• Title/Summary/Keyword: Trunk stabilization

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Comparisons between Global Postural Re-education Exercise and Lumbar Stabilization - Focuhing on Eldery Women (Global Postural Re-education 운동과 일반적인 요부 안정화 운동(LSE)의 비교 -여성노인을 대상으로-)

  • Kim, Myung-Chul;Han, Seul-Ki;Song, Seung-Hyun;Park, Jung-Seo
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.3
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    • pp.309-318
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    • 2012
  • Purpose : The purpose of this study was to compare 2 different interventions, global postural re-education (GPR) and specific spinal stabilization exercise in the healthy elderly of women. Methods : A total of 28 subjects were randomized into 2 treatment groups: GPR, where therapy involved muscle global chain stretching, or specific spinal stabilization exercise with conventional static stretching (GPR group: n=14, specific spinal stabilization exercise group: n=14). Both groups received exercise intervention 3 times a week for 12-weeks. Results : Outcome was based on trunk endurance, trunk flexibility, Pressure Bio Feedback, Oswestry Disability Index measured immediately before and after intervention. Trunk flexibility, Pressure Bio Feedback, Oswestry Disability Index improved more in GPR group after intervention. There were no differences between the 2 exercise approaches for any of the trunk endurance. Conclusion : As the above results, GPR appear to improve Trunk flexibility, Pressure Bio Feedback, Oswestry Disability Index to the elderly of women. The efficacy of the GPR program used in this study should be further investigated in a long period study and objective outcomes.

The Effects of a Bridging Exercise Applying Changes in the Base of Support for the Shoulders on Trunk Muscle Activation

  • Lee, Tae-Gyu;Park, Chan-Hyun;Son, Ho-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.3
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    • pp.97-104
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    • 2016
  • PURPOSE: Bridge exercise is widely used in rehabilitation exercise for trunk stabilization through various applications in clinical practice. However, there is a lack of studies changing the base of support for the shoulders. The purpose of this study is to investigate the changes in the base of support for the shoulders of trunk muscle activation during bridge exercise. METHODS: 20 healthy subjects (10 men, 10 women) in their twenties were participated in this study. They performed 5 bridge exercises (bridge exercise with their shoulders on a stable table (1/2 knee height, knee height), and on a sling (1/2 knee height, knee height), conventional bridge exercise. The surface electromyography were used for rectus abdominis (RA), internal oblique (IO), external oblique (EO), and erector spinae (ES). RESULTS: During bridge exercise that their shoulders on the sling of 1/2 knee height, the RA, EO, IO muscle activities were significant increased. And during bridge exercise that their shoulders on the stable surface of knee height, the IO/RA ratio were higher than other positions but there were no significant difference between positions for EO/RA, IO/RA ratio. CONCLUSION: Based on this result, using various bases of support and changing the height of bridging exercise may be used to provide effective trunk stabilization exercises.

Influence of Trunk Stabilization Exercise upon the Lumbar Stabilization and Foot Pressure in Patients with Back Pain (체간 안정화 운동이 요통환자의 요부안정성과 족저압에 미치는 영향)

  • Lee, Woo-Jin;Park, Seol;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.26 no.1
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    • pp.21-26
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    • 2014
  • Purpose: This study examined the effect of trunk stabilization exercise upon the lumbar stabilization and foot pressure on an unstable surface with back pain. Methods: The subjects of the study were 10 patients who showed the symptom of back pain with excessive lumbar curve. This study was 4 weeks, 30 minutes per session, three times a week for a total of 12 times as a result of exercise radiation imaging device and foot pressure analyzer. Results: The sacrohorizontal angle was statistically significant(p<0.05). Comparison of the difference between static right and left foot pressure ratio analysis was statistically significant(p<0.05). Dynamic right and left foot pressure comparisons for the difference was statistically significant in the analysis (p<0.05). Conclusion: Trunk stabilization exercise and the reduction of the excessive sacrohorizontal angle, and static and dynamic foot pressure imbalance reduced left and right.

The Effects of Task Difficulty Controlled by Surface Condition During Bridging Exercise on Relative Multifidus Activation Ratio (교각 자세 운동 시 지지면 불안정성을 통한 과제 난이도가 다열근의 선택적 근활성도 비에 미치는 영향)

