Kyue-Nam Park1, Oh-Yun Kwon2, Chung-Hwi Yi3, Heon-Seock Cynn3, Jong-Hyuck Weon4, Tae-Ho Kim5, Houng-Sik Choi6. 1. Department of Physical Therapy, Jeonju University, Jeonju, South Korea. 2. Laboratory of Kinetic Ergocise Based on Movement Analysis, Department of Physical Therapy, Yonsei University, Wonju, South Korea. Electronic address: kwonoy@yonsei.ac.kr. 3. Department of Physical Therapy, Yonsei University, Wonju, South Korea. 4. Department of Physical Therapy, Joongbu University, Geumsan, South Korea. 5. Department of Physical Therapy, Daegu University, Gyeongsan, South Korea. 6. Department of Physical Therapy, Hanseo University, Seosan, South Korea.
Abstract
OBJECTIVES: 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.
RCT Entities:
OBJECTIVES: 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.
Authors: María Del Mar Salinas-Asensio; Olga Ocón-Hernández; Antonio Mundo-López; Carolina Fernández-Lao; Francisco M Peinado; Carmen Padilla-Vinuesa; Francisco Álvarez-Salvago; Paula Postigo-Martín; Mario Lozano-Lozano; Ana Lara-Ramos; Manuel Arroyo-Morales; Irene Cantarero-Villanueva; Francisco Artacho-Cordón Journal: Int J Environ Res Public Health Date: 2022-02-02 Impact factor: 3.390