Effects of Exercise Rehabilitation on Pain, Disability, and Muscle Strength after Posterior Lumbar Interbody Fusion Surgery: a Randomized Controlled Trial

被引:9
作者
Kang, Hyungkyu [1 ]
Jo, Kihoon [2 ]
Shim, Sunhwa [3 ]
Yu, Jaeho [4 ]
Jung, Jinhwa [5 ]
机构
[1] Sahmyook Univ, Grad Sch, Dept Phys Therapy, Jecheon Si 390711, Chungbuk, South Korea
[2] Yonsei Univ, Seoul BukBu Hosp, Dept Phys Therapy, Jecheon Si 390711, Chungbuk, South Korea
[3] Yonsei Univ, Dept Occupat Therapy, Jecheon Si 390711, Chungbuk, South Korea
[4] Kangwon Natl Univ, Dept Phys Therapy, Jecheon Si 390711, Chungbuk, South Korea
[5] Semyung Univ, Dept Occupat Therapy, Jecheon Si 390711, Chungbuk, South Korea
关键词
Posterior lumbar interbody fusion; Exercise rehabilitation; MedX; LOW-BACK-PAIN; STABILIZING EXERCISE; EXTENSION STRENGTH; MULTIFIDUS MUSCLE; QUESTIONNAIRE;
D O I
10.1589/jpts.24.1037
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
[Purpose] The present study examined how exercise rehabilitation, extension exercise rehabilitation, and stabilization exercise rehabilitation programs for 8 weeks affected the lumbar region of elderly patients who underwent posterior lumbar interbody fusion surgery. [Methods] Sixty participants were divided into 3 groups. The participants' lumbar extensor muscle strength was evaluated at 7 angles (72 degrees, 60 degrees, 48 degrees, 36 degrees, 24 degrees, 12 degrees, and 0 degrees) from flexion to extension by MedX after 8 weeks; and pain, disability, and maximum muscle strength were also measured. [Results] Extension exercise rehabilitation significantly decreased disability compared with the other exercise methods. On the other hand, stabilization exercise rehabilitation significantly increased lumbar deep muscle strength and endurance compared with the other exercise methods. When strength was compared using MedX, extension exercise rehabilitation increased strength significantly more than the other methods at the lumbar flexion angles of 12 degrees and 0 degrees. [Conclusion] The three exercise programs decreased pain and disability, and increased lumbar deep muscle strength of the posterior lumbar interbody fusion patients. Therefore, these methods help patients attain pain-free lives.
引用
收藏
页码:1037 / 1040
页数:4
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