• Title/Summary/Keyword: lowback pain

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Clinical Study on Yogaktong Patients by Analysing Digital Infrared Thermal Imaging (적외선체열촬영(赤外線體熱撮影)(DITI)분석(分析)을 통(通)한 요각통(腰脚痛) 환자(患者)의 임상적(臨床的) 고찰(考察))

  • Kim, Dong-Il;Cho, Meoung-Jae;Park, Koae-Hwan
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.199-207
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    • 2000
  • Objectives : Yogaktong is the general term of lowback and sciatic pain. Simplely this is not for the syndrom or illiness but for the symptoms. In the field of western medicine, it's difficult to find out the cause and to be objective when the patient feel back and sciatic pain without HNP of L-spine. Methods : To get objective yogaktomg symptoms I did this study. This is the case study of 103 patients who felt yogaktomg, and had taken DITII(Digital Infrared Thermal Imaging) at department of acupuncture and moxibustion in Conmaul Oriental medical hospital from september 1, 1998 to august 30, 1999. Results : The temperature raised 53.4% at center of lowback. There is a temperature differance on both legs, in 70.73% of patients the pain side of leg is lower temperature than the other side. Conclusions : Generally, DITI of patients who have lowback and sciatic pain is shown increasing temperature in center of lowback, decreasing temperature in pain side of leg.

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A survey on the Work-Related Musculoskeletal Disorders in Physical Therapist in Daegu (대구지역 물리치료사들의 직업과 관련된 근골격계장애 조사)

  • Kwon, Mi-Ji;Kim, Su-Min
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.151-160
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    • 2001
  • Disorders of the musculoskeletal system are common in physical therapist. Physical therapist are exposed to occupational risk factors leading to work-related musculoskeletal disorders(WMD). Back pain is an especially frequent complaint. The purpose of this study was to determine the prevalence and anatomical areas of WMD and the job factors that may be associated with these disorders in physical therapists. An 2-page questionnaire was used. 105 physical therapist responded. Despcriptive statistics, Chi-square analysis and odds ratio were used. The results were as follows: 1. Ninty-nine respondents(94.2%) reported experiencing WMD. 2. The highest prevalences of WMD in physical therapist were in the following areas;lowback(74.7%), shoulder(66.6%), neck and wrist(41.4%). 3. The prevalence of WMD was affected by age, years as physical therapist. and number of patients. 4. The job factor rated most problematic for physical therapists was 'performing th same task over and over' (41.3%), 'treatingan excessive number of patients in 1 day'(39.5%)

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The Literatural Study on Prescription about Low Back Pain (요통 치방에 대한 문헌적 고찰)

