• Title/Summary/Keyword: lumbar exercise

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Effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of low back pain patient

  • Ji, Sungha;Lee, Dongjin
    • Physical Therapy Rehabilitation Science
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    • v.10 no.1
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    • pp.69-75
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    • 2021
  • Objective: This study was aimed at investigating the effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of the low back pain patients. Design: A randomized controlled trial. Methods: Twenty subjects with low back pain were selected. They were randomly assigned to one of two groups (10 in each group): namely the lumbar stabilization exercise and lumbar stabilization exercise according to the correct verbal instructions group. The lumbar stabilization exercise group performed lumbar stabilization exercises for 6 weeks (5 times a week). The lumbar stabilization exercise according to correct verbal instructions group performed lumbar stabilization exercise according to correct verbal instructions for 6 weeks (5 times a week). We measured pain, muscle power, proprioception, and body balance before and after exercise by using visual analog scale (VAS), digital handheld dynanometer, Joint repositioning error, time up and go test respectively. Results: We found statistically significant differences in pain, muscle power, proprioception, and body balance in lumbar stabilization exercise and lumbar stabilization exercise according to correct verbal instructions group, before and after (p<0.05). Conclusions: We confirmed the effect of lumbar stabilization exercise according to correct verbal instructions. Thus we thought these results could be used as basic data and reference for low back pain. But we need more study effect of correct verbal instructions on other exercises.

The Effects of Gluteal Muscle Exercises Combined Lumbar Stabilization on Lumbar Stability in Chronic Low Back Pain Patients with Lumbar Instability (요부안정화운동과 병행한 둔근운동이 요부불안정성을 가진 만성요통환자의 요부안정성에 미치는 영향)

  • Lee, Sang-Jin;Kim, Young-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.29-39
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    • 2013
  • PURPOSE: The purpose of this study was to determine if the program focusing on gluteal muscle exercise combined lumbar stabilization had an effects on pain, functional disability and lumbar instability in chronic low back pain patients who had lumbar instability. METHODS: Thirty four patients were recruited in this study. The participants were randomly allocated stabilization exercise group (SEG) (n=17) and gluteal muscle exercise group (GEG) (n=17). The gluteal muscle exercise group conducted gluteal muscle exercises combined lumbar stabilization and stabilization exercise group did only lumbar stabilization exercise for 30 minutes three times a week for six weeks. Pre-exercise assessment tools, visual analogue scale (VAS) and Korean version Oswestry Disability Index level (KODI) were used for pain and functional disability each. Also, these were scored by the tool of lumbar instability. The pain, functional disability levels, and lumbar instability after six weeks with this exercise were re-evaluated. RESULTS: First, SEG showed a significant decrease in the lumbar pain, functional disability levels and lumbar instability. Second, GEG showed a significant decrease in the lumbar pain, functional disability levels and lumbar instability. The third, GEG showed even more significant decrease in the lumbar pain levels, functional disability levels and lumbar instability than SEG. CONCLUSION: Gluteal muscle exercises combined lumbar stabilization are more effective than only lumbar stabilization exercise in the pain levels, functional disability levels and lumbar instability for the chronic low back pain patients with lumbar instability.

The Effects of Pain, Lumbar Flexibility and Abdominal Obesity of Patient with Low Back Pain and Abdominal Obesity after Lumbar Strengthening Exercise (요부 근력운동이 복부비만자의 요통지수, 요부 유연성, 복부비만도에 미치는 영향)

  • Lee, Sung-Eun;Kim, Jong-Woo;Seo, Hyun-Kyu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.25-34
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    • 2009
  • Purpose : The purpose of this study is to investigate that the Effects of Pain, Lumbar Flexibility and Abdominal Obesity of Patient with Low Back Pain and Abdominal Obesity after Lumbar Strengthening Exercise. Methods : The selected subjects of this study were 17 patients who had diagnosis on low back pain and body mass index was more than $25kg/m^2$ and lumbar length was more than 90cm. They divided into a control group with 10 patients doing lumbar stabilization exercise and an experimental group with 7 patients ding simple lumbar strengthening exercise in order to compare degrees of oswestry disability index and lumbar stability, lumbar length was measured before the exercise, in 4 weeks and 8 weeks after exercises respectively. Result : lumbar strengthening exercise on patients with low back pain and abdominal obesity affected improving function of lumbar and decrease of pain with abdominal obesity. Conclusion : Then lumbar stabilization exercise than simple strengthening exercise affected decrease of Visceral fat tissue on abdominal obesity.

