• Title, Summary, Keyword: Low back pain

Search Result 1,337, Processing Time 0.034 seconds

The Effects of Koryo Hand-Acupuncture on the Patients with Chronic Low Back Pain (만성 요통환자의 수지요법 적용에 대한 효과)

  • 임난영;이여진
    • Journal of Korean Academy of Nursing
    • /
    • v.33 no.1
    • /
    • pp.79-86
    • /
    • 2003
  • Purpose: The purpose of this study was to identify the effects of Koryo Hand-Acupuncture on health status(pain, trunk flexion, IADL, depression) of patients with chronic low back pain. Method: This study used a quasi experimental pre-test and post-test design. Data were collected from December 1st, 2000 to December 20th, 2001. 63 chronic low back pain patients(35 experimental group, 28 control group) admitted to the Back-School and consented to this study. The experimental group participated in treatment: Koryo Hand-Acupuncture and AB-Bong. Two groups was homogeneity. After 4 weeks the effects of treatment on the health status was measured between experimental and control group. Data were analyzed using SPSSWIN 10.0 with crosstab, t-test, and paired t-test. Result: In the experimental group, pain(t=4.85, p=.000) and IADL difficulty(t=2.05, p=.045) was significantly lower than those in the control group. It makes no difference trunk flexion(t=-1.60, p=.114) and depression(t=1.50, p=.138) between experimental and control group. Conclusion: These findings indicate that Koryo-Hand Acupuncture is an effective method for reducing pain and IADL difficulty in patients with chronic low back pain, and is considered as a independent nursing intervention for chronic low back pain.

Proposal of Applying the Exercise Program for the Prevention of Work-related Chronic Low Back Pain

  • Yang, Yeong-Ae;Kim, Seong-Su;Hur, Jin-Gang;An, Sun-Joung;Kim, Hee-Soo;Cha, Su-Min;Heo, Jun;Park, Yun-Hee;Park, Bo-Ra
    • Journal of the Ergonomics Society of Korea
    • /
    • v.30 no.5
    • /
    • pp.571-579
    • /
    • 2011
  • Objective: The purpose of this research is to provide exercise programs for the prevention of work related chronic back pain. Background: In order to prevent musculoskeletal disease, including proper medical care health promotion programs are needed. Method: This is a research of musculoskeletal disease looking at 618 workers working at a car engine manufacturing factory from April to July of 2008. Through questionnaire specific areas of musculoskeletal diseases experienced by the workers were identified and preventative exercise program for chronic low back pain was recommended. Result: Research showed that of the musculoskeletal disease experienced by the workers, 197 presented with low back pain, 171 presented with shoulder pain, 64 presented with neck pain and 44 presented with knee pain. The symptoms of low back pain included stiffness(143), twinge and burning sensation(24) and absence of sensation(19). Using this result 4 types of exercise programs were recommended for prevention of chronic low back pain. Conclusion: Preventative exercise programs recommended for the workers in this research is easily accessible for the workers. Use of the suggested exercise programs will inevitably decrease work related low back pain. Also 2 other recommendations were made: 1) Internal structural change may be necessary using ergonomics. 2) More exercise programs to be used to increase adaptation and tolerance of joints and muscles that are constantly used for repetitive work. Application: This study can be used to provide for the prevention of work-related Chronic Low Back pain.

Roentgenographic Analysis of Cervical Lordosis and Disc Degeneration in Neck Pain Patients with or without Low Back Pain (요통 유무에 따른 경항통 환자의 경추 전만각 퇴행성 변화 비교분석)

  • Lee, Sang-Ho;Chung, Seok-Hee;Lee, Jong-Soo;Kim, Sung-Soo;Shin, Hyun-Dae
    • The Journal of Korea CHUNA Manual Medicine
    • /
    • v.2 no.1
    • /
    • pp.85-92
    • /
    • 2001
  • Objectives : To study the cervical lordosis and disc degeneration in neck pain patients with or without low back pain. Subjects. The study was composed of 57 neck pain patients with low back pain(LBP group) and 40 neck pain patients without low back pain(Non-LBP group). Methods : Radiographic measures of spinal lordosis(cervical and lumbar) and disc degeneration were collected, and statistically analyzed. Results: LBP group showed a significant increase in cervical lordotic angle as compared with Non-LBP group, whereas no significant change in cervical disc degeneration. A relationship was found between cervical and lumbar disc degeneration in LBP $group({\gamma}-0.3064)$. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's low back pain.

