경, 요추부의 안정화운동이 퇴행성디스크 환자의 요부 재위치인지력과 정적, 동적 균형능력 그리고 통증에 미치는 영향

Abstract

Purpose: The purpose of the present study is to examine the effects of cervical and lumbar stabilizing exercises performed together to control unstable postures of the vertebral column and recover the ability to control movements in chronic low back pain patients` lumbar functions. Method: Twenty-six chronic low back pain patients were divided into cervical lumbar stabilization exercise (CLSEG) and lumbar stabilization exercise (LSEG) group comprising 13 patients each. Exercise programs were applied three times per week for eight weeks. The patients` low back pain, measured using visual analog scales (VAS), lumbar reposition senses (12°, 36°, and 60°), and the distance of static/dynamic balance abilities were then measured and compared. Results: The exercises were effective in both groups. Whereas the distance of static balance abilities and lumbar reposition senses at 36° and 60° did not show any differences between the two exercise groups, the CLSEG program was more effective than the LSEG program in the distance of dynamic balance abilities, low back pain, and lumbar reposition senses at 12°. Conclusion: Additional cervical stabilization exercises for chronic low back pain patients decrease the positional couplings of all joints in the vertebral column. They also affect neutral positions and stability with well-controlled movements of the entire vertebral column and reflexive muscle reactions.