This study involved 33 patients with lumbar degenerative diseases as subjects and randomly divided them into three groups with 11 patients per group, and then applied different patterns of lumbar rehabilitation exercises to those groups for eights weeks as follows: the lumbar stabilization exercise ...
This study involved 33 patients with lumbar degenerative diseases as subjects and randomly divided them into three groups with 11 patients per group, and then applied different patterns of lumbar rehabilitation exercises to those groups for eights weeks as follows: the lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program. Based on this experiment, this study attempted to identify the most effective lumbar rehabilitation exercise by analyzing the functional lumbar segmental stability in the patients with lumbar degenerative diseases(lumbar flexion, extension ROM, lumbar extension muscle strength, posture control ability, and lumbar reposition sense structure stability), the structural lumbar segmental stability(the cross-sectional areas of lumbar paraspinal muscles, lumbar lordosis and lumbosacral angle, and the change of posture according to lumbar segmental stability), and the effects of the above exercises on the pain scale. The results of this study are as follows. 1. Analysis of the changes in functional lumbar segmental stability according to lumbar rehabilitation exercise patterns 1) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all improved the ROM in lumbar flexion and extension after exercises compared with before exercises. However, the results of post verification revealed no differences by lumbar rehabilitation exercise program patterns. 2) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all improved extensor strength after exercises. However, the results of post verification showed that the lumbar complex exercise program most improved extensor strength, followed by the trunk strengthening exercise program and the lumbar stabilization exercise program in the order of improvement. 3) While the lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all improved static and dynamic posture control abilities after exercises, in the results of post verification, the lumbar complex exercise program was more effective in the static posture control ability than the lumbar stabilization exercise program or the trunk strengthening exercise program. However, in terms of the dynamic posture control ability, no differences were observed among the lumbar rehabilitation exercise program patterns. 4) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program were all revealed to decrease the errors of the lumbar reposition sense structure stability after exercises. However, the results of post verification exhibited no differences among the lumbar rehabilitation exercise program patterns. 2. Analysis of the changes in structural lumbar segmental stability according to lumbar rehabilitation exercise patterns 1) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all increased cross-sectional areas after exercises compared with before exercises. However, according to the results of post verification, the lumbar complex exercise program was more effective in increasing the cross-sectional areas of right and left iliopsoas and multifidus than the lumbar stabilization exercise program or the trunk strengthening exercise program. However, in terms of increasing in the cross-sectional areas of right and left erector spinae, the lumbar complex exercise program was most effective, followed by the trunk strengthening exercise program and the lumbar stabilization exercise program in the order of increase. 2) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all increased the lumbar lordosis and lumbosacral angle after exercises. However, the results of post verification revealed that the lumbar complex exercise program was most effective in lumbar lordosis, whereas the lumbar complex exercise program was more effective in lumbosacral angle than the lumbar stabilization exercise program. 3) In terms of the L3-L5 level static sagittal translation, the lumbar complex exercise program resulted in a decrease in static sagittal translation at all L3-L5 levels after exercises, whereas the lumbar stabilization exercise program led to a decrease at L4-L5 levels. Meanwhile, the trunk strengthening exercise program did not decrease static sagittal translation. According to the results of post verification, only the lumbar complex exercise program was effective in reducing static sagittal translation at L4-L5 levels. In addition, as for the changes in the L3-L5 level dynamic sagittal translation and the L3-L5 level dynamic rotation angle, while the lumbar complex exercise program reduced both indicators at all L3-L5 levels after exercises, the results of post verification revealed no differences among the lumbar rehabilitation exercise program patterns. 3. Analysis of the changes in lumbar pain according to lumbar rehabilitation exercise patterns 1) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all decreased lumbar pain after exercises compared with before exercises. However, the results of post verification confirmed that the lumbar complex exercise program was more effective in reducing lumbar pain than the lumbar stabilization exercise program or the trunk strengthening exercise program. When incorporating our findings thus far, the simultaneous application of complex lumbar rehabilitation exercises including lumbar stabilization and trunk strengthening exercises can improve the functional stability of patients with lumbar degenerative diseases, such as the lumbar ROM, muscular strength, posture control ability, and proprioceptive sense. As a result, the complex rehabilitation exercises strengthen the lumbar neutral position control ability, and thereby help maintain structural lumbar segmental stability. Consequently, they are also considered to be effective in relieving lumbar pain.
