Effect of direct vibration on the activity of deep trunk muscles of patients with non-specific chronic low back pain

Autor: Nackhwan Kim, Soo Hoon Yoon, Ki Hoon Kim, Sang Heon Lee, Minhee Kim, Dong Hee Kim
Rok vydání: 2022
Předmět:
Zdroj: Journal of back and musculoskeletal rehabilitation. 35(5)
ISSN: 1878-6324
Popis: Background: We used two methods, direct and indirect, to study the application of vibration training. This pilot study aimed to investigate the short-term effect of direct vibration and spinal stabilization exercises on the deep trunk muscles of patients with non-specific chronic low back pain (CLBP). Methods: Sixty-two participants with non-specific CLBP were randomly placed into two groups, one with direct vibration to the trunk muscles, VSE (vibration-plus stabilization exercise) group, and one without, CSE (conventional stabilization exercise) group. The groups underwent twelve sessions of an exercise program for spinal stability. We measured the thickness and activity of the following trunk muscles using ultrasonography and surface electromyography (sEMG): transversus abdominis (TrA), external oblique (EO), internal oblique (IO), rectus abdominis (RA), lumbar multifidus (LM), and lumbar erector spinae (LES). Results: The ultrasonographic examination revealed that the ratio of muscle thickness to muscle contraction and relaxation was increased after training in the TrA and LM muscles of patients in the CSE group, and in the TrA, LM, and IO muscles in the VSE group. We also found that the LM/LES ratio in the CSE group and the IO/RA, TrA/RA, and LM/LES ratios in the VSE group were significantly increased. Using multiple regression analysis, we showed that the improvement of the symptoms was related to increased activity of the deep trunk muscles in the VSE group (pConclusion: The findings suggest that direct vibration on the trunk muscles may increase the activity of contracting deep muscles and be used in addition to the effective enhancement of stabilization exercise in patients with non-specific CLBP.Trial registration: KCT0003858. Registered 26 April 2019.
Databáze: OpenAIRE
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