• Title, Summary, Keyword: Low back pain

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The Risk Factors of Industrial Low Back Pain among Shipyard Workers (조선업 생산직 근로자의 요통 발생에 영향을 미치는 요인)

  • Hong, Yun-Chul;Ha, Eun-Hee;Park, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.1
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    • pp.91-102
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    • 1996
  • Low back pain patients and controls of shipyard workers were surveyed between June 1995 and September 1995 to identify risk factors of industrial low back pain. The patients were 17 male workers who had got medical treatment for over 3 days because of industrial back pain. Controls were 51 male workers who had not have musculoskeletal disorder for one year before the survey. By univariate analysis, the workers who did overtime work 4 times or more for the last 2 weeks showed odds ratio of 3.67 on low back pain with the workers who did less overtime work. Carrying heavy materials was also associated with the low back pain and the odds ratio increased with the increase of carrying weight. Work space and work posture were not associated with the low back pain significantly. The welder had higher odds ratio than the other workers on low back pain. The duration of employment and job satisfaction did not affect the risk of low back pain. Multiple logistic regression analysis showed that frequency of overtime work for the last 2 weeks and carrying heavy materials among the risk factors were associated significantly with the low back pain. We found that important risk factors of low back pain of shipyard workers are work intensity factors such as overtime work and carrying heavy weight.

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Therapeutic Exercise for Low Back Pain (요부통증에 대한 운동치료)

  • Jung, Mun-Boung
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.817-822
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    • 1995
  • Even though back pain therapy has greatly improved as spinal bio-mechanics is introduced, many patients still have difficulties due to low back pain. At the initial therapeutic stage, the aim of rehabilitation therapy for low back pain is pain control, but, at the later therapeutic stage, the prime aims are to reduce the late complication and to prevent the recurrence of low back pain. Accurate diagnosis should be a first step before any therapy is planned. Thus, accurate physical, neurologic, E.M.G. and radiologic tests are required to give prescription for therapeutic exercise to the patients. In addition to this, the roles of theraphists and therapeutic exercise should be re-evaluated after the therapeutic exercise is performed. Fist of all, the most important things are to educate the patients to understand the low back pain and to let the patients join the therapeutical planning. 1. Bed rest and muscle relaxing exercise for releasing the muscle tention are required for the treatment of acute low back pain. An active exercise is recommended rather than a passive exercise. If the therapeutic exercise depravate the low back pain, the exercise should be immediately terminated and the therapeutical exercise should be replanned. 2. For the treatment of the chronic back pain, stretching exercise and para-spinal muscle strengthening exercise should be performed steadily and actively to prevent the recurrence of low back pain and the low back injury due to minor damage. The patients should be educated to do proper exercise and to maintain good posture in everyday life. 3. As the low back pain is released and the body function is recovered, control of whole body function is necessary. Swiming, bicycling and walking for $30\sim40$ minutes a day and $3\sim4$ days a week are recommended. Other exercise could be recommended depending on the patients condition.

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The General Features of low back pain occurred in daily life (일상생활에서 발생하는 요통의 일반적 특성)

  • Kim, Dong-Dae
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.51-58
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    • 2002
  • The purpose of this study was to investigate the general features of low back pain occurred in daily life. The study subjects were low back pain patients treated with physical therapy at general hospitals located in Gyeonggi-do from August 2, 2000 to march 4, 2002. Total number of distributed questionnaires were 750, and 630 questionnaires were collected and 571 questionnaires were collected analysed finally. The results were follows: 1. Regardless of gender, in the duration of low back pain, from 12 month to 35 month showed the highest rate, 34.1% of answerers. 2. Regardless of gender, in the season of incidence of low back pain, winter showed the highest rate, 33.8% of answerers. 3. Regardless of gender, in the time of incidence of low back pain in a day, after daily work showed the highest rate, 32.5% of answerers. 4. Regardless of gender, in the position of incidence of low back pain, from bending the body to straighten the body showed the highest rate, 32.5% of answerers. 5. Regardless of gender, 49.6% of low back pain patients answered that want to hospital for treatment 6. Regardless of gender, 97.5% of patients is answered that want to be physical therapy. 7. In the question of the effects for physical therapy, 92.2% of patients is answered that was effective.

