The Comparison of Exercise Programs for Trunk Stability in the Patients with Microscopic Lumbar Discectomy.

, Nam, Kun Woo; , Jeon, Byung Chan; , Kwon, Gi Young; , Kim, Ghi Chan; , Kang, Kyung Moon

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2006;30(4):368-377.

Nam, Kun Woo , Jeon, Byung Chan , Kwon, Gi Young , Kim, Ghi Chan , Kang, Kyung Moon

Department of Rehabilitation Medicine and 1Neurosurgery, Kosin University College of Medicine, Korea. koorm@yahoo.co.kr

요추 추간판탈출증 미세수술 후 체간 안정성을 위한 운동프로그램 비교

남건우¹, 전병찬¹, 권기영¹, 김기찬, 강경문

고신대학교 의과대학 재활의학교실, ¹신경외과학교실

Abstract

Objective
To compare an isotonic lumbar extension exercise program utilizing lumbar extension exercise machines with modified combination program of isotonic lumbar extension exercises, including dynamic stabilization exercise, to improve and maintain trunk stability in the patient with microscopic lumbar discectomy.
Method
We studied 41 male workers who underwent microscopic lumbar discectomy. Group 1 (n=24) was treated with the isotonic lumbar extension exercise program. Group 2 (n=17) was treated with the modified combination program of dynamic lumbar stabilization exercise and isotonic lumbar extension exercise. The categories that were evaluated and measured were trunk stability, isometric peak tor-que of lumbar extensor, weight distribution rate of both leg and trunk muscle balance, and Oswestry low back pain (LBP) disability index.
Results
After 3 months, group 1 revealed higher isometric peak torque, weight distribution rate of both leg and trunk muscle balance compared with that of group 2. At the end of 6 months, group 2 revealed higher isometric peak torque compared with that of group 1.
Conclusion
We suggested that combined exercise program, that included the dynamic lumbar stabilization exercise and the isotonic lumbar extension exercise, was a valuable treatment for postoperative lumbar rehabilitation. (J Korean Acad Rehab Med 2006; 30: 368-377)

Key Words: Microscopic lumbar discectomy, Isotonic lumbar extension exercise, Dynamic lumbar stabilization exercise