• Title, Summary, Keyword: Chronic low back pain

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Effects of Active Release Technique on Pain, Oswestry Disability Index and Pelvic Asymmetry in Chronic Low Back Pain Patients (능동이완기법이 만성 허리통증 환자의 통증, 요통장애지수 및 골반비대칭에 미치는 영향)

  • Lee, Seung-Hoo;Nam, Seung-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.133-141
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    • 2020
  • PURPOSE: This study examined the effects of active release technique on pain, Oswestry Disability Index, and pelvic asymmetry in chronic low back pain patients. METHODS: Thirty five outpatients diagnosed with chronic low back pain were enrolled in this study. The patients were divided randomly into an active release technique therapy group(experimental group; n=18) and myofascial release technique therapy group(control group; n=17). These groups performed their respective therapy for a 40-minute session occurring twice a week over six weeks. The Visual Analogue Scale(VAS) was used to measure the subjects' pain, and the Korean Oswestry Disability Index(KODI) was used to measure the subjects' dysfunction. To assess the patients' pelvic asymmetry, their pelvic tilt and pelvic rotation were measured using X-ray imaging. RESULTS: Both the experimental group and control group exhibited significant decreases in their VAS and KODI scores after the therapy(p<.05). The experimental group exhibited a significant decrease in their pelvic tilt and pelvic rotation after therapy(p<.05). A significant difference was observed between the experimental group and the control group (p<.05). CONCLUSION: These results suggest that active release technique is effective in decreasing the level of pain and dysfunction in chronic low back pain patients. In addition, the active release technique is considered to be more effective in improving the pelvic tilt and pelvic rotation than myofascial release technique. This can be an effective method for the non-pharmacological and non-surgical treatment of chronic low back pain.

Changes in Cross-sectional Area of Lumbar Muscle in Patients with Chronic Back Pain (만성요통환자의 요부근육 단면적의 변화)

  • Kim, Seong-Yeol
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.39-47
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    • 2010
  • Purpose: The purpose of this study was to characterize changes in back muscles in patients with chronic back pain. Accordingly, we studied 154 patients with chronic low back pain with regard to area, aspect and triggering position of the pain. We also determined muscle atrophy in painful areas. Methods: Subjects were questioned about pain and a pain provoking test was done. On Magnetic Resonance Imaging (MRI), we measured cross sections of the multifidus, erector spinae, iliopsoas and quadratus lumborum muscles at each spinal level. Results: Muscles in painful regions (multifidus and erector spinae muscles) decreased in area significantly more than nonpainful regions, and showed a significant difference (p<0.05) at levels L3, L4, and L5. Painful regions of the iliopsoas and quadratus lumborum did not change significantly more than non-painful regionsexcept at L5 (p<0.05). The group that had unilateral low back pain showed a significant decrease in cross section compared to the group that had central or bilateral pain (p<0.05). Conclusion: Chronic low back pain causes variable decreases in cross-sectional areas of some but not all back muscles, and at some but not all spinal levels.

The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability (요부안정화운동이 요부불안정성을 가진 산업체 만성요통환자의 통증관련 기능에 미치는 효과)

  • Jung, Dae-In;Ko, Dae-Sik
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.479-486
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    • 2017
  • The purpose of this study is to investigate the effects of lumbar stabilization exercise on pain-related function of industrial workers with chronic low back pain and lumbar instability. 20 industrial workers with chronic low back pain were divided into two groups, control group(n=10) and experimental group(n=10). Back muscle strength, flexibility, and balance ability were measured to assess physical functions, and visual analog scale(VAS) was used to evaluate pain levels. In both groups, back muscle strength and balance ability increased significantly, and pain levels decreased significantly. In comparison between the groups, the experimental group compared to the control group showed significant improvement in balance ability and significant diminishment in pain levels. In conclusion, the lumbar stabilization exercise has positive effects on industrial workers with lumbar instability and chronic low back pain by improving balance ability and reducing pain.