  • PDF

Relationships among Nursing Activities, the Use of Body Mechanics, and Job Stress in Nurses with Low Back Pain (종합병원에 근무하는 요통 간호사의 간호업무활동, 신체역학원리 및 직무 스트레스와의 관련성)

  • Jung, Keunja;Suh, Soonrim
    • Journal of muscle and joint health
    • /
    • v.20 no.2
    • /
    • pp.141-150
    • /
    • 2013
  • Purpose: This study was conducted to identify relationships among nursing activities, the use of body mechanics, and job stress in nurses with low back pain. Methods: Participants were 225 nurses with low back pain working at an university hospital. The data were collected with self-reported questionnaires at March, 2012 and analyzed by descriptive statistics, t test, ANOVA, Scheff$\acute{e}$e test and multiple regression analyses. Results: There was significantly a higher degree of pain in subjects who working at special units including intensive care units and emergency room than at general wards. Low back pain was negatively correlated with the use of body mechanical principles while it was positively associated with the degree of job stress. According to results of multiple regression analyses, low back pain was significantly associated with the use of body mechanics and job stress in nurses working at general ward and special units including intensive care units and emergency room. Conclusion: The use of the principles of body mechanics and reducing job stress are important to prevent low back pain in nurses. It is necessary to develop and apply stress management and education program about the use of the principles of body mechanics.

Effects of Postural Habits and Stress on Low Back Pain in Nursing Students (생활습관자세 및 스트레스가 간호대학생의 요통에 미치는 영향)

  • Kim, Jisoo;Choi, Jeong-Sil
    • Journal of muscle and joint health
    • /
    • v.21 no.3
    • /
    • pp.165-172
    • /
    • 2014
  • Purpose: The purpose of this study was to identify effects of postural habits and stress on low back pain experienced by nursing students. Methods: The survey was conducted with 282 students at 5 nursing schools in Seoul, Incheon, Chungcheongbuk, and Jeollabuk Province. Data were collected from October, 2013 to January, 2014. Data analyses including descriptive analysis, ANOVA, Pearson's correlation coefficient, Spearman's rank correlation coefficients, and multiple regression were performed using SPSS 21.0. Results: In multiple regression, habit of standing on force of one feet (${\beta}=.23$, p<.001), habit of sleeping on one's back (${\beta}=-.19$, p=.020), habit of resting the chin on one's hands (${\beta}=.15$, p=.029), and habit of carrying a bag on one shoulder (${\beta}=.12$, p=.011) were associated with low back pain experienced by nursing students. These factors accounted for 12.9% of the variance in the low back pain in undergraduate students. Conclusion: These results suggest that low back pain in nursing students are related to their habits of posture in daily life. Therefore, intervention program to encourage healthy postural habits can be effective to prevent low back pain in nursing students.

Comparison Study of Static and Dynamic Plantar Foot Pressure between Chronic Low Back Pain Patients and Normal Adults (만성 요통 환자와 정상 성인의 정적, 동적 족저압 비교 연구)

  • Lee, Jeon-Hyeong;Kim, Gi-Chul;Seo, Hyun-Kyu;Park, Youn-Ki
    • The Journal of Korean of Orthopedic Manual Physical Therapy
    • /
    • v.19 no.1
    • /
    • pp.49-54
    • /
    • 2013
  • Background: The purposed of this study is to examine the static and dynamic plantar foot pressure in chronic low back pain patients and normal adults. Methods: The subjects were divided into a group of 30 patients with chronic low back pain and a control group of 30 healthy persons. While static posture and dynamic posture at comfortable walking speeds, the low back pain group and the control group measured their plantar foot pressure and the trajectory of their center of pressure (COP) using the Matscan(R) system. Independent t-tests were measured to compare differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group. Results: In the comparison of differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group, the anteroposterior (AP) displacement of COP showed significant differences (p<.05). Although the low back pain group and the control group did not show any significant differences in leg length, weight distribution, mediolateral (ML) displacement of COP, static contract area, dynamic contract areas (p>.05), increases in the contract area values were shown in the hind foot in general. Conclusion: In this study, it was shown that patients with chronic low back pain were walking with short AP displacement of the COP as a compensatory action to avoid pain.

