Effect on Active Exercise Programs in Employees with Chronic Low Back Pain

Jin Gang Hur; Jae Cheol Song; Young Man Roh; Dong Sik Park; Young Ae Yang; Yoon Shin Kim

doi:10.35371/kjoem.2005.17.1.44

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Randomized Controlled Trial Effect on Active Exercise Programs in Employees with Chronic Low Back Pain: Jin Gang Hur, Jae Cheol Song, Young Man Roh, Dong Sik Park, Young Ae Yang, Yoon Shin Kim; DOI: https://doi.org/10.35371/kjoem.2005.17.1.44
Published online: March 31, 2005

¹Department of Rehabilitation Medicine, Kangdong Sacred Heart Hospital, Hallym University, Korea.

²Department of Occupational and Environmental Medicine, College of Medicine, Hanyang University, Korea. yoonshin@hanyang.ac.kr

³Department of Occupational Therapy, College of Biomedical Science and Engineering, Inje University, Korea.

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Abstract

OBJECTIVE: To examine the relative efficacy of three active exercise programs for work-related, chronic low back pain, and to observe to what extent the programs affected the mechanical stability of the lumbar region.
METHODS
The subjects were 64 employees who were randomly divided into three groups to match the three active exercise programs which were performed 3 times a week for 6 months. All subjects were assessed with the same measurements at a pre-study examination, and then were reassessed at 2 weeks, 3 months and 6 months after the study.
RESULTS
The pain intensity didn't show any significant difference among the three groups. However, the Oswestry Disability Index showed significant differences among the three groups at 6 months and the lumbar and thoracic exercise groups showed significant decreases compared to the general physiotherapy group (p<0.05). Maximal stretching with both hands in the overhead direction showed a significant difference among the three groups at 3 months and 6 months, and the thoracic exercise group at 6 months showed a significant increase in overhead stretching compared to the lumbar exercise and general physiotherapy groups (p<0.05). The lumbar region angle of inclination showed significant differences among the three groups at 2 weeks, 3 months and 6 months, with the thoracic exercise group being decreased significantly more than the lumbar exercise and general physiotherapy groups at 6 months (p<0.05).
CONCLUSIONS
Exercise aimed at increasing thoracic mobility has an effect on lumbar stability. Furthermore, it is far more effective for lumbar stabilization than general physiotherapy and deep muscle strengthening lumbar exercise.

Keywords: Lumbar instability;Lumbar exercise program

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