• 제목/요약/키워드: Low back pain

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요추 전만 각도와 요통 경향성의 상관관계에 대한 연구 (The study of relationship between lumbar lordotic angle and low back pain patterns)

  • 김세준;김신웅;정재현;김민영;최영일;조태영
    • 척추신경추나의학회지
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    • 제8권1호
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    • pp.15-26
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    • 2013
  • Objectives: The purpose of this study is to find out the relationship between lumbar lordotic angle and low back pain patterns. Methods: We randomly selected the 1191 patients (595 males, 596 females) who have visited Bu-Chun Jaseng Hospital of Korean Medicine with low back pain. We have taken lumbar x-ray films and measured their lumbar lordotic angle, the angle formed between L1 superior margin and S1 superior margin. We investigated 1191 patients' low back pain patterns(date of occurence, existence of radiating pain, trend of increasing pain with lumbar extention and flexion, trend of increasing pain with standing and sitting positions) and analysed the relationship between lumbar lordotic angle and low back pain patterns. Results: 1. The lumbar lordotic angle of the acute phase patient is more straight than the chronic one. 2. The lumbar lordotic angle of the patients with radiating pain is more straight than the patients without radiating pain. 3. At acute phase, the lumbar lordotic angle of the patients with increasing pain from lumbar extention is more straight than those with increasing pain from lumbar flexion. 4. At chronic phase, the lumbar lordotic angle of the patients with increasing pain from lumbar flexion is more straight than those with increasing pain from lumbar extention. Conclusions: There was a significant correlation between lumbar lordotic angle and low back pain.

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한 발 서기 시 복부 압박 벨트가 요통 환자의 정적 균형에 미치는 영향 (Effect of Abdominal Compression Belt on Static Balance During One Leg Standing in Low Back Pain Patients)

  • 주화평;최솔아;정다혜;한나린;우영근
    • PNF and Movement
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    • 제15권3호
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    • pp.353-360
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    • 2017
  • Purpose: This study aimed to measure static balance of low back pain patients while one-leg standing in abdominal compression belts. Methods: The study included 40 adult males and females at J university, divided into a low back pain patient group and a normal group through the Oswestry disability questionnaire (ODQ). The subjects were instructed to hold a one-leg standing posture for 15 seconds on a balance measurement plate while wearing an abdominal compression belt. Shifting distance (0.1 cm), mean velocity (cm/s), pressure, and contact area were analyzed using BioRescue (BioRescue, RMINGEIEIRIE, Rodez, France). The average value was used to measure the result 3 times for each condition. Results: Both normal and low back pain groups significantly decreased in the speed of sway while wearing the abdominal compression belt. Furthermore, the pressure of the center of motion significantly decreased in the low back pain groups while wearing abdominal compression belt. However, there were no significant differences in the speed of sway or the pressure of center of motion between groups after wearing the abdominal pressure belt. Conclusion: These results suggest that abdominal compression belts are one option for improving balance temporarily. However, balance after wearing abdominal compression vests depends on onset of back pain, age, and symptoms of pain in the groups with low back pain. Further research is needed to investigate muscle activity, dynamic balance, and the effect of the period of wearing abdominal compression belts in the variety of low back pain patients.

만성요통환자의 복합재활운동이 통증과 정적균형, 재위치감각인지에 미치는 영향 (Lumbar Combined Rehabilitation Exercise for Lumbar Reposition Sense, Static Balance and Pain of the Patient's with Chronic Low Back Pain)

  • 김대훈
    • 융합정보논문지
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    • 제9권11호
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    • pp.196-201
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    • 2019
  • 만성요통환자를 대상으로 근력강화운동과 안정화운동을 적용한 복합운동이 정적균형, 요부 재위치감각인지, 요부통증에 미치는 영향을 알아보았다. 연구방법은 만성요통환자 30명을 복합운동그룹과 안정화운동그룹 등 두 그룹으로 나누워 8주간 주 3회씩 운동을 실시하였다. t-test를 이용하여 그룹전, 후와 그룹간을 비교한 결과 정적균형, 요부 재위치감각인지, 요부통증 모두 두 그룹 운동전, 후에 유의한 결과가 나타났지만(p<.05), 그릅간에 있어서는 근력강화운동과 안정화운동을 적용한 복합운동그릅이 더 효과적인 것으로 나타났다(p<.05). 결론적으로 근력강화운동과 안정화운동을 실시한 복합운동이 요통 뿐만 아니라 다양한 요부의 기능을 향상시키는 것으로 생각된다.

