[논문]The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain

Finta, Regina; Nagy, Edit; Bender, Tamá; s

doi:10.2147/JPR.S181610

The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain 원문보기

Journal of pain research, v.11, 2018년, pp.3031 - 3045

Finta, Regina (Department of Physiotherapy, Faculty of Health Sciences, University of Szeged, Szeged, Hungary, fintaregina@etszk.u-szeged.hu) , Nagy, Edit (Department of Physiotherapy, Faculty of Health Sciences, University of Szeged, Szeged, Hungary, fintaregina@etszk.u-szeged.hu) , Bender, Tamás (Department of Orthopedics, Faculty of Medicine, Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary)

Abstract ▼ AI-Helper

PurposeThe aim of this study was to assess the effects of diaphragm training on low back pain and thickness of stabilizer muscles of the lumbar spine.Patients and methodsFifty-two individuals were recruited with a history of chronic low back pain in our randomized controlled trial. The participants were divided randomly into two groups. One of the groups took part in a complex training program and completed with diaphragm training (DT group, n=26). The control (C) group took part only in the complex training (n=21). The thickness of transversus abdominis, diaphragm, and lumbar multifidus muscle was measured with ultrasonography in two positions: lying and sitting. All muscles were assessed in relaxed and in contracted state in the lying position and in a relatively relaxed (calm sitting) and relatively contracted state (during weightlifting) in the sitting position.ResultsAfter the training, severity of the pain was significantly reduced in both the groups. Regarding the thickness of the muscles, there were no changes in group C. The thickness of transversus abdominis increased significantly in relaxed and in relatively relaxed state, but there were no changes in contracted and relatively contracted state in group DT. As for the diaphragm muscle, there were significant increase in the state of supine position and in relatively contracted state, but there was no notable change in relatively relaxed state. With regard to the thickness of lumbar multifidus, a significant increase was only found in the left-sided muscle in relaxed, relatively relaxed, and relatively contracted state and in case of the right-sided one in relatively contracted state in group DT.ConclusionOur results suggest that diaphragm training has an effect also on the thickness of other active stabilizers of the lumbar spine, such as transversus abdominis and lumbar multifidus muscles.

주제어

참고문헌 (51)

1 Duthey B Lower back pain 2013 Available from: http://www.who.int/medicines/areas/priority_medicines/BP6_24LBP.pdf Accessed November 9, 2017
2 Hoy D March L Brooks P The global burden of low back pain: estimates from the Global Burden of Disease 2010 study Ann Rheum Dis 2014 73 6 968 974 24665116

상세보기
3 Deyo RA Weinstein JN Low back pain N Engl J Med 2001 344 5 363 370 11172169

상세보기
4 Panjabi MM Clinical spinal instability and low back pain J Electromyogr Kinesiol 2003 13 4 371 379 12832167

상세보기
5 Fritz JM Erhard RE Hagen BF Segmental Instability of the Lumbar Spine Phys Ther 1998 78 8 889 896 9711212

상세보기
6 Panjabi MM The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis J Spinal Disord 1992 5397 4 390 397 Discussion
7 Hodges PW Moseley GL Pain and motor control of the lumbopelvic region: effect and possible mechanisms J Electromyogr Kinesiol 2003 13 4 361 370 12832166

상세보기
8 Bruno P The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review J Can Chiropr Assoc 2014 58 2 119 130 24932016

상세보기
9 Macintosh JE Bogduk N Gracovetsky S The biomechanics of the thoracolumbar fascia Clin Biomech 1987 2 2 78 83

상세보기
10 Hodges PW Butler JE Mckenzie DK Gandevia SC Contraction of the human diaphragm during rapid postural adjustments J Physiol 1997 505 Pt 2 539 548 9423192
11 Hodges PW Gandevia SC Activation of the human diaphragm during a repetitive postural task J Physiol 2000 522 Pt 1 165 175 10618161
12 Kolar P Sulc J Kyncl M Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment J Appl Physiol 2010 109 4 1064 1071 20705944

