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1.
[Purpose] The present study analyzed the effect of the Togu exercise program on the
lumbar back strength of middle-aged women who did not perform regular exercise, and
presents an effective exercise method for middle-aged women with chronic low back pain
symptom. [Subjects] The subjects were 16 women with chronic low back pain attending N
University, Chungcheong-do, Korea. [Methods] Height, weight, body fat, and body mass index
(BMI) were measured using a body composition analyzer (Inbody 720, Biospace, Korea), which
utilizes bioelectrical impedance analysis. Using isokinetic lumbar muscle strength
measurement equipment [Isomed 2000, Back system, (Germany)], peak torque/body weight,
total work and average power of flexion and extension of the lumbar region were measured.
For lumbar stabilization exercises, an air cushion (Germany), jumper (Germany), and aero
step (Germany) were employed. First, warm-up exercise was conducted for 10 minutes,
followed by 10 sets of the 3 main exercises using the above tools with 10-second rest
intervals. The main exercise was done for 40 minutes in total. [Results] The paired sample
t-test showed significant in the Togu exercise group peak torque of flexion, peak torque
of extension, total work of flexion, total work of extension, average power of flexion,
average power of extension, after the exercise showed a significant difference in the Togu
exercise group. [Conclusion] The trunk muscle actiation program for middle-aged women had
a significant effect on muscle strength and low back pain. Therefore the trunk muscle
activation program is effective at increasing muscular strength of middle-aged women, and
the results suggest improve muscle strength is effectively stabilizaties the lumbar
region.Key words: Isokinetic, Lumbar stabilization, Togu 相似文献
2.
[Purpose] This study aimed to identify the effects of the CORE exercise program on pain
and active range of motion (AROM) in patients with chronic low back pain. [Subjects and
Methods] Thirty subjects with chronic low back pain were randomly allocated to two groups:
the CORE group (n = 15) and the control group (n = 15). The CORE group performed the CORE
exercise program for 30 minutes a day, 3 times a week, for 4 weeks, while the control
group did not perform any exercise. The visual analog scale (VAS) and an algometer were
used to measure pain, and pain-free AROM in the trunk was measured before and after the
intervention. [Results] The CORE group showed significantly decreased VAS scores at rest
and during movement and had a significantly increased pressure pain threshold in the
quadratus lumborum and AROM in the trunk compared with those in the control group.
[Conclusion] This study demonstrated that the CORE exercise program is effective in
decreasing pain and increasing AROM in patients with chronic low back pain. Thus, the CORE
exercise program can be used to manage pain and AROM in patients with chronic low back
pain.Key words: CORE exercise program, Chronic low back pain (CLBP), Active range of motion (AROM) 相似文献
3.
YongHo Cho 《Journal of Physical Therapy Science》2014,26(5):679-681
[Purpose] This study was to examine the effects of tai chi on low back pain in young
males. [Subjects and Methods] Forty males in their 20s with low back pain were randomly
assigned to two groups. Tai chi was applied to one group, and stretching was applied to
the other group. The subjects conducted exercise for one hour, three times per week for
four weeks. They performed warm-up exercises for 10 min at the beginning and end of the
sessions and conducted the main exercise for 40 minutes. Wireless surface electromyography
(sEMG) and a visual analogue scale (VAS) were employed to measure muscle activity and
pain, respectively. [Results] There were significant differences between the two groups in
pain and muscle activity. The tai chi group’s VAS decreased from 3.1 to 2.1, and its
muscle activity decreased from 21.5% maximum voluntary isomeric contraction (MVIC) to
16.4% MVIC. The stretching group’s VAS decreased from 3.4 to 2.8, and its muscle activity
decreased from 24.1% MVIC to 22.1% MVIC. [Conclusion] Tai chi is more effective for low
back pain in males in their 20s than stretching. Tai chi can be considered an effective
method to reduce low back pain in males in their 20s.Key words: Tai chi, SEMG 相似文献
4.
[Purpose] The objective of this study was to examine the effects of a training program
using the Nintendo Wii Fit Plus on the ankle muscle strengths of subjects with functional
ankle instability. [Subjects and Methods] This study was conducted using subjects in their
20s who had functional ankle instability. They were randomized to a strengthening training
group and a balance training group with 10 subjects in each, and they performed an
exercise using Nintendo Wii Fit Plus for 20 minutes. In addition, every participant
completed preparation and finishing exercises for 5 minutes, respectively. [Results] The
muscle strengths after conducting plantar flexion and dorsiflexion significantly increased
at the angular velocities of 60° and 120° in the strengthening training group.