  • Lee, Sung-Hwan;Kim, Young-Il;Yang, Gi-Young;Kim, Jeong-Ho;Heo, Yoon-Kyoung;Lee, Hyun
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.41-59
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    • 2007
  • From the study of prescription on low back pain, the following conclusions are obtained. 1. Among classified cause of low back pain, ShinHur(腎虛) lowback pain and its prescription was most mentioned. 2. Prescriptions such as ChungAWhan(靑娥丸), KookBangAnShinWhan(局方安腎丸) BoSooDan(補髓丹) BaekBaeWhan(百倍丸) DooChungWhan(杜沖丸) JangBonDan(壯本丹) NokKakWhan(鹿角丸) were used in ShinHur(腎虛) type low back pain. 3. Prescription such as TaekRanTang(澤蘭湯) JiRyongSan(地龍散) YoeShinSan(如神散) ShinKookJoo(神麴酒) SoeGuenSan(舒筋散) were used in JwaSumJilBak(閃挫跌撲) type low back pain. 4. Prescription such as ChangChulTang(蒼朮湯) JumTongTang(拈痛湯) ChulBuTang(朮附湯) YiChoChangBaekSan(二炒蒼栢散) were used in SeupYoel(濕熱) type low back pain. 5. Prescription such as ChunGoongYookGaeTang(川芎肉桂湯) GaMiSaMulTang(加味四物湯) PaHoelSanDongTang(破血散疼湯) JiRyongSan(地龍散) were used in UhHoel(瘀血) type low back pain. 6. Prescription such as (蒼術復煎散) (五積散) (摩腰丹) (滲濕湯) were used in HanSeup(寒濕) type low back pain. 7. Prescription such as GaMiYiJinTang(加味二陳湯) GongYeonDan(控涎丹) SaMoolTangHapYiJinTangGaMi(四物湯合二陳湯加味) were used in DamUem(痰飮) type low back pain. 8. Prescription such as OhJukSanGaMi(五積散加味) OhYakSoonGiSanGaMi(烏藥順氣散加味) GaMiYongHoSan(加味龍虎散) SoSokMyoungTang(小續命湯) were used in Poong(風) type low back pain. 9. Prescription such as (四物湯合二陳湯) (仰腰湯) were used in SikJuk(食積) type low back pain and (五積散) (煨腎散) (三花神祐丸) in Seup(濕) type low back pain. 10. Prescription such as ChilKiTang(七氣湯) ChimHyangGangKiTang(沈香降氣湯) ChoKiSan(調氣散) InSamSoonKiSan(人參順氣散) were used in Ki(氣) type low back pain.

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Comparison of the Balance Relations Between Healthy Subjects and Patients With Chronic Low Back Pain (만성 요통환자와 정상인의 균형반응 비교)

  • Yang, Hoi-Song;Lee, Kang-Woo
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.1-17
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    • 2002
  • The purpose of this study was to identify the differences of the static and the dynamic balance reactions in the flexion syndrome (FS) and the extension syndrome (ES) group of the patients with chronic lowback pain (LBP) and healthy subjects. Twenty subjects were included in each group. By using EquiTest 5.02, the static balance was measured by the equilibrium score and the strategy score of sensory organization test (SOT), while the dynamic balance was measured by the latency of motor control test (MCT) and the sway energy of adaptation test (ADT). Oswestry Disability Index (OSI) was used to measure level of the disability in patients with chronic LBP. The equilibrium scores, the strategies of SOT, and thelatencies of MCT of three groups were compared with one way ANOVA, while the sway energy of ADT was compared with repeated measures one way ANOVA. The results of this study showed that the equilibrium scores and the strategy scores of SOT were significantly lower in patients with chronic LBP than in healthy subjects. The equilibrium scores and the strategy scores of SOT were significantly differences between the FS and ES groups in condition 5 (support surface was sway-referenced and visual information waseliminated by eye closure), and 6 (support surface was sway-referenced and visual information was altered by sway-referencing). The FS group showed delayed average reaction time at large posterior translation, however, the ES group showed delayed average reaction time at large anterior translation, Even though the sway energy of the patients with chronic LBP were greater than that of healthy subjects during the toe down (plantar flexion rotation), the values between the FS and ES groups didn't show any significant difference. The disability level showed highly correlation with the equilibrium score of the condition 5. As the results, the FS and ES groups divided by the their symptoms and signs in patients with chronic LBP showed different balance reaction. Therefore, more accurate evaluation and balance treatments are needed to focus on their symptoms and signs in patients with chronic LBP.

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A Case Report of Three Yogaktong(腰脚痛) Patients Treated with Acupuncture and Moxibustion Treatment by Analysing Su-point(背兪穴) compared with X-ray measuring (X-선상(線像) 배수혈 진단을 통한 요각통의 침구(鍼灸) 치험 3례(例))

