The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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A Case Study of the Effect of the Manual Therapy on Patient with Posttraumatic Stress Disorder, Sleep Disturbance and CLBP

외상후 스트레스 장애를 가진 만성요통 환자에게 도수치료가 외상후 스트레스와 수면 장애 및 통증에 미치는 영향-사례 연구

  • 유성훈 (광주트라우마센터 물리치료실) ;
  • 강용주 (광주트라우마센터 물리치료실) ;
  • 김태원 (아트코어 1:1 맞춤운동센터)
  • Received : 2014.04.30
  • Accepted : 2014.05.06
  • Published : 2014.06.30
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Abstract

Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

Keywords

References

  1. 강석영, 김명준, 이소희. 요추부 전방전위증 환자의 도수치료 효과 연구. 대한정형도수치료학회지. 2010;16(2):34-39.
  2. 강은숙. 형성과정: 5.18 시민군 기동타격대의 '상처받은 5월정신'. 성공회대학교 일반대학원. 석사학위논문. 2011.
  3. 김광일, 김재환, 원호택. 간이정신진단검사 실시요강. 중앙적성출판사. 1984.
  4. 김진택, 김선엽, 오덕원. 요통환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계: 단면연구. 한국전문물리치료학회지. 2009;16(1):52-60.
  5. 변주나. 광주 5‧18 민주화운동 부상자들의 15년 후 후유증에 관한 연구: 일상생활 변화 및 외상 후 스트레스 장애를 중심으로. 한국문화인류학회. 1996;29(2):221-260.
  6. 오수성, 신현균, 조용범. 5‧18 피해자들의 만성 외상 후 스트레스와 정신건강. 한국심리학회지. 2006;25(2):59-75.
  7. 오혜정. 직무스트레스와 감정표현불능증이 신체화 증상에 미치는 영향. 대구대학교 재활과학대학원. 석사학위논문. 2008.
  8. Aaron LA, Burke MM, Buchwald D. Overlapping conditions among patients with chronic fatigue syndrome, fibromyalgia and temporomandibular disorder. Arch Intern Med. 2000;160(2):221-227. https://doi.org/10.1001/archinte.160.2.221
  9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. 4th ed. 2000.
  10. Amirs K, Prip K. Physiotherapy for torture victims(I): Chronic pain in torture victims: Possible mechanisms for the pain. Torture. 2000;3:73-76.
  11. Amirs K, Prip K. Physiotherapy for torture victims(II): Treatment of Chronic pain. Torture. 2000;10:112-116.
  12. Edston E. Bodily evidence can reveal torture. 5-year experience of torture documentation. Lakartidningen. 1999;96:628-631.
  13. Foa EB, Cashman L, Jaycox L, et al. The vaidation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychol Asses. 1997;9(4):445-451. https://doi.org/10.1037/1040-3590.9.4.445
  14. Forrest DM. Examination for the late physcial after effects of torture, J Forensic Med. 1999;6(1):4-13. https://doi.org/10.1016/S1353-1131(99)90169-4
  15. Gifford L. Topical Issues in Pain 2 : Biophychosocial Assessment and Management Relationships and Pain. Authorhouse UK. 2013.
  16. Griesel D, Wessa N, Flor H. Psychometric qualities of the german version of the posttraumatic diagnostic scale(PTSD). Psychol Assess. 2006;18:262-268. https://doi.org/10.1037/1040-3590.18.3.262
  17. Jacobson S. Kroniske muskelsmertesyndromer. Ugeskrift for Larger. 2000;162(15):2178-2180.
  18. Jeon CH, Kim DJ, Kim SK, et al. Validation in the cross-cultural adaptation of the Korea version of the Oswestry Disability Index. J Korean Med Sci. 2006;21(6):1092-1097. https://doi.org/10.3346/jkms.2006.21.6.1092
  19. Juhler M. International Handbook of Traumatic Stress Syndromes. Plenum Press. 1993;763-766.
  20. Rasmussen OV. Medical aspects of torture. Dan Med Bull. 1990;37(1):1-88.
  21. Sheeran T, Zimmerman M. Screening for posttraumatic stress disorder in a general psychiatric outpatient setting. J Consult Psychol. 2002;70(4):961-966. https://doi.org/10.1037/0022-006X.70.4.961
  22. Sohn SI, Kim DH, Lee MY, et al. The reliability and validity of the Korean version of the Pittsburgh sleep quality index. Sleep Breath. 2012;16(3):803-812. https://doi.org/10.1007/s11325-011-0579-9
  23. Thomsen AB, Eriksen J, Smidt-Nielsen K. Chronic pain in torture survivors. Forensic Sci Int. 2000;108(3):155-163. https://doi.org/10.1016/S0379-0738(99)00209-1
  24. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assesment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814