• Title, Summary, Keyword: chronic back pain

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The effects of active release technique on the gluteus medius for pain relief in persons with chronic low back pain

  • Tak, Sajin;Lee, Yongwoo;Choi, Wonjae;Lee, Gyuchang
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.27-30
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    • 2013
  • Objective: Low back pain is a primary of source of dysfunction and economic costs. Gluteus medius muscle co-activation and activity pattern change caused the low back pain. Active release technique (ART) is a patented, non-invasive, soft tissue treatment process that both locates and breaks down the scar tissue and adhesions. The purpose of this study was to assess the effects on chronic low back pain using ART on gluteus medius so that suggest usable treatment method for treating chronic low back pain. Design: One group pretest-posttest design. Methods: Twelve patients with chronic low back pain were participated in this study. Subjects in ART group were received 2 times a week for 3 weeks treatments with either ART on gluteus medius muscle trigger points. Outcome measures were conducted by pain intensity with a pain visual analogue scale and pressure pain threshold on gluteus medius. Results: Completion of the intervention, the visual analogue scale was decreased in ART group (p<0.05). Also pressure pain threshold was decreased in ART group (p<0.05). Conclusions: Our results suggest that the response to ART may be usable to treat low back pain. ART was presented to reduce pain level of low back in people with chronic low back pain. Further study is required to management for low back pain due to gluteus medius and more ART study.

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Myofascial Pain Syndrome in Chronic Back Pain Patients

  • Chen, Chee Kean;Nizar, Abd Jalil
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.100-104
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    • 2011
  • Background: Myofascial pain syndrome (MPS) is a regional musculoskeletal pain disorder that is caused by myofascial trigger points. The objective of this study was to determine the prevalence of MPS among chronic back pain patients, as well as to identify risk factors and the outcome of this disorder. Methods: This was a prospective observational study involving 126 patients who attended the Pain Management Unit for chronic back pain between 1st January 2009 and 31st December 2009. Data examined included demographic features of patients, duration of back pain, muscle(s) involved, primary diagnosis, treatment modality and response to treatment. Results: The prevalence of MPS among chronic back pain patients was 63.5% (n = 80). Secondary MPS was more common than primary MPS, making up 81.3% of the total MPS. There was an association between female gender and risk of developing MPS ($x^2$ = 5.38, P = 0.02, O.R. = 2.4). Occupation, body mass index and duration of back pain were not significantly associated with MPS occurrence. Repeated measures analysis showed significant changes (P < 0.001) in Visual Analogue Score (VAS) and Modified Oswestry Disability Score (MODS) with standard management during three consecutive visits at six-month intervals. Conclusions: MPS prevalence among chronic back pain patients was significantly high, with female gender being a significant risk factor. With proper diagnosis and expert management, MPS has a favourable outcome.

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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The Effect of Cigarette Smoking on Physical Fitness and Depression of Patients with Chronic Low Back Pain

  • Lee, Juhwan;Park, Sieun
    • The Journal of Korean Physical Therapy
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    • v.27 no.4
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    • pp.275-280
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    • 2015
  • Purpose: This study was conducted to investigate the effect of cigarette smoking on physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) and depression in patients with chronic low back pain. Methods: This study was a cross sectional study and subjects consisted of 60 young males with chronic low back pain. The subjects were allocated to two groups following a self-report survey: cigarette smoking group (n=25) or non-smoking group (n=35). Physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) were measured using objective methods and depression in patients with chronic low back pain was measured using the Korean version of center for epidemiologic studies depression (CES-D) scale. Results: The results of this study were as follows: In physical fitness, the cigarette smoking group showed a significant decrease in abdominal muscle endurance, flexibility, and cardiopulmonary endurance compared with the non-smoking group. Depression index (CES-D scale score) was significantly higher in the cigarette smoking group than in the non-smoking group. Conclusion: These results suggest that cigarette smoking had a negative effect on abdominal muscle endurance, flexibility, and cardiopulmonary endurance in patients with chronic low back pain. In addition, depression of patients with chronic low back pain was affected by cigarette smoking. Thus, we suggested that cigarette smoking may play a significant role in the deterioration of physical fitness and depression of chronic low back pain patients.

Treatment of Failed Back Surgery Syndrome with a Spinal Cord Stimulator -A report of 2 cases- (척추수술후증후군에서 척수자극술을 이용한 치료경험 -증례 보고-)

  • Park, Chan Hong;Cho, Chul Bum
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.123-126
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    • 2006
  • Spinal cord stimulation (SCS) has been used since 1967 for refractory chronic pain. SCS has recently undergone a variety of technical modifications and advances, and it has been applied in a variety of pain conditions. SCS has been most commonly applied for those patients with chronic back and leg pain and failed back surgery syndrome (FBSS). The clinical hallmark of FBSS is chronic postoperative pain. The pain pattern varies and the pain may show an axial or radicular distribution. Chronic intractable pain after FBSS is difficult to treat. This report describes our experience with treating chronic pain in two patients who suffered from FBSS with a spinal cord stimulator. A permanent spinal cord stimulator was implanted after a successful trial of stimulation with temporarily implanted electrodes. After 5 months of follow-up, the two patients had satisfactory improvement of their pain.