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Epidural Steroid Therapy as a Treatment of Post-laminectomy Low Back Pain (추궁 절제술 후의 요하지통에 대한 경막외 Steroid 주입요법)

  • Choe, Huhn;Han, Young-Jin
    • The Korean Journal of Pain
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    • v.4 no.2
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    • pp.162-167
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    • 1991
  • Epidural steroid therapy has been well-established for the treatment of sciatica and low back pain. Disappointing results following surgical decompression or discectomy pain owing for to nerve root compression have led to trials of corticosteroids injected either systemically or into the intrathecal or epidural space to treat intervertebral disc. Epidural steroid is less effective in the patients with low back pain who have a history of surgical operation, so that the use of epidural morphine and methylprednisolone has been advocated for the amelioration of chronic low back pain in the post-laminectomy pain("failed back") syndrome over the past several years. We treated 47 patients with low back pain who had a history of one or two surgical procedures. We concluded that epidural steroid therapy is less effective in the patients with "failed back" syndrome than in the virgin back furthermore, there is a greater risk of complication such as inadvertent dural puncture and corresponding motor paralysis and headache.

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An Effect of Low Back Pain Relieving Program on the Back Muscle Strenght, Intensity of Pain, Disability Level in Elementary School Women Teacher (요통완화프로그램이 만성 요통호소 여교사의 배근력, 통증정도, 기능장애에 미치는 효과)

  • Choi, Soon-Young
    • Korean Journal of Women Health Nursing
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    • v.6 no.1
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    • pp.117-128
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    • 2000
  • The purpose of this study was to examine the effect of low back pain relieving program on back muscle strength, intensity of pain, low back disability level in elementary school teachers who have low back pain. subjects were elementary school women teachers who worked at eight elementary school located in Seoul. Intended subjects size were seventy consist of thirty-four experimental group(three schools) and thirty-six control group(five schools), but actual subjects size was forty-four. Among the forty-four patients subjects, twenty-three were experimental group receiving health education about right postures, etiologies of low back pain, diagnosis of low back pain and exercise program composed of muscle strengthening exercise, stretching exercises and twenty-one were control group. During the 8 weeks program, the subjects were received two times education and six times group exercise practices in 1st week and three times per week group exercise practices, two times education in other 7 weeks. This study as carried out from April 1, 1999 to June 30, 1999. Back muscle strength was measured by back muscle strength measuring machine and the intensity of pain were measured by the Visual Analogue Scale(VAS), and level of disability was measured by Oswestry low back pain disability scale. Study measurements were taken before and after 8 week exercise program. Data were analyzed using paired t-test, and ANCOVA. The results were summarized as follows. 1. After low back relieving program, back muscle strength was increased significantly(p=0.000) and there was significant difference in back muscle strength change between experimental group and control group(p=0.002). 2. After low back pain relieving program, pain on anterior bending, pain on posterior bending were decreased significantly than measurements before the program(p=0.000 p=0.000) and there was significant difference in pain on anterior bending and posterior bending change between experimental group and control group(p=0.000, p=0.000). 3. After low back pain relieving program, Oswestry disability scale scores were decreased significantly(p=0.000, p=0.000) but there was no significant difference in Oswestry disability score change between experimental group and control group.

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Effect of Sling Exercise with PNF Basic Procedure for Pain and Balance Ability of Patients with Chronic Low Back Pain (PNF기법을 적용한 슬링운동이 만성요통환자의 통증과 균형능력에 미치는 영향)

  • Kang, Tae-Woo;Park, Young-See
    • PNF and Movement
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    • v.11 no.1
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    • pp.1-6
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    • 2013
  • Purpose : The purpose of this study was to investigate the effect of sling exercise with PNF basic procedure in patients with chronic low back pain. Methods : This study included 14 patients with chronic low back pain, who were performed sling exercise combined PNF basic procedure. The exercise program comprised 3 sessions of 30 minutes per week for 8 weeks. The VAS(Visual analogue Scale) and BBS(Berg Balance Scale) were evaluated before and after training. All data were analyzed using SPSS 12.0. Results : Significant differences were observed the chronic low back pain patient for VAS, BBS. Chronic low back pain patient improved all test. Conclusion : Sling exercise with PNF basic procedure about chronic low back pain patient is very useful and effective. It is effective in clinical practice.