  • Hong, Seung-Won;Lee, Yong-Seob
    • Korean Journal of Acupuncture
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    • v.23 no.2
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    • pp.79-88
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    • 2006
  • Objectives : Yogaktong is the genernal term of lowback and sciatic pain. Simpley this is not for the syndrom or illiness but for the symptoms. In this study, the effect of Acupuncture and Moxibustion Treatment by Analysing Su-point(背兪穴) compared with X-ray measuring for three patients with Yogaktong(腰脚痛) were evaluated. Methods : After treatment with the Acupuncture and Moxibustion Treatment by Analysing Su-point(背兪穴) compared with X-ray measuring for one time, we evaluated the effect by the figure of x-ray measuring and complaints of patients. Results : In three cases, the change in the figure declined dramatically and symptoms of patients got better after one treatment. Conclusions : Acupuncture and Moxibustion Treatment by Analysing Su-point(背兪穴) compared with X-ray measuring was effective. It will be attempted to the patients with it.

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A Clinical Study about Low Back Pain Patients Based on 10 Classes Lumbago in Dong-Eui-Bo-Kham (동의보감(東醫寶鑑)의 심종요통(十種腰痛)에 근거(根據)한 요통환자(腰痛患者)의 임상적(臨床的) 연구(硏究))

  • Yeom, Seung-Chul;Lee, Kil-Soong;Kim, Sung-Chul;Lee, Geon-Mok
    • Journal of Acupuncture Research
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    • v.22 no.4
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    • pp.95-111
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    • 2005
  • Objectives : The analysis of prognosis about lumbago classes is important for low back patients. This study was designed to show the clinical significance about lowback pain patients based on 10 classes lumbago ill Dong-Eui-Bo-Kham. Methods : To analyze classify 80 patients who had received the hospital treatment for low back pain, they were classified according to 10 classes lumbago in Dong-Eui-Bo-Kham. To estimate the efficacy of oriental medical treatment, we used Quardruple Visual Analog Scale (QVAS). Results & Conclusion :1. According To 10 classes lumbago in Dong-Eui-Bo-Kham, the largest group of lumbago was due to muscle strain in 30(37.5%) cases, the next was due to wind pathogen group in 18(22.5%) cases, due to blood stasis group in 16(20%), due to Kidney deficiency by 12(15.0%), due to retention of food group by 2(2.5%), the lumbago due to humidity pathogen group by 2(2.5%) in order. 2. By the results which puts out the statistics in lumbago classes on a objectivity treatment record, the Lumbago due to blood stasis, the lumbago due to kidney deficiency, the lumbago due to muscle strain, the lumbago due to wind pathogen, the lumbago due to retention of food, the lumbago due to humidity pathogen showed $3.6({\pm}0.68),\;2.83({\pm}0.84),\;3.13({\pm}0.78),\;2.67{\pm}(0.77),\;3.00,\;3.00$. 3. By the results which puts out the statistics in lumbago classes as a subjectivity treatment record, the Lumbago due to blood stasis, the lumbago due to Kidney deficiency, the lumbago due to muscle strain, the lumbago due to wind pathogen, the lumbago due to retention of food, the lumbago due to humidity pathogen changed from $8.19{{\pm}1.68),\;8.58{\pm}(1.08),\;7.80{\pm}(2.28),\;8.67({\pm}1.46),\;9.00({\pm}1.41),\;8.50({\pm}0.71)\;to\;2.81({\pm}1.91),\;4.17({\pm}2.52),\;2.43({\pm}1.63),\;3.00({\pm}1.85),\;2.00,\;3.00$.

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4 Case Reports On Patients with Acute Lower Limb Muscle Weakness Treated by Spinal Mobilization With Leg Movement(SMWLM) Combined with Korean Medicine Treatment (다리움직임을 동반한 척추 가동술(SMWLM)과 통합한방치료를 활용하여 호전된 급성 하지 근력저하 4례: 증례보고)

