The Effect of Shoulder Stabilization Exercise and Core Stabilization Exercise on the Shoulder Height and Respiratory Function in Young Adults with Round Shoulder Posture

김미경,정범철,유경태 대한물리의학회 2023 대한물리의학회지 Vol.18 No.4

PURPOSE: The purpose of this study was to compare how the shoulder height and respiratory function are affected by applying shoulder stabilization exercises and core stabilization exercises that are effective for strengthening the trunk muscles and postural stability for adults with a round shoulder posture (RSP). METHODS: The participants were 28 young adults with RSP. They were assigned randomly to two groups: shoulder stabilization exercise and core stabilization exercise. They performed the exercises for 30 minutes twice a week for four weeks. They measured the shoulder height and respiratory function before and after exercise. RESULTS: No significant difference in shoulder height was found between the groups. A significant decrease in shoulder height was found in the shoulder stabilization exercise group after exercise. The core stabilization exercise group showed a significant decrease after exercise. In respiratory function, no significant difference was found between the groups. The forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were increased significantly in the shoulder stabilization exercise group before and after exercise. The FEV1, FEV1/FVC, and peak expiratory flow were significantly higher in the shoulder stabilization exercise group after exercise than in the core stabilization exercise group. CONCLUSION: Shoulder stabilization exercise and core stabilization exercise improved the postural alignment and pulmonary function, and the exercises could be helpful in shoulder rehabilitation as well as the clinical part of the treatment of rounded shoulder posture.

호흡근훈련 유무에 따른 안정화 운동이 건강한 성인의 호흡 기능과 자세 동요에 미치는 영향

서혜리,안덕현,김미현,고민주,오재섭 대한통합의학회 2023 대한통합의학회지 Vol.11 No.3

Purpose : Stabilization exercise and respiratory muscle training are used to train trunk muscles that affect postural control and respiratory function. However, there have been no studies that combine stabilization exercise and respiratory muscle training. The purpose of this study is to investigate effects of stabilization exercise with and without respiratory muscle training on respiratory function and postural sway. Methods : Fifteen healthy adults were recruited for this experiment. All the subjects performed stabilization exercise with and without respiratory muscle training. For stabilization exercise with respiratory muscle training, the subjects sat on a gym ball wearing a stretch sensor. The subjects inspire maximally as long as possible during lifting one foot off the ground, alternately for 30 seconds. The stretch sensor was placed on both anterior superior iliac spine (ASIS), and the stretch sensor was used to monitor inspiration. For stabilization exercise without respiratory muscle training, the subjects sat on a gym ball and lifted one foot off the ground, without respiratory muscle training. Kinovea program used to investigate postural sway tracking during exercise. The maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) were measured using a spirometer to investigate changes of respiratory muscle strength before and after exercise. A paired t-test was used to determine significant differences postural sway tracking, MIP, and MEP between stabilization exercise with and without respiratory muscle training. Results : There were significantly lower a distance of postural sway tracking during stabilization exercise with respiratory muscle training, compared with stabilization exercise without respiratory muscle training (p<.05). The MIP and MEP were significantly increased after stabilization exercise with respiratory muscle training compared with before stabilization exercise with respiratory muscle trianing (p<.05). Conclusion : The results of this study suggest that stabilization exercise with repiratory muscle training would be recommended to improve postural control and respiratory muscle strength.