  • Song, Eun-Ju;Choi, Jong-Duk
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.59-66
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    • 2011
  • The purpose of this study is to examine the activity ratios of global trunk muscles and local trunk muscles in relation to adjustments in the level of task difficulty while performing stability exercises in easily applied bridging lumbar stabilization exercise. Twenty healthy subjects performed bridging lumbar stabilization exercise while the level of task difficulty was plate was used in the same posture for all the exercises. EMG was used to examine the activity ratios of the global muscles and multifidus in relation to the level of task difficulty. Moreover, the activity ratios of the multifidus muscle, the erector spinae and the gluteus maximus muscle were measured. A one-way ANOVA with repeated measures was used, and a Bonferroni correction was conducted (${\alpha}$=.05). When the bridging lumbar stabilization exercise were performed at different difficulty levels, the activity of the multifidus muscle, which is a local muscle, was high in all three exercises. Also, compared to low intensity and intermediate intensity exercises, high intensity exercises showed more significant differences (${\alpha}$=.05). Among all the muscles, the multifidus showed the highest activity at intermediate intensity. Based on these results, we suggest that in the case of bridging lumbar stabilization exercise, low intensity or intermediate intensity exercises are more suitable and efficient for local muscle stabilization.

Effects of Core Exercise Program on the Low Back Function in Private Guard and Security (경호원들의 코어프로그램 수행과 요추부 기능개선에 관한 연구)

  • Kang, Min-Wan
    • Korean Security Journal
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    • no.21
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    • pp.1-18
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    • 2009
  • Background: This study was to investigate the effects of spinal strengthening exercise and lumbar stabilization exercise(core exercise program) on trunk muscle strength, flexibility and balance, lumbar function. The subjects of this study were the eighteen subjects who was registered in private guard company. The each exercise group of 9 persons were chosen by random controlled trial. Methods: We used instrument BTE, Libra, Ruler Measuring tape to measured trunk muscle strength, flexibility, balance and lumbar function. Results: The result of this study were summarized below; The flexor muscle strength was improve in lumbar stabilization exercise(core exercise) group(p<.05). The extensor muscle strength was improve in lumbar stabilization exercise(core program) group(p<.05). The trunk flexibility was improve in spinal strengthening exercise group and lumbar stabilization exercise group(p<.05). The balance ability was improve in spinal strengthening group and lumbar stabilization exercise group(core program) group(p<.05). Conclusion: With the above results, demonstrated effects of spinal strengthening exercise and lumbar stabilization exercise in each private guard and security in this study.

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Effects of Spinal Stabilization Exercises Using Visual Feedback on Gross Motor Function and Balance in Children with Cerebral Palsy

  • Kim, So Hee;Kim, Tae Ho;Hwang, Hyun Chul
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.279-285
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    • 2019
  • Purpose: This study examined the effects of spinal stabilization exercises using visual feedback on the gross motor function and balance of the sitting posture in children with cerebral palsy. Methods: The subjects were 18 children with cerebral palsy aged 8-15 years in the I-III stages of the Gross Motor Function Classification System. The subjects were divided into an experimental group (n=9) and control group (n=9). The experimental group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises using visual feedback. The control group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises without visual feedback. Both groups participated in the experiment twice a week for eight weeks. The Gross Motor Function Measurement was performed to evaluate the changes between pre- and the post-intervention in gross motor function. The Seated Limit of Stability Surface Area was measured to evaluate the changes in trunk balance. Results: Both experimental and control groups showed a significant increase in the gross motor function and trunk balance (p<0.05). The experimental group showed a significant increase in gross motor function compared to the control group (p<0.05). The experimental group showed a significant increase in the dynamic trunk balance in all directions when measuring the Seated Limit of Stability Surface Area (p<0.05). Conclusion: Spinal stabilization exercises using visual feedback for the neurodevelopmental treatment of children with cerebral palsy can improve their gross motor function and trunk balance when in a sitting posture more effectively.

The Effects of PNF and Trunk Stabilization Robot Training on Trunk Stability and Balance in Patients with Chronic Stroke (PNF 목 패턴을 병행한 체간안정로봇훈련이 만성 뇌졸중 환자의 체간 안정성 및 균형능력에 미치는 영향)

  • Moon, Hyun-Min;Kim, Dong-Hoon
    • PNF and Movement
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    • v.19 no.1
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    • pp.67-77
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    • 2021
  • Purpose: The purpose of the study was to identify the effects of proprioceptive neuromuscular facilitation (PNF) training and robot rehabilitation training on trunk stability and standing balance in individuals with chronic stroke. Methods: There were 30 patients with chronic stroke, divided into two groups: 15 subjects who received PNF and robot training (the experimental group) and 15 subjects who received standard conservative training (the control group), that participated. The experimental group received treatment for 60 min: 30 min of conventional physical therapy, 15 min of PNF training, and 15 min of robot training. The control group received conventional physical therapy for 60 min. Trunk stabilization (trunk impairment scale) and standing balance (center of pressure, limit of stability, modified functional reach test, and Berg balance scale) were measured before and after intervention. Results: Within each group, both the experimental and control groups significantly improved after the intervention in all tests; however, the experimental group showed greater improvement in scores on the trunk impairment scale, the center of pressure, the limit of stability, the modified functional reach test, and the Berg balance scale. Conclusion: The study verified that PNF training and robot training had a positive influence on trunk stability and standing balance indices in patients with chronic stroke.

