Department of Rehabilitation Medicine, Hanyang University Medical Center , Seoul, South Korea.
J Sports Sci Med. 2013 Sep 1;12(3):533-41. eCollection 2013.
The purpose of this study was to compare the effects of lumbar stabilization exercises using balls to the effects of general lumbar stabilization exercises with respect to changes in the cross section of the multifidus (MF), weight bearing, pain, and functional disorders in patients with non-specific chronic low back pain. Twelve patients participated in either a 8 week (3 days per week) stabilization exercise program using balls and control group (n = 12). The computer tomography (CT) was used to analyze MF cross-sectional areas (CSA) and Tetrax balancing scale was used to analyze left and right weight bearing differences. Both groups had significant changes in the CSA of the MF by segment after training (p < 0.05) and the experimental group showed greater increases at the L4 (F = 9.854, p = 0.005) and L5 (F = 39. 266, p = 0.000). Both groups showed significant decreases in weight bearing, from 9.25% to 5.83% in the experimental group and from 9.33% to 4.25% in the control group (p < 0.05), but did not differ significantly between the two groups. These results suggests that stabilization exercises using ball can increases in the CSA of the MF segments, improvement in weight bearing, pain relief, and recovery from functional disorders, and the increases in the CSA of the MF of the L4 and L5 segments for patients with low back pain. Key PointsCompared with the stabilization exercise using a ball and general stabilization exercise increased the CSA of the MF, weight bearing, pain, and functional ability in patients with low back pain.We verified that increases in the CSA of the MF of the L4 and L5 segments and functional ability during the stabilization exercise using a ball.The stabilization exercise using a ball was shown to be an effective exercise method for patients with low back pain in a rehabilitation program by increasing functional ability and the CSA of the MF.
本研究旨在比较使用球的腰椎稳定练习与一般腰椎稳定练习对非特异性慢性下腰痛患者多裂肌（MF）横截面积（CSA）变化、承重、疼痛和功能障碍的影响。12 名患者分别参加了为期 8 周（每周 3 天）的使用球的稳定练习计划和对照组（n=12）。使用计算机断层扫描（CT）分析 MF 横截面积（CSA），使用 Tetrax 平衡秤分析左右承重差异。两组训练后 MF 节段 CSA 均有显著变化（p<0.05），实验组 L4（F=9.854，p=0.005）和 L5（F=39.266，p=0.000）增加更为明显。两组承重均显著下降，实验组从 9.25%降至 5.83%，对照组从 9.33%降至 4.25%（p<0.05），但两组间无显著差异。这些结果表明，使用球的稳定练习可以增加 MF 节段 CSA，改善承重、缓解疼痛和恢复功能障碍，对腰痛患者的 L4 和 L5 节段 MF CSA 增加。关键点：与使用球的稳定练习和一般稳定练习相比，增加了腰痛患者的 MF CSA、承重、疼痛和功能能力。我们验证了在使用球的稳定练习过程中，L4 和 L5 节段 MF CSA 和功能能力的增加。使用球的稳定练习通过增加功能能力和 MF CSA，被证明是康复计划中腰痛患者的一种有效锻炼方法。
