Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial
- Authors
- Kim, TaeYeong; Lee, JaeHyuk; Oh, SeJun; Kim, Seungmin; Yoon, BumChul
- Issue Date
- 2월-2020
- Publisher
- HUMAN KINETICS PUBL INC
- Keywords
- equine exercise; fear-avoidance beliefs; core exercise; horseback riding simulator; stabilization exercise
- Citation
- JOURNAL OF SPORT REHABILITATION, v.29, no.2, pp.179 - 185
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF SPORT REHABILITATION
- Volume
- 29
- Number
- 2
- Start Page
- 179
- End Page
- 185
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/57919
- DOI
- 10.1123/jsr.2018-0252
- ISSN
- 1056-6716
- Abstract
- Context: A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Design: A randomized controlled triaL Settings: Community and university campus. Participants: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Interventions: The exercises were performed for 30 minutes, 2 days per week for 8 weeks. Main Outcome Measures: Numeric rating scale, functional disabilities (Oswestry disability index and Roland-Morris disability), and fear-avoidance beliefs questionnaire (FABQ) scores were measured at baseline and at 4 weeks, 8 weeks, and 6 months. Results: A 2-way repeated analysis of variance identified that between-group comparisons showed significant differences in the FABQ related to work scale (F= 21.422; P= .01). There were no significant differences in the numeric rating scale (F= 1.696; P = .21), Oswestry disability index (F= 1.848; P = .20), Roland-Moths disability (F= 0.069; P = .80), and FABQ related to physical scale (F = 1.579; P = .24). In within-group comparisons, both groups presented significant differences in numeric rating scale (both SHR and STB after 4 wk), Oswestry disability index (both SHR and STB after 6 mo), and Roland- Morris disability (SHR after 6 mo and STB after 8 wk) compared with baseline values. In FABQ-related physical (SHR after 4 wk) and work scales (SHR after 6 mo), there were only significant differences in the SHR compared with baseline values. Conclusions: SHR exercise for 8 weeks had a greater effect than STB exercise for reducing work-related FABQ. The SHR exercise performed in a seated position could substantially decrease pain-related fear disability in young adults with chronic low back pain.
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