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KMID : 0361419930170010118
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Journal of Korean Academy of Rehabilitation Medicine
1993 Volume.17 No. 1 p.118 ~ p.124
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The Use of the Lumbar Hyperextension Exercise in the Treatment of Patients with Herniated Nucleus Pulposus of the Lumbar Spine
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이상우
이우홍/김은이/김영숙
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Abstract
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Many patients with herniated nucleus pulposus of the lumbar spine can be expected to resolve their conditions with conservative management. Two exercise protocols for the conservative managements are the Williams' flexion exercise and the lumbar
hyperextension exercise. The extension exercise may be attempted with paraspinous extensors in a flexed or neutral position in order to improve motor strength and endurance, or attempt in the hyperextended position with the goal of improving
mobility,
strengthening the back extensors, or promoting a shift of nuclear material to a normal position. Some controversy exsists in beneficial effects advocated by McKenzie protocols. This paper demonstrates the clinical recovery patterns of the lumbar
hyperextension exercise of 2 weeks duration which may contribute to evaluate the effectiveness of the treatment.
Of 30 patients who met the criteria for inclusion in the study, 21 patients(70%) were improved in the clinical symptoms and physical findings within the 14days. Thirteen(92%) of the patients that have the duration of less than 6 months were
improved,
and 8(50%) of the patients that have the duration of more than 6 months were improved. It appears that the application of the lumbar hyperextension in the patients with short duration of the symptoms was more effective than the long duration.
Some
of
these patients demonstrated so dramatic effect that the hyperextension exercise could be recommeded as essential therapeutic modality.
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KEYWORD
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