This study involved 33 patients with lumbar degenerative diseases as subjects and randomly divided them into three groups with 11 patients per group, and then applied different patterns of lumbar rehabilitation exercises to those groups for eights weeks as follows: the lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program. Based on this experiment, this study attempted to identify the most effective lumbar rehabilitation exercise by analyzing the functional lumbar segmental stability in the patients with lumbar degenerative diseases(lumbar flexion, extension ROM, lumbar extension muscle strength, posture control ability, and lumbar reposition sense structure stability), the structural lumbar segmental stability(the cross-sectional areas of lumbar paraspinal muscles, lumbar lordosis and lumbosacral angle, and the change of posture according to lumbar segmental stability), and the effects of the above exercises on the pain scale. The results of this study are as follows. 1. Analysis of the changes in functional lumbar segmental stability according to lumbar rehabilitation exercise patterns 1) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all improved the ROM in lumbar flexion and extension after exercises compared with before exercises. However, the results of post verification revealed no differences by lumbar rehabilitation exercise program patterns. 2) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all improved extensor strength after exercises. However, the results of post verification showed that the lumbar complex exercise program most improved extensor strength, followed by the trunk strengthening exercise program and the lumbar stabilization exercise program in the order of improvement. 3) While the lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all improved static and dynamic posture control abilities after exercises, in the results of post verification, the lumbar complex exercise program was more effective in the static posture control ability than the lumbar stabilization exercise program or the trunk strengthening exercise program. However, in terms of the dynamic posture control ability, no differences were observed among the lumbar rehabilitation exercise program patterns. 4) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program were all revealed to decrease the errors of the lumbar reposition sense structure stability after exercises. However, the results of post verification exhibited no differences among the lumbar rehabilitation exercise program patterns. 2. Analysis of the changes in structural lumbar segmental stability according to lumbar rehabilitation exercise patterns 1) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all increased cross-sectional areas after exercises compared with before exercises. However, according to the results of post verification, the lumbar complex exercise program was more effective in increasing the cross-sectional areas of right and left iliopsoas and multifidus than the lumbar stabilization exercise program or the trunk strengthening exercise program. However, in terms of increasing in the cross-sectional areas of right and left erector spinae, the lumbar complex exercise program was most effective, followed by the trunk strengthening exercise program and the lumbar stabilization exercise program in the order of increase. 2) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all increased the lumbar lordosis and lumbosacral angle after exercises. However, the results of post verification revealed that the lumbar complex exercise program was most effective in lumbar lordosis, whereas the lumbar complex exercise program was more effective in lumbosacral angle than the lumbar stabilization exercise program. 3) In terms of the L3-L5 level static sagittal translation, the lumbar complex exercise program resulted in a decrease in static sagittal translation at all L3-L5 levels after exercises, whereas the lumbar stabilization exercise program led to a decrease at L4-L5 levels. Meanwhile, the trunk strengthening exercise program did not decrease static sagittal translation. According to the results of post verification, only the lumbar complex exercise program was effective in reducing static sagittal translation at L4-L5 levels. In addition, as for the changes in the L3-L5 level dynamic sagittal translation and the L3-L5 level dynamic rotation angle, while the lumbar complex exercise program reduced both indicators at all L3-L5 levels after exercises, the results of post verification revealed no differences among the lumbar rehabilitation exercise program patterns. 3. Analysis of the changes in lumbar pain according to lumbar rehabilitation exercise patterns 1) The lumbar stabilization exercise program, trunk strengthening exercise program, and lumbar complex exercise program all decreased lumbar pain after exercises compared with before exercises. However, the results of post verification confirmed that the lumbar complex exercise program was more effective in reducing lumbar pain than the lumbar stabilization exercise program or the trunk strengthening exercise program. When incorporating our findings thus far, the simultaneous application of complex lumbar rehabilitation exercises including lumbar stabilization and trunk strengthening exercises can improve the functional stability of patients with lumbar degenerative diseases, such as the lumbar ROM, muscular strength, posture control ability, and proprioceptive sense. As a result, the complex rehabilitation exercises strengthen the lumbar neutral position control ability, and thereby help maintain structural lumbar segmental stability. Consequently, they are also considered to be effective in relieving lumbar pain.
주제어
#Low back pain Lumbar segmental stability Complex exercise
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