The Effect of Sling Exercise and Conservative Treatment on Cross-section Area Change of Lumbar Muscles (슬링 운동과 보존적 치료가 요부근육의 횡단면적 변화에 미치는 영향)

  • Lee, Woo-Hyung;Jeong, Seong-Gwan;Park, Rae-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.233-243
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    • 2010
  • Purpose : This study aimed to examine the effects of sling exercise therapy on the relief of low back pain and the cross-sectional area change of lumbar muscles by CT analysis for chronic low back pain patients. Methods : Forty-one patients with diagnosis of chronic low back pain was divided sling exercise therapy group(SEG) 19 subjects and conservative physical therapy group(CPG) 22 subjects. we randomized and treated them(subjects) for 12 weeks. As using visual analogue scale(VAS), we evaluated recovery accuracy of pain, and for investigating cross-section area change of lumbar muscles for before and after treatment we used computed tomography(CT). Results : This study were summarized as follows : 1) As treatment period, in each compared testing on VAS of SEG and CPG, the both group was significantly different(p<.05). 2) Compared testing on VAS of between-subject groups(SEG and CPG) were not significantly different(p>.05). 3) At SEG of before and after treatment, in compared testing on cross-section area size of lumbar muscles, All muscles of psoas major, quadratus lumborum, erector spinae and multifidus were significantly different(p<.05). At CPG, psoas major was significantly different(p<.05). But other muscles were not significantly different(p>.05). Conclusion : From this result, both sling exercise therapy and the conservative physical therapy are effect on decrease of pain for chronic low back pain patients. but Increasing of the cross-section area being proportioned with muscular strengthening of low back muscle is noticeable difference in SEG. Therefore, sling exercise therapy have affect both decreasing of pain for chronic low back pain patients and lumbar muscles strengthening.

Effects of Horse Riding Simulator on Pain, Oswestry Disability Index and Balance in Adults with Nonspecific Chronic Low Back Pain

  • Chen, Shu-Yi;Kim, Seung-Kyu;Kim, Ki-Hyun;Lee, In-Sil;HwangBo, Gak
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.79-84
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    • 2016
  • PURPOSE: The purpose of this study was to investigate effects of Horse riding simulator exercise on pain, dysfunction and dynamic balance in adults with nonspecific chronic low back pain. METHODS: In this study, total 19 college students usually complain of low back pain who were randomly divided into the horse riding simulator exercise group (n=10), lumbar strengthening exercise group (n=9) were recruited. Each group carried out for 30 minutes exercise three times a week for 4 weeks. Horse riding simulator exercise group carried out 15 minutes horse riding simulator exercise and 15 minutes lumbar strengthening exercise. Lumbar strengthening exercise group carried out 30 minutes lumbar strengthening exercise. Visual analogue scale (VAS) were measured for evaluation back pain. Korean oswestry disability index (KODI) were measured for dysfunction. Limits of stability (LOS) were measured for dynamic balance. RESULTS: VAS, KODI, LOS results showed a significant change within both horse riding simulator exercise group, lumbar strengthening exercise group. CONCLUSION: Present study suggested that the horse riding simulator exercise can improve back pain, dysfunction, dynamic balance. Horse riding simulator exercise provides more convenience, interest and motivation than conversional therapy and it could be a possible approach to adults with nonspecific chronic low back pain.

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.

Trunk Stabilization Muscle Activity in Chronic Low Back Pain Patients during One Leg Stance (만성요통환자의 한발서기 시 체간 안정화 근육의 활성화 변화)

  • Min, Dong-ki
    • Journal of Korean Physical Therapy Science
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    • v.21 no.1
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    • pp.13-20
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    • 2014
  • Purpose : The purpose of this study was to analyze and compare the surface electromyography(EMG) activity of trunk region muscle between normal subjects and chronic low back pain(CLBP) patients during one leg stance. Methods : The subjects were 27 people, were consisted of 12 subjects who don't have low back pain and 15 subjects who have low back pain from 19 to 28 year of age(mean age 22.22). We used surface EMG to evaluate the activity of the Rectus abdominis, External abdominal oblique, Quadratus lumborum, Gluteus medius muscle. We used independent two samples t-test for statistical data. Results : The result of this study showed that the maximal voluntary isometric contraction(%MVIC) ratio of the trunk muscles was higher in patients with CLBP than in normal subject. But there were no statistically significant differences. There were statistically significant differences of the activity of the Quadratus lumborum, Gluteus medius muscle(p<0.05).

