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Kyung-Mo Han,Maria B. Kimball 한국체육학회 2008 International journal of human movement science Vol.2 No.2
Disorders of the spine are costly and prevalent, and treatment can be difficult. The primary goal of therapeutic intervention for back and neck pain is to reduce pain and improve functional ability. Correcting faulty posture through exercise is one of many treatment approaches for decreasing symptoms of back pain, yet research is lacking to validate the effectiveness of such treatment. To justify the clinical use of postural correction and exercises commonly used to treat back pain, research must demonstrate a positive relationship between postural interventions and improvement of the patients’ pain and disability. The purpose of the study was to compare the effects of the Pneu-BackTM treatment protocol with therapeutic exercise to therapeutic exercise alone on back pain and disability, and posture. The independent variable is treatment (Pneu-BackTM treatment protocol with therapeutic exercise verses therapeutic exercise verses no treatment) and dependent variables are pain, disability, and posture. Sixty-four people with chronic back or neck pain (more than 3 months) were randomly assigned to three groups: Group 1 received the Pneu-BackTM treatment protocol; Group 2 received instruction and supervision in back and neck exercises and posture modification; and Group 3 received no intervention of any kind. Pain, disability and posture were measured pre, mid, and post intervention. Random coefficient growth curves were used to determine differences between groups. Subjects in the treatment groups significantly improved in pain and disability scores compared to the control group (p<.0001), but there was no difference in improvement between the treatment groups. The addition on the Pneu-BackTM chair exercise had no additional effect on treatment outcomes. There were no consistent trends in posture changes among the groups.