• Title, Summary, Keyword: Low back pain

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Pain Patterns and Factors Affecting of Low Back Pain in Middle-aged Women (중년여성이 경험하는 만성요통의 통증양상 및 영향요인)

  • Ham, Young-Lim;Seo, Bok-Nam;Ahn, Yang-Heui
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.33-41
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    • 2007
  • Purpose: The purpose of the study was to identify the pain patterns and factors affecting low back pain in middle-aged women with backache. Method: A descriptive research design was utilized. The participants were middle-aged women who visited to two back pain clinics in Wonju from October, 2006 through February, 2007. A total of 195 low back pain patients agreed to participate in this study, and data from 177 were analyzed. Data were collected using a questionnaire which included a modified short-form Korean pain rating scale, demographic factors, factors related to low back pain and health behavior. Descriptive statistics and multiple regression analysis was utilized in the analysis. Results: The mean score for low back pain was relatively low(M=21.57, SD=11.44). Among pain patterns, scores for dull pain were the highest of all the dimensions. In the regression analysis, significant factors affecting low back pain were found to be age, level of education, religion, BMI, experience of pregnancy, delivery type and exercise. These variables explained 24.8% of variance in low back pain(F=3.79, p<.001). Conclusion: These results suggest that nurses need for assessment and intervention to take into consideration pain patterns as well as factors affecting middle-age women with backache.

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A Current Status of Low Back Pain in Rural Peoples (일부 농촌지역 주민들의 요통발병 양상에 관한 연구)

  • Park, No-Chul;Kim, Yong-Kwon
    • The Journal of Korean of Orthopedic Manual Physical Therapy
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    • v.6 no.2
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    • pp.15-29
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    • 2000
  • Low back pain is generally defined as a complex symptom rather than a specific diseases entity, especially when musculoskeletal lesions of the low back, neurogenic, vasculogenic and discogenic lesions are present. Sixty to eighty percent of all human being have experienced low back pain once or more times during in their lifetime. Low back pain is a one of the commonest cause of physical impairment and induces disability the activities of everyday living or the activities of work. Today, low back pain plays important part for the loss of working capability from social, industrial field and individual daily life. But there are no study about incidence and prevention program of low back pain in rural peoples. This study was conducted to find out current status and characteristics related to low back pain in rural peoples(especially engaged in agriculture), so that could provide basic data to establish prevention program for them. The data were gathered from 301 rural adults(female 62.1%, male 37.9%) with low back pain by the structured interview in the 4 communities(south and north Gyeong-sang Do and Chung-cheong Do), and sampled at local hospital, local clinic, and health clinic center in May, 2000. The results were as followed. About one third of cases(35.5%) were aged from 60 to 69, 34.6% were smoker, and 91.4% not used to regular exercise. Low back pain frequently due to intervertebral articulopathy(42.5%), follewed by herniated intervertebral disk(19.9%), sprain(17.3%), vertebral dislocation(4.0%), and etc(16.2%). Above half of cases(56.5%) were a eight-hour workday, and 61.8% complained of low back pain during work. Mostly, period of agricultural experience was more than 20 years, and cultivated more than 2 crops. Low back pain is common to rural adults, therefore adequate resting time from work and lumbar strengthening exercise program needed to prevent low back pain in rural peoples.

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Degrees of Low Back Pain, Knowledge of and Educational Needs for Low Back Pain in Patients with Chronic Low Back Pain (만성 요통 환자의 통증, 지식 및 교육 요구)

  • Kim, Seong Kyong;Kim, Hee Seung;Chung, Sung Soo
    • Journal of muscle and joint health
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    • v.24 no.1
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    • pp.56-65
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    • 2017
  • Purpose: The purposes of this study were to identify degrees of low back pain, knowledge of and educational needs for low back pain of patients with chronic low back pain and to investigate their relationships. Methods: Data were collected from questionnaires distributed to 83 patients with chronic low back pain at a hospital. Results: The low back pain score was $4.70{\pm}2.22$ out of 10. The degree of low back pain was a statistically significant difference according to gender, smoking, radiating pain and frequency and duration, daily life disturbance degree, sleep disturbance and depression. The knowledge score was 8.29 out of 13. The knowledge was a statistically significant difference according to smoking and degree of sleep disturbance. The educational needs score was 39.83 out of 50. The educational needs was a statistically significant difference according to age, duration of disease, radiating pain, standing time, depression, pain treatment experience, and treatment institutions. As the low back pain increased, the educational needs increased (r=.254, p=.021). There were no correlations between low back pain and knowledge (r=-.040, p=.720) and knowledge and educational needs (r=.061, p=.581). Conclusion: It is important to focus on items with statistically significant differences in pain, knowledge, and educational needs, and to select low knowledge and high educational needs items to develop a systematic education plan.