Furthermore, the muscle strengths after conducting plantar flexion, dorsiflexion,
eversion, and inversion significantly increased at the angular velocities of 60° and 120°
in the balance training group. [Conclusion] The balance training group using Nintendo Wii
Fit Plus showed better results than the strengthening training group. Consequently, it is
recommended to add the balance training program of the Nintendo Wii Fit Plus to
conventional exercise programs to improve ankle muscle strength in functional ankle
instability at a low cost.Key words: Nintendo Wii Fit Plus, Functional ankle instability, Strength 相似文献
5.
Jin-Su Lee Seung-Hoon Yang Yun-Hyung Koog Hyun-Ju Jun Se-Hun Kim Ki-Jong Kim 《Journal of Physical Therapy Science》2014,26(8):1301-1306
[Purpose] This study investigated effects of sling exercise for patients with chronic
low back pain. [Methods] We reviewed all relevant papers indexed in PubMed, SCOPUS, and
the Cochrane Registered Trials. Eligible trials were randomized controlled trials that
compared sling exercise with any type of treatment. We extracted data on muscle thickness,
muscle activation, pain, and disability, and assessed the methodological quality of the
data. Seven studies met our inclusion criteria. [Results] When sling exercise had an
impact on activation of the trunk muscles, increasing the trunk muscle thickness, and the
reduction in pain and disability had been assessed shortly after the final exercise
session, it was more effective than general exercise at activating trunk muscles, but not
more effective at increasing trunk muscle thickness and improving pain and disability than
general exercise. [Conclusion] As sling therapy studies are based on a small number of
trials, we cannot draw conclusions about the therapeutic effects of sling exercise. When
segmental stabilizing exercise and individually designed programs are added to sling
exercise, it increases the effectiveness of sling exercise at improving low back pain.
This should be the focus of future studies.Key words: Sling exercise, Chronic low back pain, Systematic review 相似文献
6.
[Purpose] The purpose of this study was to carry out a 16-week treatment of lumbar
stabilization exercise with a ball targeting patients with chronic low back pain and
investigate its effect on alleviation of low back pain and bone mineral density. [Subjects
and Methods] The subjects of this study were 36 patients who were diagnosed with chronic
low back pain. They were divided into a conservative treatment group (CTG, n=12), floor
exercise group (FEG, n=12), and ball exercise group (BEG, n=12). The degree of recovery
from pain was looked into using a visual analogue scale (VAS) and DEXXUM T (OsteoSys,
Seoul, Korea) which was used to observe the changes in bone mineral density. [Result]
Although the VAS score was reduced in FEG and BEG with treatment, it was not reduced in
CTG. Also, the bone mineral density was increased in FEG and BEG, while it was reduced in
CTG. [Conclusion] Lumbar stabilization exercises using a ball are thought to be an
effective interventional therapy for the alleviation of chronic low back pain and to
increase bone mineral density of patients.Key words: Chronic low back pain, Swiss ball exercise, Bone mineral density 相似文献
7.
[Purpose] The purpose of this study was to compare two methods for the muscle
stabilization of the trunk of patients with chronic low back pain. The methods comprised
combination patterns of proprioceptive neuromuscular facilitation (PNF) and ball exercise.
[Subjects and Methods] The subjects were 40 volunteers who had low back pain. All subjects
were randomly assigned to either a group which received proprioceptive neuromuscular
facilitation or a group which performed ball exercise. Measurements were taken four times
in total, at pre-intervention, two weeks later, four weeks later, and six weeks later. The
main measurement methods used were the visual analogue scale (VAS) for pain and
electromyography (EMG) for muscle activity. [Results] VAS and EMG activity were
significantly reduced in the PNF combination pattern group and the ball exercise group. A
comparison of the groups showed significant differences. In VAS and EMG activity; in
particular, the combination pattern group using PNF increased EMG activity more than the
ball exercise group did after six weeks of intervention. [Conclusion] This study showed
that PNF combination pattern training for six weeks was more effective for patients with
low back pain than performing ball exercise.Key words: PNF, Ball exercise, Chronic low back pain 相似文献
8.
