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[Purpose] The purpose of this study was to investigate the immediate effects of lumbar exercise and tensor fasciae latae (TFL) and hamstring direct stretching. [Subjects] The subject was a single case, a 30-yearold woman diagnosed as having lumbar zygapophyseal-type chronic low back pain symptoms. [Method] The study utilized a single case study design. The design was a randomized controlled trial with an AB construction in which exercise therapy recognized as effective was implemented in period A, and direct stretching of the TFL and hamstrings was implemented in period B. We measured pain on a visual analog scale, finger-floor distance, maximum anterior and posterior pelvic tilt, pelvic range of motion and posterior lumbar flexibility at the end of each intervention period in a random order. We analyzed the changes of the 6 assessment items of the B period using the binomial test. [Results] All the six assessment items were found to have significantly improved at the end of period B compared to period A. [Conclusion] The results suggest that direct stretching of the TFL and hamstrings possibly triggers immediate changes in chronic intervertebral-type lumbar pain symptoms.

rigaku ryōhō kagaku/rigaku ryoho kagaku

Immediate Changes in a Chronic Lumbar Pain Patient after Lumbar Exercises and Direct Stretching of the Tensor Fasciae Latae and Hamstrings: Investigation by a Single Case Study Design