Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Physical Functions of Industrial Workers with Chronic Low Back Pain and Changes in Health-related Quality of Life according to Virtual Reality Exercise Program

가상현실 운동프로그램에 따른 산업체 만성요통환자의 신체기능과 건강관련 삶의 질의 변화

  • Ko, Dae-Sik (Dept. of Public Health, Graduate School of Health Science, Chosun University) ;
  • Jung, Dae-In (Dept. of Physical Therapy, Gwangju Health College University) ;
  • Lee, Sang-Heon (Dept. of Occupational Therapy, College of Medical Sciences, SoonChunHyang University)
  • 고대식 (조선대학교 대학원 보건학과) ;
  • 정대인 (광주보건대학교 물리치료학과) ;
  • 이상헌 (순천향대학교 의료과학대학 작업치료학과)
  • Received : 2012.07.30
  • Accepted : 2012.10.11
  • Published : 2012.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study performed a virtual reality exercise program for self-back pain control of industrial workers with chronic back pain and analysed their physical function and health-related quality of life relating to industrial chronic back pain. The subjects of the study were thirty chronic back pain patients working for K company and were divided into Nintendo Wii Sports Group made of 15 subjects and Physical Therapy Group made of 15. As variables for physical functions, back strength, flexibility, balance and pain were measured and for the health-related quality of life, SF-36 of each group was measured before and after the exercise program. To compare differences before and after the program, a paired t-test was used and to compare differences between both groups, an independent samples t-test was used. As a result of the test, it was discovered that balance and pain of the both groups were improved statistically significantly. Physical functions of the Nintendo Wii Sports Group were improved statistically significantly in comparison with those of the Physical Therapy Group. The health-related quality of life was improved statistically significantly only for the Nintendo Wii Sports Group. In conclusion, it is suggested that as the virtual reality exercise program had a positive influence on chronic back pain of industrial workers, it should be considered as a home exercise program for back pain control.

본 연구는 산업체 만성요통환자의 자가요통관리를 위하여 가상현실 운동프로그램을 실시하고 산업체 만성요통관련 신체기능 및 건강관련 삶의 질을 측정하여 분석하였다. 대상자는 K산업체 만성요통환자 30명으로 Nintendo Wii Sports군(실험군) 15명, 일반 물리치료군(대조군)15명으로 구성되었으며, 신체기능은 배근력, 유연성, 균형능력, 통증으로 측정하였고, 건강관련 삶의 질은 SF-36을 측정하여 운동 전과 운동 후, 군간을 비교분석하였다. 집단 내 운동 전 후의 차이를 비교하기 위하여 대응표본 t-검정을 사용하였고, 집단간의 차이를 비교하기 위하여 독립표본 t-검정을 실시하였다. 실험결과 균형능력과 통증에서 두군 모두 통계학적으로 유의하게 개선된 것으로 나타났으며, 군간 비교에서는 Nintendo Wii Sports군이 일반물리치료군에 비해 통계학적으로 유의하게 향상된 것으로 나타났다. 또한 건강관련 삶의 질은 Nintendo Wii Sports군에서만 통계학적으로 유의하게 향상된 것으로 나타났다. 결론적으로 가상현실운동프로그램이 산업체 만성요통환자의 요통에 긍정적인 영향을 미쳐 요통관리를 위한 재가운동 프로그램으로 고려되어야 할 것으로 사료된다.

