Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Stabilization Exercise with Abdominal Breath on Balance and Oswestry Disability Index for Low Back Pain Patients

복식호흡을 병행한 척추 안정화운동이 요통환자의 균형능력과 오스웨스트리 장애지수에 미치는 영향

  • Son, Ho-Hee (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 손호희 (부산가톨릭대학교 보건과학대학 물리치료학과)
  • Received : 2015.01.23
  • Accepted : 2015.02.09
  • Published : 2015.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study was to investigate the effect of stabilization exercise with abdominal breath on Balance and Oswestry Disability Index for Low Back Pain Patients. METHODS: The subjects were 18 low back pain patients in their twenties. The subjects were randomly assigned into experimental group and control group. Control group and experimental group both participated in 30 minutes of stabilization exercise for 8 weeks(5 times/week), and experimental group participated in stabilization exercise with abdominal breath. The subjects were tested balance and pain using BioRescue and Oswestry Diability Index respectively, before and after intervention. RESULTS: The experimental group showed a statistical significance in movement areas of the body's center(p<.05), but there was no significant differences between groups (p>.05). The experimental group showed a statistical significance in movement distances of the body's center with eyes open(p<.05), and there was significant differences between groups(p<.05). Both groups showed a statistical significance in ODI between pre and post test(p<.05) but there was no significant differences between groups(p>.05). CONCLUSION: As a result, the group participating in stabilization exercise with abdominal breath had a more effective improvement than the control group. Therefore, the stabilization exercise with abdominal breath may be used improving balance and pain in low back pain patients.

Keywords

References

  1. Allison G, Kendle K, Roll S et al. The role of the diaphragm during abdominal hollowing exercises. Aust J of Physiother. 1998;44(2):95-102. https://doi.org/10.1016/S0004-9514(14)60369-X
  2. Arokoski JP, Valta T, Kankaanpaa M et al. Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch Phys Med Rehabil. 2004;85(5):823-32. https://doi.org/10.1016/j.apmr.2003.06.013
  3. Chaitow L. Maintaining body balance, flexibility, and stability : a practical guide to the prevention and treatment of musculoskeletal pain and dysfunction. New York, Churchill Livingstone, 2004.
  4. Fairbank JC, Couper J, Davies JB et al. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.
  5. Frank C, Kobesova AKolar P. DYNAMIC NEUROMUSCULAR STABILIZATION & SPORTS REHABILITATION. Int J of Sports Phys Ther. 2013;8(1):62-73.
  6. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine (Phila Pa 1976). 2001;26(11):E243-8. https://doi.org/10.1097/00007632-200106010-00004
  7. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil. 1999;80(9):1005-12. https://doi.org/10.1016/S0003-9993(99)90052-7
  8. Ki C. Effects of Forced Breathing Exercise on the Trunk Functions of Chronic Low Back Pain Patients. Master's Degree. Daegu University. 2011.
  9. Kim DY, Lee SH, Lee HY et al. Validation of the Korean version of the oswestry disability index. Spine (Phila Pa 1976). 2005b;30(5):E123-7. https://doi.org/10.1097/01.brs.0000157172.00635.3a
  10. Kim K. Effect of Diaphragmatic Breathing Exercise on Activation of Lumbar Paraspinal Muscles of Healthy people. J Korean soc phys med. 2006;1(1):59-66.
  11. Kim K, Park RJ, Bae SS. Effect of diaphragmatic breathing exercise on Activation of trunk muscle of patients with low back pain. J Korean soc phys med. 2005a;17(3):311-327.
  12. Koumantakis GA, Oldham JA,Winstanley J. Intermittent isometric fatigue study of the lumbar multifidus muscle in four-point kneeling: an intra-rater reliability investigation. Man Ther. 2001;6(2):97-105. https://doi.org/10.1054/math.2001.0392
  13. Matthijs OC, Dedrick GS, James CR et al. Co-contractive activation of the superficial multifidus during volitional preemptive abdominal contraction. PM R. 2014;6(1):13-21. https://doi.org/10.1016/j.pmrj.2013.08.606
  14. 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
  15. Niemisto L, Lahtinen-Suopanki T, Rissanen P et al. A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain. Spine (Phila Pa 1976). 2003;28(19):2185-91. https://doi.org/10.1097/01.BRS.0000085096.62603.61
  16. Nouwen A, Van Akkerveeken PF,Versloot JM. Patterns of muscular activity during movement in patients with chronic low-back pain. Spine (Phila Pa 1976). 1987;12(8):777-82. https://doi.org/10.1097/00007632-198710000-00012
  17. O'Sullivan P, Twomey L, Allison G et al. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Aust J Physiother. 1997;43(2):91-98. https://doi.org/10.1016/S0004-9514(14)60403-7
  18. Rasmussen-Barr E, Nilsson-Wikmar L, Arvidsson I. Stabilizing training compared with manual treatment in sub-acute and chronic low-back pain. Man Ther. 2003;8(4):233-41. https://doi.org/10.1016/S1356-689X(03)00053-5
  19. Selles RW, Wagenaar RC, Smit TH et al. Disorders in trunk rotation during walking in patients with low back pain: a dynamical systems approach. Clin Biomech (Bristol, Avon). 2001;16(3):175-81. https://doi.org/10.1016/S0268-0033(00)00080-2
  20. Shaughnessy M, Caulfield B. A pilot study to investigate the effect of lumbar stabilisation exercise training on functional ability and quality of life in patients with chronic low back pain. Int J Rehabil Res. 2004;27(4):297-301. https://doi.org/10.1097/00004356-200412000-00007
  21. Yu SJ, Song MS. The Effects of Abdominal Relaxed Breathing Training on Stress response and Blood Pressure for Elderly Hypertensionve Patient. Journal of Korean Academy of Nursing. 2001;31(6):998-1011.
  22. Talasz H, Kremser C, Kofler M et al. Phase-locked parallel movement of diaphragm and pelvic floor during breathing and coughing-a dynamic MRI investigation in healthy females. Int Urogynecol J. 2011;22(1):61-8. https://doi.org/10.1007/s00192-010-1240-z

Cited by

  1. Effect of exhalation exercise on trunk muscle activity and oswestry disability index of patients with chronic low back pain vol.28, pp.6, 2016, https://doi.org/10.1589/jpts.28.1738
  2. The effects of Pilates breathing trainings on trunk muscle activation in healthy female subjects: a prospective study vol.29, pp.2, 2017, https://doi.org/10.1589/jpts.29.194