• Title/Summary/Keyword: Sling exercise

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Lumbar stabilization exercises using the sling system (슬링(sling) 시스템을 이용한 요부 안정화 운동)

  • Kim, Suhn-Yeop;Kwon, Jae-Hoak
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.2
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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.

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Effects on Muscle Activities around Scapula for Wall Slide and Sling Slide Exercises in Subjects with Scapular Downward Rotation syndrome (월 슬라이드와 슬링 슬라이드 운동이 어깨뼈 아래쪽 돌림 증후군의 어깨뼈 주변 근육의 활성도에 미치는 영향)

  • Lim, Jin-yong;Kim, Byung-kon;Seo, Hyun-kyu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.1
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    • pp.51-58
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    • 2016
  • Background: Evidence for effective management of scapular downward rotation syndrome is limited. The present study was performed to compare the scapular muscle activation through 4weeks wall slide exercise and sling slide exercise in subjects with scapular downward rotation syndrome. Methods: Twenty-two subjects with scapular downward rotation syndrome participated in the study. Surface electromyography data were collected from the upper and lower trapezius, serratus anterior and pectoralis major during shoulder flexion of $60^{\circ}$, $90^{\circ}$ and $120^{\circ}$ in the sagittal plane. The alignment of the scapula was measured using radiographic analysis. Subjects were assessed pre and post a 4 weeks exercise (wall slide, sling slide). The significance of the difference in pre- and post-exercise within each groups was assessed using a paired t-test. The significant difference between wall- and sling-exercise was used a independent t-test. Results: In the wall slide group, the muscle activity of upper trapezius decreased significantly during shoulder flexion at $60^{\circ}$, $90^{\circ}$ and $120^{\circ}$ after 4 weeks, and the muscle activity of serratus anterior increased significantly at all angles. Also, the muscle activity of pectoralis major decreased significantly at $90^{\circ}$ and $120^{\circ}$. Conclusions: Based on such results, it can be said that wall slide exercise is effective than sling slide exercise for the subjects with scapular downward rotation syndrome.

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The Changes of The Shoulder Function and Quantitative Radiographic Measurements in Hemiplegic Patients by Sling Exercise (슬링운동에 의한 편마비 환자의 견관절 기능 및 정량적 방사선 계측 값 변화)

  • Lee, Dong-Rour;Kim, Jong-Soon;Song, Min-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.4
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    • pp.231-240
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    • 2009
  • Purpose:The aim of this study was to determine the effect of active sling exercise on shoulder subluxation in hemiplegic patients. Methods:Twenty persons with shoulder subluxation were randomly divided into two groups; the experimental group(10 persons) and the control group(10 persons). Usual physical therapy and occupational therapy were applied in all groups in a day for 4 weeks. Additionally the experimental group was received 30 minutes sling active exercise (flexion, extention, adduction, abduction, intenal rotation, external rotation, horizontal adduction, horizontal abduction) for shoulder joint in a day for 4 weeks. I investigated the therapeutic effect of sling exercise through the Wolf motor function test (WMFT), Quantitative radiographic measurements and range of motion test at pre and post intervention period. Results:The passive range of motion was significantly increased in the experimental group compare with the control group. However, the active range of motion was no statistically significantly difference in both of the experimental and the control group. The level of WMFT was significantly decreased in the experimental group compared with control group. Although, there was no significantly difference the degree of the shoulder subluxation was more decreased in experimental group than control group. Conclusion:Taken together, these results suggest that sling exercise could be beneficial therapeutic method for hemiplegic shoulder. But to generalize it, more study and exercise program might be needed to confirm its availability.

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The Effects of Sling Exercise Based with Bobath Concept on the Balance of Spastic Diplegia Cerebral Palsy: Case Report (보바스 개념에 기초한 슬링 운동이 양하지 뇌성마비 균형에 미치는 영향: 단일사례연구)

  • Lee, Eun-Ju
    • The Journal of Korean Society for Neurotherapy
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    • v.22 no.3
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    • pp.11-18
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    • 2018
  • Purpose This study is to investigate the effect of sling exercise on the balance capacity of spastic diplegia cerebral palsy patient based on Bobath concept. Methods A single subject experiment was designed targeting an 8year old child with the rigid bilateral cerebral palsy. The static balance test used the 30 second Rombug test of BT4, and the dynamic balance test used the timed up and go test. Results In the 30second Rombug test of BT4, the child had a smaller median outcome than baseline and withdrawal period. In the TUG test, the walking speed in the intervention period was improved comparing to the baseline and withdrawal period. Conclusion The sling exercise based on the Bobath concept has been proved that it is an effective intervention to improve the static and dynamic balance capacity of patients with rigid bilateral cerebral palsy.