Effects of Lumbar Stabilization Exercise Program on the Ratio of Abdominal and Back Muscle Strength in White Collar Workers

( Bo-ram Kim ),( Sun-wook Park ),( Han-suk Lee ) 대한물리치료학회 2015 대한물리치료학회지 Vol.27 No.6

Purpose: This study aimed to evaluate the effects of lumbar stabilization exercise on the abdominal muscle-back muscle ratio in white-collar workers. Methods: Forty white-collar workers without any pain who worked at an information technology (IT) company located in the Gyeonggi province were included in this study. Of these, 20 subjects were randomly allocated to the lumbar stabilization exercise group, whereas the remaining 20 were randomly allocated to the control group. The lumbar stabilization exercise group performed a 40-minute-long exercise once a week for 8 weeks. The strength of the abdominal and back muscles was measured using the CENTAUR 3-D Spatial Rotation Device (BFMC, Germany). Data analysis was conducted using SPSS 18.0 for Windows. The Paired t-test was performed to compare the values measured before and after exercise within each group. The independent sample t-test was performed to analyze the differences between the 2 groups. The statistical significance for all the analyses was set at .05. Results: The strength of the abdominal muscles after the exercise significantly differed between the lumbar stabilization exercise group and the control group (p<0.05). However, the increase in the abdominal muscle-back muscle ratio was significant in only the lumbar stabilization exercise group (p< 0.05), but not in the control group (p >0.05). Conclusion: The improvement of the abdominal muscle-back muscle ratio through lumbar stabilization exercise may have positive effects on lumbar stabilization. Moreover, lumbar stabilization exercise is considered beneficial for the prevention of back pain and musculoskeletal diseases.

Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with Forward Head Posture

( Seung-Hwan Lee ),( Byoung-Ha Yoo ),( Hyun-Seo Pyo ),( Dongyeop Lee ),( Ji-Heon Hong ),( Jae-Ho Yu ),( Jin-Seop Kim ),( Seong-Gil Kim ) 대한물리의학회 2022 대한물리의학회지 Vol.17 No.4

PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1^st, 3^rd, and 6^th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).

Effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of low back pain patient

Sungha Ji,Dongjin Lee 물리치료재활과학회 2021 Physical therapy rehabilitation science Vol.10 No.1

Objective: This study was aimed at investigating the effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of the low back pain patients. Design: A randomized controlled trial. Methods: Twenty subjects with low back pain were selected. They were randomly assigned to one of two groups (10 in each group): namely the lumbar stabilization exercise and lumbar stabilization exercise according to the correct verbal instructions group. The lumbar stabilization exercise group performed lumbar stabilization exercises for 6 weeks (5 times a week). The lumbar stabilization exercise according to correct verbal instructions group performed lumbar stabilization exercise according to correct verbal instructions for 6 weeks (5 times a week). We measured pain, muscle power, proprioception, and body balance before and after exercise by using visual analog scale (VAS), digital handheld dynanometer, Joint repositioning error, time up and go test respectively. Results: We found statistically significant differences in pain, muscle power, proprioception, and body balance in lumbar stabilization exercise and lumbar stabilization exercise according to correct verbal instructions group, before and after (p<0.05). Conclusions: We confirmed the effect of lumbar stabilization exercise according to correct verbal instructions. Thus we thought these results could be used as basic data and reference for low back pain. But we need more study effect of correct verbal instructions on other exercises.

중심안정화 운동의 진행단계와 형태에 따른 요부 근육의 활성 비교

김정태,박성현 한국웰니스학회 2011 한국웰니스학회지 Vol.6 No.3

The purpose of this study was to compare lumbar muscle activities on progression stage of??types of lying bug, bridging, and quadruped stabilization exercise. For this purpose, 15 healthy males were??recruited and each subjects performed three types of core stabilization exercise. Reference voluntary contraction was used??to measure muscle activities. One-way repeated ANOVA was conducted to find out general differences and??obtained the results as follows; Firstly, as for the lumbar muscle activities on progression stage of lying bug??stabilization exercise, activity of rectus abdominis revealed the highest at stage 3, activity of external oblique revealed high??in stage 2 and 3, activity of internal oblique revealed high in stage 3. Secondly, as for the lumbar muscle??activities on progression stage of lying bug stabilization exercise, activities of rectus abdominis, external oblique, and??internal oblique revealed high in stage 3. Thirdly, as for the lumbar muscle activities on progression stage of??lying bug stabilization exercise, activity of rectus abdominis revealed in stage 2, activity of external oblique revealed??the highest at stage 1, activity of internal oblique revealed the highest at stage 2, activities of transverse abdominis,??multifidus, and erector spinae revealed the highest at stage 3. Lastly, as for the lumbar muscle activities on three??types of core stabilization exercise, activities of rectus abdominis and internal oblique revealed high in lying bug and??bridging exercise, activity of transverse abdominis revealed high in quadruped exercise, activity of multifidus??revealed th highest in quadruped exercise, activity of erector spinae revealed the highest in bridging exercise. In??conclusion, core stabilization exercise should be carefully selected to effectively strengthen a specific lumbar??stabilizer.

