共查询到20条相似文献,搜索用时 15 毫秒
1.
[Purpose] This study examined the effects of lumbar stability exercises on chronic lower
back pain by using a therapeutic climbing program on lumbar muscle activity and function.
[Subjects and Methods] Thirty adult subjects with chronic back pain participated. The
subjects were assigned to 2 exercise groups, namely the lumbar stabilization (Mat Ex) and
therapeutic climbing exercise groups (TC Ex). Each group trained for 30 minutes, 3 times a
week for 4 weeks. The Short-form 36-item Questionnaire (SF-36) was administered and the
surface electromyographic (sEMG) activities of the lumbar muscles were measured. [Results]
Both therapy groups showed significant increases in the SF-36 score, and the increase was
greater in the TC Ex group. Significant increases in the sEMG activities of the lumbar
muscles were found in both groups. The increases in the sEMG activities of the rectus
abdominis and internal and external oblique muscles of the abdomen were greater in the TC
Ex group than in the Mat Ex group. [Conclusion] These findings demonstrate that TC Ex,
which is similar to normal lumbar stabilization exercise, is effective at activating and
improving the function of the lumbar muscles. These results suggest that TC Ex has a
positive impact on the stabilization of the lumbar region.Key words: Chronic lower back pain, Therapeutic climbing, Stabilization exercise 相似文献
2.
Byoung-Hwan Oh Hong-Hyun Kim Cheol-Yong Kim Chan-Woo Nam 《Journal of Physical Therapy Science》2015,27(12):3655-3658
[Purpose] The purpose of this study was to examine the changes caused by lumbar
stabilization exercises in chronic low back pain patients. [Subjects and Methods] Swiss
ball exercise regimen group and sling exercise regimen group exercised for 30 minutes a
day, 5 days a week, for 12 weeks. The control group was to continue performing their usual
daily living activities. [Results] We obtained significant results in both the Swiss ball
and sling exercise groups, but not in the control group. The best effect was obtained in
the sling exercise group. [Conclusion] The Oswestry Low Back Pain Disability Index and
visual pain scale scores of the patients with low back pain decreased in both the Swiss
ball exercise group and the sling exercise group, and these patients experienced an
increase in waist isometric muscular strength after 12 weeks of exercise compared with
those doing no exercise (the control group).Key words: Lumbar stabilizing, Sling exercise, Chronic back pain 相似文献
3.
[Purpose] This study compared the effects of sling exercises with and without vibration
on the muscular activity of the internal oblique (IO), rectus abdominis (RA), multifidus
(MF), and erector spinae (ES) muscles of healthy adults. [Methods] Eleven healthy
university students (11 men) with a mean age of 22.8 years were enrolled in this study.
Subjects performed supine and prone bridge exercises with the knees flexed using a sling
suspension system with and without vibration. The amplitudes of the EMG activities of
selected trunk muscles (internal oblique, rectus abdominis, erector spinae, multifidus)
were recorded. Two types of exercise conditions were executed in a random sequence for 5
seconds each. The signals detected from the middle 3 seconds (after discarding the signals
of the first and the last one seconds) were used in the analysis. A 3-minute break was
given after each exercise to minimize muscle fatigue. [Results] During the supine bridge
exercise with vibration, the activities of the IO, RA, MF, and ES muscles were
significantly higher than those of the supine bridge exercise without vibration.
Additionally, during the prone bridge exercise with vibration, the activities of the IO,
RA, MF, and ES were significantly higher than those of the prone bridge exercise without
vibration. [Conclusion] Sling exercises with vibration improved the trunk muscle
activities of healthy adults compared to the sling exercises without vibration. The
information presented here is important for clinicians who use lumbar stabilization
exercises as an evaluation tool or a rehabilitation exercise.Key words: Sling exercise, Vibration, Trunk muscle 相似文献
4.
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
5.
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
6.