Bone scintigraphy in patients with pain

  • Shin, Seung Hyeon;Kim, Seong Jang
    • The Korean Journal of Pain
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    • 제30권3호
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    • pp.165-175
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    • 2017
  • Nuclear medicine imaging is widely used in pain medicine. Low back pain is commonly encountered by physicians, with its prevalence from 49% to 70%. Computed tomography (CT) or magnetic resonance imaging (MRI) are usually used to evaluate the cause of low back pain, however, these findings from these scans could also be observed in asymptomatic patients. Bone scintigraphy has an additional value in patients with low back pain. Complex regional pain syndrome (CRPS) is defined as a painful disorder of the extremities, which is characterized by sensory, autonomic, vasomotor, and trophic disturbances. To assist the diagnosis of CRPS, three-phase bone scintigraphy is thought to be superior compared to other modalities, and could be used to rule out CRPS due to its high specificity. Studies regarding the effect of bone scintigraphy in patients with extremity pain have not been widely conducted. Ultrasound, CT and MRI are widely used imaging modalities for evaluating extremity pain. However, SPECT/CT has an additional role in assessing pain in the extremities.

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
    • 대한물리의학회지
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    • 제11권4호
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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.

위중혈(委中穴) 자락(刺絡)의 요통(腰痛)에 대(對)한 치료효과(治療效果) (Therapeutic Effect of Weizhong(BL40) Venepuncture on Low Back Pain)

  • 이상훈;정병식;윤형석;조성규;이윤호;김성욱
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.65-75
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    • 2002
  • Objective : Since ancient times venepuncture has been widely used as a useful treatment for low back pain. This study is made in order to objectively evaluate the therapeutic effect of Weizhong(BL40) on low back pain. Methods : Total 46 cases of low back pain patients were divided into 2 groups; one group took only acupuncture therapy, and the other group took acupuncture and venepuncture therapy together. Each patient's pain was evaluated before the treatment and the 3 or 4 days later after the treatment. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. Results : Both acupuncture therapy group and acupuncture & venepuncture group showed good effect on low back pain. Though the latter group showed better pain release effect than the former, there was no statistical significance between pain rating score of two groups. Sciatica group showed no significant difference from non-sciatica group in pain rating score. Palpation on Weizhong(BL40) group showed significant difference only in pain duration from non-palpation group. Exposed vessel around Weizhong(BL40) group showed significant difference in pain rating score from non-exposed vessel group. Conclusion : Weizhong(BL40) venepuncture can be highly recommended as a useful therapy for low back pain patients especially who show exposed vessels on the popliteal area.

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경남 김해시 소재 일부 택시 운전기사들의 요통경험 및 관련요인 (Low Back Pain of Some Taxi Drivers in Gimhae City, Kyung Nam and Related Factors)

  • 김성미;왕철민;안덕현
    • 한국전문물리치료학회지
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    • 제12권3호
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    • pp.84-93
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    • 2005
  • The purpose of this study was to find prevalence and the relevant factors of low back pain among taxi-drivers. Information were obtained by a self-administered questionnaire during september, 2004, from 83 taxi-drivers in Gimhae, Kyung Nam province. The data were analyzed by chi-square test and Multiple Logistic Regression(if this is a proper noun, it needs to be capital, if not it needs lower case) by using SPSS 10.0 program. The result were as follows: 1) The prevalence rate of low back pain during lifetime was 81.9% among 83 taxi-drivers. 2) Statistically significant factors related to low back pain during lifetime were sleeping time(p<.05). 3) Through the multiple logistic regression, significantly relevant factors with low back pain were alcohol drinking (OR=.017, 95% CI=.001~.509), and sleeping time (OR=.111, 95% CI=.020~.636). It is necessary to study on a preventive measure of low back pain and systematic human engineering approach through objective clinical research.

