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The Effects of Sensorimotor Training on Anticipatory Postural Adjustment of the Trunk in Chronic Low Back Pain Patients
Authors:Jin Ah Hwang  Sea Hyun Bae  Gi Do Kim  Kyung Yoon Kim
Affiliation:1) Department of Physical Therapy, Cheongam College;2) Department of Physical Therapy, International University of Korea;3) Department of Physical Therapy, College of Health and Welfare, Dongshin University
Abstract:[Purpose] This study aimed to examine the effects of sensorimotor training on theanticipatory postural adjustment (APA) of chronic low back pain (CLBP) patients. [Subjectsand Methods] Fourteen CLBP patients were randomly assigned to Group II (ordinary physicaltherapy, 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 CLBPgroups received their own treatment five times per week, for four weeks, for 40 minuteseach time. Changes in pain and functional performance evaluation were examined by thevisual analogue scale (VAS) and the Oswestry Disability Index (ODI). In order to look atthe 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 theresults for muscle onset time, there were significant decreases in Group III''s transversusabdominis muscle (TrA) and external oblique muscle (EO) in the standing and sittingpositions. There were significant differences between Group II and III in terms of the TrAin the sitting position. [Conclusion] Sensorimotor training makes patients capable oflearning how to adjust muscles, thereby alleviating pain and improving muscleperformance.Key words: Anticipatory postural adjustments, Chronic low back pain, Sensorimotor training
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