  • Moon, Young-Joo;Shin, Won-Bin;Ryu, Gwang-Hyun;Lee, Ji-Yun;Jeon, Hyun-A;Lim, Su-Yeon;Kim, Seong-Hyun;Koo, Seng-Hyuk;Moon, Hyun-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.2
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    • pp.63-73
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    • 2020
  • Objectives The purpose of this study was to investigate the possibility of spinal mobilization with leg movement (SMWLM) using Korean Medicine treatment on acute lower limb muscle weakness through four case studies. Methods SMWLM, with other Korean Medicine treatments, was performed on four patients who underwent treatment at OOOO Korean Medicine Hospital from August 2017 to July 2018. Additionally, results of the Numerical Rate Scale(NRS), EuroQol-FiveDimensions(EQ-5D),Oswestry lowback pain disability questionnaire(ODI), Straight Leg Raise(SLR) test, and Manual Muscle Test(MMT) were evaluated. Results There was a significant increase in NRS, ODI, and EQ-5D scales with im-rovements of SLR angle and MMT figures to a normal range. Conclusions This study suggested that Korean Medicine treatment combined with SMWLM may affect treating acute lower limb muscle weakness. Further clinical studies are needed to establish a definite conclusion.

AN EXPLORATORY STUDY COMPARING BLOOD METAL CONCENTRATIONS BETWEEN STROKE AND NON-STROKE PATIENTS IN KOREANS

  • Lee, Sun-Dong;Ko, Seong-Gyu;Kim, Rok-Ho;Hu, Howard;Amarasiriwardena, Chitra J.;Park, Hae-Mo
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2005.12a
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    • pp.87-94
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    • 2005
  • Results from previous studies revealed that metal level in the body is related to certain types of diseases. For example. serum copper level with chronic heart failure, iron and transferrin in the blood serum with acute cerebral vascular diseases, Zn in the CNS, lead with neurotoxicity, hypertension, genetic damage, arsenic with cancer skin lesion, Al with neurobehavioral function (cognitive impairment and memory disorder), and etc. The rate of stroke has increased in recent years and several metals were found to be responsible for causing stroke. This study compared several blood metal concentrations between stroke and non-stroke patients. Patients with stroke (116 samples) and non-stroke (111 samples including lowback pain and others) participated in this study. Total of 227 blood samples were collected and participants completed questionnaires regarding age, gender, occupation, residence, alcohol, smoking, and etc. To be qualified into the stroke group, patients have never experienced stroke previously. Subjects only included ischemic stroke and intracerebral hemorrhage patients diagnosed by brain CT and brain MRI. Patients with high risk of metal exposure such as herbal intake and job related exposure were excluded. 10ml of blood samples were analyzed by ICP-MS method at the Center of Nature and Science at Sangji University. Metal geometric mean (SD) concentrations in blood of study subjects showed higher values, 2.64-36.12%, than WHO reference values in Mn, Ni, Hg, Se, and As. Metal concentration in blood of stroke patients non-adjusted for potential confounders was higher except for Hg and also higher except for Ni in adjusted for potential confounders. Co was significantly higher in stroke patients (p=0.002) than non-stroke patients adjusted for potential confounders. Regression coefficient values of stroke patients was 0.17-8.25 in each metals. Odd ratio of stroke patients had 0.96 (Ni)-2.68 (Co) compared to non-stroke cases. This result means that Co increase of 1 raises the risk ratio of stroke by 2.86 times. Based on the results, metal concentration in blood seems to affect incidence of stroke.

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The effects of MMH task conditions on muscle activity and fatigue of the trunk musculature (MMH 작업조건에 따른 몸통부위 근육군의 활동변화에 관한 연구)

