• Title, Summary, Keyword: Low back pain

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The Study of Validity in Active Movement Control test for Low Back Pain Patients with or without Hamstring Shortening (슬괵근 단축 유무에 따른 요통환자에 대한 능동적 움직임 조절 검사의 타당도 연구)

  • Oh, Se-Jun;Choi, Jong-Duk
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.443-450
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    • 2012
  • PURPOSE: This study was investigated to find the validity of active movement control test for low back pain patients with or without hamstring shortening. METHODS: The subjects of this study were 28 subjects and all of them agreed to participate in the study. All subjects were classified according to 4groups. Group1 was no LBP, no hamstring shortening. Group2 was no LBP, hamstring shortening. Group3 was LBP, no hamstring shortening. Group4 was LBP, hamstring shortening. We measured to see their low back pain and hamstring shortening with VAS, Goniometer for active movement control test. We analyzed the data using Cochran Q test and crosstabulation for agreement index. RESULTS: The results of this study were as follows : 1) Low back pain had effect on active movement control by Group1 and Group2. 2) Hamstring had effect on active movement control by Group1 and Group2 3)Low back pain with or without hamstring shortening had effect on active movement control by Group4 CONCLUSION: According the results of this study, active movement control test were significantly influenced on low back pain and hamstring interaction.

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

  • Oh, Myung-Jin;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.28 no.5
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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.

Influencing Factors on the Stages of Change of Exercise in Patients with Low Back Pain (요통 환자의 운동행위 변화단계에 미치는 영향 요인)

  • Lee, Hyea Kyung;Shin, Eun Hee;Hwang, Seon Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.17 no.2
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    • pp.72-80
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    • 2014
  • Purpose: The objective of this study was to analyze the factors affecting the stages of exercise behaviors changes of low back pain patients. Methods: The participants in this study were 220 low back pain patients who have been treated by therapeutic exercise or had the exercise treatment under the doctor's advice. The tools used for this study were the stages of exercise behavior change, intrinsic motivation questionnaires, and physical activity social support scale (PASS). Results: The group that did exercise (preparation stage, maintenance stage, action stage) was 75.9% but the group that did not exercise (precontemplation stage, contemplation stage) was 24.1%. Social supports from family members and friends and motivation affected the exercise behaviors changes. And 34.6% of the exercise behavior change can be explained by the social support (family, friend) and motivation. Conclusion: There were two recommendations for maintaining the exercise behaviors of low back pain patients based on theoretical background. First, we recommended more exercise programs which reinforce social supports from family and friend for constant exercise behaviors of low back pain patients. Second, more exercise programs for the low back pain patients who have similar health goals or problems were needed for motivating them to join the exercise programs.

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

  • Yang, Jin-Hyang
    • Korean Journal of Adult Nursing
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    • v.25 no.6
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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.

A Case Report of the Herbal Medication Treatment and Psychotherapy for a Patient with Psychogenic Chronic Low Back Pain (심인성(心因性) 만성요통(慢性腰痛) 환자에 대해 한방치료(韓方治療)와 정신요법(精神療法)을 적용한 1례)

  • Kim, Ji-Hyung;Han, Chang;Ryu, Ki-Joon;Ahn, Keon-Sang;Kwon, Seung-Ro;Cho, Jae-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.299-307
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    • 2008
  • In this study, we treated a patient with psychogenic chronic low back pain for 2 years with herbal medication treatment and psychotherapy. The case was a 17 years old female patient complained chronic low back pain for a long time. She received the spine operation, epidural injection, many kind of oriental medicine treatment about low back pain, but there was no improvement. We diagnosed her pain as a psychogenic pain disorder, and treated her with herbal medication for decrease her stress, and did a psychotherapy such as the progressive muscle relaxation, and counseled about trouble with her family. After treatment, her chronic low back pain was improved so much. We think that the herbal medication treatment and psychotherapy can be helpful to treat patients who have psychic and physical disorders.

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The Evaluation about Effects of the Hard Board on Treating Acute Low Back Pain (급성기 요통의 치료에서 경판의 유용성 평가)

  • Lee, Dong-Yeul;Lee, Soo-Keel;Ryu, Heon-Sik
    • 대한한의정보학회지
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    • v.11 no.2
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    • pp.57-64
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    • 2005
  • Objectives The aim of this study is to evaluate effects of hard board applied to acute low back pain patient by using Visual Analogue Scale(VAS) and Pain Rating Score(PRS). Methods From March. 2005 to October. 2005, 20 cases of acute low back pain were divided into 2 groups in sequence. Control group took a rest on the bed(marble-sponge mattress) and sample group took a rest on the hard board. Visual Analogue Scale(VAS) and Pain Rating Score(PRS) were used to assess the change of pain. VAS and PRS were checked 3 times before the treatment, after 3day treatment and 6day treatment. Results 1. After 3day and 6day treatment, there was statistical significance between control and sample group by VAS. 2. After 3day and 6day treatment, there was statistical significance between control and sample group by PRS. Conclusions On treating acute low back pain, it is more effective taking a rest on the hard board than taking a rest on the bed. Further study is needed about effects of hard board applied to acute low back pain patient.