[Purpose] The present study aimed to determine the effect of virtual reality exercise
using the Nintendo Wii Fit on the muscle activities of the trunk and lower extremities of
normal adults. [Subjects] The subjects of the study were 24 normal adults who were divided
into a virtual reality exercise group (VREG, n=12) and a stable surface exercise group
(SEG, n=12). [Methods] The exercises of the VREG using the Nintendo Wii Fit and the SEG
using a stable surface were conducted three times a week for six weeks. Electromyography
was used to measure the muscle activities of the tibialis anterior (TA), medial
gastrocnemius (MG), erector spinae (ES), and rectus abdominal (RA) muscles. [Results] VREG
showed significant within group differences in TA and MG muscle activities, while the SEG
showed a significant difference in the muscle activity of the MG. [Conclusion] Virtual
reality exercise using the Nintendo Wii Fit was an effective intervention for the muscle
activities of the TA and MG of normal adults.Key words: Virtual reality exercise, Stable surface exercise, Muscle activity 相似文献
9.
Han Suk Lee 《Journal of Physical Therapy Science》2014,26(7):1107-1111
[Purpose] We assessed the effects of aerobic exercise and strengthening exercise on pain
pressure thresholds (PPTs) over time. [Subjects and Methods] Fifteen healthy participants
were recruited and randomly divided into 3 groups: aerobic exercise, strengthening
exercise, and control. The subjects in the aerobic group walked on a treadmill for 40 min
at 6.5 km/h. The subjects in the strength group performed circuit training that included
bench press, lat pull down, biceps curl, triceps extension, and shoulder press based on
the perceived exertion for 40 min. The subjects in the control group rested without any
exercise in a quiet room for 40 min. The PPTs of 5 potential muscle trigger points before
exercise, and immediately after 10 and 40 min of exercise or rest were measured using an
electronic algometer (JTECH Medical, USA). The Friedman’s, Kruskal-Wallis, and
Mann-Whitney tests were performed using SPSS 18.0 (IBM, Korea). [Results] The PPTs of all
subjects decreased after 10 min of exercise, but the difference was not statistically
significant. The PPTs of the control group decreased after 40 min. Furthermore, the PPTs
of 3 muscles increased after 40 min of aerobic exercise and of 6 muscles after 40 min of
strengthening exercise. No significant difference in PPTs was noted among the groups.
[Conclusion] The results show that 40 min is a more appropriate exercise time, although
the efficacy of controlling pain did not differ between strengthening exercise and aerobic
exercise.Key words: Aerobic exercise, Strengthening exercise, Pain pressure thresholds 相似文献
10.
Ji Hae Kim Young Eok Kim Sea Hyun Bae Kyung Yoon Kim 《Journal of Physical Therapy Science》2013,25(8):1015-1019
[Purpose] This study aimed to examine the effects of the Neurac sling exercise on
postural balance adjustment and muscular response patterns in chronic low back pain (CLBP)
patients. [Subjects and Methods] Sixteen CLBP patients participated in this study. They
were randomly and equally assigned to group I, whose members received ordinary physical
therapy (40 minutes per time, four times per week), and group II, whose members performed
a lumbar stabilization exercise using the Neurac sling after ordinary physical therapy (40
minutes per time, four times per week). The visual analogue scale (VAS) and Oswestry
Disability Index (ODI) were used to evaluate exercise effects. BioRescue and
electromyography were utilized for the measurement of changes in postural balance
adjustment and muscular response patterns, respectively. [Results] Both groups saw their
VAS and ODI decrease significantly. There were significant decreases in both groups in
posturography as well, but group II recorded a greater decrease. There were significant
increases in the flexion–relaxation ratio in both groups, and there were significant
increases in the extension–flexion ratio in the left L1–2 of group I and in all elements
of group II. [Conclusion] Lumbar stabilization exercise using the Neurac sling is
effective in decreasing pain, improving damaged postural balance adjustment, and
normalizing muscle response patterns of CLBP patients.Key words: Chronic low back pain (CLBP), Neurac sling exercise, Postural balance adjustment 相似文献
11.