Weakening of trunk muscles in stroke patients hinders functional ability, safety and
balance. To confirm whether strengthening trunk muscles could facilitate rehabilitation of
stroke patients, we investigated the effectiveness of sling exercise therapy (SET) using
closed kinetic chain exercises to activate trunk muscles and improve balance in stroke
patients. [Subjects and Methods] Twenty stroke patients with chronic hemiplegia were
equally divided into 2 groups, a SET group and a control group that performed regular
exercises on a mat with the assistance of a table. Patients in both groups exercised for
30 min, three times per week for 4 weeks. Trunk muscle activity was measured using surface
electromyography, whereas balance was measured using the Berg Balance Scale, Frailty and
Injuries Cooperative Studies of Intervention Technique, Timed Up & Go test, and
BioRescue before and after the 4-week experimental period. [Results] Trunk muscle activity
and balance before and after intervention in both groups were significantly different.
However, no significant differences were observed between the 2 groups. [Conclusion]
Although SET was not more effective than regular exercise, significant improvement was
observed before and after SET. Therefore, SET can be considered effective in strengthening
trunk muscles in stroke patients with chronic hemiplegia.Key words: Chronic stroke patients, Sling exercise therapy, Trunk muscles 相似文献
7.
Myounggi Lee Changho Song Younggwan Jo Donghun Ha Dongwook Han 《Journal of Physical Therapy Science》2015,27(5):1519-1522
[Purpose] The purpose of this study was to examine the effects of the core muscle release
technique on correction of lumbar deformation and alleviation of low back pain. [Subjects]
Ninety patients diagnosed with lumbar deformation and low back pain participated in this
study. [Methods] The participants were divided into three groups according to method of
treatment. The first group was treated with the core muscle release technique (CRT), the
second group was treated with general exercise, and the third group was treated with
electrotherapy. The core muscle release technique group received 50-minute of the core
muscle release technique 5 times a week for 2 weeks, and the participants in this group
were instructed not to receive any other treatments. After the 2 weeks of treatment, the
patients were reexamined. The general exercise group performed Williams flexion exercises
and McKenzie extension exercises 5 times a week for 2 weeks. The electrotherapy group was
treated by application of electrotherapy with an interferential current therapy machine
(TM-301. TOPMED. Seongnam, Republic of Korea) to the abdominal muscles and back muscles of
the lumbar region. [Results] The data suggest that the core muscle release technique,
general exercise, and electrotherapy all helped to decrease the alignment angle and VAS
score. Of these treatment methods, however, the core muscle release technique was the most
effective for treatment of lumbar spine deformation and low back pain. [Conclusion] The
core muscle release technique was most effective for correction of lumbar spine
deformation and pain alleviation.Key words: Core muscle release technique, Lumbar spine deformation, Low back pain 相似文献
8.
Wen-Dien Chang Wei-Syuan Huang Chia-Lun Lee Hung-Yu Lin Ping-Tung Lai 《Journal of Physical Therapy Science》2014,26(9):1363-1366
[Purpose] The muscle strength of the quadriceps muscle is critical in patellofemoral pain
syndrome. The quadriceps muscle supplies the power for dynamic patellar movement, and the
vastus medialis oblique (VMO) and vastus lateralis (VL) enable the patella to stabilize
during tracking. We followed the theories about open and closed kinetic chain exercises to
design two exercises, sling open chain knee extension (SOCKE) exercise and sling closed
chain knee extension (SCCKE) exercise. The purpose of our study was to research the
changes in quadriceps muscle activity during both exercises. [Methods] Electromyographic
analysis was used to explore the different effects of the two exercises. The MVC% was
calculated for the VMO and VL during exercise for analysis. [Results] We found that the
mean MVC% values of the VMO and VL during the SOCKE exercise were higher than those during
the SCCKE exercise. The ratio of the VMO to VL was 1.0 ± 0.19 during the SOCKE exercise
and 1.11 ± 0.15 during the SCCKE exercise. [Conclusions] The SOCKE exercise is targeted at
quadriceps muscle training and has a recruitment effect on the VMO. The beneficial effect
of the SOCKE exercise is better than that of the SCCKE exercise.Key words: Patellofemoral pain syndrome, Sling exercise therapy, Electromyography 相似文献
9.
