The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

Influence of the Application to Hyperbaric Oxygen Therapy and Physical Therapy on Chronic Low Back Pain in Elderly

고압산소와 물리치료의 복합 적용이 노인의 만성 요통 완화에 미치는 영향

  • Yoon, Ju-Yeon (Department of Health Science, College of Health Science, Korea University) ;
  • Jang, Mun-Geol (Department of Physical Therapy, College of Health Science, Korea University) ;
  • Hyun, Seung-Jun (Department of Physical Therapy, College of Health Science, Korea University) ;
  • Yoon, Bum-Chul (Department of Physical Therapy, College of Health Science, Korea University)
  • 윤주연 (고려대학교 보건과학대학원 보건과학과 재활과학전공) ;
  • 장문걸 (고려대학교 보건과학대학 물리치료학과) ;
  • 현승준 (고려대학교 보건과학대학 물리치료학과) ;
  • 윤범철 (고려대학교 보건과학대학 물리치료학과)
  • Received : 2011.04.15
  • Accepted : 2011.08.07
  • Published : 2011.08.25
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To investigate the effects of hyperbaric oxygen therapy (HBOT) on chronic low back pain in elderly patients with impaired functioning in daily life. Methods: 35 subjects with chronic low back pain were randomly allocated into two groups, HBOT group and Placebo group. We applied TENS and mechanical massage to the lower back in both groups. Then 35% oxygen at 1.4 ATA was given to the HBOT group and atmospheric oxygen at 1 ATA to the placebo group. Results: Comparing the HBOT group with the placebo group after performing interventions six times in 2 weeks, a statistically significant difference in the Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores was observed between the two groups. There was a statistically significant difference in VAS and ODI scores (56% and 34.97% respectively) between the HBOT group and the placebo group. A statistically significant difference was ascertained in the degree of variables VAS and ODI in the HBOT group. Conclusion: Application of HBOT in chronic low back pain could be beneficial for reducing pain and could help in functional recovery.