Jin Ah Hwang Sea Hyun Bae Gi Do Kim Kyung Yoon Kim 《Journal of Physical Therapy Science》2013,25(9):1189-1192
[Purpose] This study aimed to examine the effects of sensorimotor training on the
anticipatory postural adjustment (APA) of chronic low back pain (CLBP) patients. [Subjects
and Methods] Fourteen CLBP patients were randomly assigned to Group II (ordinary physical
therapy, n=7) and Group III (sensorimotor training, n=7). In addition, a normal group
(Group I) consisting of seven subjects was chosen as the control group. The two CLBP
groups received their own treatment five times per week, for four weeks, for 40 minutes
each time. Changes in pain and functional performance evaluation were examined by the
visual analogue scale (VAS) and the Oswestry Disability Index (ODI). In order to look at
the change in APA, muscle onset time was examined using electromyography (EMG). [Results]
Group III showed significant changes in both VAS and ODI. According to comparison of the
results for muscle onset time, there were significant decreases in Group III''s transversus
abdominis muscle (TrA) and external oblique muscle (EO) in the standing and sitting
positions. There were significant differences between Group II and III in terms of the TrA
in the sitting position. [Conclusion] Sensorimotor training makes patients capable of
learning how to adjust muscles, thereby alleviating pain and improving muscle
performance.Key words: Anticipatory postural adjustments, Chronic low back pain, Sensorimotor training 相似文献
12.
NS Senthil Kumar Baharudin Omar Leonard H Joseph Nor Hamdan Ohnmar Htwe Nursalbiyah Hamidun 《Journal of Physical Therapy Science》2014,26(8):1205-1207
[Purpose] The aim of the present study was to investigate the accuracy of a digital
weight scale relative to the Wii in limb loading measurement during static standing.
[Methods] This was a cross-sectional study conducted at a public university teaching
hospital. The sample consisted of 24 participants (12 with osteoarthritis and 12 healthy)
recruited through convenient sampling. Limb loading measurements were obtained using a
digital weight scale and the Nintendo Wii in static standing with three trials under an
eyes-open condition. The limb load asymmetry was computed as the symmetry index. [Results]
The accuracy of measurement with the digital weight scale relative to the Nintendo Wii was
analyzed using the receiver operating characteristic (ROC) curve and Kolmogorov-Smirnov
test (K-S test). The area under the ROC curve was found to be 0.67. Logistic regression
confirmed the validity of digital weight scale relative to the Nintendo Wii. The D
statistics value from the K-S test was found to be 0.16, which confirmed that there was no
significant difference in measurement between the equipment. [Conclusion] The digital
weight scale is an accurate tool for measuring limb load asymmetry. The low price, easy
availability, and maneuverability make it a good potential tool in clinical settings for
measuring limb load asymmetry.Key words: Accuracy, Digital weight scale, Nintendo Wii Fit 相似文献
13.
[Purpose] The aim of this study was to evaluate the changes in function and mental state
after thoracic mobilization and manipulation in patients with chronic lower back pain
(LBP). [Subjects and Methods] Thirty-six subjects were randomly divided into mobilization
group (group A), manipulation group (group B) and control group (group C). The Oswestry
disability index (ODI) was used to measure the functional impairment of patients with LBP.
A multiple spinal diagnosis was used to measure the range of motion (ROM) of vertebra
segments. The Fear-avoidance beliefs questionnaire (FABQ) was used to investigate the
mental state of LBP patients. [Results] Group A and group B were significantly different
from group C in terms of the ODI. Between groups, there was no difference in ROM during
trunk flexion. Group A and group B were also significantly different from the control
group in extension ROM. The FABQ of group B was significantly different from that of group
A. [Conclusion] Application of mobilization or manipulation to thoracic lumbar vertebrae
has a positive effect on function, mental state, and ROM in patients with lower back
pain.Key words: LBP, Mobilization, Manipulation 相似文献
14.
15.
