbar stabilization exercise was performed using a sling system, while the neurodynamic technique group (n=15) performed the neurodynamic technique. The intervention was performed 5 days a week for 4 weeks. All measurement of each subject were measure at pre-intervention and post-intervention (after 4 weeks). SPSS/PC ver. 18.0 program was used to compile results. RESULTS: There was no significant difference in general characteristics of subjects between both groups (p>.05). Assessed items included the visual analog scale score (VAS), Korean version of the Oswestry Disability Index (KODI), lumbar instability test positive response counter (LIC) and Fear-Avoidance Beliefs Questionnaire score (FABQ), and a significant reduction was observed post-intervention compared to pre-intervention values in both groups (p<.01). Other assessed items such as trunk flexibility and lumbar extensor endurance and lumbar flexor endurance were significantly increased post-intervention in both groups compared to pre-intervention values (p<.01). There was no significant difference in all parameters between both groups (p>.05). CONCLUSION: Our results indicate that the neurodynamic technique may be useful for improving low back pain in patients with lumbar instability.

• 대한정형도수물리치료학회지
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• 제28권2호
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• pp.45-55
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• 2022

Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.

• 대한정형도수물리치료학회지
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• 제26권2호
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• pp.19-27
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• 2020

Background: The purpose of this study was to examine the effects of a multi-modal exercise program for patients with chronic low back with respect to pain intensity, trunk muscle strength and Oswestry disability index. Methods: Thirty patients with chronic low back pain were recruited and divided equally into two groups. The multi-modal training program comprised a series of exercises such as warm-up, stabilization exercises, stretching, endurance exercises, and cool down whereas the control group performed only stabilization exercises. The both group spent an equal amount of time performing 60 minutes per day, three times per week, for five weeks. Results: The experimental group demonstrated statistically significant improvements in range of motion, trunk muscle strength, the visual analogue scale, and the Oswestry Disability Index (p<.05). Intergroup comparison showed a statistically significant difference in the range of motion of the lumbar spine and the degree of disability in the experimental group. Muscle strength and pain were statistically significant in both groups. Conclusion: The multi-modal exercise program is effective for patients with chronic low back pain, as it reduces lower back pain, increases trunk muscles strength, and decrease the potential for becoming disabled.