상세보기
13 Ning X Zhou J Dai B Jaridi M The assessment of material handling strategies in dealing with sudden loading: the effects of load handling position on trunk biomechanics Appl Ergon 2014 45 6 1399 1405 24766903

상세보기
14 Zhou J Dai B Ning X The assessment of material handling strategies in dealing with sudden loading: influences of foot placement on trunk biomechanics Ergonomics 2013 56 10 1569 1576 23906047

상세보기
15 Sweeney N O’Sullivan C Kelly G Multifidus muscle size and percentage thickness changes among patients with unilateral chronic low back pain (CLBP) and healthy controls in prone and standing Man Ther 2014 19 5 433 439 24909431

상세보기
16 Yates JW Karwowski W An electromyographic analysis of seated and standing lifting tasks Ergonomics 1992 35 7–8 889 898 1633795
17 Foster NE Anema JR Cherkin D Prevention and treatment of low back pain: evidence, challenges, and promising directions Lancet 2018 391 10137 2368 2383 29573872
18 Ki C Heo M Kim HY Kim EJ The effects of forced breathing exercise on the lumbar stabilization in chronic low back pain patients J Phys Ther Sci 2016 28 12 3380 3383 28174456
19 Janssens L Mcconnell AK Pijnenburg M Inspiratory muscle training affects proprioceptive use and low back pain Med Sci Sports Exerc 2015 47 1 12 19 24870567

상세보기
20 Huskisson EC Measurement of pain Lancet 1974 304 7889 1127 1131
21 Hawker GA Mian S Kendzerska T French M Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP Arthritis Care Res 2011 63 Suppl 11 S240 S252
22 Vasconcelos T Hall A Viana R The influence of inspiratory muscle training on lung function in female basketball players - a randomized controlled trial Porto Biomed J 2017 2 3 86 89
23 Williamson A Issues in clinical nursing Pain: A Review of Three Commonly Used Pain Rating Scales Available from: https://onlinelibrary.wiley.com/doi/pdf/ AccessedSeptember 15, 2018
24 Feuerstein M Beattie P Biobehavioral factors affecting pain and disability in low back pain: mechanisms and assessment Phys Ther 1995 75 267 280 7899485

상세보기
25 Dellve L Ahlstrom L Jonsson A Myofeedback training and intensive muscular strength training to decrease pain and improve work ability among female workers on long-term sick leave with neck pain: a randomized controlled trial Int Arch Occup Environ Health 2011 84 3 335 346 20803028

상세보기
26 Langevin HM Sherman KJ Pathophysiological model for chronic low back pain integrating connective tissue and nervous system mechanisms Med Hypotheses 2007 68 1 74 80 16919887

상세보기
27 Bonica JJ Management of myofascial pain syndromes in general practice J Am Med Assoc 1957 164 7 732 13428545
28 Akbari A Khorashadizadeh S Abdi G The Effect of Motor Control Exercise versus General Exercise on Lumbar Local Stabilizing Muscles Thickness: Randomized Controlled Trial of Patients with Chronic Low Back Pain Journal of Back and Musculoskeletal Rehabilitation 2008 21 2 105 112

상세보기
29 Lima PO de P de Oliveira RR de Moura Filho AG Raposo MCF Costa LOP Laurentino GEC Reproducibility of the pressure biofeedback unit in measuring transversus abdominis muscle activity in patients with chronic nonspecific low back pain J Bodyw Mov Ther 2012 16 2 251 257 22464125

상세보기
30 Storheim K Bø K Pederstad O Jahnsen R Intra-tester reproducibility of pressure biofeedback in measurement of transversus abdominis function Physiother Res Int 2002 7 4 239 249 12528579
31 Rasouli O Arab AM Amiri M Jaberzadeh S Ultrasound measurement of deep abdominal muscle activity in sitting positions with different stability levels in subjects with and without chronic low back pain Man Ther 2011 16 4 388 393 21330182

