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
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