걷기와 요부안정화운동이 만성요통환자의 폐기능과 요부심부근에 미치는 영향 Effects of Combined Exercises of Walking and Lumber Stabilization on Pulmonary Function and Lumbar Deep Muscles of Patients with Chronic Low Back Pain
연구배경 정상인과 만성요통 환자를 대상으로 통증, 폐기능 및 호기시 요부심부근의 활성도를 비교하고, 요통 환자군을 걷기 운동군(WP)과 걷기+요부안정화운동군(CP)으로 나누어 10주간 프로그램을 적용시켰을 때 제 변인에 대한 변화를 파악하고자 한다. 방 법 정상인 10명을 통제군으로, 요통환자 중 11명은 CP군, 10명은 WP군으로 하여 제 변인에 대한 검사를 실시하였다. WP 집단은 트레드밀에서 40분간 걷는 것, CP 집단은 20분간 트레드밀에서 걷고, 20분간 요부안정화운동에 참여하는 것이 주운동이었다. 프로그램은 주당 3일간 10주간 시행하였다. 결 과 요통환자가 정상인에 비해 폐기능 변인 중 FEV1, MVV 및 VC는 낮게, 호기시 요부심부근의 활성도 중 RTRA, LTRA 및 EOTRA도 유의하게 낮았다. 실험 후 WP집단은 VAS, MVV, LTRA 및 EOTRA에서 유의한 차이를 보였고, CP집단은 VAS, MVV, PEF 및 EOTRA에서 유의한 차이를 나타내었다. 결 론 요통환자군에서 VAS는 높게, 폐기능과 요부심부근은 낮게 나타났고, CP집단이 WP집단에 비해 복횡근의 근지구력이 높게 나타나 요부안정화운동이 근수축능력 및 폐기능에 적지 않은 영향을 미친다고 할 수 있다.
연구배경 정상인과 만성요통 환자를 대상으로 통증, 폐기능 및 호기시 요부심부근의 활성도를 비교하고, 요통 환자군을 걷기 운동군(WP)과 걷기+요부안정화운동군(CP)으로 나누어 10주간 프로그램을 적용시켰을 때 제 변인에 대한 변화를 파악하고자 한다. 방 법 정상인 10명을 통제군으로, 요통환자 중 11명은 CP군, 10명은 WP군으로 하여 제 변인에 대한 검사를 실시하였다. WP 집단은 트레드밀에서 40분간 걷는 것, CP 집단은 20분간 트레드밀에서 걷고, 20분간 요부안정화운동에 참여하는 것이 주운동이었다. 프로그램은 주당 3일간 10주간 시행하였다. 결 과 요통환자가 정상인에 비해 폐기능 변인 중 FEV1, MVV 및 VC는 낮게, 호기시 요부심부근의 활성도 중 RTRA, LTRA 및 EOTRA도 유의하게 낮았다. 실험 후 WP집단은 VAS, MVV, LTRA 및 EOTRA에서 유의한 차이를 보였고, CP집단은 VAS, MVV, PEF 및 EOTRA에서 유의한 차이를 나타내었다. 결 론 요통환자군에서 VAS는 높게, 폐기능과 요부심부근은 낮게 나타났고, CP집단이 WP집단에 비해 복횡근의 근지구력이 높게 나타나 요부안정화운동이 근수축능력 및 폐기능에 적지 않은 영향을 미친다고 할 수 있다.
Background The purpose of this study is to find out the effects of the combined exercise of walking and lumbar stabilization on the pulmonary function and lumbar deep muscles of the physical therapists with chronic low back pain at the age of 20-30. Methods In this study, 10 healthy people attended ...
Background The purpose of this study is to find out the effects of the combined exercise of walking and lumbar stabilization on the pulmonary function and lumbar deep muscles of the physical therapists with chronic low back pain at the age of 20-30. Methods In this study, 10 healthy people attended this study as a control group and 2 groups were divided as the CP(combined exercises of walking and lumbar stabilization) group and WP(walking exercise) group, with the number of the subjects were in 11 and 10, respectively. Before exercise programs, all groups had been examined using VAS, pulmonary function test, EMG (RMS of lumbar deep muscle during expiration) test and endurance of lumbar deep muscle. The main exercise for WP group was 40 min-walking on the treadmill, and the main exercise for CP were 20 min-walking and 20 minlumbar stabilization. The exercise has been done 3 times a week for 10 weeks. Results First, VAS, FEV1, MVV, FVC, RTRA, LTRA and EOTRA were significantly different between patient and non-patient group. Second, only VAS, MVV, LTRA and EOTRA scores were significantly different in WP group. In CP group VAS, MVV, PEF and EOTRA score were significantly different after 10 weeks. Conclusions This study suggested that both types of exercise increased to VAS, pulmonary function, EMG activities of lumbar sites after 10 weeks. In conclusion, this study demonstrated that exercise reduced LBP and optimized pulmonary function and lumbar deep muscles.
Background The purpose of this study is to find out the effects of the combined exercise of walking and lumbar stabilization on the pulmonary function and lumbar deep muscles of the physical therapists with chronic low back pain at the age of 20-30. Methods In this study, 10 healthy people attended this study as a control group and 2 groups were divided as the CP(combined exercises of walking and lumbar stabilization) group and WP(walking exercise) group, with the number of the subjects were in 11 and 10, respectively. Before exercise programs, all groups had been examined using VAS, pulmonary function test, EMG (RMS of lumbar deep muscle during expiration) test and endurance of lumbar deep muscle. The main exercise for WP group was 40 min-walking on the treadmill, and the main exercise for CP were 20 min-walking and 20 minlumbar stabilization. The exercise has been done 3 times a week for 10 weeks. Results First, VAS, FEV1, MVV, FVC, RTRA, LTRA and EOTRA were significantly different between patient and non-patient group. Second, only VAS, MVV, LTRA and EOTRA scores were significantly different in WP group. In CP group VAS, MVV, PEF and EOTRA score were significantly different after 10 weeks. Conclusions This study suggested that both types of exercise increased to VAS, pulmonary function, EMG activities of lumbar sites after 10 weeks. In conclusion, this study demonstrated that exercise reduced LBP and optimized pulmonary function and lumbar deep muscles.
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