Effects of Motor Control Exercise Vs Muscle Stretching Exercise on Reducing Compensatory Lumbopelvic Motions and Low Back Pain: A Randomized Trial

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• 作者：Kyue-nam Park ; PhD^a ; Oh-yun Kwon ; PhD^b ; ^{kwonoy@yonsei.ac.kr" class="auth_mail" title="E-mail the corresponding author} ; Chung-hwi Yi ; PhD^c ; Heon-seock Cynn ; PhD^c ; Jong-hyuck Weon ; PhD^d ; Tae-ho Kim ; PhD^e ; Houng-sik Choi ; PhD^f
• 关键词：Classification ; Exercise ; Low Back Pain ; Muscle Stretching Exercises
• 刊名：Journal of Manipulative and Physiological Therapeutics
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：39
• 期：8
• 页码：576-585
• 全文大小：459 K

文摘

The purpose of this study was to investigate the effectiveness of a 6-week motor control exercise (MCE) vs stretching exercise (SE) on reducing compensatory pelvic motion during active prone knee flexion (APKF) and intensity of low back pain.

Methods

Thirty-six people in the lumbar-rotation-extension subgroup were randomly assigned equally into 2 exercise groups (18 people in each an MCE or SE group). A 3-dimensional motion-analysis system was used to measure the range and onset time of pelvic motion and knee flexion during APKF. Surface electromyography was used to measure the muscle activity and onset time of the erector spinae and the hamstrings during APKF. The level of subjective low back pain was measured using a visual analog scale.

Results

The MCE group had more significant decreases in and delay of anterior pelvic tilt, pelvic rotation, and erector spinae muscle activity during APKF, as well as reduced intensity of low back pain compared with the SE group (P < .05).

Conclusions

For rehabilitation in patients in the lumbar-rotation-extension subgroup, MCE was more effective than SE in reducing compensatory pelvic motion and muscle activity during APKF and minimizing low back pain.