코어 안정화 운동이 근·골격계 통증 운동선수들의 혈중젖산과 신체적 스트레스에 미치는 영향

오장록(Jang-Rok Oh) 한국발육발달학회 2020 한국발육발달학회지 Vol.28 No.4

The purpose of this study is to improve the chronic musculoskeletal disorders of elite athletes and improving performance and performance during exercise to see the effect of core stabilization exercise. The subjects of this study were 20 C university athletes, each of which participated in the core stabilization exercise group and the non-participating group, 10 subjects were randomly assigned, and measured twice before and 8 weeks after exercise. For a total of 8 weeks, the core exercise group performed core stabilization exercise under the same conditions as much as possible, and the control group did not manage other than the usual training and only measured. Data processing was performed using the correspondence sample t-test to see the difference between the two groups before and after each of the two groups, and the repeated measurement variance method to confirm the difference between the groups and the timing of measurement. As a result of applying the statistical setting value as α=.05, the following conclusions were drawn. Blood lactate decreased in the core exercise group, showing a significant difference. As a result of repeated measurement variance analysis, it was found that there was an interaction effect only at the time of measurement Among the stress indicators, α-amylase decreased after exercise in the core exercise group, showing a significant difference, and total antioxidant activity increased in the core exercise group, indicating that there was a significant difference. As a result of repeated measurement variance analysis, α-amylase was found to have an interaction effect at the time of measurement and the time of measurement*group . and total antioxidant activity was found to have an interaction effect at the time of measurement and the time of measurement*group. Summarizing these results, it was found that the core stabilization exercise program is effective in reducing blood lactic acid and positively improving the stress indicator α-amylase and total antioxidant power for elite athletes. Therefore, if the core stabilization exercise is set in consideration of the intensity and frequency of the exercise before the game, during the game, and during the rest period, It is believed that the season will be achieved with successful performance improvement as it relieves the pain of chronic musculoskeletal diseases of elite athletes.

요부안정화운동이 요통환자의 통증에 미치는 영향 : 국내연구에 대한 메타분석

노정석,오동식 대한스포츠물리치료학회 2017 정형스포츠물리치료학회지 Vol.13 No.1

The purpose of this meta-analysis study was to investigate the effect of lumbar stabilization exercise on low back pain by analyzing Korean studies. Studies for the analysis were searched in electronic bibliographic databases by using the keywords ‘lumbar stabilization exercise’ and ‘low back pain’. Only randomized controlled trials (RCTs) and clinical controlled trials (CCTs) were included. Of the 36 studies identified in the search, 11 studies met the study criteria and were thus included in the meta-analysis. The purpose of this meta-analysis study was to investigate the effect of lumbar stabilization exercise on low back pain by analyzing Korean studies. Studies for the analysis were searched in electronic bibliographic databases by using the keywords ‘lumbar stabilization exercise’ and ‘low back pain’. Only randomized controlled trials (RCTs) and clinical controlled trials (CCTs) were included. Of the 36 studies identified in the search, 11 studies met the study criteria and were thus included in the meta-analysis. As a result, lumbar stabilization exercise showed a large effect size(ES) on back pain(ES, 0.84; 95% confidence interval, 0.55–1.22, p=0.025). In the analysis of the subcategorical variables, the RCTs showed larger ES(0.921) than the CCTs(0.693) and static+dynamic exercise showed larger ES than static exercise (0.675). In the analysis of the subcontinuous variables, as the exercise duration (weeks) and number of exercise per week increased, pain decreased(p<0.05). Our results indicated that lumbar stabilization exercise had a beneficial effect on low back pain. In the future, accumulation of more research studies about lumbar stabilization in Korea will lead to more systematic and comprehensive analyses.

