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Comparison of the Therapeutic Effects of a Sling Exercise and a Traditional Stabilizing Exercise for Clinical Lumbar Spinal Instability

Authors
 Yong Wook Kim  ;  Na Young Kim  ;  Won Hyuk Chang  ;  Sang Chul Lee 
Citation
 Journal of Sport Rehabilitation, Vol.27(1) : 47-54, 2018 
Journal Title
 Journal of Sport Rehabilitation 
ISSN
 1056-6716 
Issue Date
2018
MeSH
Adult ; Exercise Therapy/instrumentation/*methods ; Female ; Humans ; Joint Instability/*rehabilitation ; Low Back Pain/*rehabilitation ; Lumbosacral Region ; Male ; Middle Aged ; *Muscle Strength ; Skeletal/*physiology Muscle
Keywords
low back pain ; rehabilitation ; skeletal muscle
Abstract
CONTEXT: Specific muscle-stabilization training can be relevant to patients with clinical spinal instability symptoms. The authors hypothesized that performing sling exercise using an elastic band in patients with clinical spinal instability would lead to pain reduction and improved lumbar spine stability. OBJECTIVE: To compare supervised sling exercise with an elastic band with traditional stabilizing exercise in chronic lower back pain (LBP) patients with clinical spinal instability. DESIGN: Randomized assessor-blind controlled trial. SETTING: University rehabilitation hospital. MAIN OUTCOME MEASURES: The participants were evaluated thrice at baseline, immediately after, and 3 mo after the last treatment session with the Numeric Pain Rating Scale (NPRS) and by the Oswestry Disability Index (ODI). INTERVENTIONS: Participants were randomly assigned to 1 of 2 treatment groups: a traditional trunk-muscle-stabilizing exercise group or a sling-exercise with elastic bands group. The participants in all treatment groups attended treatment twice a week for 12 wk. RESULTS: The NPRS at immediately and 3 mo after treatments showed significantly higher improvement in the sling-exercise with elastic bands group than in the traditional trunk-muscle-stabilizing exercise group, respectively (P < .05). The ODI at immediately and 3 mo after treatment showed a significantly higher improvement in the sling-exercise with elastic bands group than in the traditional trunk-muscle-stabilizing exercise group, respectively (P < .05). CONCLUSION: A sling exercise with elastic bands leads to a reduction in pain and disability compared with a traditional stabilizing exercise, although traditional stabilizing exercise also shows good results in chronic LBP patients with clinical spinal instability. A sling exercise with an elastic band could be a useful treatment for chronic LBP with clinical spinal instability.
Full Text
https://journals.humankinetics.com/doi/10.1123/jsr.2016-0083
DOI
10.1123/jsr.2016-0083
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실)
Yonsei Authors
김용욱(Kim, Yong Wook) ORCID logo https://orcid.org/0000-0002-5234-2454
이상철(Lee, Sang Chul) ORCID logo https://orcid.org/0000-0002-6241-7392
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162376
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