Effects of Motor Control Exercise Vs Muscle Stretching Exercise on Reducing Compensatory Lumbopelvic Motions and Low Back Pain: A Randomized Trial

被引:28
作者
Park, Kyue-nam [1 ]
Kwon, Oh-yun [2 ]
Yi, Chung-hwi [3 ]
Cynn, Heon-seock [3 ]
Weon, Jong-hyuck [4 ]
Kim, Tae-ho [5 ]
Choi, Houng-sik [6 ]
机构
[1] Jeonju Univ, Dept Phys Therapy, Jeonju, South Korea
[2] Yonsei Univ, Dept Phys Therapy, Lab Kinet Ergocise Based Movement Anal, Wonju, South Korea
[3] Yonsei Univ, Dept Phys Therapy, Wonju, South Korea
[4] Joongbu Univ, Dept Phys Therapy, Geumsan, South Korea
[5] Daegu Univ, Dept Phys Therapy, Gyongsan, South Korea
[6] Hanseo Univ, Dept Phys Therapy, Seosan, South Korea
关键词
Classification; Exercise; Low Back Pain; Muscle Stretching Exercises; MOVEMENT; RELIABILITY; PEOPLE; ROTATION; HIP; ADAPTATION; DISABILITY; STRATEGIES; SUBGROUPS; STABILITY;
D O I
10.1016/j.jmpt.2016.07.006
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives: The purpose of this study was to investigate the effectiveness of a 6-week motor control exercise (MCE) vs stretching exercise (SE) on reducing compensatory pelvic motion during active prone knee flexion (APKF) and intensity of low back pain. Methods: Thirty-six people in the lumbar-rotation-extension subgroup were randomly assigned equally into 2 exercise groups (18 people in each an MCE or SE group). A 3-dimensional motion-analysis system was used to measure the range and onset time of pelvic motion and knee flexion during APKF. Surface electromyography was used to measure the muscle activity and onset time of the erector spinae and the hamstrings during APKF. The level of subjective low back pain was measured using a visual analog scale. Results: The MCE group had more significant decreases in and delay of anterior pelvic tilt, pelvic rotation, and erector spinae muscle activity during APKF, as well as reduced intensity of low back pain compared with the SE group (P < .05). Conclusions: For rehabilitation in patients in the lumbar-rotation-extension subgroup, MCE was more effective than SE in reducing compensatory pelvic motion and muscle activity during APKF and minimizing low back pain.
引用
收藏
页码:576 / 585
页数:10
相关论文
共 31 条
  • [1] THE EFFECT OF CORE STABILITY EXERCISES ON VARIATIONS IN ACCELERATION OF TRUNK MOVEMENT, PAIN, AND DISABILITY DURING AN EPISODE OF ACUTE NONSPECIFIC LOW BACK PAIN: A PILOT CLINICAL TRIAL
    Aluko, Augustine
    DeSouza, Lorraine
    Peacock, Janet
    [J]. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2013, 36 (08) : 497 - +
  • [2] INTRAEXAMINER AND INTEREXAMINER RELIABILITY OF PRESSURE BIOFEEDBACK UNIT FOR ASSESSING LUMBOPELVIC STABILITY DURING 6 LOWER LIMB MOVEMENT TESTS
    Azevedo, Daniel Camara
    Lauria, Alessandra Christoff
    Scarpelli Pereira, Andre Roberto
    Andrade, Guilherme Trivellato
    Ferreira, Manuela Loureiro
    Ferreira, Paulo Henrique
    Van Dillen, Linda
    [J]. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2013, 36 (01) : 33 - 43
  • [3] Sensory adaptation after a 2-week stretching regimen of the rectus femoris muscle
    Björklund, M
    Hamberg, J
    Crenshaw, AG
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2001, 82 (09): : 1245 - 1250
  • [4] Comerford MJ, 2012, KINETIC CONTROL MANA, V86, P152
  • [5] CRAM J., 1998, INTRO SURFACE ELECTR, P336
  • [6] Reliability of EMG measurements for trunk muscles during maximal and sub-maximal voluntary isometric contractions in healthy controls and CLBP patients
    Dankaerts, W
    O'Sullivan, PB
    Burnett, AF
    Straker, LM
    Danneels, LA
    [J]. JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY, 2004, 14 (03) : 333 - 342
  • [7] Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic low back pain: a systematic review
    Fersum, K. V.
    Dankaerts, W.
    O'Sullivan, P. B.
    Maes, J.
    Skouen, J. S.
    Bjordal, J. M.
    Kvale, A.
    [J]. BRITISH JOURNAL OF SPORTS MEDICINE, 2010, 44 (14) : 1054 - 1062
  • [8] EFFECTS OF MUSCULAR STRETCHING AND SEGMENTAL STABILIZATION ON FUNCTIONAL DISABILITY AND PAIN IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED, CONTROLLED TRIAL
    Franca, Fabio Renovato
    Burke, Thomaz Nogueira
    Caffaro, Rene Rogieri
    Ramos, Luiz Armando
    Marques, Amelia Pasqual
    [J]. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2012, 35 (04) : 279 - 285
  • [9] Patterns of lumbar region movement during trunk lateral bending in 2 subgroups of people with low back pain
    Gombatto, Sara P.
    Collins, David R.
    Sahrmann, Shirley A.
    Engsberg, Jack R.
    Van Dillen, Linda R.
    [J]. PHYSICAL THERAPY, 2007, 87 (04): : 441 - 454
  • [10] Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain
    Gombatto, SP
    Collins, DR
    Sahrmann, SA
    Engsberg, JR
    Van Dillen, LR
    [J]. CLINICAL BIOMECHANICS, 2006, 21 (03) : 263 - 271