Keywords

References

  1. Von Korff M, Dworkin SF, Le Resche L et al. An epidemiologic comparison of pain complaints. Pain. 1988; 32(2):173-83. https://doi.org/10.1016/0304-3959(88)90066-8
  2. Von Korff M, Saunders K. The course of back pain in primary care. Spine (Phila Pa 1976). 1996;21(24):2833-7; discussion 8-9. https://doi.org/10.1097/00007632-199612150-00004
  3. Quinn JV. Influence of pilates-based matexercise on chronic lower back pain. University of florida atlantic. 2005.
  4. Jung-Hwan Suh S-HA. Back pain and neck pain. Seoul, Gunja, 2008: 214-44.
  5. Lee BH. Nerve injury and pain. Biochemistry and Molecular Biology. 2007;27(4):34.
  6. Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness. J Pain. 2003;4(3):109-21. https://doi.org/10.1054/jpai.2003.434
  7. Furlan AD, Brosseau L, Imamura M et al. Massage for low-back pain: A systematic review within the framework of the cochrane collaboration back review group. Spine (Phila Pa 1976). 2002;27(17):1896-910. https://doi.org/10.1097/00007632-200209010-00017
  8. Ernst E. Massage therapy for low back pain: A systematic review. J Pain Symptom Manage. 1999;17(1):65-9. https://doi.org/10.1016/S0885-3924(98)00129-8
  9. Davis JC HT. Hyperbaric oxygen therapy. Undersea Medical Society. 1977:25-60.
  10. Boerema I MNea. Life without blood : A study of the influence of high atmospheric pressure and hypothermia on dilution of blood. J Cardiovasc Surg. 1960;vol.1:133-46.
  11. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(9178):581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
  12. Chung E, Zelinski LM, Ohgami Y et al. Hyperbaric oxygen treatment induces a 2-phase antinociceptive response of unusually long duration in mice. J Pain. 11(9):847-53.
  13. Comerota AJ, Link A, Douville J et al. Upper extremity ischemia treated with tissue repair cells from adult bone marrow. J Vasc Surg. 52(3):723-9.
  14. Li F, Fang L, Huang S et al. Hyperbaric oxygenation therapy alleviates chronic constrictive injury-induced neuropathic pain and reduces tumor necrosis factor-alpha production. Anesth Analg.
  15. Ohgami Y, Zylstra CC, Quock LP et al. Nitric oxide in hyperbaric oxygen-induced acute antinociception in mice. Neuroreport. 2009;20(15):1325-9. https://doi.org/10.1097/WNR.0b013e3283305a49
  16. Lehmann TR, Russell DW, Spratt KF et al. Efficacy of electroacupuncture and tens in the rehabilitation of chronic low back pain patients. Pain. 1986;26(3):277-90. https://doi.org/10.1016/0304-3959(86)90057-6
  17. Shirley PJ, Stott SA. Intrahospital transport of critically ill patients. Anaesth Intensive Care. 2001;29(6):669.
  18. Graff-Radford SB, Reeves JL, Baker RL et al. Effects of transcutaneous electrical nerve stimulation on myofascial pain and trigger point sensitivity. Pain. 1989;37(1):1-5. https://doi.org/10.1016/0304-3959(89)90146-2
  19. Davidson M. Rasch analysis of three versions of the oswestry disability questionnaire. Man Ther. 2008;13(3):222-31. https://doi.org/10.1016/j.math.2007.01.008
  20. Lee SJ. Oswestry low back pain disability index and related factors in patients with low back pain. The Journal Korean Society of Physical Therapy. 2008;vol.20(No.4):21-8.
  21. Huskisson EC. Measurement of pain. Lancet. 1974;2(7889): 1127-31.
  22. Ross PJSaJAS. Hyperbaric medicine part i : Theory and practice. Current Anaesthesia & Critical Care. 2001;vol.12: 114-20. https://doi.org/10.1054/cacc.2001.0306
  23. Cho Sh. Review of hyperbaric oxygen therapy. The Korean J Aerospace & Environ Med. 1992;vol.2 (1).
  24. Churchill-Davidson I, Sanger C, Thomlinson RH. Highpressure oxygen and radiotherapy. Lancet. 1955;268(6874): 1091-5.
  25. Heimbach RD BI, Brummelkamp WH et al. Current therapy gas gangrene. Undersea Medical Society. 1977:153-76.
  26. J H. Clinical wound healing evaluation. Hightlights International Symposium on Wound Healing. 1987:10-2.
  27. Sung Kyu No JhJ. The effects of metabolism function and exercise duration on hyperbaric oxygen. The Korean Society for the study of physical education. 2006;vol.11(No.2):89-98.
  28. Sung-su Bae H-bk, Sang-yong Lee, eun-young Kim. Review of pain potential substance and action mechnism. The Journal Korean Society of Physical Therapy. 2001;13(1):205-8.
  29. Brosseau L, Milne S, Robinson V et al. Efficacy of the transcutaneous electrical nerve stimulation for the treatment of chronic low back pain: A meta-analysis. Spine (Phila Pa 1976). 2002;27(6):596-603. https://doi.org/10.1097/00007632-200203150-00007
  30. Milne S, Welch V, Brosseau L et al. Transcutaneous electrical nerve stimulation (tens) for chronic low back pain. Cochrane Database Syst Rev. 2001(2):CD003008.
  31. Khadilkar A, Milne S, Brosseau L et al. Transcutaneous electrical nerve stimulation for the treatment of chronic low back pain: A systematic review. Spine (Phila Pa 1976). 2005;30(23):2657-66. https://doi.org/10.1097/01.brs.0000188189.21202.0f
  32. Yu Rim Choi HWL. Changes in sympathetic nervous system responses of healthy adult women with changes in the stimulus intensity of high frequency transcutaneous electrical nerve stimulation. The Journal of Korean Society of Physical Therapy. 2010;Vol.22(No.1):61-6. https://doi.org/10.1589/jpts.22.61
  33. van Middelkoop M, Rubinstein SM, Kuijpers T et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J.20(1):19-39.
  34. Furlan AD, Imamura M, Dryden T et al. Massage for low back pain: An updated systematic review within the framework of the cochrane back review group. Spine (Phila Pa 1976). 2009;34(16):1669-84. https://doi.org/10.1097/BRS.0b013e3181ad7bd6
  35. Melzack R WP. The challenge of pain. Penguin Books. 1996;2nd ed.