The Effect of 12Weeks Sling Exercise on the Change of Muscular Body Type in Patients with Work-related Musculoskeletal Disorders (12주간의 슬링운동이 작업관련성 근골격계 질환자의 근체형 변화에 미치는 영향)

  • Baek, Soon-Gi;Lee, Jong-Bok;Jeong, Hae-Cheon
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.317-323
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    • 2014
  • This research has a purpose of providing base data to prevent musculoskeletal disorders, by analyzing the changes in muscle body due to sling exercises, of the industrial laborers with work-related musculoskeletal disorders. The subjects of this research are 20 volunteers who applied for musculoskeletal treatment exercises in hospitals, from region D industry H. 10 of the 20 subjects were involved in sling exercise program for 12 weeks, and the other 10 subjects were ordered to retain their common practices. We have used the statistics software SPSS ver.18.0 to analyze the data, and have offered a descriptive analysis of the measured variables. To discover the sling exercise effects, we have executed a t-test (paired sample t-test) comparing the before-after relationship of 12-week sling exercise program, and the level of significance were set to a=.05. With these set of research methods and procedures, we have concluded the following. As a result, we have concluded that 12-week sling exercise program does exert influence in changing muscle body of work-related musculoskeletal patients.

The Effect of Stability Exercise For Pain Level of Cervical and Lumbar Region, Muscle Volume and Fat Mass Composition in Body of High School in Man volleyball Player (고등학교 남자배구선수들의 안정화운동에 대한 경.요부의 통증수준과 근육량, 체지방에 미치는 영향)

  • Won, Sang-Hee;Jeon, Cha-Sun;Yu, Woung-Sik
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.41-48
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    • 2009
  • Purpose: to program introduction the effects of stability sling exercise and common exercise of high school in man volleyball player. Methods: This study divided the subjects into a sling-exercise group and a common exercise group to compare after practicing exercises twice per week for 8 weeks (total 16 times). To compare the means of the experimental group and the control group on each variable, the ANOVA for repeated measure was used and if there was any significant difference across the measurement times, post-hoc comparisons were conducted for the difference. Results: The T-tests for group difference according to exercise type on each of the variables showed the results as follows. The pain in cervical region is experimental and control groups pain correlation were not significant(p>0.05). But lumbar region experimental and control groups were significant(p<0.05). Muscle volume was increased during 8weeks in experimental and control groups. But experimental and control groups muscle volume correlation were not significant(p>0.05). Conclusion: Fat Mass composition was decreased during 8 weeks in experimental and control groups. But experimental and control groups mass composition correlation were not significant(p>0.05).

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The effects of performing a one-legged bridge with use of a sling on trunk and gluteal muscle activation

  • Cho, Minkwon;Bak, Jongwoo;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.70-77
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    • 2016
  • Objective: The purpose of this study was to compare the activation of trunk and gluteal muscles during bridge exercises with a sling (BS), single-legged bridge exercise with a sling (SBS), single-legged bridge exercise (SB), and general bridge exercise (GB). Design: Cross-sectional study. Methods: Twenty-five healthy participants (19 males and 6 females, aged 27.8 [4.78]) voluntarily participated in this study. In the bridging exercise, each subject lifted their pelvis with their legs and feet in contact with the sling or normal surface. The electrical activities of the erector spinae (ES), gluteus maximus (GM), external oblique (EO), and internal oblique (IO) muscles during the bridging exercises on the 2 surfaces were measured using surface electromyography. Subjects practiced each of the four bridge condition three times in random order and average values were obtained. Results: On the ipsilateral side, activities of the IO, EO, and ES during SBS was significantly higher than those during BS, SB, and GB (p<0.05). Activities of the IO and EO during SB was significantly higher than those during BS and GB (p<0.05). On the contralateral side, activities of the GM and EO during SB and SBS was significantly higher than that during BS and GB (p<0.05). These results verify the theory that the use of sling and single leg lift increases the activation trunk and gluteal muscles during bridging exercises. Conclusions: The single-legged bridge exercise with a sling can be recommended as an effective method to facilitate trunk and gluteal muscle activities.

