Review article. Key words non specific low back pain, exercise therapy, stretching, motor control. Grade D
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1 Spinl Surgery 総説 Review rticle Astrct Exercise therpy is useful for low ck pin. Exercise therpy ims to improve posturl lignment, muscle strength, nd endurnce, nd lso contriutes to pin relief nd the prevention of recurrences. Furthermore, exercise therpy helps to reduce the psychologicl urden in chronic low ck pin ptients. Exercise therpy for low ck pin is divided into two mjor ctegories stretching for flexiility nd motor control for lumr spine nd pelvic stility. Ptients with low ck pin reportedly hve less trunk nd lower lim flexiility. Flexiility cn e enhnced with trunk nd lower lim stretching, which contriutes to the mintennce of posturl lignment under grvity. Trunk stility exercises using the inner unit hve een widely pplied for nervous, skeletl,nd musculr system coordintion s well s lumr spine dynmic stility Received Novemer 1, 2016 ccepted Mrch 14, 2017 Key words non specific low ck pin, exercise therpy, stretching, motor control 80 1 Croft Grde A Grde B Grde B Grde D Grde A Grde A Grde A Grde B Sports Wellness Clinic, The Jikei University School of Medicine Address reprint requests to Hiroshi Ai, Sports Wellness Clinic, The Jikei University School of Medicine, Nishi Shinshi, Minto ku, Tokyo , Jpn 140 VOL. 31 NO
2 Lower ck muscle stretching. Gluteus mximus stretching. Cre should e tken to void lifting the right shoulder off the floor Mckenzie Willims In this exercise, it is importnt to keep the thigh ligned with the trunk nd to void extending the lumr spine VOL. 31 NO
3 This exercise is effective to reduce lumr lordosis. It is possile to stretch the more proximl portion of the hmstrings when the knee is slightly ent. Note tht the pelvis should e mintined in the nterior tilt. Soleus stretching. Gstrocnemius stretching. The soleus cn e stretched with the knee flexed nd the gstrocnemius cn e stretched with the knee extended concentric contrction 142 VOL. 31 NO
4 c Pressing the ck into the ed. Pressing the ck into the wll. Using oth upper lims to press into the ed. Hnd knee exercise. Note tht the pelvis should e kept stright. Elow toe exercise. Side ridge exercise. These exercises re recommended for eginners. 1 2 hnd knee elow toe side ridge 15 3 FIFA the ench side wys ench 16 dynmic core VOL. 31 NO
5 Bench exercise. Side wys ench exercise. Dynmic core exercises These three core trining exercises re minly recommended for thletes who hve mstered the exercises for eginners shown in. c 文献 1 25 http: toukei sikin hw k tyos k tyos13 dl 04.pdf 2 Croft PR, Mdrlne GJ, Ppgeorgiou A, et l Outcome of low ck pin in generl prctice prospective syudy. BMJ , pp Blgué F, Mnnion A, Pellisé F, et l Clinicl updte low ck pin. Lncet , Chou R, Qseem A, Snow V, et l Dignosis nd tretment of low ck pin joint clinicl prctice guideline from the Americn College of Physicins nd Americn Pin Society. Ann Intern Med , Chou R, Huffmn LH Nonphrmcologic therpies for cute nd chronic low ck pin review of the evidence for n Americn Pin Society Americn College of Physicins clinicl prctice guideline. Ann Intern Med , Hyden JA, vn Tulder MW, Mlmivr A, et l Exercise therpy for tretment of non specific low ck pin. Cochrne Dtse Syst Rev2005, CD Hyden JA, vn Tulder MW, Tomlinson G Systemtic review strtegies for using exercise therpy to improve outcomes in chronic low ck pin. Ann Intern Med , Levine D, Whittle MW The effects of pelvic movement on lumr lordosis in the stnding position. J Orthop Sports Phys Ther , Moseley GL, Hodges PW Are the chnges in posturl control ssocited with low ck pin cused y pin interference? Clin J Pin , Zho WP, Kwguchi Y, Mtsui H, et l Histochemistry nd morphology of the multifidus muscle in lumr dischernition comprtive study etween disesed nd norml sides. Spine , Fédértion Interntionle de Footll Assocition Prt 2 Strength, Plyometrics nd Blnce Exercises. The 11 Mnul A Complete Wrm Up Progrmme to Prevent Injuries. Zurich, FIFA Medicl Assessment nd Reserch Centre, pp VOL. 31 NO
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