title: The effect of thoracic spine mobilization and stabilization exercise on the muscular strength and flexibility of the trunk of chronic low back pain patients.
abstract: [Purpose] To investigate whether thoracic spine mobilization added to stabilization exercises increases the muscular strength and range of motion of the thoracic vertebrae of chronic low-back pain patients. [Subjects] This study enrolled 20 patients with chronic low back pain, who were divided into two groups. Ten subjects were randomly selected for the stabilization exercise group and the remaining 10 subjects received thoracic spine mobilization in addition to performing the stabilization exercises. [Methods] The patients performed stabilization exercises and received thoracic spine mobilization for 12 weeks. The range of motion and isometric muscular strength of the vertebrae of all subjects were measured before and after the intervention. [Results] In the comparison of muscular strength before and after the intervention, the change in muscular strength of the trunk flexors in the stabilization exercise group was 16.0±7.4 Nm, and that of the thoracic spine mobilization group was 34.2±7.6 Nm, a significant difference in each group. In the post-intervention intergroup comparison, the muscular strength of trunk flexors in the stabilization exercise group was 111.1±16.9 Nm, while that of the thoracic spine mobilization group was 125.9±11.3 Nm, a significant difference. Also, the muscular strength of the trunk extensors in the stabilization exercise group was 148.9±31.8 Nm, while that of the thoracic spine mobilization group was 182.9±37.2 Nm, a significant difference. The thoracic spine flexion in the stabilization exercise group was 29.8±9 degrees, while that of the thoracic spine mobilization group was 38.7±6.9 degrees, a significant difference. However, there was no significant difference in lumbar flexion values between the two groups. [Conclusion] Thoracic spine mobilization added to a stabilization exercise increased the muscular strength of patients with chronic low back pain.
authors.affiliation: Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
authors.forename: Seong-Rae
authors.initials: SR
authors.lastname: Yang
authors.affiliation: Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
authors.forename: Kyung
authors.initials: K
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
authors.forename: Sun-Ja
authors.initials: SJ
authors.lastname: Park
authors.affiliation: Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
authors.forename: Kyung
authors.initials: K
authors.lastname: Kim
keywords: Isometric muscle strength; Lumbar stabilization exercise; Thoracic spine mobilization exercise
references.citation: Man Ther. 2005 May;10(2):127-35
references.pmid: 15922233
references.citation: Spine (Phila Pa 1976). 1998 Feb 1;23(3):371-7
references.pmid: 9507628
references.citation: Spine (Phila Pa 1976). 1985 Apr;10(3):277-9
references.pmid: 3992348
references.citation: J Phys Ther Sci. 2014 Nov;26(11):1783-6
references.pmid: 25435700
references.citation: J Spinal Disord. 1992 Dec;5(4):383-9; discussion 397
references.pmid: 1490034
references.citation: Spine (Phila Pa 1976). 1996 Dec 1;21(23 ):2763-9
references.pmid: 8979323
references.citation: Spine (Phila Pa 1976). 2002 Sep 1;27(17):1865-74
references.pmid: 12221351
references.citation: J Orthop Sports Phys Ther. 1996 Jul;24(1):30-6
references.pmid: 8807539
references.citation: J Manipulative Physiol Ther. 1990 Jan;13(1):7-12
references.pmid: 2324662
references.citation: J Manipulative Physiol Ther. 1990 Feb;13(2):83-8
references.pmid: 2307924
references.citation: J Behav Med. 1986 Apr;9(2):127-40
references.pmid: 2940370
references.citation: J Phys Ther Sci. 2014 Nov;26(11):1711-4
references.pmid: 25435683
references.citation: J Spinal Disord. 1992 Dec;5(4):390-6; discussion 397
references.pmid: 1490035