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Effects of Lumbar Stability Exercise Program on Trunk, Lower Extremity of Muscle Activity and Balance in Soccer Player (요부 안정화 운동 프로그램이 축구선수의 체간 및 하지 근활성도와 균형에 미치는 영향)

  • Kim, Je-Ho;Park, Seung-Kyu;Kang, Jeong-Il;Yang, Dea-Jung
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.25-31
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    • 2010
  • Purpose: The purpose of this study is to provide an efficient and scientific basis for muscle activity (%MVIC) of RA, EO, VL, HS muscles and balance in soccer players through dynamic lumbar stability exercise and static lumbar stability exercise. Methods: This study included 23 soccer players belonging to D University of J province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 13 attended the dynamic lumbar stability exercise (DLSE) program and 10 the static lumbar stability exercise (SLSE) program. The differences between the effects of the dynamic lumbar stability exercise program and static lumbar stability exercise program were analyzed. Results: To increase muscle activity (%MVIC) and balance (WPL), the dynamic lumbar stability exercise program was more effective than was the static lumbar stability exercise program. 1) The %MVIC of trunk muscle (RA &EO) and lower extremitys muscle (VL & HS) increased from before training to after training in the case of the participants who performed the dynamic lumbar stability exercise. 2) The whole path length (WPL) decreased from before the training to after the training. The 2 groups significantly differed in this regard. Conclusion: Dynamic lumbar stability exercise program helps to improve the balancing ability and muscle activity in a soccer players who requires both muscle activity and balance than does any other players.

Comparing the Immediate Effectiveness of Lumbar Flexion and Extension Exercise With Regards to Pain, Range of Motion, Pelvic Tilt, and Functional Gait Ability in Patients With Lumbar Spinal Stenosis

  • Do, Hyun-ho;Chon, Seung-chul
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.10-19
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    • 2019
  • Background: In patients with lumbar spinal stenosis (LSS), lumbar flexion exercise (LFE) is considered a standard therapeutic exercise that widens the space between the spinal canal and intervertebral foramen. However, some researchers have reported that lumbar extension exercise (LEE) may improve lumbar pain and functional ability in patients with LSS. Although exercise intervention methods for patients with LSS have been widely applied in clinical settings, few studies have conducted comparative analysis of these exercise methods. Objects: This study aimed to compare the effects of LFE, LEE, and lumbar flexion combined with lumbar flexion-extension exercise (LFEE) on pain, range of motion (ROM), pelvic tilt angle, and functional gait ability in patients with LSS. Methods: A total of 30 patients with LSS, LFE (n1=10), LEE (n2=10), and LFEE (n3=10) were assigned to each of the three exercise groups. The numerical pain rating scale (NPRS), modified-modified schober test (MMST)-flexion, MMST-extension, pelvic tilt inclinometer, and 6-minute walking test (6MWT) were measured. Results: After the intervention, statistically significant differences were observed in the NPRS (p=.043), MMST-flexion (p<.001), MMST-extension (p<.001), and 6MWT (p=.005) between groups. According to the post hoc test, the NPRS was statistically significant difference between the LFEE and LEE groups (p=.034). The MMST-flexion was statistically significantly different between the LFE and LEE (p=.000), LFE and LFEE (p=.001), and LEE and LFEE (p=.001) groups. The MMST-extension was statistically significantly different between the LFE and LEE (p<.001), LFE and LFEE (p=.002), and LEE and LFEE (p=.008) groups. The 6MWT was statistically significantly different between the LFE and LFEE (p=.042) and the LEE and LFEE (p=.004) groups. Conclusion: This study suggested that LFEE was the most effective exercise for pain and functional gait ability in patients with LSS, LFE was the most effective exercise for lumbar flexion ROM, and LEE was the most effective exercise for lumbar extension ROM.

The Effects of Lumbar Stabilizing Exercise on Increasing of the Strength of Lumbar Extensor Muscle in Normal Subjects (요부안정화 운동이 정상인의 요부 신전력 증진에 미치는 영향)

  • Lee, Dae-Hee;Kim, Jae-Sook
    • Journal of Korean Physical Therapy Science
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    • v.14 no.1_4
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    • pp.1-10
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    • 2007
  • The purpose of this study was to find the effects of the lumbar stabilizing exercise on the isometric lumbar extension strength and the range of motion of lumbar extension. 16 healthy subjects were recruited (9 males, 7 females, mean age 25${\pm}$3.2). They performed 5 types of exercises 5 times per week for 4 weeks. We evaluated isometric trunk extension strength (0, 12, 24, 36, 48, 60, $72^{\circ}$) by MedX(Ocala, FL) and measured range of motion of lumbar extension. All measurements were measured at pre-exercise and 4 weeks post-exercise. The results of this study were summarized as follows; After 4 weeks of exercise, isometric lumbar extension strength was generally increased but there were only significant differences at $12^{\circ},\;24^{\circ},\;48^{\circ}$. The range of motion of lumbar extension was increased (p<.05). The isometric lumbar extension strength correlated with the range of motion of lumbar extension. In conclusion, our results have shown that lumbar stabilizing exercise influenced both lumbar extension strength and range of motion of lumbar extension.