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Low Back Pain due to Lumbosacral Transitional Vertebra -A case report- (요천부 이행성 척추증에 의한 요통의 치험 -증례 보고-)

  • Chun, Yong-Suk;Won, Seog-Kyu;Lee, Myung-Eui;Shim, Jae-Chul
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.134-137
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    • 1998
  • The presence of an enlarged transverse process on one or both sides of the last lumbar vertebra is a common congenital anomaly of the lumbar vertebra. It is thought to be a genetic or developmental anatomical variant. The first reported assimilation of the fifth lumbar vertebra into the sacrum associated with low back pain was in 1917 by Bertolotti. However, clinical significance of lumbosacral transitional vertebra has not been fully considered due to lack of scientific investigations dealing with it. We experienced a case of symptomatic lumbosacral transitional vertebra during management of low back pain. Low back pain was relieved after infiltration of local anesthetics and steroid into the false joint of lumbosacral transitional vertebra. This result may possibly indicate a significant correlation between low back pain and lumbosacral transitional vertebra.

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The Effect of Exercise Program on Pain, Daily Living Disability, and Depression in Chronic Low Back Pain Patients Treated with Epidural Injections (요부운동 프로그램이 경막외 신경차단술을 받은 만성요통 환자의 통증, 일상생활제한 및 우울 감소에 미치는 효과)

  • Kim, Kyoung A;Lee, Myung Ha;Kim, Hyun Kyung;Jeong, Seok Hee
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.454-463
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    • 2013
  • Purpose: This study aimed to evaluate the effects of exercise program on chronic low back pain, daily living disability and depression in chronic low back pain patients treated with epidural injections. Methods: The design of this study was a nonequivalent control group pretest-posttest experiment. The sample was recruited among low back pain patients treated with epidural injections from an orthopedic specialty hospital. Participants were randomly assigned to a treatment group (n=25) or a comparison group (n=27). The treatment was a six week exercise program for low back pain. Data were collected from September to November 2011, and were analyzed using descriptive statistics, $x^2$-test, one-tailed t-test for independent samples, and Mann-Whitney U test using the SPSS/WIN 12.0 program. Results: Patients in the treatment group reported statistically significantly lower levels of back pain on flexion and extension, less daily living disability, and less depression than those in the comparison group. Conclusion: The back pain relief exercise program could be an effective adjunct nursing intervention for low back pain patients treated with epidural injections.

Comparison of the Relationship Between Impairment, Disability and Psychological Factors According to the Difference of Duration of Low Back Pain (요통기간에 따른 손상, 장애, 심리적 요인들의 상관성 비교)

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.76-84
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    • 2011
  • The purpose of this study was to investigate the correlations between pain intensity, physical impairments, disability, and psychological factors according to the difference in duration of low back pain. This study was a cross-sectional survey of 102 participants with low back pain, divided into two groups equal in number: The first group consisted of patients with acute and subacute low back pain, while the second group consisted of patients suffering from chronic low back pain. The results showed that gender, age, pain intensity, physical impairment, disability and Fear-Avoidance Beliefs (FABs) for work activities were not significantly different between two groups. FABs for physical activities of the first group were significantly more prevalent than in the second group. More than moderate correlations were found between pain intensity, physical impairment, and disability in the first group. Less than moderate correlations were found between pain intensity, physical impairment, disability, FABs, and depression in the second group. These findings suggest that we must consider psychological factors in the treatment of patients with chronic low back pain. Regression analyses revealed that pain intensity and FABs for work activities significantly contributed to the prediction of disability in the first group. Also, pain intensity and FABs for physical activities significantly contributed to the prediction of disability in the second group. Pain intensity was most important predictor of disability in two groups.

The Study Of Functional Disability Scales for Low Back Pain (요통의 기능 평가방법에 대한 고찰)

  • Moon, Sang-Hyun;Ryu, Han-Jin;Lee, Jons-Soo;Youn, You-Suk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.39-53
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    • 2003
  • Objectives : The object is to the difference among the funtional disability scale for low back pain and to use Methods : I researched the contents of funtional disability scale for low back pain Results & Conclusions : 1. The funtional disability scale for low back pain is specific-condition and general-health 2. A proposal of set core of funtional disability scale for low back pain is back specific function, generic health state, pain, work disability, satisfaction 3. Oswestry disability index or Rolland disability questionnaire. wase used for standard specific-condition scale and SF-36 was used for standard general-health scale 4. SF-36 is able to use the funtional disability scale for low back pain independence 5. In the future, scale for low back pain shulod be standardized in multiple dimension by computer

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