A Biomechanical Effectiveness of Corset and Back Brace for Low Back Pain Syndrom (요통환자의 요통감소를 위한 허리보조기 착용의 생체역학적 효과)

  • Kim, Myung-Hoe
    • Physical Therapy Korea
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    • v.3 no.3
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    • pp.59-66
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    • 1996
  • The purpose of this study was to assess the biomechanical effects of corset and back brace for low back pain syndroms patients. The subjects of this study were 69 patients with low back pain syndroms who had been hospitalized or were visited out-patient department of the rehabilitation hospital, college of medicine, Yonsei University, from October 5, 1995 through November 5, 1995. Clinical results and datum were obtained by phone calls and chart reviews of low back pain patients. The results were as follows: 1) Fifty - nine subjects recovered over a good grade (85.6%). 2) The standing workers had a little effect of brace for low back pain. 3) After using a corset and back brace, the test of SLR increased from 36.23% to 72.47%, and the ability of ambulation improved from 40.57% to 85.5%. In conclusion, the biomechanical effects of corset and back brace for low back pain patients were found to be decrease pains and improve posture and ADL function.

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The Effect of Dynamic Lumbar Stabilization Exercise on Low Back Pain Patients (동적 요부 안정화 운동 치료법이 요통 환자에 미치는 영향)

  • Kim, Jong-Soon;Ju, Mu-Yeol;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.495-507
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    • 2001
  • The purpose of this study was to find the effects of the dynamic lumbar stabilization exercise on functional recovery of low back pain patients. The subjects were consisted of sixty patients who had nonspecific subacute low back pain. All subjects randomly assigned to dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group. The dynamic lumbar stabilization exercise group received modalities treatment with dynamic lumbar stabilization exercise. Williams exercise group received modalities treatment with Williams flexion exercise and modalities treatment group received modalities treatment without exercise. The Oswestry low back pain disability questionnaire was used to measure disability of low back pain. Assessment was carried out before treatment fur obtain baseline measurement of low back pain and reassessment were carried out at after 20 and 40 treatment sessions. The results of this study were as following: 1. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in dynamic lumber stabilization exercise group(p<.05). 2. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in Williams exercise group(p<.05). 3. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in modalities treatment group(<.05). 4. There were no statistical difference between the 3 groups at pre-treatment with Oswestry low back pain disability questionnaire scores(p>.05). 5. There were no statistical difference between the 3 groups after 20th treatment with Oswestry low back pain disability questionnaire scores(p>.05). 6. There were statistical difference between the 3 groups after 40th treatment with Oswestry low back pain disability questionnaire scores(p<.05). 7. The Oswestry low back pain disability questionnaire scores were significantly decreased after 40th treatment in all 3 groups and the decrement were greater in order of dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group.

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Gender Differences in Relating Factors of Low Back Pain and Sciatica in Community-dwelling Korean Elderly (지역사회 거주 노인의 성별에 따른 요통 및 좌골신경통 관련 요인)

  • Kim, Bo Hye;Kim, Oksoo;Kim, Ahrin
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.504-517
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    • 2012
  • Purpose: The aim of this study was to investigate gender differences in risk factors and sleep, depression, and mobility of Korean elderly with and without low back pain and sciatica. Methods: Data were derived from the 2011 Korean National Survey on Older Adults. Participants included 10,674 community-dwelling elderly. The group of elderly subjects with low back pain and sciatica and the group of elderly subjects without low back pain and sciatica were compared according to gender. Result: Age, monthly income, exercise, arthritis, osteoporosis, and providing caring support were significant risk factors for low back pain and sciatica in elderly male subjects. On the other hand, monthly income, living arrangement, arthritis, osteoporosis, providing caring support, and television watching time were significant risk factors in elderly female subjects. Significant differences in depression and mobility according to low back pain and sciatica were observed in both genders. Conclusion: Risk factors for low back pain and sciatica in elderly differed according to gender. Low back pain and sciatica showed an association with depression and mobility. These findings should be considered in planning for nursing intervention for low back pain and sciatica.

Effects of Mulligan's Mobilization with Sustained Natural Apophyseal Glides on the Paraspinal Muscle Activity of Subjects with Chronic Low Back Pain (Mulligan의 Sustained Natural Apophyseal Glides Mobilization이 만성 요통 환자의 요부근 활성도에 미치는 효과)

  • Kim, Se-Yoon;Kim, Nan-Soo
    • The Journal of Korean Physical Therapy
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    • v.25 no.1
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    • pp.10-15
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    • 2013
  • Purpose: Low back pain occurs and frequently recurs in many people. An imbalance of paraspinal muscle activity can cause low back pain. Mulligan's concept of mobilizations with sustained natural apophyseal glides (SNAG) is a common method for treating low back pain. The purpose of this study was to investigate the effects of this method on paraspinal muscle activity in patients with chronic low back pain. Methods: Twenty-one patients with low back pain participated in this study. Patients were classified using the Oswestry disability index. The subjects' paraspinal muscles were measured by surface electromyography both before and after the SNAG mobilization. We measured the root mean square value of the paraspinal muscles during lumbar flexion and extension. Results: Paraspinal muscle activity in patients with chronic low back pain was different between the right and left sides. Importantly, paraspinal muscle activity significantly decreased after using the SNAG mobilization method. Conclusion: This study shows a difference between paraspinal muscle activity in chronic low back pain patients and finds that the Mulligan's concept of SNAG mobilization is effective at reducing imbalances in paraspinal muscle activity in low back pain patients.