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Examination of Adult Low Back Pain Using the Quantitative Sensory Testing (정량적 평가도구를 이용한 성인 요통검사)

  • Lee, Dongjin
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.2
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    • pp.39-46
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    • 2015
  • Purpose: For this study, low back pain was analyzed by determining the influences of pain threshold, proprioceptive sense, and balance ability. Method: A total of 80 college students participated in this study with 30 adults regarded as normal and 50 adults regarded as having lower back pain. Measurements for participants regarding pain threshold, proprioception, and balance ability were conducted from April 10 to May 16, 2014. Result: Results from this study show significant differences between groups for back with regards to cold pain threshold, warm pain threshold measurements. There were also significant differences in proprioception for extension measurements. Finally, there were significant differences when comparing groups regarding balance for total balance score. Conclusion: With this data, practicing physical therapists can realize that a difference may exist between the patient's perception of treatment received and the actual treatment given by professionals due to differences in threshold, proprioception and balance ability. It is important for physical therapists to understand the reliance on objective data showing the effects of threshold, proprioception and balance ability on patients with back pain.

A Clinical Study of Acute Low Back Pain treated by Chuna & General Oriental Therapy during Pregnancy (추나치료를 병행한 임신초기 급성요통 한의 치험 1례)

  • Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.29 no.3
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    • pp.110-120
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    • 2016
  • Objectives: The object of this study is to report a clinical effect of oriental medical treatments with Chuna for acute low back pain during the early stages of pregnancy.Methods: The patient in this case, 31 years-old female was admitted for 1days (20th/June/2016-30th/June/2016) due to the acute low back pain on the 7 weeks of pregnancy. We diagnosed as 挫閃腰痛, 傷筋 (Sprain and strain of lumbar spine) and treated with Chuna therapy and other conservative treatments including acupuncture herbal mixture. And we measured Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ).Results: After treatments, Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ) were significantly improved in case.Conclusion: Oriental medical treatments with Chuna manual therapy were associated with improvement of acute low back pain during the early stages of pregnancy.

Relationship Between Low Back Pain and Depression Among Some Elderly (노인의 요통과 우울과의 관련성)

  • Yun, Seong-Woo;Oh, Kyeong-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1599-1605
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    • 2014
  • This study aimed to identify the relationship between depression of the elderly and low back pain. Data were obtained from cross-sectional surveys conducted as a part of the Community Health Survey 2008. The final analysis included data from 3,647 of the 3,649 elderly participants (aged over 65 years), as 2 responses were excluded since they were inaccurate. Data were analyzed with SPSS for Windows (ver. 19.0), using a Rao-Scott ${\chi}^2$-test and Logistic regression by applying a proper weighting. The significance threshold was set as p<0.05. Factors related to the depression of the elderly were low back pain, subjective health status, average sleep duration. Further, depression score was 1.38 times higher in elderly adults with low back pain than elderly adults without low back pain. In order to decrease depression of the elderly with low back pain the development of a program to decrease activities of daily living discomfort and management of low back pain will need to be determined. It is considered necessary to conduct further study to follow through the analysis of the various variables by applying them to the elderly with low back pain and depression.

Benefits of the Various Pain Procedures as Therapeutic Option in Low Back Pain

  • Kim, Jung-Hee;Kong, Min-Ho;Hong, Hyun-Jong;Song, Kwan-Young;Kang, Dong-Soo
    • Journal of Korean Neurosurgical Society
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    • v.39 no.3
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    • pp.204-209
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    • 2006
  • Objective : The authors retrospectively evaluate the benefits of the various pain procedures for the treatment of low back pain unresponsive to conservative management. Methods : Over a period of 2 years from May 2002 and June 2004, the authors had performed various pain procedures on 106 patients with low back pain. Epidural block, facet joint block, sacroiliac joint block, and myofascial block were included among various pain procedures. The pain improvement, period of analgesic use, and degree of satisfaction were evaluated 1 day, 4 weeks, and 6 months after injections. The outcome of pain procedures was analyzed by using a modified Macnab criteria. Results : Sixty-four patients had a single procedure with no combination and 42 patients [39.6%] received the combination of the various pain procedure. Regardless of the single or combination cases of procedure, combination of appropriate spinal level on each procedure was conducted in 104 [98.1%]. Mean follow up period was 12.2 months. Eighty-two patients [77.4%] experienced significant pain relief and overall analgesic medication was reduced in 91 patients [85.8%] at 6 months after procedure. Unfavorable results were demonstrated in 10 patients. Permanent procedural complications did not occur. Conclusion : The various pain procedures are the possible therapeutic option for low back pain unresponsive to conservative management including medication or physical therapy.