The Effect of Sling Exercise Therapy and Motor Control Exercise on Pain, ADL Performance and Trunk Muscle Strength in Patients with Chronic Low Back Pain (슬링운동과 운동조절치료가 만성 요통 환자의 통증, 기능 장애 및 체간 근력에 미치는 영향)

하영신; Jongsoo Lee (이종수); 김성식; 이병희

The Effect of Sling Exercise Therapy and Motor Control Exercise on Pain, ADL Performance and Trunk Muscle Strength in Patients with Chronic Low Back Pain

Journal of Korean Medicine Rehabilitation
Abbr : JKMR
2012, 22(3), pp.151-162
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Medicine and Pharmacy > Korean Medicine

하영신 ¹, Jongsoo Lee ², 김성식 ¹, 이병희 ¹

¹삼육대학교 물리치료학과
²경희대학교

Accredited

ABSTRACT

Objectives :This study was to determine the effects of a sling exercise therapy and motor control exercise program on pain, disability and lumbar strength in patients with chronic low back pain. Methods :24 subjects who were in the patients with chronic low back pain were randomly divided into two groups for trunk muscle training: with sling exercise group(n=12), and motor control exercise group(n=12). but 4 subjects were left out of this study, finally 9 and 11 in each group respectively. All groups were given four-week conventional physical therapy, which was conducted 40 minutes per day, 2 times per week over a 4 week period. sling exercise subjects received Sling exercise program for 40 minutes per day, 2 times per week over a 4 week period. motor control exercise subjects received motor control exercise program for 40 minutes per day, 2 times per week over a 4 week period. Pain, disability and trunk muscle strength are measured to identify the effect of the sling exercise and motor control exercise. Results :For the low back pain, the level of visual analogue scale(VAS) were significantly decreased after compared to before the intervention within sling exercise group and motor control exercise group(p<0.05). For the disability, the level of Oswestry disability index(ODI) were significantly decreased after compared to before the intervention within sling exercise group and motor control exercise group(p<0.05). For the trunk muscle strength were significantly decreased after compared to before the intervention within sling exercise group and motor control exercise group(p<0.05). There was significant pain relief, improvement of disability and trunk muscle strengthening in both group(p<0.05) after 4 weeks. Conclusions :These findings indicate that the both interventions may release pain and improve ADL performance and trunk muscle strength in patients with chronic low back pain.

KEYWORDS

Chronic Low Back Pain, Sling Exercise Group, Motor Control Exercise Program, Pain, Disability, Trunk Muscle Strength

Citation status

* References for papers published after 2023 are currently being built.

[journal] Dunn KM / 2004 / Epidemiology and natural history of low back pain / Eur Med 40(1) : 9~13

[journal] Chou R / 2007 / Nonpharmacologic therapies for acute and chronic low back pain : a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline / Ann Intern Med 147(7) : 492~504

[journal] Van Tulder MW / 1995 / Cost-of-illness study of back pain in the Netherlands / Pain 2(2) : 233~240

[journal] Airaksinen O / 2008 / European guidelines for the management of chronic nonspecific low back pain / Eur Spine J 15(2) : 192~300

[book] Richardson CA / 1999 / Therapeutic exercise for spinal stabilisation. Scientific basis and practical techniques / Churchill Livingstone, Harcourt Brace and Company Limited

[journal] Ferreira ML / 2007 / Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trial / Pain 131(1) : 31~37

[journal] O'Sullivan PB / 1997 / Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis / Spine(Phila Pa 1976) 22(24) : 2959~2967

[journal] Macedo LG / 2009 / Motor control exercise for persistent, nonspecific low back pain : a systematic review / Phys Ther 89(1) : 9~25

[journal] 김선엽 / 2001 / 슬링(Sling)시스템을 이용한 요부안정화 운동 / 대한 정형물리치료학회지 7(2) : 29~39

[other] Kirkesola BS / 2001 / A concept for exercise and active treatment of musculoskeletal disorders / Set article