Effects of Proprioceptive Neuromuscular Facilitation on Trunk Stability and Balance in Elderly People With Chronic Low Back Pain ; The Application of Rhythmic Stabilization and Combination of Isotonic (고유수용성 신경근 촉진법이 만성요통을 가진 노인환자의 체간 안정성과 균형에 미치는 영향 -등장성 수축 결합과 율동적 안정화 기법 적용-)

  • Goo, Bong-Oh;Park, Sang-Mok;Kim, Ae-Jin;Kim, Hyun-Kyoung;Park, Do-Jin;Oh, Kwang-Jun;Lee, Hyun-Mu;Jeong, So-Jin
    • PNF and Movement
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    • v.5 no.2
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    • pp.37-46
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    • 2007
  • Purpose : The purpose of this study was to examine the effects of combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation on trunk stability and balance in elderly people with chronic low back pain. Subjects : Thirty-two elderly people ($73.78{\pm}8.49$ years of age) who had complaints of CLBP were randomly assigned to 2 groups: experimental group and control group. Methods : Subject trained with combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation for 4weeks with aim of improving trunk stability and balance. Weight distribution, trunk muscle balance, static balance ability and dynamic balance ability were measured before, at the end of training. Results : Data were analyzed using two-way ANOVA. After the exercise programs, there were significant differences in the weight distribution, trunk muscle balance and dynamic balance ability between the experimental and control group. However there was no significant difference in the one leg stance test(p<.05). Conclusion : This study suggest that PNF programs may be appropriate for improving trunk stability and balance in elderly people with CLBP.

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Effects of virtual reality-based core stabilization exercise on upper extremity function, postural control, and depression in persons with stroke

  • Kim, Jee-Won;Kim, Jung-Hee;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.131-139
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    • 2020
  • Objective: The purpose of this study was to evaluate the effect of virtual reality (VR)-based core stabilization exercise on upper extremity function, postural control, and depression among persons with stroke with hemiplegia. Design: Randomized controlled trial. Methods: This study was conducted with the inclusion of 24 participants and were randomly assigned to either the VR-based trunk stability exercise group (n=12) or control group (n=12). The VR-based trunk stability exercise group performed core stabilization exercises in a VR environment for 30 minutes. Meanwhile, the control group conducted general core stabilization exercises for 30 minutes. The participants trained 3 times a week for 4 weeks. The manual functional test (MFT), Box and Block Test (BBT), Berg Balance Scale (BBS), Trunk Impairment Scale (TIS), the Geriatric Depression Scale (GDS) were used to assess all participants before and after the intervention. Results: The VR-based core stabilization exercise group had a significant improvement in upper extremity function (MFT, BBT) and postural control (BBS) compared with the control group (p<0.05). The VR-based core stabilization exercise showed a significant difference after intervention in the TIS and GDS scores (p<0.05), but they did not significantly differ between the two groups. Conclusions: The result showed that VR-based core stabilization exercise can be effective in improving upper extremity function and postural control among patients with stroke more than the sole application of general physical therapy.

The Comparison of Trunk Muscles Activity During Bridging Stabilization Exercises on Swiss Ball According to Change of Position (스위스 볼을 적용한 교각 자세 변화에 따른 체간의 근 활성도 비교)

  • Son, Sun-Tae;Kim, Min-Hye;Kim, Hee-Jin;Yoon, Ji-Hye;Lee, Su-Kyung;Jung, Ju-Young;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.4
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    • pp.221-229
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    • 2009
  • Purpose : The purpose of this study was to assess the effect of bridging stabilization exercises of trunk muscles activity on a Swiss ball according to change of position. Methods:30 healthy university students volunteered to participate in this study. Subjects were required to complete following three exercise positions. Exercise position 1; Supine bridge with Swiss ball, Exercise position 2; Side bridge with Swiss ball, Exercise position 3; Prone bridge with Swiss ball. Surface electromyography from selected trunk muscles was normalized to maximum voluntary isometric contraction. Results : A repeated measures of ANOVA with Duncan's correction was used to determine the influence of exercise type on muscle activity for rectus abdominis, external oblique, erector spinae. The erector spinae of exercise position 1 showed significantly higher muscle activity than exercise position 2, 3(p<.05). The external oblique of exercise position 2, 3 showed significantly higher muscle activity than exercise position 1(p<.05). The rectus abdominis of exercise position 3 showed significantly higher muscle activity than exercise position 1, 2(p<.05) Conclusion: These results indicate that muscle activity can be influenced by addition of a Swiss ball in bridging exercises. It is recommend to use a Swiss ball for trunk stabilization exercise.

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