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The Effects of Australian Stabilization Exercises for Decreasing Dysfunction and Pain in Chronic Back Pain Patients (호주식 안정화 운동이 만성 요통환자의 기능부전과 통증감소에 미치는 효과)

  • Koo, Hee-Seo
    • Journal of Korean Physical Therapy Science
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    • v.16 no.4
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    • pp.39-47
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    • 2009
  • Background: To evaluate the effects of Australian stabilization exercise for chronic low back pain. Methods: Interventions consisted of exercises aimed at recovery of Multifidus in cocontraction with Transverse abdominis through neural control retraining. Results: After exercise, there were significant improvement(p<.05) in pain and disability score. Conclusions: Neural control stabilization exercise can be effective intervention for chronic Low Back Pain patients.

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Nicotine dependence and the International Association for the Study of Pain neuropathic pain grade in patients with chronic low back pain and radicular pain: is there an association?

  • Schembri, Emanuel;Massalha, Victoria;Spiteri, Karl;Camilleri, Liberato;Lungaro-Mifsud, Stephen
    • The Korean Journal of Pain
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    • v.33 no.4
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    • pp.359-377
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    • 2020
  • Background: This study investigated whether current smoking and a higher nicotine dependency were associated with chronic low back pain (LBP), lumbar related leg pain (sciatica) and/or radicular neuropathic pain. Methods: A cross-sectional study was conducted on 150 patients (mean age, 60.1 ± 13.1 yr). Demographic data, the International Association for the Study of Pain (IASP) neuropathic pain grade, STarT Back tool, and the Fagerström test were completed. A control group (n = 50) was recruited. Results: There was a significant difference between current smokers and nonsmokers in the chronic LBP group in the mean pain score (P = 0.025), total STarT Back score (P = 0.015), worst pain location (P = 0.020), most distal pain radiation (P = 0.042), and in the IASP neuropathic pain grade (P = 0.026). There was a significant difference in the mean Fagerström score between the four IASP neuropathic pain grades (P = 0.005). Current smoking yielded an odds ratio (OR) of 3.071 (P = 0.011) for developing chronic LBP and sciatica, and an OR of 4.028 (P = 0.002) for obtaining an IASP "definite/probable" neuropathic pain grade, for both cohorts. The likelihood for chronic LBP and sciatica increased by 40.9% (P = 0.007), while the likelihood for an IASP neuropathic grade of "definite/probable" increased by 50.8% (P = 0.002), for both cohorts, for every one unit increase in the Fagerström score. Conclusions: A current smoking status and higher nicotine dependence increase the odds for chronic LBP, sciatica and radicular neuropathic pain.

Foot Pressure Analysis of Chronic Low Back Pain Patients by Foot Analyzer (Foot analyzer를 이용한 만성 요통 환자들의 족저 압력 분석)

  • Kim, Eun-Joo;Cho, Yu-Jeong;Song, Mi-Yeon
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.115-126
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    • 2009
  • Objectives : The aim of this study was to evaluate whether the foot pressure distribution correlates with the lumbo-sacral curvature, and the Oswestry Disability Index in chronic low back pain patients. Methods : We measured the fore foot pressure and the rare foot pressure using the foot analyzer in 28 women subjects with chronic low back pain. The lumbo-sacral curvature and the Oswestry Disability Index(ODI) were also measured. Results : 1. Subjects with higher ODI(%) had significantly lower Fore foot pressure/Rare foot pressure ratio(F/R ratio) (p<0.01). 2. Lumbar lordotic angle and Ferguson angle were inversely related to ODI(%) (p<0.05, p<0.01). 3. Lumbar lordotic angle and Ferguson angle were positively related to F/R ratio (all p<0.05). Conclusions : Using the Foot Analyzer(FA-48S, Tech storm Inc.) we have shown that F/R ratio has significant correlation with the lumbo-sacral curvature and the Oswestry Disability Index. These result suggest that the Foot analyzer may be used in assessing back pain in chronic low back pain patients.