Effects of a therapeutic climbing program on muscle activation and SF-36 scores of patients with lower back pain.
[Purpose] This study examined the effects of lumbar stability exercises on chronic lower back pain by using a therapeutic climbing program on lumbar muscle activity and function. [Subjects and Methods] Thirty adult subjects with chronic back pain participated. The subjects were assigned to 2 exercise groups, namely the lumbar stabilization (Mat Ex) and therapeutic climbing exercise groups (TC Ex). Each group trained for 30 minutes, 3 times a week for 4 weeks. The Short-form 36-item Questionnaire (SF-36) was administered and the surface electromyographic (sEMG) activities of the lumbar muscles were measured. [Results] Both therapy groups showed significant increases in the SF-36 score, and the increase was greater in the TC Ex group. Significant increases in the sEMG activities of the lumbar muscles were found in both groups. The increases in the sEMG activities of the rectus abdominis and internal and external oblique muscles of the abdomen were greater in the TC Ex group than in the Mat Ex group. [Conclusion] These findings demonstrate that TC Ex, which is similar to normal lumbar stabilization exercise, is effective at activating and improving the function of the lumbar muscles. These results suggest that TC Ex has a positive impact on the stabilization of the lumbar region.
Department of Physical Therapy, Graduate School, College of Health and Welfare, Dongshin University, Sung-Shim Hospital, Republic of Korea.
Se-Hun
SH
Kim
Department of Physical Therapy, Graduate School, College of Health and Welfare, Dongshin University, Sung-Shim Hospital, Republic of Korea.
Dong-Yel
DY
Seo
Chronic lower back pain; Stabilization exercise; Therapeutic climbing