[Purpose] The purpose of this study was to investigate the effect of bridge exercises on
the Oswestry disability index (ODI) scores and proprioception among patients with chronic
low back pain (CLBP). [Subjects and Methods] A total of 38 patients participated in this
study. After eight weeks of bridge exercise, the joint position angle of the body trunk
was measured and the ODI was used in survey form to investigate the intensity of the
patients’ low back pain. [Results] After eight weeks of exercise, the ODI showed
significant differences in all three groups. Subjects’ joint position sense of the trunk
in both lumbar flexion and extension was also significantly different after completing the
exercise program; this was true for all three groups. [Conclusion] Performing the prone
bridge exercise for eight weeks improved proprioceptive function and reduced pain and
impediment of activity, showing it a more effective exercise than other bridge
exercises.Key words: Bridge exercise, Proprioception, Chronic low back pain 相似文献
10.
Yu-Lin You Tzu-Kai Su Lih-Jiun Liaw Wen-Lan Wu I-Hua Chu Lan-Yuen Guo 《Journal of Physical Therapy Science》2015,27(8):2591-2596
[Purpose] The purpose of this study was to investigate the effects of 6 weeks sling
exercise training for clients with low back pain on the levels of pain, disability,
muscular strength and endurance. [Subjects and Methods] Twelve chronic LBP subjects
participated in this study. Subjects were randomly divided into a control group and a
training group. Subjects in the training group performed sling exercise training for six
weeks, and participants in the control group did not perform any exercise. [Results] Pain,
disability levels and muscular strength significantly improved in the training group, but
not in the control group. The left multifidus showed a significant improvement in muscular
endurance, measured as the slope of the median frequency after training. [Conclusion] Six
weeks of sling exercise training was effective at reducing pain intensity, and improving
the disability level and trunk muscular strength of subjects with low back pain.Key words: Chronic low back pain, Sling exercise training, Slope of median frequency 相似文献
11.
Ui-Cheol Jeong Jae-Heon Sim Cheol-Yong Kim Gak Hwang-Bo Chan-Woo Nam 《Journal of Physical Therapy Science》2015,27(12):3813-3816
[Purpose] The aim of this study was to examine the effects of exercise to strengthen the
muscles of the hip together with lumbar segmental stabilization exercise on the lumbar
disability index, lumbar muscle strength, and balance. [Subjects and Methods] This study
randomly and equally assigned 40 participants who provided written consent to participate
in this study to a lumbar segmental stabilization exercise plus exercise to strengthen the
muscles of the gluteus group (SMG + LES group) and a lumbar segmental stabilization
exercise group. [Results] Each evaluation item showed a statistically significant effect.
[Conclusion] Clinical application of exercise in this study showed that lumbar segmental
stabilization exercise plus exercise to strengthen the muscles of the gluteus resulted in
a greater decrease in low back pain disability index and increase in lumbar muscle
strength and balance ability than lumbar segmental stabilization exercise in chronic low
back pain patients receiving the exercise treatments during the same period. 相似文献
12.
Min-Yeong Heo Kyoung Kim Beom-Young Hur Chan-Woo Nam 《Journal of Physical Therapy Science》2015,27(12):3843-3846
[Purpose] To investigate whether pain, balance, and stabilization of the lumbar region
can be improved through thoracic mobilization in addition to lumbar stabilizaing
exercises. [Subjects and Methods] This study recruited 36 subjects with chronic low back
pain lasting more than 12 weeks. The subjects recruited for this study participated
voluntarily, and provided their signed consent to participation. [Results] Improvement in
balance was largest in the lumbar stabilization exercise group, followed by the thoracic
mobilization and exercise group, and the traditional physical therapy group, in decreasing
order of effect. [Conclusion] In conclusion, lumbar stabilization exercises combined with
thoracic mobilization had greater effects on stabilization of the lumbar region pain
relief, and improvement of the function of the patients with chronic low back pain.Key words: Lumbar stabilization exercises, Thoracic mobilization exercises, Chronic low back pain 相似文献
13.