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요통을 가진 간호사의 근무 적응 경험 (Adaptation Experience to Work of Nurses with Low Back Pain)

  • 양진향
    • 성인간호학회지
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    • 제25권6호
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    • pp.597-609
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    • 2013
  • Purpose: This study was to explore work experience among nurses with low back pain. Specific aims were to identify problems nurses face as workers at a hospital and how they interact with other workers. Methods: Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 9 nurses with low back pain as key informants, and a head nurse and a charge nurse who had experiences working with nurses with low back pain as general informants. Results: Through constant comparative analysis, a core category emerged as "to make one's own ground". The process of "to make one's own ground" was identified as four categories: perception of limitations, intervening conditions, balancing limitations, and controlling limitations. Intervening conditions were identified as 'working conditions' and 'personal traits'. Conclusion: Findings of the study indicate that there is a need for health professionals and administrators to understand limitations to working experience among nurses with low back pain. In addition, institutional and psychological support program is needed to improve an adaptation to working environment among nurses with low back pain.

예측된 그리고 예측되진 않은 갑작스런 상지로의 부하 적용시 요통 환자와 정상인의 압력 중심 이동 및 근활성 개시에 미치는 영향 (The Effect of Center of Pressure Displacement and Muscle Activation Onset during Expected and Unexpected Sudden Upper Limb Loading in Subjects with Low Back Pain and Healthy Subjects)

  • 채윤원
    • The Journal of Korean Physical Therapy
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    • 제18권4호
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    • pp.51-60
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    • 2006
  • Purpose: This study was to compare the effect of center of pressure(COP) displacement and muscle activation onset during expected and unexpected sudden limb loading in subjects with low back pain and healthy control subjects. Most studies of COP displacement and muscle activation onset on postural task focused on sudden trunk loading or gross limb movements. Investigation of the COP displacement and muscle activation onset during expected and unexpected sudden upper limb loading deserves similar attention. Methods: For this study, 14 subjects with low back pain and 12 healthy control subjects are participated. Force plate and surface EMG measures were used to determine COP displacement and muscle activation onset under expected and unexpected sudden upper limb loading. Results: COP displacement and muscle activation onset under unexpected sudden upper limb loading were similar in subjects with low back pain and healthy control subjects. However, COP displacement and muscle activation onset under expected sudden upper limb loading were shortened in healthy control subject but not among the subjects with low back pain. Conclusion: The results provide evidence for impaired feed-forward control in subjects with low back pain.

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요통환자의 사상체질과 양도락의 상관관계 (The Correlation of Four Constitution and Ryodoraku)

  • 오명진;송호섭
    • Journal of Acupuncture Research
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    • 제28권5호
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    • pp.127-133
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    • 2011
  • Objectives : The aim of the study is to investigate the correlation of Ryodoraku score and four constitution in the patients with chronic low back pain. Methods : Using Pearson's correlation test, we divided 79 patients into two groups(normal and chronic low back pain group) and analyzed the correlation between Ryodoraku score and major constitution rate of four constitution. Results : 1. Ryodoraku score in the chronic low back pain group was mostly found to be below 40 ${\mu}A$, regardless of constitution. 2. There was negative correlation on F2 in lesser Yin person of chronic low back pain group, and there was positive correlation on H4 H5 F2 F4 and F5 in greater Yin person of chronic low back pain group. 3. There was negative correlation on H1 and H6 in lesser Yang person of normal group. 4. There was negative correlation on H6 in lesser Yang person of total group including normal and chronic low back pain group. Conclusion : These results suggest that roydoraku should be correlated to four constitutional diagnosis in part and available to increase accuracy of four constitutional or Ryodoraku diagnosis.