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KMID : 0948920200190020070
Clinical Pain
2020 Volume.19 No. 2 p.70 ~ p.79
Immobilization Effect and Abdominal Pressure of Newly-Developed Lumbosacral Spinal Orthosis during Task Performance
Jeon Kyung-Soo

Yang Hee-Seung
Jang Soo-Woong
Shin Hee-Dong
Lee Yun-Kyung
Lee Young
Lee Seul-Bin-Na
Ahn Dong-Young
Sim Woo-Sob
Cho Min
Cho Kyu-Jik
Park Dong-Beom
Park Kwan-Soo
Abstract
Objective: We evaluated the efficacy of a newly-developed spinal orthoses (V-LSO) by comparing the stabilizing effect, abdominal pressure, and comfort of 3 different semirigid LSOs (classic LSO, V-LSO, and Cybertech¨Þ) during various body movements.

Method: Thirty healthy volunteers (23¡­47 years, 24 males, 6 females) were selected. A dual inclinometer measured the range of motion (ROM) while the participants performed flexion/extension and lateral flexion of the lumbar spine with 3 LSOs. The LSO¡¯s pressure on the abdominal surface was measured using 9 pressure sensors while lying, sitting, standing, flexion/extension, lateral flexion, axial rotation, and lifting a box. Comfort and subjective immobilization were analyzed by a questionnaire.

Results: V-LSO had a statistically significant effect on flexion over Cybertech¨Þ. No significant differences were noted during extension and lateral flexion between the 3 LSOs. The abdominal pressure showed no significant differences while supine. While sitting, standing, and lifting a box, the mean abdominal pressure for V-LSO were significantly higher than those for Cybertech¨Þ. During lumbar flexion, the mean abdominal pressures for classic LSO and V-LSO were significantly higher than that of Cybertech¨Þ. For extension, lateral flexion and axial rotation, the abdominal pressure for V-LSO was significantly higher than those of classic LSO and Cybertech¨Þ. In the subjective analysis, V-LSO and Cybertech¨Þ scored best for comfort.

Conclusion: The V-LSO and Cybertech¨Þ were more comfortable than the classic LSO, and hence, may have improved compliance with decreased discomfort. V-LSO may be superior to the other LSOs in restricting lumbar movement and increasing intraabdominal pressure.
KEYWORD
Orthotic devices, Pressure, Range of motion, Surveys and questionnaires
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