  • PDF

Epidural Adhesiolysis in Low Back Pain (요통환자에서 경막외 유착 용해술에 의한 제통효과)

  • Lee, Sang-Chul;Oh, Wan-Soo;Kim, Jin-Kyoung;Roh, Chang-Joon;Son, Jong-Chan
    • The Korean Journal of Pain
    • /
    • v.10 no.2
    • /
    • pp.214-219
    • /
    • 1997
  • Background: Epidural neural blockade with local anesthetics combined with steroids has been in clinical trials for patients with low back pain. But pain treatment of low back pain remains somewhat problematic. Many patients with low back pain have epidural fibrosis and adhesions proved with magnetic resonance imaging(MRI) examination. These findings might play an important role in the origin of back pain. Present study was aims to investigate the effect of epidural adhesiolysis in patients with low back pain. Methods: We investigated 76 patients suspected with epidural fibrosis and adhesion was suspected. Nerve pathology was demonstrated and epidural fibrosis suspected or proved with MRI examination. 17G needle specially designed by Racz was inserted at sacral hiatus and catheter was inserted untill its tip was located at lesion site under fluoroscopic guidance. Injection of contrast dye was achieved and prospected spread of agents. Injection of 0.25% bupivacaine, triamcinolone, and 10% hypertonic saline via catheter were carried out daily for 3 days. Evaluation included assessment of pain relief (Numerical Rating Scale; NRS) post-epidural adhesiolysis 3 days, 1 week, and 3 months. We also looked for complication of epidural adhesiolysis. Results: Statistical analysis(Friedman nonparametric repeated measures test and Dune's multiple comparison test) demonstrated NRS was significantly less during 3 months after epidural adhesiolysis(P<0.05). Especially, there is a extremely significance in post-epidural adhesiolysis 3 days (P<0.001). Only four patients reported any complications the most common symptom among three persistent headache but disappeared after a few months without residual sequelae. Conclusion: We conclude epidural adhesiolysis is a safe and effective method of pain therapy for low back pain with proven lumbo-sacral fibrosis and adhesion. A direct visualization by epiduroscopy may be more useful to the resulting functional changes after epidural adhesiolysis.

  • PDF

Comparison of the Difference of Weight-bearing Distribution Between Subjects With Low Back Pain and Healthy Subjects (요통 환자와 정상인의 양하지 체중지지 차이 비교)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
    • /
    • v.8 no.1
    • /
    • pp.1-8
    • /
    • 2001
  • The purpose of this study was to compare the differences of weight-bearing distribution between subjects with low back pain and healthy subjects. Fifty-one subjects (22 men, 29 women; mean age = 42.9 years) with low back pain and 31 healthy subjects (11 men, 20 women; mean age = 35.4 years) were evaluated. The weight-bearing distribution was measured by two commercial scales during comfortable standing. The difference of weight-bearing distribution between right and left side was calculated for each subject. The differences of weight-bearing distribution in subjects with low back pain and healthy subjects were 6.0 kg and 4.5 kg, respectively. However, there were no significant differences in the weight-bearing distribution between subjects with low back pain and healthy subjects.

  • PDF

A Study of the Biomechanic of the Lumbar Intervertebral Disk (요추 추간원판의 생체역학에 대한 연구)

  • Choi Jin-Ho;Lee Han-Suk;Hong Wan-Sung
    • The Journal of Korean Physical Therapy
    • /
    • v.6 no.1
    • /
    • pp.163-170
    • /
    • 1994
  • Low back pain is one of the moot common human diseases, striking $70\~80$ percent of the population. Many of the causes of low back pain are unknown. Yet, degenerative and mechanical changes are regarded by some as the most common cause of low back pain is physical therapy using various types of modalities and exercise. Therefore physical therapist must understand not only structure of intervertebral disk but also biomechanics of the lumbar intervertebral disk for prevent accourance of low back pain and treat patients with low back pain. The purpose of this article was to study biomechanices of the lumbar intervertebral disk and its intradiscal pressure in various position.

  • PDF

The clinical research of low-back pain by observing of DITI focused on sides. (방위를 중심으로 한 체열검사로 관찰한 요통환자의 임상경과)

  • Jung, Jae Hun;Ahn, Hun Mo;Bae, Jae Ryong
    • 대한의료기공학회지
    • /
    • v.16 no.1
    • /
    • pp.78-100
    • /
    • 2016
  • Objects : The purpose of this study is to value measuring of sagital, horizontal, frontal aspects of DITI as scale of low back pain. Methods : We investigated 16 patients with low back pain who had visited in the H Korean medicine hospital in Gimpo city, Gyeonggi Province from January 1st to, August 31th, 2016. We evaluated the change of them by using Digital Infrared Thermographic Imaging. Results : There is meaningful differences in values for CV12 in pretest and posttest which were observed by DITI. In the Correlation analysis of values of meridian points in pretest and posttest, there is relation ΔSagital04(ST25/BL52), ΔSagital04(CV4/GV3) with low back pain. Conclusions : These results suggest that ΔSagital04(ST25/BL52), ΔSagital04(CV4/GV3) can be used as value of Low back pain.