Core Stabilization Exercise Improves Pain Intensity, Functional Disability and Trunk Muscle Activity of Patients with Clinical Lumbar Instability:a Pilot Randomized Controlled Study

• Areeudomwong Pattanasin

  School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University

• Puntumetakul Rungthip

  School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University Back, Neck and Other Joint Pain Research Group, Khon Kaen University

• Jirarattanaphochai Kitti

  Department of Orthopaedics, Faculty of Medicine, Khon Kaen University

• Wanpen Sawitri

  School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University Back, Neck and Other Joint Pain Research Group, Khon Kaen University

• Kanpittaya Jaturat

  Department of Radiology, Faculty of Medicine, Khon Kaen University

• Chatchawan Uraiwan

  School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University Back, Neck and Other Joint Pain Research Group, Khon Kaen University

• Yamauchi Junichiro

  Graduate School of Human Health Sciences, Tokyo Metropolitan University Future Institute for Sport Sciences

抄録

[Purpose] To determine the therapeutic effects of core stabilization exercise in the treatment of patients with clinical lumbar instability. [Methods] Twenty subjects with clinical lumbar instability were randomly assigned to a treatment or control group. The treatment group received 10 weeks of core stabilization exercise (CSE), while the control group (CG) received 10 weeks of hydrocollator therapy and trunk stretching exercises. Pain intensity of the instability catch sign (ICS), functional disability, and trunk muscle activation patterns were measured before and at one day after 10 weeks of intervention. [Results] Both groups showed a significant reduction in pain intensity of ICS and reduced functional disability after 10 weeks of intervention; however, a significant improvement in the ratio activation of the transversus abdominis and internal oblique muscle relative to the rectus abdominis was only seen in CSE. In the comparison between groups, CSE showed significantly greater improvement in reduction of pain intensity during the ICS, significantly reduced functional disability, and significantly increased deep abdominal muscle activation after 10 weeks of intervention compared to CG. [Conclusion] The 10 weeks of CSE provided better therapeutic effects for pain intensity of ICS, reduced functional disability, and facilitated deep abdominal muscle activation of patients with clinical lumbar instability.

収録刊行物

• Ｊ　Ｐｈｙｓ　Ｔｈｅｒ　Ｓｃｉ

  Ｊ　Ｐｈｙｓ　Ｔｈｅｒ　Ｓｃｉ 24 (10), 1007-1012, 2012

  理学療法科学学会

キーワード

• Clinical lumbar instability
• Core stabilization exercise
• Trunk muscle activation patterns

詳細情報

• CRID: 1390282679304211328
• NII論文ID: 130004431767
• NII論文ID: 10031148223
• NII書誌ID: AA10798949
• DOI: 10.1589/jpts.24.1007
• ISSN: 21875626
• ISSN: 09155287
• Web Site: https://www.jstage.jst.go.jp/article/jpts/24/10/24_JPTS-2012-137/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013357933
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可