The Effect of Sling Exercise and Conservative Treatment on Cross-section Area Change of Lumbar Muscles (슬링 운동과 보존적 치료가 요부근육의 횡단면적 변화에 미치는 영향)

  • Lee, Woo-Hyung;Jeong, Seong-Gwan;Park, Rae-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.233-243
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    • 2010
  • Purpose : This study aimed to examine the effects of sling exercise therapy on the relief of low back pain and the cross-sectional area change of lumbar muscles by CT analysis for chronic low back pain patients. Methods : Forty-one patients with diagnosis of chronic low back pain was divided sling exercise therapy group(SEG) 19 subjects and conservative physical therapy group(CPG) 22 subjects. we randomized and treated them(subjects) for 12 weeks. As using visual analogue scale(VAS), we evaluated recovery accuracy of pain, and for investigating cross-section area change of lumbar muscles for before and after treatment we used computed tomography(CT). Results : This study were summarized as follows : 1) As treatment period, in each compared testing on VAS of SEG and CPG, the both group was significantly different(p<.05). 2) Compared testing on VAS of between-subject groups(SEG and CPG) were not significantly different(p>.05). 3) At SEG of before and after treatment, in compared testing on cross-section area size of lumbar muscles, All muscles of psoas major, quadratus lumborum, erector spinae and multifidus were significantly different(p<.05). At CPG, psoas major was significantly different(p<.05). But other muscles were not significantly different(p>.05). Conclusion : From this result, both sling exercise therapy and the conservative physical therapy are effect on decrease of pain for chronic low back pain patients. but Increasing of the cross-section area being proportioned with muscular strengthening of low back muscle is noticeable difference in SEG. Therefore, sling exercise therapy have affect both decreasing of pain for chronic low back pain patients and lumbar muscles strengthening.

Effects of Sling Exercise using Neurac Technic on Shoulder Stabilization Muscles According to the Surface during Crawling Position (네발기기 자세에서 지지면에 따라 뉴렉기법을 적용한 슬링이 어깨 안정화 근육에 미치는 영향)

  • Chun, Hye-Lim;Kim, Kyung-Hun
    • Journal of Korean Physical Therapy Science
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    • v.25 no.2
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    • pp.24-34
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    • 2018
  • Purpose: The purpose of this study was to assess how much neurac technic affects the stability muscles of the shoulder according to the supporting surface in crawling position. Method: 29 healthy adult males participated in this experiment. The experiment consists of 2 experimental groups and 1 control group. It is conducted for 3 weeks. Each group exercised for 7 seconds and then rested for 3 seconds. Using EMG, the average value of serratus anterior, upper trapezius, and lower trapezius was repeated three times. Experimental group 1 conducted push up plus exercise applied neurac technic with sling on unstable supporting surface. Experimental group 2 conducted push up plus exercise applied neurac technic with sling on stable supporting surface. Control group conducted the push up plus exercise on stable supporting surface. One-way ANOVA was used for statistical analysis. Result: It was noticeable that the result of Experimental group 1 affects stability muscles of more than Experimental group 2 and Control group. Conclusion: Push up plus position applied neurac technic with sling on unstable supporting surface was the most effective in activating the stability muscles of the shoulder.

Effect of Horse Riding Simulator Exercise on Thickness of Transverse Abdominis in Healthy Adults

  • Park, JaeHyo;Kim, YoungMi
    • The Journal of Korean Physical Therapy
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    • v.31 no.2
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    • pp.111-116
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    • 2019
  • Purpose: This study examined the effects of horse riding simulator exercise on the thickness changes in the transverse abdominis in normal adults. Methods: Forty-five healthy adults were recruited and randomized to a horseback riding simulation exercise group (n=15), a sling exercise group (n=15), and a trunk stabilization exercise group (n=15). A horseback riding simulator offers the indoor experience of horseback riding and mimics the rhythmic movement of horseback riding, thereby provided a virtual environment, such as riding a real horse on the front screen. The velocity of the horse riding simulator exercise was regulated within the subject's ability to control the exercise on the horse riding simulator. A sling exercise group performed sling exercise under the inspection of the experimenter. In the trunk stabilization exercise group, the subjects were instructed to perform the exercise accurately and pause the session when pain occurred during the intervention. The subjects in each group carried out the interventions three times per week for six weeks. The thickness of the transverse abdominis was measured using a pressure biofeedback unit and the ultrasound. Results: Significant differences in the thickness of transverse abdominis within the groups were observed between before and after the interventions. On the other hand, there were no differences in the parameters among the groups. Conclusion: Horse riding simulator exercise can be an alternative to trunk stabilization exercise by increasing the thickness of the transverse abdominis in healthy adults.