[Purpose] The purpose of this study was to determine the concurrent validity of Wii Fit center-of-pressure parameters with Clinical Test of Sensory Integration for Balance and to evaluate the discriminant validity of the Wii Fit center-of-pressure parameters for adults and the elderly for the assessment of postural sway. [Participants and Methods] This study used an observational cross-sectional correlational design. All 70 participants were required to complete a questionnaire for eligibility screening, followed by a center-of-pressure assessment using three Wii Fit balance activities (snowboard slalom, ski slalom, and balance bubble) and Clinical Test of Sensory Integration for Balance using a force platform. [Results] For center-of-pressure assessment, our results showed there was concurrent validity of Wii Fit ski slalom and balance bubble with Clinical Test of Sensory Integration for Balance conditions 6 and 4, respectively. Our results also demonstrated that the three Wii Fit balance activities selected in this study could be used to discriminate between adults and the elderly. [Conclusion] Our results suggest that Wii Fit is a viable and affordable alternative method for center-of-pressure assessment.Key words: Wii Fit, Centre of pressure, Validity 相似文献
16.
Sea Hyun Bae Jeong Hun Lee Kyeong Ae Oh Kyung Yoon Kim 《Journal of Physical Therapy Science》2013,25(11):1367-1371
[Purpose] This study aimed to examine the effects of kinesio tape applied to chronic low
back pain (CLBP) patients on anticipatory postural control and cerebral cortex potential.
[Subjects and Methods] Twenty patients whose low back pain had continued for more than 12
weeks were selected and assigned to a control group (n=10) to which ordinary physical
therapy was applied and an experimental group (n=10) to which kinesio tape was applied.
Anticipatory postural control was evaluated using electromyography, and movement-related
cortical potential (MRCP) was assessed using electroencephalography. Clinical evaluation
was performed using a visual analogue scale and the Oswestry disability index. [Results]
According to the analysis results for anticipatory postural control, there were
significant decreases in the transversus abdominis (TrA) muscle and the external oblique
muscle in both groups. Among them, the TrA of the experimental group exhibited the
greatest differences. According to the results of a between-group comparison, there was
significant difference in the TrA between the two groups. There was also a significant
decrease in the MRCP of both groups. In particular, changes in the movement monitoring
potential (MMP) of the experimental group were greatest at Fz, C3, Cz, and C4. According
to the between-group comparison, there were significant differences in MMP at F3, C3, and
Cz. Both groups saw VAS and ODI significantly decrease. Among them, the ODI of the
experimental group underwent the greatest change. [Conclusion] Kinesio tape applied to
CLBP patients reduced their pain and positively affected their anticipatory postural
control and MRCP.Key words: Chronic low back pain, Kinesio taping, Movement related cortical potential 相似文献
17.
Míriam Raquel Meira Mainenti Lilian Ramiro Felicio érika de Carvalho Rodrigues Dalila Terrinha Ribeiro da Silva Patrícia Vigário dos Santos 《Journal of Physical Therapy Science》2014,26(4):567-573
[Purpose] Complaint of pain is common in computer workers, encouraging the investigation
of pain-related workplace factors. This study investigated the relationship among
work-related characteristics, psychosocial factors, and pain among computer workers from a
university center. [Subjects and Methods] Fifteen subjects (median age, 32.0 years;
interquartile range, 26.8–34.5 years) were subjected to measurement of bioelectrical
impedance; photogrammetry; workplace measurements; and pain complaint, quality of life,
and motivation questionnaires. [Results] The low back was the most prevalent region of
complaint (76.9%). The number of body regions for which subjects complained of pain was
greater in the no rest breaks group, which also presented higher prevalences of neck
(62.5%) and low back (100%) pain. There were also observed associations between neck
complaint and quality of life; neck complaint and head protrusion; wrist complaint and
shoulder angle; and use of a chair back and thoracic pain. [Conclusion] Complaint of pain
was associated with no short rest breaks, no use of a chair back, poor quality of life,
high head protrusion, and shoulder angle while using the mouse of a computer.Key words: Ergonomics, Low back pain, Workplace 相似文献
18.