[Purpose] The purpose of this study was to determine whether exercises using
proprioceptive neuromuscular facilitation (PNF) scapular and pelvic patterns might
decrease the pain index and increase the lumbar flexibility of obese patients with low
back pain. [Subjects and Methods] Thirty obese patients with low back pain were randomly
assigned to an experimetal group (n=15) and a control group (n=15). The exercise program
of the experimental group consisted of scapular patterns (anterior depression − posterior
elevation) and pelvic patterns (anterior elevation − posterior depression). The control
group performed neutral back muscle strengthening exercises. Over the course of four
weeks, the groups participated in PNF or performed strengthening exercises for 30 minutes,
three times per week. Subjects were assessed a pre-test and post-test using measurements
of pain and lumbar flexibility. [Results] The results show that lumbar flexion and lumbar
extension significantly improved in the experimental group, had significant improvement
and that the Oswestry Disability index (ODI) significantly decreased. However, there were
no significant changes in the control group. The experimental group also showed
significant differences in the pain index and lumbar flexibility from the control group.
[Conclusion] This study showed that PNF can be used to improve pain index rating and
lumbar flexibility. The findings indicate that the experimental group experienced greater
improvement than the control group by participating in the PNF lumbar stabilization
program.Key words: Obesity, Low back pain, Proprioceptive neuromuscular facilitation 相似文献
14.
Sudarat Borisut Mantana Vongsirinavarat Roongtiwa Vachalathiti Prasert Sakulsriprasert 《Journal of Physical Therapy Science》2013,25(9):1157-1162
[Purpose] To compare muscle activities and pain levels of females with chronic neck pain
receiving different exercise programs. [Subjects and Methods] One hundred females with
chronic neck pain participated in this study. They were randomly allocated into 4 groups
(n = 25) on the basis of the exercises performed as follows: strength-endurance exercise,
craniocervical flexion exercise, combination of strength-endurance and craniocervical
flexion exercise and control groups. Pain, disability levels and changes in the muscle
activities of the cervical erector spinae (CE), sternocleidomastoid (SCM), anterior
scalenes (AS) and upper trapezius (UT) muscles were evaluated before and after the
interventions. [Results] After 12 weeks of exercise intervention, all three exercise
groups showed improvements in pain and disability. The muscle activities during the typing
task were significantly different from the control group in all three exercise groups for
all muscles except those of the extensor muscles in the craniocervical flexion exercise
group. [Conclusion] The results of this study indicate that exercises for the cervical
muscles improve pain and disability. The exercise programs reduced the activities of
almost all cervical muscles.Key words: Chronic neck pain, Exercise, Muscle activity 相似文献
15.
Mohammad Hosseinifar Mohammad Akbari Hamid Behtash Mohsen Amiri Javad Sarrafzadeh 《Journal of Physical Therapy Science》2013,25(12):1541-1545
[Purpose] This study compared the effectiveness of stabilization and McKenzie exercises
on pain, disability, and thickness of the transverse abdominis and multifidus muscles in
patients with nonspecific chronic low back pain. [Subjects] Thirty patients were randomly
assigned into two groups: the McKenzie and stabilization exercise groups. [Methods] Before
and after intervention, pain, disability, and thickness of the transverse abdominis and
multifidus muscles were evaluated by visual analogue scale, functional rating index, and
sonography, respectively. The training program was 18 scheduled sessions of individual
training for both groups. [Results] After interventions, the pain score decreased in both
groups. The disability score decreased only in the stabilization group. The thickness of
the left multifidus was significantly increased during resting and contracting states in
the stabilization group. The thickness of the right transverse abdominis during the
abdominal draw-in maneuver, and thickness of the left transverse abdominis during the
active straight leg raising maneuver were significantly increased in the stabilization
group. The intensity of pain, disability score, thickness of the right transverse
abdominis during the abdominal draw-in manouver, and thickness of the left transverse
abdominis during active straight leg raising in the stabilization group were greater than
those on the Mackenzie. [Conclusion] Stabilization exercises are more effective than
McKenzie exercises in improving the intensity of pain and function score and in increasing
the thickness of the transverse abdominis muscle.Key words: Chronic low back pain, Stabilizaton exercises, Muscle thickness 相似文献
16.