상세보기
32 Hodges PW Is there a role for transversus abdominis in lumbo-pelvic stability? Man Ther 1999 4 2 74 86 10509061

상세보기
33 Moseley GL Hodges PW Gandevia SC Deep and Superficial Fibers of the Lumbar Multifidus Muscle Are Differentially Active During Voluntary Arm Movements 27 Available from: https://www.bodyinmind.org/wp-content/uploads/Moseley-et-al-2002-Spine-DM-SM-LM-arm-movement.pdf Accessed September 17, 2018
34 Kolar P Neuwirth J Sanda J Analysis of diaphragm movement during tidal breathing and during its activation while breath holding using MRI synchronized with spirometry Physiol Res 2009 58 3 383 392 18637703

상세보기
35 Kolář P Sulc J Kyncl M Postural function of the diaphragm in persons with and without chronic low back pain J Orthop Sports Phys Ther 2012 42 4 352 362 22236541

상세보기
36 Dülger E Bilgin S Bulut E The effect of stabilization exercises on diaphragm muscle thickness and movement in women with low back pain J Back Musculoskelet Rehabil 2018 31 2 323 329 29278870
37 Macintosh JE Bogduk N The biomechanics of the lumbar multifidus Clin Biomech 1986 1 4 205 213

상세보기
38 Li KW Wang CW Yu R Modeling of predictive muscular strength for sustained one-handed carrying task Work 2015 52 4 911 919 26409398
39 Kim E Lee H The effects of deep abdominal muscle strengthening exercises on respiratory function and lumbar stability J Phys Ther Sci 2013 25 6 663 665 24259823
40 Hodges P Kaigle Holm A Holm S Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm Spine VivoPorcineStudies 28 23 Phila Pa 1976 2003 2594 2601
41 Cholewicki J Ivancic PC Radebold A Can increased intra-abdominal pressure in humans be decoupled from trunk muscle co-contraction during steady state isometric exertions? Eur J Appl Physiol 2002 87 2 127 133 12070622

상세보기
42 Janssens L Brumagne S Mcconnell AK Hermans G Troosters T Gayan-Ramirez G Greater diaphragm fatigability in individuals with recurrent low back pain Respir Physiol Neurobiol 2013 188 2 119 123 23727158

상세보기
43 Rezkallah SF Abd El-Hady AA Hamid A Botros FF Sonographic Response of Diaphragmatic Excursion to Threshold Inspiratory Muscle Trainer in Elderly 85 2017 Available from: www.medicaljournalof-cairouniversity.net Accessed September 16, 2018
44 Haytham HM Azza AE ES M. NEG Response of Diaphragmatic Excursion to Inspiratory Muscle Trainer Post Thoracotomy Int J Med Heal Sci 2016 10 1 15 18
45 Caron O Fontanari P Cremieux J Joulia F Effects of ventilation on body sway during human standing Neurosci Lett 2004 366 1 6 9 15265579

상세보기
46 Kuczyński M Wieloch M Effects of accelerated breathing on postural stability Hum Mov 2009 9 2 107 110
47 Lewit K Relation of faulty respiration to posture, with clinical implications J Am Osteopath Assoc 1980 79 8 525 529 7364597

상세보기
48 Hodges PW Gurfinkel VS Brumagne S Smith TC Cordo PC Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration Exp Brain Res 2002 144 3 293 302 12021811

상세보기
49 Rankin G Stokes M Newham DJ Abdominal muscle size and symmetry in normal subjects Muscle Nerve 2006 34 3 320 326 16775833

상세보기
50 Harper CJ Shahgholi L Cieslak K Hellyer NJ Strommen JA Boon AJ Variability in diaphragm motion during normal breathing, assessed with B-mode ultrasound J Orthop Sports Phys Ther 2013 43 12 927 931 24175600

상세보기
51 Kiesel KB Uhl TL Underwood FB Rodd DW Nitz AJ Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging Man Ther 2007 12 2 161 166 16973400

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (51)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트