J Korean Phys Ther.  2018 Oct;30(5):173-180. 10.18857/jkpt.2018.30.5.173.

Change of Pain, Lumbar Sagittal Alignment and Multifidus after Sling Exercise Therapy for Patients with Chronic Low Back Pain

  • 1Major in Exercise Physiology, Department of Physical Education, Graduate School, Dankook University, Cheonan, Korea.
  • 2Major in Principle of Athletic Training, Department of Kinesiology and Medical Science, Graduate School, Dankook University, Cheonan, Korea.
  • 3Department Prescription & Rehabilitation of Exercise, Dankook University, Cheonan, Korea. shinagel@empal.com


This study examined the effects of sling exercise therapy on vertebral alignment, VAS, muscle activity, and multifidus of patients with chronic low back pain.
Simple random sampling was used to divide the patients (n=116) into the sling exercise therapy group (SETG) and conservative physical therapy group (CPTG), with each group provided a intervention program in 3 sessions a week for 12 weeks. The lumbar lordosis angle (LLA), lumbar intervertebral disc angle (LIVDA) for vertebral alignment, lumbar muscle activity, and multifidus atrophy were measured before and after the intervention.
SETG showed significant changes in LLA, LIVDA of rate of change (delta score), and in relieving pain. The right-left balance gap for the lumbar dynamic muscle activity decreased after the intervention. The SETG showed significant changes in the grade of lumbar multifidus atrophy.
The sling exercise therapy program is an effective exercise therapy method on vertebral alignment, muscle activity, recovery from multifidus atrophy, and pain relief for patients with chronic low back pain.


Sling exercise therapy; Low back pain; Sagittal alignment; Multifidus
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