Journal of Human Sport and Exercise

Effects of a low back exercise program on low back pain patients’ lumbar lordotic angle, abdominal muscle power, and pain

SoungKyun Hong, GyuChang Lee


Purpose: This study aims to identify the effects of a low back exercise program on low back pain patients’ lumbar lordotic angle, abdominal muscle power, and pain. Methods: This study was conducted with 20 low back pain patients. The lumbar lordotic angle, abdominal muscle, and pain of participants were measured before and after the interventions. The participants were asked to conduct McKenzie Exercise and William Exercise through a low back pain exercise program for 30 minutes three times a week for six weeks. Results: the lumbar lordotic angle increased after the interventions, but there was no significant difference, and there were significant differences in abdominal muscle power and pain (p < .05). Conclusion: As a result of this study, the low back exercise program acted positively on the increase in abdominal muscle power and pain reduction. Therefore, it is judged that a low back exercise program would help manage low back pain efficiently.


Low back exercise program; Low back pain patients; Abdominal muscle power; McKenzie Exercise; William Exercise


Arokoski, J. P., Valta, T., Airaksinen, O., & Kankaanpaa, M. (2001). Back and abdominal muscle function during stabilization exercises. Arch P hys Med Rehabil, 82(8), pp.1089-98.

Been, E., Gómez, O.A., & Kramer, P.A. (2012). Lumbar lordosis ‐ of extinct hominins. Am J PhysAnthropol, 147(1), pp.64-77.

Beimborn, D.S., & Morryssey, M.C. (1988). A review of literature related to trunk muscle performance. Spine,13(6), pp.655-660.

Brotzman, S.B. (1996). Clinical Orthopaedic Rehabilitation, St . Louis: A Times Mirror Company.

Briggs, A.M., van Dieën, J.H., & Wrigley, T.V. (2011). Thoracic kyphosis affects spinal loads and trunk muscle force. Phys Ther, 87(5), pp.595-607.

Carvalho, D.E., Soave, D., Ross, K., & Callaghan, J.P. (2010). Lumbar spine and pelvic posture between standing and sitting: a radiologic investigation including reliability and repeatability of the lumbar lordosis measure. J Manipulative Physiol Ther, 33(1), pp.48-55.

Charles, B. C., & Ruth, L. (1994). Concepts of Fitness and Wellness with Laboratories. Madison, Wm. C. Brown Communication, Inc.

Christie, H.J., Kummer, S., & Warren, S.A. (1995). Postural aberrations in low back pain. Arch Phys Med Rehabil, 76, pp.218-224.

Edmondston, S., & Singer, K. (1997). Thoracic spine: Anatomical and biomechanical considerations for manual therapy. Man Ther, 2(3), pp.132-143.

Graves, J., Webb, D., C, Pollock., & M, L. (1994). Pelvic Stabilization During Resistance Training: Its Effect on the development of lumbar extension strengh. Arch Phys Med, 75, pp.210-16.

Harrison, D.D., Cailliet, R., Janik, T.J., Troyanovich, S.J., Harrison, D.E., & Holland. B. (1998). Elliptical modeling of the sagittal lumbar lordosis and segmental rotation angles as a method to discriminate between normal and low back pain subjects. J Spinal Disord, 11(5), pp.430-439.

Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., & Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. Arthritis & Rheumatology, 64(6), pp.2028-2037.

Jackson, R.P., & McManus, A.C. (1994). Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex, and size: A Prospective Controlled Clinical Study. Spine, 19(14), pp.1611-1618.

Kliziene, I., Sipaviciene, S., Vilkiene, J., Astrauskiene, A., Cibulskas, G., Klizas, S., & Cizauskas, G. (2017). Effects of a 16-week Pilates exercises training program for isometric trunk extension and flexion strength. J Body Mov Ther, 21(1), pp.124-132.

Korea Centers for Disease Control and Prevention. (2010). Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ-2).

Lars, L., MICHAEL, k., Karen, S., Lone, H., Ann, I., & Gisela, S. (2008). Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis & Rheumatism, 59, pp.84-91.

Manek, J.N., & Macgregor, A.J. (2005). Epidemiology of back disorder Prevalence, risk factors, and prognosis. Curr Opin Rheumatol, 17(2), pp.134-140.

McKenzie, R.A. (1979). Prophylaxis in recurrent Low Back pain. N Z Med J, 89, pp.22-23.

Moffett, & Klaber. (1989). Exercises for Back Pain. Manchester University Press, pp.50-60.

Nachemson, A.L. (1992). Newest knowledge of low back pain. Cli Ortho, 297, pp.8-20.

Nelson, B.W. (1993). A rational approach to the treatment of low back pain. J Musculoskel Med, 10(5), pp.67-82.

O'Sullivan, P.B. (2000). Lumbar segmental in stability: clinical presentation and specific stabilizing exercise management. Manual Therapy, 5, pp.2-12.

O'Sulivan, P.B., Burnett, A., Floyd, A.N., & Gadsdon, K. (2003). Lumbar repositioning deficit in specific low back painpopulation. Spine, 28(10), pp.1074-1079.

Sevinc, O., Is, M., Barut, C., Ozdemir, S.T., & Ayoglu, F. (2007). Sagittal alignment of the lumbar spine in a Turkish population. Neuroscience, 12(3), pp.221-225.

Smith, S.S., Mayer, T.G., Gatchel, R.J., & Becker, T.J. (1985). Quantification of lumbar function. Spine,10, pp.757-764.

William, P.C. (1965). The lumbosacral Spine Emphasizing Conservative Management. New York, McGraw-Hill.

Wiltes, L.L., & Winter, R.B. (1983). Terminology and measurement of spondylolisthesis. Journal Bone and Joint Surgery, 65(A), pp.768-772.

Yilmaz, F., Yimaz, A., Merdol, F., Parlar, D., Sahin, F., & Kuran, B. (2003). Efficacy of dynamic lumbar stabilization exercise in lumbar microdisectomy. Journal of Rehabilitation Medicine, 35(4), pp.163-167.


Copyright (c) 2018 Journal of Human Sport and Exercise

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.