Jioun Choi Gak Hwangbo Jungseo Park Sangyong Lee 《Journal of Physical Therapy Science》2014,26(8):1259-1262
[Purpose] The purpose of this study was to examine the effects of manual therapy using
joint mobilization and flexion-distraction techniques on chronic low back pain and disc
heights. [Subjects] This study was conducted with 31 chronic low back pain patients who
were divided into a manual therapy group (MTG; n=16) and a spinal decompression therapy
group (SDTG; n=15). [Methods] The MTG was treated using joint mobilization techniques and
flexion-distraction techniques, and the SDTG was treated using spinal decompression
therapeutic apparatuses. Conservative physical therapy was used in both groups, and the
therapy was implemented three times per week for 6 weeks. The visual analog scale (VAS)
was used to measure patient’s low back pain scores, and a picture archiving and
communication system was used to measure disc height by comparing and analyzing the
images. [Results] In comparisons of the VAS within each of the two groups, both the MTG
and the SDTG showed significant decreases. In comparisons of disc height within each of
the two groups, the MTG showed statistically significant increases. [Conclusion] Manual
therapy using joint mobilization techniques and flexion-distraction techniques is
considered an effective intervention for addressing low back pain and disc heights in
patients with chronic low back pain.Key words: Manual therapy, Joint mobilization techniques, Spinal decompression therapy 相似文献
19.
《The journal of pain》2022,23(11):1856-1873
This systematic review, meta-analysis and meta-regression investigated the effects of individualized interventions, based on exercise alone or combined with psychological treatment, on pain intensity and disability in patients with chronic non-specific low-back-pain. Databases were searched up to January 31, 2022 to retrieve respective randomized controlled trials of individualized and/or personalized and/or stratified exercise interventions with or without psychological treatment compared to any control. Fifty-eight studies (n = 10084) were included. At short-term follow-up (12 weeks), low-certainty evidence for pain intensity (SMD -0.28 [95%CI -0.42 to -0.14]) and very low-certainty evidence for disability (-0.17 [-0.31 to -0.02]) indicates effects of individualized versus active exercises, and very low-certainty evidence for pain intensity (-0.40; [-0.58 to -0.22])), but not (low-certainty evidence) for disability (-0.18; [-0.22 to 0.01]) compared to passive controls. At long-term follow-up (1 year), moderate-certainty evidence for pain intensity (-0.14 [-0.22 to -0.07]) and disability (-0.20 [-0.30 to -0.10]) indicates effects versus passive controls. Sensitivity analyses indicates that the effects on pain, but not on disability (always short-term and versus active treatments) were robust. Pain reduction caused by individualized exercise treatments in combination with psychological interventions (in particular behavioral-cognitive therapies) (-0.28 [-0.42 to -0.14], low certainty) is of clinical importance. Certainty of evidence was downgraded mainly due to evidence of risk of bias, publication bias and inconsistency that could not be explained. Individualized exercise can treat pain and disability in chronic non-specific low-back-pain. The effects at short term are of clinical importance (relative differences versus active 38% and versus passive interventions 77%), especially in regard to the little extra effort to individualize exercise. Sub-group analysis suggests a combination of individualized exercise (especially motor-control based treatments) with behavioral therapy interventions to booster effects.PerspectiveThe relative benefit of individualized exercise therapy on chronic low back pain compared to other active treatments is approximately 38% which is of clinical importance. Still, sustainability of effects (> 12 months) is doubtable. As individualization in exercise therapies is easy to implement, its use should be considered.PROSPERO registrationCRD42021247331 相似文献
20.
Fernanda G Santos Carolina M Carmo América C Fracini Rita R P Pereira Kelly S Takara Clarice Tanaka 《Journal of Physical Therapy Science》2013,25(12):1569-1573
[Purpose] The aim of this study was to compare the activities of the trunk and hip
muscles in chronic low back pain (CLBP) women and asymptomatic subjects during the
kneeling to half-kneeling task. [Subjects] Twenty-nine CLBP women and thirty asymptomatic
subjects (C) participated in this study. [Methods] Electromyography activity (EMG) of the
obliquus internus abdominis (OI), the lumbar erector spinae (LES) and the gluteus medius
(GM) muscles was recorded bilaterally. The peak amplitude, the time of peak amplitude and
the integrated linear envelope EMG for each muscle were obtained. [Results] The C group
bilateral OI and GM muscles displayed higher peak amplitudes and earlier times of peak
amplitude. They also had higher integrated linear envelope EMG values. The CLBP group
bilateral LES muscles had higher peak amplitudes and earlier times of peak amplitude. They
also showed an increased integrated linear envelope EMG values. [Conclusion] The CLBP
women activate the LES muscles in the kneeling to half-kneeling task, showing different
patterns of motor planning activity.Key words: Low back pain, Postural balance, Abdominal muscles 相似文献