Repetitive Transcranial Magnetic Stimulation to Treat Depression and Insomnia with Chronic Low Back Pain

  • Park, Eun Jung;Lee, Se Jin;Koh, Do Yle;Han, Yoo Mi
    • The Korean Journal of Pain
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    • v.27 no.3
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    • pp.285-289
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    • 2014
  • Transcranial magnetic stimulation (TMS) is a noninvasive and safe technique for motor cortex stimulation. TMS is used to treat neurological and psychiatric disorders, including mood and movement disorders. TMS can also treat several types of chronic neuropathic pain. The pain relief mechanism of cortical stimulation is caused by modifications in neuronal excitability. Depression is a common co-morbidity with chronic pain. Pain and depression should be treated concurrently to achieve a positive outcome. Insomnia also frequently occurs with chronic lower back pain. Several studies have proposed hypotheses for TMS pain management. Herein, we report two cases with positive results for the treatment of depression and insomnia with chronic low back pain by TMS.

A Study on the Pain, Depression, Life Satisfaction of the Chronic Low Back Pain Patients (만성요통환자의 통증, 우울, 생활만족도에 관한 연구)

  • Jin, Kwi-Ok;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.15 no.1
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    • pp.73-87
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    • 2008
  • Purpose: The purpose of this study was to identify the relationship among pain, depression and life satisfaction of the chronic low back pain patients. Method: The subjects are 98 adults that visit hospital regularly or are hospitalized for back pain in a general hospital from June 1st to August 30th in 2007. The data were analyzed by SPSS WIN 12.0. Results: The mean score for chronic low back pain as measured by the VAS was 5.85(${\pm}2.22$). The mean score for depression as measured by BDI was 1.83(${\pm}\;.83$). The average score for life satisfaction was 2.89(${\pm}\;.93$). There was a significant positive correlation between pain and depression. But there were significant negative correlations between pain & life satisfaction, depression & life satisfaction respectively. Conclusion: Chronic low back pain can be occurred to all ages and there are significant relationships among the pain, depression and life satisfaction. Therefore, the nursing interventions to help for relieving the pain and depression for patients with chronic low back pain is required.

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Assessment of Depression in Chronic Back Pain Patients in Urban-rural areas (도농 지역에서 만성 요통 환자의 우울증 평가)

  • 이정모;김종문;김종훈;정진상
    • The Korean Journal of Community Living Science
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    • v.15 no.2
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    • pp.159-166
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    • 2004
  • This study was undertaken to investigate the severity of depression and to analyze various factors related to depression in chronic back pain patients in urban-rural areas. In this study, 30 patients who suffered from back pain more than 6 months, and 30 normal subjects who had similar demographic characteristics as the patient group were evaluated using the Back Depression Inventory(BDI). Various factors such as age, sex, causes of back pain, vocational history, pain continuity, visual analogue scale(VAS), duration of pain, type of management, and urban or rural residence were recorded for the study group. The results are 1) The study group revealed higher BDI scores than the control group(p<0.05). 2) The patients who were older and had higher VAS, longer duration of pain, or previous history of surgical management for back pain, and an urban 033residence revealed higher BDI scores(p<0.05). 3) The BDI scores were not significantly influenced by the subjects' sex, causes of back pain, pain continuity, and vocational history in the study group(p>0.05). From this study, we concluded that a Psychosocial approach is required for the management of chronic back pain patients. Also, it is necessary to assess the factors, which are making depression worse in other chronic diseases for comprehensive rehabilitation.

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A Study on the Characteristics of Gait in Patients with Chronic Low Back Pain (만성요통환자의 보행특성에 관한 연구)

  • Kim, Kyoung;Ko, Joo-Yeon;Lee, Sung-Young
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.79-85
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    • 2009
  • Purpose: This study examined the characteristics of gait in patients with chronic low back pain. Methods: The subjects were out-patients suffering from chronic low back pain at the department of physical therapy, B hospital in Seoul. Gait analysis was performed by dividing the subjects into two groups. The study and control group comprised 15 chronic low back pain patients and 14 healthy people, respectively. Gait analysis was performed using a VICON 512 Motion Analysis System to obtain the spatio-temporal and kinematic parameters. Results: First, there was a significant difference in the spatio-temporal parameters between the two groups (p<0.05). Second, the study group showed significant differences in the kinematic parameters during the stance phase (p<0.05). Third, there were significant differences in kinematic parameters in the study group during the swing phase (p<0.05). Conclusion: The gait pattern of patients with chronic low back pain is characterized by more rigid patterns. Compared to the control group, there was a decrease in the spatio-temporal parameters and kinematic parameters in patients with chronic low back pain. These findings are expected to play a role as basic data and to form a rehabilitation program for low back pain patients.

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Effects of the Back Pain Management Program on Patients with Chronic Low Back Pain (만성요통 환자에 대한 요통관리프로그램의 효과)

  • Shin, In Ho;Cho, Kyung-Sook
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.114-124
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    • 2014
  • Purpose: The purpose of this study was to explore the effects of the 8-weeks back pain management program (consisted of exercise and education for back pain) in patients with chronic low back pain. Methods: A total of 20 subjects who visited the pain clinic in a university hospital were randomly assigned either to a experimental or a control group. Ten subjects in the experimental group carried out the back pain management program for 8 weeks, and 10 in the control group did not. Results: After the back pain management program, back pain and disability were significantly reduced, and back pain management behavior and back muscle strength were significantly increased in the experimental group. However, radiating pain and flexibility were not significantly changed after the back pain management program. Conclusion: Findings of this study indicated that the 8-weeks back pain management program had favorable effects on back pain, degree of disability, back pain management behavior, and back muscle strength in patients with chronic low back pain. Future research needs to examine the optimal intensity and frequency of back muscle strengthen exercise, and the lasting effects of education for back pain.