Ko Kwang-Jun, Ha Gi-Chul, Yook Young-Sook, Kang Seol-Jung
Department of Sports Medicine, National Fitness Center, Republic of Korea.
Department of Exercise Rehabilitation Welfare, Sungshin Women's University, Republic of Korea.
J Phys Ther Sci. 2018 Jan;30(1):18-22. doi: 10.1589/jpts.30.18. Epub 2018 Jan 27.
[Purpose] The purpose of this study is to investigate the effects of lumbar stabilization exercise and sling exercise on lumbosacral region angle, lumbar muscle strength, pain scale of patients with chronic low back pain. [Subjects and Methods] The subjects of this study were 29 chronic low back pain patient women who were selected among participants in exercise class at K Region Health Promotion Center in South Korea and were randomly assigned to the lumbar stabilization exercise group (n=10), sling exercise group (n=10), and the control group (n=9). Both lumbar stabilization and sling exercise programs were executed for 60 minutes, three times a week, for 12 weeks. Before and after exercise we measured lumbosacral region angle (lumbar lordosis angle, lumbosacral angle, sacral inclination angle), lumbar muscle strength, and pain scale in all subjects. Two-way analysis of variance was conducted to analyze experimental data. In order to analyze the interaction effect, we conducted paired t-test before and after treatment. [Results] Lumbar stabilization exercise group and sling exercises group did not affect lumbar lordosis angle, lumbosacral angle and sacral inclination angle. Whereas the lumbar flexion muscle strength and lumbar extension muscle strength significantly increased in the lumbar stabilization exercise group and sling exercise group. The flexibility increased in the lumbar stabilization exercise group and sling exercise group. The pain scale decreased in the lumbar stabilization exercise group and sling exercise group. [Conclusion] Both lumbar stabilization exercise and sling exercises are useful therapeutic approaches to chronic back pain.
[目的] 本研究旨在探讨腰椎稳定训练和悬吊训练对慢性下腰痛患者腰骶部角度、腰部肌肉力量及疼痛程度的影响。[对象与方法] 本研究的对象为29名慢性下腰痛女性患者，她们选自韩国K地区健康促进中心运动课程的参与者，并被随机分为腰椎稳定训练组（n = 10）、悬吊训练组（n = 10）和对照组（n = 9）。腰椎稳定训练和悬吊训练计划均为每周进行3次，每次60分钟，共持续12周。在训练前后，我们测量了所有受试者的腰骶部角度（腰椎前凸角、腰骶角、骶骨倾斜角）、腰部肌肉力量和疼痛程度。采用双向方差分析对实验数据进行分析。为分析交互作用，我们在治疗前后进行了配对t检验。[结果] 腰椎稳定训练组和悬吊训练组对腰椎前凸角、腰骶角和骶骨倾斜角均无影响。然而，腰椎稳定训练组和悬吊训练组的腰椎屈曲肌力量和腰椎伸展肌力量均显著增加。腰椎稳定训练组和悬吊训练组的灵活性增加。腰椎稳定训练组和悬吊训练组的疼痛程度降低。[结论] 腰椎稳定训练和悬吊训练均是治疗慢性腰痛的有效方法。