[journal] Vasseljen O / 2010 / Abdominal muscle contraction thickness and function after specific and general exercises: a randomized controlled trial in chronic low back pain patients / Man Ther 15(5) : 482~489

[thesis] 박선희 / 2007 / 슬링 요부안정화 운동이 특발성 척추측만증 환자의 균형에 미치는 영향 / 석사 / 삼육대학교 대학원

[journal] Liebenson C / 2001 / Self-treatment of mid-thoracic dysfunction : a key link in the body axis : Part Two : Treatment / J Bodyw Mov The 5(3) : 191~195

[journal] Liebenson C / 2004 / Spinal stabilization-an update, Part 3 / J Bodyw Mov Ther 8(4) : 286~287

[journal] Liebenson C. / 2004 / Spinal stabilization-an update. Part 3-training / J Bodyw Mov Ther 8(4) : 278~285

[journal] Liebenson C / 2004 / How to stabilize my back / J Bodyw Mov Ther 8(3) : 11~213

[journal] Liebenson C / 2011 / Hip muscle training / J Bodyw Mov Ther 15(2) : 251~252

[journal] Liebenson C / 2010 / Improving trunk rotation / J Bodyw Mov Ther 14(3) : 302~

[journal] Filiz M / 2005 / The effectiveness of exercise programmes after lumbar disc surgery : a randomized controlled study / Clin Rehabil 19(1) : 4~11

[journal] Fritz JM / 2005 / Lumbar spine segmental mobility assessment : an examination of validity for determining intervention strategies in patients with low back pain / Arch Phys Med Rehabil 86(9) : 1745~1752

[journal] Anders C / 2008 / Evaluation of the EMG-force relationship of trunk muscles during whole body tilt / J Biomech 41(2) : 333~339

[journal] 김명준 / 2001 / 요부병변 환자의 신전 근력 특성에 관한 연구 / 한국체육학회지 40(4) : 542~554

[journal] Stuge B / 2004 / The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy : a randomized controlled trial / Spine(Phila Pa 1976) 29(4) : 351~359

[journal] Stuge B / 2004 / The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a two-year follow-up of a randomized clinical trial / Spine(Phila Pa 1976) 29(10) : 197~203

[journal] Moseley L / 2002 / Combined physiotherapy and education is efficacious for hronic low back pain / Aust J Physiother 48(4) : 297~302

[journal] Ljunggren AE / 1997 / Effect of exercise on sick leave due to low back pain. A randomized, comparative, long-term study / Spine(Phila Pa 1976) 22(14) : 1610~1616

[journal] Kirkesola BS / 2009 / Neurac : a new treatment method for chronic musculoskeletal pain / Fysioterapeuten 76(12) : 10~

[journal] Koumantakis GA / 2005 / Trunk muscle abilization training plus general exercise versus general exercise only : randomized controlled trial of patients with recurrent low back pain / Phys Ther 85(3) : 209~225

[journal] Shaughnessy M / 2004 / A pilot study to investigate the effect of lumbar stabilisation exercise training on functional ability and quality of life in patients with chronic low back pain / Int J Rehabli Res 27(4) : 297~301

[book] Richardson CA / 2004 / Therapeutic exercise for lumbopelvic stabilization. A motor control approach for the treatment and prevention of low back pain. 2nd ed / Churchill Livingstone, Harcourt Brace and Company Limited

[journal] Goldby LJ / 2006 / A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder / Spine(Phila Pa 1976) 31(10) : 1083~1093

[journal] Niemisto L / 2003 / A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain / Spine 28(19) : 2185~2191

[thesis] 유윤정 / 2011 / 운동 조절 프로그램이 요추 추간판 탈출증 환자의 통증, 기능 장애와 체간 근력에 미치는 영향 / 석사 / 삼육대학교 대학원

[journal] Arokoski JP / 2001 / Back and abdominal muscle function during stabilization exercise / Arch Phys Med Rehabil 82(8) : 1089~1098

KJCKorea
Journal Central

Journal of Korean Medicine Rehabilitation 2023 KCI Impact Factor : 0.6