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The Effects of the Meditation Music and Lumbar Stabilization Exercise on Concentration, Balance and Muscle Activity in Elderly

  • Lee, Sang-Bin
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.1
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    • pp.260-266
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    • 2011
  • The purpose of this study was to investigate the effects of meditation music with lumbar stabilization exercise on balance, concentration and muscle activation. Participants are divided into Group A and Group B. Group A listened to meditation music while doing 4 sets of lumbar stabilization exercise. Group B did not listen to meditation music while doing 4 sets of lumbar stabilization exercise. Surface EMG data was obtained rectus abdominis, external oblique, erector spinae, multifidus muscle during lumbar stabilization exercise. To examine the effect of before-after experiment for concentration and balance, paired t-test was adopted. Changes in EMG data of each muscles were analyzed by independence t-test. There were statistically significant increasing at concentration level and balance level in Group A. But significant difference was not shown in muscle activation. The clinical effect of the meditation music with lumbar stabilization exercise was investigated in this study with more excellent results in concentration and balance. In conclusion, these results suggest that meditation music and lumbar stabilization exercise may be useful in elderly people.

The Effects of Stabilization Exercise and Stretching Exercise on Muscle Strength and Pain of Patients with Lower Back Pain (안정화운동과 신장운동이 요통환자의 근력과 통증에 미치는 영향)

  • Kwag, Kwang-Il;Lim, Jae-Heon
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.2
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    • pp.39-46
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    • 2011
  • Purpose : The purpose of this study was to compare the effect of three types of therapeutic exercises by applying them to lower back pain patients. Methods : This program was conducted for 30 patients 30 to 55 years old, who visited a rehabilitation center due to lower back pain. We separated participants into three groups with different therapeutic exercises: one with lumbar stabilization exercises, another with stretching exercises, and the other with both exercises. Each exercise was held once a day, 3 days a week, for 6 weeks. We analyzed the effect of these exercises by checking the change of lumbar muscle strength and pain relief. Lumbar muscle strength was measured by AS-Med and pain strength was estimated by VAS. Results : The result of the programs was established according to the following list: 1) Lumbar stabilization exercises and stretching exercises lead to higher lumbar muscle strength and pain relief (p<0.05). 2) Lumbar muscle strength in the lumbar stabilization exercise group was significantly higher than the stretching exercise group (p<0.05). 3) Pain relief in the stretching exercise group was significantly higher than the lumbar stabilization exercise group (p<0.05). Conclusion : This study shows all of the groups experienced higher lumbar muscle strength and pain relief. Specifically, there was higher lumbar muscle strength in the lumbar stabilization exercise group and higher pain relief in the stretching exercise group. Therefore the ideal intervention to improve lumbar muscle strength and pain relief for patients is to implement both lumbar stabilization exercises and stretching exercises.

Effects of Lumbar Stabilization Exercise on Lumbar and Lower Extremity Strength of the Elderly women (요부안정화운동이 여성 노인의 요부 및 하지 근력에 미치는 영향)

  • Hwang, Byeong-Jun;Kim, Jong-Woo
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.3
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    • pp.267-275
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    • 2011
  • Objective : This study aims to examine how lumbar stabilization exercise and resistive exercise affect lumbar and lower extremity muscular strength of the aged. Method : Randomly selected 15 female senior citizens aged 65 or older at S, Y, and J senior citizens' center located in D city who meet the requirements for the study were divided into a resistive exercise group of 7 and a stabilization exercise group of 8 for which 60-minute-exercise sessions were administered three times a week for 12 weeks. Measuring lumbar and lower extremity muscular strength was measured six weeks and 12 weeks after exercise, respectively. Results : First, both resistive exercises and stabilization exercises are effective to improve lumbar muscular strength. Second, resistive exercise is effective to improve flexural muscle strength as well as lower extremity muscular strength, and stabilization exercise is effective for both flexion and extensor muscle strength. Conclusion : The 12 week lumbar stabilization exercise program appeared to be effective to improve lumbar and lower extremity muscular strength of the aged. This indicates that applying this program to identify and prevent frequent risk factors of falling can lead to the prevention of secondary problem factors of falling accidents.

Lumbar Combined Rehabilitation Exercise for Lumbar Reposition Sense, Static Balance and Pain of the Patient's with Chronic Low Back Pain (만성요통환자의 복합재활운동이 통증과 정적균형, 재위치감각인지에 미치는 영향)

  • Kim, Deahun
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.196-201
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    • 2019
  • The purpose of this study is to identify the effects of the apply of lumbar stabilization exercises and lumbar strengthening exercises using Medx machine on back functions such as static balance, lumbar reposition sense, and back pain(VAS) in chronic low back pain. This study divided 30 chronic low back pain patients who experienced only lumbar back pain(male: 5, female: 10) into a lumbar stabilization exercise group and a complex exercise group, and then performed their respective exercise programs for three times a week over a 8-week period. The lumbar static balance, lumbar reposition sense, and lumbar back pain were measured using a pair t-test within each group, and were also compared between two groups using an independent t-test. The results of the present study were as follows: Both groups exhibited statisti cally significant increases after performing their own exercise program in the static balance, lumbar reposition sense, and lumbar back pain(p<.05). However, the comparison of two groups confirmed that the complex exercise group resulted in greater effects than the lumbar stabilization exercise group(p<.05). In conclusion, muscle strengthening and stabilization exercises in chronic low back pain patients are considered to not only relieve back pain, but also improve various back functions.