편평배부 증후군 환자에 대한 교정운동 프로그램이 척추 구조, 목 장애지수 및 균형 능력에 미치는 영향

Abstract

Purpose: This study aims to compare and analyze the effect of a 12-weke corrective exercise program on the structural variables of spinal curvature, neck disability index and balance ability in patients with flat back.<BR> Method: In this study, 24 patients with flat back participated, and they were randomly divided into three group; corrective exercise group (CEG: n=8), resistance exercise group (REG; n=8), and physical therapy group (PTG: n=8). The CEG and REG performed corrective exercise3 times per week and 70 minutes at a time for 12 weeks and REG conducted the exercise with thera-band. The variables of spinal curves included cervical lordosis, thoracic kyphosis, and lumbar lordosis were measured by X-ray test. The function of the neck was checked using a questionnaire with a neck disability index. The balance ability was measured by a balance machine and the test was conducted before and after exercise intervention for 12 weeks.<BR> Results: The results of this study are as follows. The cervical lordosis angle showed significant differences in both group and period, interactions p(<.001). Significant differences were found in CEG p(<.001), at each group period, (p<.05) in the groups (p<.001), as a result of paired t-test, REG and PTG, and in CEG and PTG (p<.001) post-testing. Thoracic kyphosis angle showed significant differences in both group and period, interactions (p<.001). Significant differences were found in CEG (p<.001), at each group period (p<.01) in the groups (p<.05), as a result of paired t-test, REG and PTG, and in CEG and PTG (p<.001) post-testing. The lumbar lordosis angle showed significant differences in both group and period, interactions (p<.001). Significant differences were found in PTG (p<.001) and CEG (p<.001) levels in each group, and (p<.001) levels between groups. As a result of paired t-test, REG and PTG, and in CEG and PTG (p<.001) post-testing. The neck disability index showed significant differences in both group and period, interactions(p<.001). At the time of each group, there were significant differences in PTG (p<.05), REG (p<.01), and CEG (p<.001) levels. Between groups (p<.001), there was a significant difference between CEG and PTG as a result of post-mortem examination (p<.05). The balance ability was found to be significant in the interaction between group and timing, timing (p<.001), and group main effect (p<.05). In each group period, significant differences were found in REG (p<.01), among groups (p<.001), compared with REG and PTG, and compared with CEG and REG (p<.01).<BR> Conclusion: The corrective exercise program is a more effective exercise intervention than resistance or physical therapy on the spinal curvature and the improvement of spinal curvature was associated with improving neck function and the ability of body balance although resistance exercise showed improvement of these variables. Therefore, corrective exercise is recommended as the most effective intervention to improve spinal curve, neck function, and the ability of body balance in patients with flat back.