Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
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The Effect of Back Extensor Strengthening Exercise on Chronic Low Back Pain and Bone Mineral Density

요통 및 골밀도에 대한 요추부 신근 강화운동의 효과

Lee, Dong-Hee;Chung, Jae-Soon;Lee, Sang-Gun;Lee, Young-Ok;Choi, Ki-Sub
이동희;정제순;이상건;이영옥;최기섭

  • Published : 20021000
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Abstract

Objective: To evaluate the effects of back extensor strengthening exercise on improving the pain, activities of daily living (ADL) and bone mineral density in the chronic low back pain patients. Method: 21 patients with chronic low back pain participated in back school program. Before program, measurement of lumbar extensor strength with MedX$^{\circledR}$(Ocala, USA), visual analogue scale (VAS) for pain, level of ADL and bone mineral density (BMD) with DEXA (Lunar$^{\circledR}$, GE, USA) were done. For 12 weeks subjects had received the training for strengthening of back extensor and then, checked up with the above variables again. Results: The results were as follows: 1) After 12 weeks of lumbar extensor strengthening program, isometric lumbar extensor strength was increased significantly (p＜0.01), 2) VAS and ADL were significantly improved from 5.1 to 3.3, and 8.1 to 9.9, respectively (p＜0.01), 3) BMD of lumbar spine were significantly improved from -1.1 to 0.8 (p＜0.05) Conclusion: Twelve weeks lumbar extensor strengthening program with pelvic stabilization may be the effective therapeutic program for patients with chronic low back pain.

Keywords

References

  1. 박영재, 최기섭, 이상건: 만성 요통 환자에 대한 요부 신전근 강화운동의 효과. 대한재활의학회지 2000; 24: 295-300
  2. 박준용, 하상배: 만성 요통이 여성의 골밀도와 체간 근력에 미치는 영향. 대한재활의학회지 2000; 24: 977-980
  3. Anderson G, Svensson H: The intensity of work recovery in low back pain. Spine 1983; 8: 880-884 https://doi.org/10.1097/00007632-198311000-00011
  4. Bayramoglu M, Akman MN: Isokinetic measurement of trunk muscle strength in women with chronic low-back pain. Am J Phys Med Rehabil 2001; 80: 650-655 https://doi.org/10.1097/00002060-200109000-00004
  5. Carpenter DM, Nelson BW: Low back strengthning for the prevention and treatment of low back pain. Med Sci Sports Exerc 1999; 31: 18-24 https://doi.org/10.1097/00005768-199901000-00005
  6. Chien MY, Wu YT, Hsu AT, Yang RS, Lai JS: Efficacy of a 24-week aerobic exercise program for osteopenic postmenopausal women. Calcif Tissue Int 2000; 67: 443-448 https://doi.org/10.1007/s002230001180
  7. Cooper RG: Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain. Br J Rheumatol 1992; 31: 389-394 https://doi.org/10.1093/rheumatology/31.6.389
  8. David G: Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rhematol 2001; 13: 128-134 https://doi.org/10.1097/00002281-200103000-00006
  9. Delorme T, Watkins A: Technics of progressive resistance exercises. Arch Phys Med Rehabil 1948; 29: 263-273
  10. Deyo RA, Tsui-W YJ: Descriptive epidemiology of low back pain and its related medical care in the United State. Spine 1987; 12: 264-268 https://doi.org/10.1097/00007632-198704000-00013
  11. Graves JE, Dina C, Pollock M, Scott M, Carpenter DM, Foster N, Cirulli J: Pelvic stabilization during resistance training: Its effect on the development of lumbar extension strength. Arch Phys Med Rehabil 1994; 75: 210-215
  12. Handa N, Yamamoto H, Tani T, Kawakami T, Takemasa R: The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci 2000; 5: 210-216 https://doi.org/10.1007/s007760050153
  13. Karlsson MK, Magnusson H, Karlsson C, Seeman E: The duration of exercise as a regulator of bone mass. Bone 2001; 28: 128-132 https://doi.org/10.1016/S8756-3282(00)00405-1
  14. Kelley GA, Kelley KS, Tran ZV: Resistance training and bone mineral density in women: a meta-analysis of controlled trials. Am J Phys Med Rehabil 2001; 80: 65-77 https://doi.org/10.1097/00002060-200101000-00017
  15. Kelley GA: Aerobic exercise and lumbar spine bone mineral density in postmenopausal women: a meta-analysis. J Am Geriatr Soc 1998; 46: 143-152 https://doi.org/10.1111/j.1532-5415.1998.tb02530.x
  16. Lee CE, Simmonds MJ: Self-reports and clinicial-measured physical function among patients with low back pain: a comparison. Arch Phys Med Rehabil 2001; 82: 227-231 https://doi.org/10.1053/apmr.2001.18214
  17. Mannion AF, Taimela S, Muntener M, Dvorak J: Active therapy for chronic low back pain part 1. Spine 2001; 26: 897-908 https://doi.org/10.1097/00007632-200104150-00013
  18. Maurits VT, Antti M, Rosmin E, Bart K: Exercise therapy for low back pain: A systematic review within the framework of Cochrane collaboration back review group. Spine 2000; 25: 2784-2796 https://doi.org/10.1097/00007632-200011010-00011
  19. Mayer TG, Smith SS, Keeley J, Mooney V: Quantification of lumbar function. Part 2: sagittal plane strength in low back pain patients. Spine 1985; 10: 765-772 https://doi.org/10.1097/00007632-198510000-00012
  20. Pollock M, Garzarella L, Graves J: Effects of isolated lumbar extension resistance training on BMD of the elerly. Med Sci Sports Exerc 1992; 24: 66-69
  21. Sandstrom P, Jonsson P: Bone mineral density and muscle strength in female ice hockey players. Int J Sports Med 2000; 21: 524-528 https://doi.org/10.1055/s-2000-7410
  22. Sinaki M, Mikkelsen BA: Postmenopausal spinal osteoporosis: Flexion versus extension exercises. Arch Phys Med Rehabil 1984; 65: 593-596
  23. Sinaki M: Effect of physical activity on bone mass. Curr Opin Rheumatol 1996; 8: 376-383 https://doi.org/10.1097/00002281-199607000-00017
  24. Spengler D, Bigos N, Martin J, Zeh L, Fisher, Nachemson: Back injuries in industry: a retrospective study. Spine 1986; 11: 241-246 https://doi.org/10.1097/00007632-198604000-00010
  25. Van der Velde G, Mierau D: The Effect of exercise on percentile rank aerobic capacity, pain, and self-rated disability in patients with chronic low-back pain: a retrospective chart review. Arch Phys Med Rehabil 2000; 81: 1457-1463 https://doi.org/10.1053/apmr.2000.9629
  26. Vuory IM: Dose-response of physical activity and low back pain, osteoarthritis, and osteoporosis. Med Sci Sports Exerc 2001; 33: 551-586 https://doi.org/10.1097/00005768-200106001-00026
  27. Waddel G, Newton M: A fear-avoidance beliefs questionnaire and the role of fear-avoidance beliefs in chronic low back pain disability. Pain 1993; 52: 157-168 https://doi.org/10.1016/0304-3959(93)90127-B