Keywords

References

  1. S. Hemberg, "Introduction to occupational epidemiology", Michigan Lewis Publisher Inc. pp.5-7, 1992.
  2. Korea Occupational Safety & Health Agency, Annual Report 2010, Available: http://www.kosha.or.kr
  3. J. L. Kelsey, A. L. Golden, & D. J. Mundt, "Low back pain prolapsed lumbar intervertebral disc", Rheum Dis Clin North Am, Vol.16, No.3, pp.699-716, 1990.
  4. M. Erdil, O. B. Dickerson, & E. Glackin, "Diagnosis and medical management of work related low back pain. In Erdil M, Dickerson OB, ed. Cumulative trauma disorders; Prevention, evaluation and treatment". New York, Van Nostrand Reinhold, pp.621-651, 1997.
  5. J. E. Graves, D. C. Webb, M. L. Pollock, J. Matkozich, S. H. Leggett, D. M. Carpenter, D. N. Foster, & J. Cirulli, "Pelvic stabilization during resistance training: its effect on the development of lumbar extension strength", Arch Phys Med Rehabil, Vol.75, No.2, pp.210-215, 1994.
  6. S. H. Hochschuler, H. B. Cotler, & R. D. Guyer, "Rehabilitation of the spine", Missouri: Mosby, 1993.
  7. V. Akuthota, & S. F. Nadler, "Core strengthening", Arch Phys Med Rehabil, Vol.85, No.3 Suppl 1, pp.86-92, 2004.
  8. D. C. Turk, A. Okifuji, & L. Scharff, "Chronic pain and depression : Role of perceived impact and perceived control in different age coherts", Pain, Vol.61, No.1, pp.93-101, 1995. https://doi.org/10.1016/0304-3959(94)00167-D
  9. H. K. Hyoung, "Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain", J Korean Acad Nurs, Vol.38, No.6, pp.902-913, 2008. https://doi.org/10.4040/jkan.2008.38.6.902
  10. G. B. Anders, "Activation characteristics of trunk muscle during whole body tilt with unsupported trunk." Institute for Pathophysiology and Pathobiochemistry, Motor Research Group; Friendrich-Schiller-University Jena, 2005.
  11. E. S. Lee, "The Association of Shift Work with Risk Factors for Cardiovascular Disease among Postoffice Workers", Seoul University, 2000.
  12. Y. Baram, J. Aharon-Peretz, & R. Lenger, "Virtual reality feedback for gait improvement in patients with idiopathic senile gait disorders and patients with history of stroke", J Am Geriatr Soc, Vol.58, No.1, pp.191-192, 2010. https://doi.org/10.1111/j.1532-5415.2009.02654.x
  13. M. Lotan, S. Yalon-Chamovitz, & P. L. Weiss, "Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and development disability", Res Dev Disabil, Vol.31, No.4, pp.869-874, 2010. https://doi.org/10.1016/j.ridd.2010.01.010
  14. C. H. Song, S. M. Seo, K. J. Lee, & Y. W. Lee, "Video Game-Based Exercise for upper-extremity function, strength, visual perception of stroke patients", J Spec Edu Rehabil Sci, Vol.50, No.1, pp155-180, 2011.
  15. C. H. Song, W. S. Shin, K. J. Lee, & S. W. Lee, "The Effect of a Virtual Reality-based Exercise Program Using a Video Game on the Muscle Strength, Balance and Gait Abilities in the Elderly", J Korean Gerontol Soc, Vol.29, No.4, pp.1261-1275, 2009.
  16. N. Maclean, P. Pound, C. Wolfe, & A. Rudd, "Qualitative analysis of stroke patients' motivation for rehabilitation", BMJ, Vol.28, pp.1051-1054, 2000.
  17. J. H. Kim, M. H. Oh, J. S. Lee, & H. S. Ahn, "The Effects of Training Using Virtual Reality Games on Stroke Patients Functional Recovery", KSOT, Vol.19, No.3, pp.101-114, 2011.
  18. D. S. Ko, C. G. Lee, G. Y. Kim, K. I. Lee, M. H. Kim, & D. I. Jeong, "The Effect of Lumbar Stabilization Exercise on Motor Capacity and Pain in Chronic Low Back Pain Workers", J Sport & Leisure Studies, Vol.35, No.2, pp.1021-1028, 2009.