  • 이욱기;김상호;정민근
    • Proceedings of the ESK Conference
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    • 1993.10a
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    • pp.223-235
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    • 1993
  • 요통(Lowback Pain)을 유발하는 주요원인으로 알려져있는 MMH(Manual Materials Handling) 작업에 있어서 작업조건의 변화가 근육의 활동과 피로도에 미치는 영향을 평가하기 위해 4가지 서로 다른 작업조건하에서 몸통부위(Trunk)의 주요근육에 대한 EMG 파형분석을 실시 하였다. 본 연구에서의 분석대항작업은 실제 작업조건과 유사하레 설계된 120분간의 단속적인 인양(Lifting)/하역(Lowering) 작업으로서 작업중량은 작업자의 MVIS(Maximum Voluntary Isometric Strength)를 기준으로 설정되었으며, 매 10분 간격으로 EMG 측정이 이루어졌다. 작업물이 작업자의 정면에 위치한 대칭형(Symmetric) 작업의 경우 배면부(Dorsal) 근육인 천극근(Erector Spinae)과 활배근(Latissimus Dorsi)이 활동근(Active Muscle)인 것으로 나타났으며, 정중면(Medial Plane)을 중심으로 좌우측 근육이 동일한 근력을 발휘하였다. 작업물이 작업자의 한쪽 측면에 위치한 90도 비대칭형(Asymmetric) 작업의 경우 천극근과 활배근외에 작업물과 반대쪽 외사근(External Oblique)이 활동근으로 추가되었으며, 작업물과 반대쪽의 근육들이 더욱 큰 근력을 발휘하였다. 작업의 반복에 따른 근육의 피로도를 평가하기 위해 실시한 EMG 파형의 Spectral Analysis 결과, 비대칭형 작업시 작업물과 반대쪽의 천극근에서 작업시간의 경과에 따라 중위주파수(Median Power Frequency)가 저주 파수대로 천이(Lower Shift)하는 현상이 나타났으며, 일정한 작업량이라도 작업중량을 줄이고 작업 빈도를 높여서 작업할 경우에 이러한 현상이 더욱 두드러졌다. 작업시간의 경과에 따른 MVIS의 감소 현상은 작업빈도가 높고 비대칭형 작업일 때 가장 크게 나타났다. 총손실을 줄이고, 상대적 비용절감효과를 갖게할 수 있다고 하였다. 따라서 본 연구에서는 성인 여성기성복의 치수적합성을 높이기위하여 출산 후 중년에 접어 들면서 체형이 변화되는 것을 고려하여 연령을 분류하고(18세-34세, 30세-51세), 각 연령 집단에 따른 체형을 각각 3가지로 분류하였다. 이에 따라 의복 생산시의 총손실을 줄이기위한 상의, 하의생산시 필요한 부위별 최적규격치 간격을 제시하였다.적인 기능으로 보여지는 것에 좁혀서 작업능력의 연령증가 변화에 대하여다원적 평가를 하는 것이 실제적이라고 할 수 있다. 따라서 본 연구에서는 인간이 가지고 있는 다수의 기능중에서 수지교 치성과 연령증가와의 관계를 조사한다. 만약 연령증가 만으로 수지교치성을 평가 할 수 없는 경우에는 어떠한 요인이 수지기민성의 변화에 영향을 미치는가를 검토한다.t list)에서 자동적으로 사건들의 순서가 결정되도록 확장하였으며, 설비 제어방식에 있어서도 FIFO, LIFO, 우선 순위 방식등을 선택할 수 있도록 확장하였다. SIMPLE는 자료구조 및 프로그램이 공개되어 있으므로 프로그래머가 원하는 기능을 쉽게 추가할 수 있는 장점도 있다. 아울러 SMPLE에서 새로이 추가된 자료구조와 함수 및 설비제어 방식등을 활용하여 실제 중형급 시스템에 대한 시뮬레이션 구현과 시스템 분석의 예를 보인다._3$", chain segment, with the activation energy of carriers from the shallow trap with 0.4[eV], in he amorphous regions.의 증발산율은 우기의 기상자료를 이용하여 구한 결과 0.05 - 0.10 mm/hr 의 범위로서 이로 인한 강우손실량은 큰 의미가 없음을 알았다.재발이 나타난 3례의 환자를 제외한 9례 (75%)에서는 현재까지 재발소견을 보이지 않고 있다. 이러한 결과는 다른 보고자들과 유사한 결과를

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