The effects of TRX core muscle exercise on quality of life, functional activities and satisfaction in patient with nonspecific low back pain

Autor: Te-Yu Kao, 高得又
Rok vydání: 2017
Druh dokumentu: 學位論文 ; thesis
Popis: 105
Background: Low back pain becomes the major public health problem of the world. Total body Resistance eXercise (TRX) is a common unstable surface training of suspension system in recent years. The studies have reported that the TRX exercise can improve stabilization, strength, and the electromyogramphyactivation of the core muscles on heathy populations. However, there is no research to investigate the effects of TRX on patients with non-specific low back pain. Purpose: The patients with non-specific low back pain whether after 8-weeks TRX core exercise of unstable surface can improve the quality of life, functional activity, and satisfaction compared to mat exercise therapy of stable surface or modality therapy. Methods: Participants with recurrent pain were recruited and randomly divided into one of the three groups. In the TRX group, they participated in 8-weeks (16 times) TRX core exercise; in the mat exercise group, they participated in 8-weeks (16 times) mat exercise. The TRX group and mat exercise group, using plank, cross curl-ups, hamstring curl, kneeling roll-out of this four core movement as the core exercise; in the modality group, they only received the modality treatments. All participants received the modality treatments and were tested before the experiment, including: Visual Analogue Scale (VAS), Oswestry Low Back Pain Disability Questionnaire (ODI), trunk muscle endurance test, Biering-Sorensen test, Sahrmann test core stability test, and post-evaluations after 8 weeks of intevention. Furthermore, the TRX group evaluated the satisfaction questionnaire. Results: After 8 weeks of intevention, overall, in the VAS aspect: the TRX group and the mat exercise group had significantly lowered the pain socores compared to the modality group. In the ODI part: the TRX group had significantly improved diasblity compared with the mat exercise group and modality group. In addition, both TRX group and the mat exercise group have reached the minimal clinically important difference. In the trunk flexor endurance: the TRX group had significantly improved compared with the mat exercise group and the modality group; in the trunk extensor endurance: the TRX group had significantly improved compared to the modality group. Furthermore, in terms of improvement ratio, the TRX group showed the most significant differences in all of evlation items as compared to mat exercise group and modality groups. Regarding satisfaction: all subjects in the TRX group had a significant improvement in physical activity, self-confidence and self-healthy corresponding to 93% health satisfaction, more than 80% satisfaction with symptoms of relief. In the TRX core exercise, the patients felt plank was the most relaxed, but hamstring curl was most difficult. Conclusion: An 8-weeks TRX core exercise of unstable surface on patients with lower back pain provides more postivie effects in improving the quality of life, functional activities and trunk muscle endurance, core stability as compared to the mat exercise of stable surface and only modality use.
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