  19. J. Scott, & E. C. Huskisson, "Vertical or Horizontal visual analogue scales", Ann Rheum Dis, Vol38 , No.6, pp.560, 1979. https://doi.org/10.1136/ard.38.6.560
  20. J. E. Ware, & C. D. Sherbourne, The MOS 36-item Short-Form Health Survey(SF-36). I. Conceptual framework and item selection, Med care, Vol.30, No.6, pp.473-483, 1992. https://doi.org/10.1097/00005650-199206000-00002
  21. S. H, Lee, D. S. Ko, & D. I. Jung, "A Change in the Physical and Psychological Functions of Virtual Reality Environmental Training of Industrial Clients With Chronic Lower Back Pain", KSOT, Vol.19, No.3, pp.89-100, 2011.
  22. M. Ogon, B. R. Bender, D. M. Hooper, K. F. Spratt, V. K. Goel, & D. G. Wilder, M. H. Pope, "A dynamic approach to spinal instability. Part I: Sensitization of intersegmental motion profiles to motion direction and load condition by instability", Spine, Vol.22, No.24, pp.2841-2858, 1997. https://doi.org/10.1097/00007632-199712150-00007
  23. M. M. Panjabi, "The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement", J Spinal Disord, Vol.5, No.4, pp.383-389, 1992. https://doi.org/10.1097/00002517-199212000-00001
  24. K. P. Gill, & M. J. Callaghan, The measurement of lumbar proprioception in individuals with and without low back pain, Spine, Vol.23, No.3, pp.371-377, 1998. https://doi.org/10.1097/00007632-199802010-00017
  25. H. S. Choi, O. Y. Kwon, C. H. Yi, H. S. Jeon, & J. S. Oh, "The Comparison of Trunk Muscle Activities During Sling and Mat Exercise", KAUTPT, pp.Vol.12, No.1, pp.1-10, 2005.
  26. European Agency for Safety and Health at Work. The state of occupational safety and health in the member states. 2000.
  27. G. A. Evanoff, & L. Rosen stock, "Psychophysio-logic stressors and work organization. In: Rosen stock L, Cullen MR, editors, Textbook of clinical occupational and environmental medicine", WB Saunders company, pp.717-728, 1994.
  28. M. A. Testa, & D. C. Simonson, "Assessment of quality of life outcome", N Engl J Med, Vol.334, No.13, pp.835-840, 1996. https://doi.org/10.1056/NEJM199603283341306
  29. Y. G. Seo, "The Health-related quality of life of the institutional elderly compared with living elderly", Chonam Universoty, 1998.
  30. C. Ahrens, M. Schiltenwolf, H. Wang, "Health-related quality of life (SF-36) in chroniclow back pain and comorbid depression", Schmerz, Vol.24, No.3, pp.251-256, 2010. https://doi.org/10.1007/s00482-010-0923-1
  31. J. H. Lee, S. U. Park, J. I. Kang, D. J. Yang, & S. K. Park, "Effects of Virtual Reality Exercise Program on Muscle Activity and Balance Abilities in Elderly Women", J Kor Soc Phys Ther, Vol.23, No.4, pp.37-44, 2011. https://doi.org/10.1589/jpts.23.37
  32. S. E. Sihvonen, S. Sipila, & P. A. Era, "Changes in postural balance in frail elderly women during a 4-week visual feedback training: a randomized controlled trial", Gerontology, Vol.50, No.2, pp.87-95, 2004. https://doi.org/10.1159/000075559
  33. F. R. Franca, T. N. Burke, E. S. Hanada, & A. P. Marques, "Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study", Clinics, Vol.65, No.10, pp.1013- 1017, 2010. https://doi.org/10.1590/S1807-59322010001000015
  34. M. Shaughnessy, & B. Caulfield, "A pilot study to investigate the effect of lumbar stabilization exercise training on functional ability and quality of life in patients with chronic low back pain", Int J Rehabil Res, Vol.27, No.4, pp.297-301, 2004. https://doi.org/10.1097/00004356-200412000-00007

Cited by

  1. Effects of Computer Based Virtual Reality Program on Clinical Rehabilitation in Korea: A Meta-analysis vol.13, pp.7, 2015, https://doi.org/10.14400/JDC.2015.13.7.293