Background: Most of the previous researches on the abnormality of breathing pattern have focused on the silence of functional movements owing to such abnormality, however, have not been clearly identified the relationship between the abnormal breathing pattern on one hand and kinesiophobia and flexion relaxation phenomenon (FRP) on the other hand.
Objective: To compare patients with chronic low back pain (CLBP) and healthy person in the abnormality of breathing pattern, kinesiophobia, and FRP during flexion and extension of the trunk.
Design: Case-control study.
Methods: The research subjects consisted of a group of 15 healthy adults and another group of 15 patients with CLBP. Capnography was used to measure the endtidal CO2 (EtCO2) and respiratory quotient (RQ). The muscle activity of multifidus and erector spinae of the subjects was measured during flexion and extension of the trunk to identify their FRP. The Nijmegen Questionnaire (NQ) and Tampa Scale of Kinesiophobia (TSK) were utilized to measure their breathing patterns and kinesiophobia, respectively. The Kolmogorov-Smirnov (K-S) test was conducted in order to analyze the normal distribution of the measured data. Their general characteristics were identified by the descriptive statistics and the independent t-test was performed to identify the differences between the two groups in terms of abnormality of breathing pattern, kinesiophobia, and FRP. The level of significance was set at α=.05.
Results: The patients with CLBP had significantly less EtCO2 and shorter breathing hold time (BHT) than normal healthy person (p<.05). The patient with CLBP also had significantly greater kinesiophobia than healthy person (p<.05), and had less FRP than the healthy person (p<.01).
Conclusions: These results suggest that the CLBP had greater abnormality of breathing pattern and kinesiophobia with less FRP than healthy person.
Background: Despite frequent shoulder injuries of rotator cuff muscle of golfers by the result of overuse and poor swing mechanics, there is little research on shoulder specific rehabilitation exercises for injured rotator cuff muscle and golf swing
Objective: To examined the effect of rehabilitation exercise for golfers on the X factor and ground reaction force (GRF) according to phase of the golf swing.
Design: Crossover study Methods: The participants were 13 amateur golfers selected for a 4 week rehabilitation exercise for golfers. A rehabilitation exercise for golfers consisting of 5 steps and 4 items (sleeper stretch, full side plank, push up to plank, high plank knee unders) were applied to all participants. A three dimensional motion analyzer and force platform (SMART-E, BTS, Italy) were used to measure the X factor (angle between shoulder and pelvis at top of back swing) and GRF according to phase of the golf swing. All dependent variables were measured before and after exercise. The collected data was analyzed using the paired t test and SPSS 21.0.
Results: The GRF had a statistically significant increase in the impact phase and ratio impact/weight after rehabilitation exercise for golfers (p<.05). The Xfactor, GRF in top of back swing and finish were no significant differences between before and after exercise (p>.05).
Conclusions: These results suggested that rehabilitation exercise for golfers was effective for increasing GRF in the impact phase and ratio impact/weight for amateur golfer.