Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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The Effects of Sling Bridging Exercise to Pain Scale and Trunk Muscle Activity in Low Back Pain Patients

  • Received : 2012.09.07
  • Accepted : 2013.01.21
  • Published : 2013.05.30
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Abstract

Most patients with chronic low back pain experience functional disability of trunk muscle, and limitations in physical activity. While there are many types of exercise programs available, in recent years sling exercise has been emerging as the exercise program for spinal stabilization. It has been supported by a great amount of research with positive findings on its effectiveness. This research studies the effects of bridging exercise, conducted on a sling, on pain level and trunk muscle activation in supine, sidelying, and prone positions during a 4 weeks period. 10 healthy people(normal group, n=10) and 28 patients with low back pain participated in this study. 28 patients were divided into two groups; one group participated in exercise with the sling(experimental group, n=14) and the other group exercised without the sling(control group, n=14). They were asked to use the Numerical Rating Scale(NRS) to answer to the level of their pain they felt (no pain: 0 point, severe pain: 10 points). During sling bridging exercises, the muscle activity level in each muscle measured in each position was standardized as three seconds of EMG signals during five seconds MVIC. In conclusion, the experimental group with four weeks of sling bridging exercise experienced a statistically significant reduction in the pain level(p<.05) and increase in the muscle activities of erector spinae when in supine position, internal oblique when in sidelying position, and rectus abdominis in prone position(p<.05). Regular sling bridging exercise reduces the low back pain and enhances other trunk muscle activation, thereby positively affect spinal stabilization.

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References

  1. Molumphy M, Unger B, Jensen G. M, Lopopolo R. B. Incidence of work related low back pain in physical therapist. Phys Ther, 1985; 65(40): 482-486. https://doi.org/10.1093/ptj/65.4.482
  2. Skovron MI, Mulvihill MN, Sterling RC, Nordin M, Tougas G, Gallagher M, Speedling EJ.(1987).
  3. Jayson MIV. The lumbar spine and back pain. Churchill Livingstone 1992: 637
  4. Indahl A., Velund L., Reikerass O. Good prognosis for lowback pain when left untampered. A randomized clinical trial. Spine 1995; 20(4): 473-477. https://doi.org/10.1097/00007632-199502001-00011
  5. Kerns RD, Rosenberg R, Jacob MC. Anger expression and chronic pain. J Behav Med 1994; 17(1): 57-67. https://doi.org/10.1007/BF01856882
  6. Melleby A. The Y's way to a healthy back. New Century Publishers 1982: 174.
  7. Deyo RA, Walsh NE, Schoenfeld LS, Ramamurthy S. .Can trials of physical treatments be blinded? The example of transcutaneous electrical nerve stimulation for chronic pain. Am J Phys Med Rehabil 1990; 69(1): 6-10. https://doi.org/10.1097/00002060-199002000-00003
  8. Luoto S, Aalto H, Taimela S. One-footed and externally disturbed two-footed postural control in patients with chronic low back pain and healthy control subjects. A controlled study with follow-up. Spine 1998; 23(19): 2081-2089 https://doi.org/10.1097/00007632-199810010-00008
  9. Magee DJ. Instability and stabilization Theory and treatment. 2nd. seminar Workbook 1999.
  10. Stevans J, Hall KG. Motor skill acquisition strategies for rehabilitation of low back pain. J Orthop Sports Phys Ther 1998 ;28(3): 165-167. https://doi.org/10.2519/jospt.1998.28.3.165
  11. Mcgill S. Low back disorder: evidence based prevention and rehabilitation. Human kinetics Publishers, INC, 2002.
  12. Kisner C, Colby L. Therapeutic exercises foundations and techniques, Philadephia, F.A.Davies 1990: 325-336, 429-471.
  13. Bjerkefors A, Ekblom MM, Josefsson K, Thorstensson A. .Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow. Man Ther 2010; 15(5): 502-507. https://doi.org/10.1016/j.math.2010.05.006
  14. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a Swiss ball. Chiropr Osteopat. 2005; 30;13:14. https://doi.org/10.1186/1746-1340-13-14
  15. Kim suhn yeop, Kwon jae hoak. Lumbar stabilization exercises using the sling system. The Journal of Korean Academy of Orthopedic Manual Therapy 2001; 7(2).
  16. Kirkesola G, B.Sc Sling Exercise Therapy(S-E-T) : A total concept for exercise and active treatment of musculoskeletal disorders. Journal of Korean Academy of Orthopedic Manual Therapy 2001; 7(1).
  17. Stevens VK, Bouche KG, Mahieu NN, Coorevits PL, Vanderstraeten GG, Danneels LA. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006; 20(7): 75.
  18. Cram JR. Introduction to Surface Electromyography 2th. Eleanor Criswell 1998: 360-374.
  19. Carpenter DM, Nelson BW. Low back strengthening 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
  20. Toillson CD, Kriegel LK. Physical exercise in the treatment of low back pain Part 1: A review. Ortho Rev 1998; 17(7): 724-728.
  21. Luoto, S. Taimela, S. Alaranta, H. Hurri, H. Psychomotor speed in chronic low-back pain patients and healthy controls: construct validity and clinical significance of the measure. Perceptual & Motor Skills 1998; Part 2; 87(3): 1283. https://doi.org/10.2466/pms.1998.87.3f.1283
  22. Frost H, Klaber-Moffett JA. Ramdomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. Br Med J 1995; 310: 151-154. https://doi.org/10.1136/bmj.310.6973.151
  23. Lindstrom I, Ohlund C, Eek C, Wallin L. Mobility, strength and fitness after a graded activity programme for patients with subacute low back pain : A randomized prospective clinical study with a behavioural approach. Spine 1992; 17(6): 641-652. https://doi.org/10.1097/00007632-199206000-00003
  24. Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther 2005; 85(3): 209-225.
  25. Moseley L. Combined Physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother 2002; 48(4): 297-302. https://doi.org/10.1016/S0004-9514(14)60169-0
  26. Unsgaard Tondel M, Fladmark AM, Salvesen O, Vasseljen O. Motor control exercise, sling exercises, and general exercises for patients with chronic low back pain : a randomized controlled trial with 1-year follow-up. Phys Ther 2010; 90(10): 1426-1440. https://doi.org/10.2522/ptj.20090421
  27. Shaughnessy M, Caulfleld B. A pilot study to investigate the effect of lumbar stabilization exercise training on functional ability and quality of life in patients with chronic low back pain. Int J Rehabli Res 2004; 27(4): 297-301. https://doi.org/10.1097/00004356-200412000-00007
  28. Stevens VK, Bouche KG, Mahieu NN, Coorevits PL, Vanderstraeten GG, DanneelS LA. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord 2006; 20(7): 75.
  29. Imai A, Kaneoka K, Okubo Y, Shilna I, Tatsumura M, Izumi S, Shiraki H. Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface. J Orthop Sports Phys Ther 2010; 40(6): 369-375. https://doi.org/10.2519/jospt.2010.3211
  30. enkins EM, Borenstein DG. Exercise for the low back pain patient. Baillieres Clin Rheumatol 1994; 8(1): 191-197. https://doi.org/10.1016/S0950-3579(05)80231-6
  31. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004; 85(3): S86-92.