Display options
Share it on

J Phys Ther Sci. 2015 Apr;27(4):1187-90. doi: 10.1589/jpts.27.1187. Epub 2015 Apr 30.

Synergistic effect of a rehabilitation program and treadmill exercise on pain and dysfunction in patients with chronic low back pain.

Journal of physical therapy science

Young-Ki Cho, Dae-Young Kim, Sun-Young Jung, Jun-Hyuk Seong

Affiliations

  1. Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of.
  2. Medicine, Republic of Korea.
  3. Department of Sports Healthcare, Inje University, Republic of Korea.

PMID: 25995585 PMCID: PMC4434006 DOI: 10.1589/jpts.27.1187

Abstract

[Purpose] The present study examined the influence of treadmill exercise added to a low back pain rehabilitation program on low back extensor strength, pain, and dysfunction in chronic low back pain patients. [Subjects and Methods] Twenty men aged 22-36 years with chronic low back pain were randomly divided into experimental and control groups of 10 patients each. Both groups underwent a low back pain rehabilitation program lasting 30 min each, thrice/week for 8 weeks. The experimental group was prescribed an additional 30 min of treadmill exercise without a slope at a speed of 3.0-3.5 km/h, at which patients could walk comfortably. Low back extensor strength was tested using the Medx lumbar extension machine, pain level was tested, using the visual analog scale, and dysfunction was tested, using the Oswestry Low Back Pain Disability Questionnaire. [Results] Changes in low back extensor strength by angle showed significant interaction effects between measurement time and group at 12°, 24°, and 36°. The results of the visual analog scale and Oswestry Questionnaire showed a decreasing trend after the experiment in both groups. However, there was no interaction effect of the additional treadmill exercise in the experimental group. [Conclusion] The combination of a low back pain rehabilitation program and treadmill exercise has a synergistic effect, to some extent, on the improvement of low back extensor strength and should be considered for treatment and rehabilitation of low back pain patients.

Keywords: Low back pain; Rehabilitation; Treadmill exercise

References

  1. Arch Phys Med Rehabil. 2011 Oct;92(10):1681-5 - PubMed
  2. Eur J Pain. 2003;7(1):9-21 - PubMed
  3. Int Orthop. 1980;3(4):323-8 - PubMed
  4. Arch Phys Med Rehabil. 2009 Jan;90(1):109-17 - PubMed
  5. J Phys Ther Sci. 2014 Oct;26(10):1613-4 - PubMed
  6. Arch Phys Med Rehabil. 1998 Apr;79(4):412-7 - PubMed
  7. J Phys Ther Sci. 2013 Dec;25(12):1569-73 - PubMed
  8. Spine (Phila Pa 1976). 2000 Nov 1;25(21):2784-96 - PubMed
  9. Spine (Phila Pa 1976). 1988 Jun;13(6):655-60 - PubMed
  10. J Med Assoc Thai. 2001 Oct;84 Suppl 2:S528-33 - PubMed
  11. Med Sci Sports Exerc. 1999 Jan;31(1):18-24 - PubMed
  12. Aust J Physiother. 2002;48(4):297-302 - PubMed
  13. N Z Med J. 1979 Jan 10;89(627):22-3 - PubMed
  14. Eur Spine J. 2006 Mar;15 Suppl 2:S192-300 - PubMed
  15. J Phys Ther Sci. 2014 Feb;26(2):275-9 - PubMed
  16. Phys Ther. 2007 Mar;87(3):304-12 - PubMed
  17. J Epidemiol Community Health. 2003 Jul;57(7):517-8 - PubMed
  18. Phys Ther. 2001 Feb;81(2):776-88 - PubMed
  19. Pain. 1991 Oct;47(1):53-63 - PubMed
  20. Clin Biomech (Bristol, Avon). 2004 Jul;19(6):551-63 - PubMed
  21. Physiotherapy. 1980 Aug;66(8):271-3 - PubMed

Publication Types