Effects of Lumbar Stabilization Exercise Program on the Ratio of Abdominal and Back Muscle Strength in White Collar Workers

Kim, Bo-Ram,Park, Sun-Wook,Lee, Han-Suk The Korean Society of Physical Therapy 2015 대한물리치료학회지 Vol.27 No.6

Purpose: This study aimed to evaluate the effects of lumbar stabilization exercise on the abdominal muscle-back muscle ratio in white-collar workers. Methods: Forty white-collar workers without any pain who worked at an information technology (IT) company located in the Gyeonggi province were included in this study. Of these, 20 subjects were randomly allocated to the lumbar stabilization exercise group, whereas the remaining 20 were randomly allocated to the control group. The lumbar stabilization exercise group performed a 40-minute-long exercise once a week for 8 weeks. The strength of the abdominal and back muscles was measured using the CENTAUR 3-D Spatial Rotation Device (BFMC, Germany). Data analysis was conducted using SPSS 18.0 for Windows. The Paired t-test was performed to compare the values measured before and after exercise within each group. The independent sample t-test was performed to analyze the differences between the 2 groups. The statistical significance for all the analyses was set at .05. Results: The strength of the abdominal muscles after the exercise significantly differed between the lumbar stabilization exercise group and the control group (p<0.05). However, the increase in the abdominal muscle-back muscle ratio was significant in only the lumbar stabilization exercise group (p<0.05), but not in the control group (p>0.05). Conclusion: The improvement of the abdominal muscle-back muscle ratio through lumbar stabilization exercise may have positive effects on lumbar stabilization. Moreover, lumbar stabilization exercise is considered beneficial for the prevention of back pain and musculoskeletal diseases.

Effects of Lumbar Stabilization Exercise Program on the Ratio of Abdominal and Back Muscle Strength in White Collar Workers

김보람,박선욱,이한숙 대한물리치료학회 2015 대한물리치료학회지 Vol.27 No.6

Purpose: This study aimed to evaluate the effects of lumbar stabilization exercise on the abdominal muscle-back muscle ratio in white-collar workers. Methods: Forty white-collar workers without any pain who worked at an information technology (IT) company located in the Gyeonggi province were included in this study. Of these, 20 subjects were randomly allocated to the lumbar stabilization exercise group, whereas the remaining 20 were randomly allocated to the control group. The lumbar stabilization exercise group performed a 40-minute-long exercise once a week for 8 weeks. The strength of the abdominal and back muscles was measured using the CENTAUR 3-D Spatial Rotation Device (BFMC, Germany). Data analysis was conducted using SPSS 18.0 for Windows. The Paired t-test was performed to compare the values measured before and after exercise within each group. The independent sample t-test was performed to analyze the differences between the 2 groups. The statistical significance for all the analyses was set at .05. Results: The strength of the abdominal muscles after the exercise significantly differed between the lumbar stabilization exercise group and the control group (p<0.05). However, the increase in the abdominal muscle-back muscle ratio was significant in only the lumbar stabilization exercise group (p<0.05), but not in the control group (p>0.05). Conclusion: The improvement of the abdominal muscle-back muscle ratio through lumbar stabilization exercise may have positive effects on lumbar stabilization. Moreover, lumbar stabilization exercise is considered beneficial for the prevention of back pain and musculoskeletal diseases.