Investigation of High-Sensitivity C-reactive Protein and Erythrocyte Sedimentation Rate in Low Back Pain Patients

  • Park, Chan-Hong;Lee, Sang-Ho
    • The Korean Journal of Pain
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    • v.23 no.2
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    • pp.147-150
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    • 2010
  • Background: Chronic low back pain can be a manifestation of lumbar degenerative disease, herniation of intervertebral discs, arthritis, or lumbar stenosis. When nerve roots are compromised, low back pain, with or without lower extremity involvement, may occur. Local inflammatory processes play an important role in patients with acute lumbosciatic pain. The purpose of this study was to assess the value of erythrocyte sedimentation rate (ESR) and high sensitivity C-reactive protein (hsCRP) measurements in patients with chronic low back pain or radiculopathy. Methods: ESR and hsCRP were measured in 273 blood samples from male and female subjects with low back pain and/or radiculopathy due to herniated lumbar disc, spinal stenosis, facet syndrome, and other diseases. The hsCRP and ESR were measured prior to lumbar epidural steroid injection. Results: The mean ESR was 18.8 mm/h and mean hsCRP was 1.1 mg/L. ESR had a correlation with age. Conclusions: A significant systemic inflammatory reaction did not appear to arise in patients with chronic low back pain.

The Effects of Dry-Hydrotherapy on The Low Back Disability and Pain for Patients with Low Back Pain (건식수치료가 요통환자의 통증과 요부장애에 미치는 영향)

  • Song, Chang-Ho;Bae, Ha-Suk;Lee, Seung-Won
    • The Journal of Korean Physical Therapy
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    • v.18 no.2
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    • pp.1-6
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of dry-hydrotherapy to release pain in patient with low back pain. Methods: The subjects of the study were fifty patient with low back pain in orthopedic clinic. Fifty patients who had low back pain were randomly divided into 2 groups, 1) dry-hydrotherapy group 2) control group. Visual analog scale(VAS) and Oswestry low back pain disability questionnaire were measured before and after treatment. The treatment plan Was as follows; 15 min. exercise per day and 5 days per week for 2 weeks. Results: 1. Before dry-hydrotherapy, there was no significant difference in VAS score and Oswestry low back pain disability questionnaire score between two groups. 2. The VAS score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in the AS score in dry-hydrotherapy group was significantly lower than in control group. 3. The Oswestry low back pain disability questionnaire score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in Oswestry low back pain disability questionnaire score dry-hydrotherapy group was significantly lower than in control group. Conclusion: In conclusion, the dry-hydrotherapy was effective to alleviate pain in patients with low back pain.

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A Study of Risk Factors related to Back Pain in Bus Drivers (버스 운전기사의 요통발생 요인에 관한 연구)

  • Park, So-Yon
    • Physical Therapy Korea
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    • v.4 no.2
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    • pp.18-35
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    • 1997
  • The purpose of this study were to determine causes of low back pain in bus drivers who usually work in prolonged sitting position and to find the relationship of back pain with general characteristics and work environmental characteristics, stress symptoms, to com맹re lordosis angle of habitual driving posture and resting posture in low back pain group and non-low back pain group, and to use this result as a basis for improvement of work environment and comprehensive rehabilitative management of low back pain. Ninety-eight bus drivers were selected from the membership of an urban transit union in Seoul. These informations were collected from May 1, 1997 to May 25, 1997 by means of structured questionnaires and X-ray findings. These data were analyzed by $x^2$ test, t-test, logistic regression using SAS. The major results were as follows: 1. Of the respondents, 66.3% of bus drivers were found to be experiencing back pain. 2. Of the respondents of low back pain groups, 78.5% reported that major cause of low back pain was due to prolonged sitting. 3. The group with experiences of frequent or continuous vibration had more low back pain (p<0.05). There were no significant differences among other work environmental factors. 4. Average stress score was significantly higher in the group with low back pain than in the group without low back pain (p<0.05). 5. The results of the logistic regression analyses were statistically significant vibration from seat and stress score among the risk factors (p<0.05). 6. Averaged lordosis angle of habitual driving posture was $7.6{\pm}14.9$ degrees in low back pain group, $16.5{\pm}8.7$ degrees in non-low back pain and averaged lordosis angle of resting sitting posture was $10.8{\pm}13.7$ degrees in low back pain, $18.9{\pm}9.6$ degrees in non-low back pain group but the difference in mean lordosis angles of two groups was not statistically significant. The results of this study indicate that professional drivers developed chronicity of low back pain due to unfit seat, poor habitual posture and stress from vibration or other risk factors. Therefore, there is need to improve work environment, i.e. enough resting, to set a seat to support lumbar spine properly and to provide comprehensive rehabilitation program including early diagnosis, proper treatment and education for self help management.

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