Department of Rehabilitation and Assistive Technology, National Rehabilitation Research Institute, National Rehabilitation Center, Republic of Korea.
Department of Physical Therapy, Graduate School, Daejeon University, Republic of Korea.
Medicine (Baltimore). 2022 Nov 18;101(46):e31843. doi: 10.1097/MD.0000000000031843.
Lumbar stability exercise promotes deep muscle functions, and it is an effective intervention method for increasing proprioceptive sensation. This study aims to explore and compare the effects of lumbar stability exercise with respiratory resistance and whole body vibration on patients with lumbar instability.
This study is a 3-group randomized control trial. Through screening tests, 48 patients with lumbar instability were selected and randomly assigned to SE group (n = 16), stabilization exercise program using respiratory resistance (SER) group (n = 16), and stabilization exercise program using respiratory resistance and whole body vibration (SERW) group (n = 16). In order to compare the effects depending on the intervention methods, quadruple visual analogue scale (QVAS), Functional Ability Roland-Morris low back pain and disability questionnaire ([RMDQ], center of pressure path length, velocity, and area), Korean version of fear-avoidance beliefs questionnaire, and Pulmonary Function were used for measurement.
All of the groups showed significant improvements in QVAS, RMDQ, Korean version of fear-avoidance beliefs questionnaire, and balance abilities before and after the interventions. The SER group and SERW group showed a significant difference in QVAS and RMDQ than the SE group (P < .05). In addition, balance ability showed a significant difference in SERW group (P < .05), where only the SER group showed a significant difference in pulmonary function indexes including forced vital capacity, forced expiratory volume in 1 second, maximum inspiratory pressure, and maximum expiratory pressure (P < .05).
Stabilization exercise program using respiratory resistance and whole-body vibration administered according to the purpose of intervention methods may be effective exercise programs for people with lumbar instability.
腰椎稳定性练习可促进深层肌肉功能，是增加本体感觉的有效干预方法。本研究旨在探讨和比较腰椎稳定性练习与呼吸阻力和全身振动对腰椎不稳定患者的影响。
这是一项 3 组随机对照试验。通过筛选测试，选择了 48 名腰椎不稳定患者，并将其随机分为 SE 组（n = 16）、使用呼吸阻力的稳定运动方案（SER）组（n = 16）和使用呼吸阻力和全身振动的稳定运动方案（SERW）组（n = 16）。为了比较不同干预方法的效果，使用了四重视觉模拟量表（QVAS）、功能能力 Roland-Morris 腰痛和残疾问卷（[RMDQ]，重心路径长度、速度和面积）、韩国版恐惧回避信念问卷和肺功能进行测量。
所有组在干预前后的 QVAS、RMDQ、韩国版恐惧回避信念问卷和平衡能力均有显著改善。SER 组和 SERW 组在 QVAS 和 RMDQ 方面与 SE 组有显著差异（P <.05）。此外，SERW 组的平衡能力也有显著差异（P <.05），其中仅 SER 组的用力肺活量、1 秒用力呼气量、最大吸气压力和最大呼气压力等肺功能指标有显著差异（P <.05）。
根据干预方法的目的实施的使用呼吸阻力和全身振动的稳定运动方案可能是腰椎不稳定患者的有效运动方案。
