Yoon Ki-Seok, Park Seong-Doo
Yeolin Orthopedic Surgery, Cheonan, Korea.
J Exerc Rehabil. 2013 Apr;9(2):292-7. doi: 10.12965/jer.130013. Epub 2013 Apr 25.
The purpose of this study was designed to analyze the effects mobilization and active stretching on the difference of weight-bearing distribution, low back pain, and flexibility in pronated-foot subjects. The subjects of this study were 16 chronic low back pain patients. They were randomly divided into the control and experimental group. The experimental group had used the model of ankle mobilization and calf muscle active stretching three times per week, for 4 weeks. The control group did same method without an ankle mobilization. The range of flexion and extension motion of the lumbar vertebrae and low back pain degree and difference of weight-bearing were measured before and after the experiment. The model of ankle mobilization and calf muscle stretching of pronated-foot significantly improved the range of flexion and extension motion of the vertebrae. And the visual analogue scale and distribution of weight-bearing were decreased in both of two groups. In other word, the exercise of this study showed that the model of ankle mobilization and calf muscle stretching of pronated-foot had positive effects on improving the range of flexion and extension motion of the vertebrae. The calf muscle stretching was easy and it is effective in therapy that patients by themselves and helped to recover the balance of the vertebrae to combine ankle mobilization and muscle stretching.
本研究旨在分析松动术和主动拉伸对扁平足受试者负重分布差异、下背痛和灵活性的影响。本研究的受试者为16名慢性下背痛患者。他们被随机分为对照组和实验组。实验组采用踝关节松动术和小腿肌肉主动拉伸模型,每周3次,共4周。对照组采用相同方法,但不进行踝关节松动术。在实验前后测量腰椎屈伸运动范围、下背痛程度和负重差异。扁平足的踝关节松动术和小腿肌肉拉伸模型显著改善了椎骨的屈伸运动范围。两组的视觉模拟评分和负重分布均降低。换句话说,本研究的运动表明,扁平足的踝关节松动术和小腿肌肉拉伸模型对改善椎骨的屈伸运动范围有积极作用。小腿肌肉拉伸操作简便,对患者自身治疗有效,有助于通过结合踝关节松动术和肌肉拉伸恢复椎骨平衡。