The Effect of Lumbar Stabilization Exercise and The Neurodynamic Technique on Patients with Low Back Pain and Lumbar Instability (요추부 불안정성을 가진 요통환자에게 요부안정화운동과 신경가동술의 치료적 효과)

Eui-young Jeong (정의용); Suhnyeop Kim (김선엽)

The Effect of Lumbar Stabilization Exercise and The Neurodynamic Technique on Patients with Low Back Pain and Lumbar Instability

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2016, 11(4), pp.115-125
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Eui-young Jeong ¹, Suhnyeop Kim ²

¹아산충무병원
²대전대학교

Accredited

ABSTRACT

PURPOSE: This study aimed to compare the effects of lumbar stabilization exercise with those of the neurodynamic technique on low back pain in patients with lumbar instability. METHODS: The subjects included those with more than three tests with positive results for lumbar instability and those with a positive sign during the neurodynamic test, all of whom had low back pain. For the lumbar stabilization exercise group (n=15), lumbar stabilization exercise was performed using a sling system, while the neurodynamic technique group (n=15) performed the neurodynamic technique. The intervention was performed 5 days a week for 4 weeks. All measurement of each subject were measure at pre-intervention and post-intervention (after 4 weeks). SPSS/PC ver. 18.0 program was used to compile results. RESULTS: There was no significant difference in general characteristics of subjects between both groups (p>.05). Assessed items included the visual analog scale score (VAS), Korean version of the Oswestry Disability Index (KODI), lumbar instability test positive response counter (LIC) and Fear-Avoidance Beliefs Questionnaire score (FABQ), and a significant reduction was observed post-intervention compared to pre-intervention values in both groups (p<.01). Other assessed items such as trunk flexibility and lumbar extensor endurance and lumbar flexor endurance were significantly increased post-intervention in both groups compared to pre-intervention values (p<.01). There was no significant difference in all parameters between both groups (p>.05). CONCLUSION: Our results indicate that the neurodynamic technique may be useful for improving low back pain in patients with lumbar instability.

KEYWORDS

Lower back pain, Lumbar instability, Lumbar stabilization exercise, Neurodynamic technique

Citation status

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

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