Won-gyu Yoo 《Journal of Physical Therapy Science》2015,27(2):315-316
[Purpose] This study compared the isolated contraction ratios of the hip extensors,
erector spinae muscles of the lumbar region, and thoracic muscles during different back
extension exercises. [Subjects] Twelve males participated in this study. [Methods] The
subjects performed various back extension exercises. The activities of the T7 erector
spinae muscles, L3 erector spinae muscles, and the gluteus maximus were measured, and the
isolation contraction ratios were calculated. [Results] The isolated contraction ratio of
the T7 erector spinae muscles significantly increased during exercise 2. The isolated
contraction ratio of the gluteus maximus increased by a significant degree during exercise
1 compared with the other exercises. [Conclusion] This study demonstrated that the back
extension exercises 1 and 2 can be applied to selectively exercise the hip extensors,
thoracic muscles, and muscles of the lumbar region.Key words: Back extensor, Isolated contraction ratio, Selected exercise 相似文献
17.
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
18.
Igsoo Cho Chunbae Jeon Sangyong Lee Daehee Lee Gak Hwangbo 《Journal of Physical Therapy Science》2015,27(6):1983-1985
[Purpose] This study examined the effects of lumbar stabilization exercises on the
functional disability and lumbar lordosis angles in patients with chronic low back pain.
[Subjects] The subjects were 30 patients with chronic low back pain divided into a lumbar
stabilization exercise group (n = 15) and a conservative treatment group
(n = 15). [Methods] The lumbar stabilization exercise and conservative
treatment groups performed an exercise program and conservative physical treatment,
respectively. Both programs were performed 3 times a week for 6 weeks. The degree of
functional disability was assessed by the Oswestry disability index, and lumbar lordosis
angles were measured by plain radiography. [Results] The Oswestry disability index
decreased significantly in the both groups; however, it was significantly lower in the
lumbar stabilization exercise group. The lumbar lordosis angle increased significantly in
the lumbar stabilization exercise group after treatment and was also significantly greater
than that in the conservative treatment group. [Conclusion] Lumbar stabilization exercise
is more effective than conservative treatment for improving functional disability and
lumbar lordosis angles.Key words: Lumbar stabilization exercise, Lumbar lordosis angle, Chronic low back pain 相似文献
19.
[Purpose] The purpose of this study was to identify the effects of bridging exercise on
different support surfaces on the thickness of the musculus transversus abdominis and
lower extremity muscle activities. [Subjects] Thirty-five students of H University.
[Methods] The experimental group (n=18) performed bridging exercise on the sling support
surface, and the control group (n=17) performed bridging exercise on a general support
surface. [Results] Thickness changes in the musculus transversus abdominis were 0.35 cm in
the experimental group, and 0.17 cm in the control group, suggesting that the experimental
group showed a more significant change. For the lower extremity muscular activity, there
was a significant difference between the experimental group and the control group only in
the biceps femoris muscle. [Conclusion] Based on these results, we consider that bridging
exercise on a sling support surface would increase the thickness of the transversus
abdominis and lower extremity muscle activities in rehabilitation programs for patients
with back pain.Key words: Bridging exercise, Sling exercise, Transversus abdominis 相似文献
20.
Won-gyu Yoo 《Journal of Physical Therapy Science》2013,25(10):1357-1358
[Purpose] The purpose of this paper is to report the effect of individual strengthening
exercises for the anterior pelvic tilt muscles on back pain, pelvic tilt angle, and lumbar
ROM of a low back pain (LBP) patient with flat back. [Subject] A 37 year-old male, who
complained of LBP pain at L3-5 levels with flat back, participated. [Methods] He performed
the individual strengthening exercises for anterior pelvic tilt muscles (erector
spinae,iliopsoas, rectus femoris). [Results] Pelvic tilt angles of the right and left
sides were recovered to normal ranges. His lumbar ROMs increased, and low back pain
decreased. [Conclusion] We suggest that individual resistance exercises are a necessary
approach for effective and fast strengthening of pelvic anterior tilt muscles in LBP with
flat back.Key words: Anterior pelvic tilt, Flat back syndrome, LBP 相似文献