Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Analyses of Studies on Exercise Therapy for Middle-Age Women with Chronic Low Back Pain in Korea

만성요통을 가진 중년 여성의 운동요법에 대한 국내 연구논문 분석

  • Kwak, Hyeweon (Research Institute of Nursing Science, Keimyung University) ;
  • Kim, Nahyun (College of Nursing, Keimyung University)
  • Received : 2016.01.25
  • Accepted : 2016.06.02
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the status of studies on exercise interventions for middle-aged women with chronic low back pain that had been conducted over the past 10 years (2005-2014) in Korea. The existing reports were searched electronically using the database of RISS, National Assembly Library, KISS, and DBpia with the key words of middle-aged women, chronic low back pain, exercise, and exercise program. Finally, 12 articles were included in the review. One article was from nursing science, and 11 were from other disciplines. In a qualitative evaluation on the papers, 1 study scored 8 out of 10 points, 8 studies scored between 5-6 points, and 3 studies scored 3-4 points. Intervention sessions were conducted for 55 minutes, on average, each at a frequency of 3.1 sessions per week, for a total of 29.7 sessions. This study found that lumbar neuromuscular exercise, yoga exercise, and aquatic exercise were effective in rehabilitation in middle-aged women with chronic low back pain. In the future, these findings are expected to be used in nursing intervention for the establishment of the basis for evidence-based nursing practice.

본 연구의 목적은 최근 10년간(2005-2014) 만성 요통을 가진 중년 여성을 대상으로 국내에서 실시된 운동중재 연구의 현황을 파악하고, 운동 중재 연구의 효과를 알아보기 위해 시도된 것이다. 문헌검색은 한국교육학술정보원(http://www.riss.kr), 국회도서관, 한국학술정보(http://kiss.kstudy.com)와 DBpia(http://www.dbpia.co.kr)를 통해 검색하였다. PRISMA(preferred reporting items for systematic reviews and meta-analysis, 2008) 가이드라인에 따라 자료를 수집한 후 연구자가 원본을 확인하고, 선별하여 총 12편의 논문을 최종 분석하였다. 분석한 논문 중 간호학 전공 논문은 1편이었으며, 11편은 타과 논문이었다. Scottish Intercollegiate Guideline Network의 체크리스트를 참고하여 논문의 질적 평가를 실시하였다. 논문의 질적 평가내용을 종합한 결과, 10점 만점에 8점인 연구가 1편이었으며, 5-6점인 연구는 8편 이었고, 3-4점인 연구가 3편이었다. 운동 중재내용을 분석한 결과 평균 55분을 시행하였으며, 1주일에 평균 3.1회의 빈도로 총 시행횟수는 평균 29.7회로 진행되었다. 연구 결과 요부신경근 조절운동, 요가운동, 수중운동이 중년여성의 요통에 효과가 있는 것으로 나타났으며, 향후 이를 간호학 중재로 활용하여 근거기반 간호실무의 토대를 마련할 수 있을 것이다.

Keywords

References

  1. Ministry of health & welfare, "Korea national health & nutrition examination survey", pp. 45-69, Ministry of health & welfare, 2001.
  2. K. A. Alexanderson, K. E. Borg, G. K. Hensing, "Sickness absence with low-back, shoulder, or neck diagnoses: an 11-year follow-up regarding gender differences in sickness absence and disability pension", Work, 25(2), pp. 115-124, 2005.
  3. A. Fass, "Exercise: Which ones are worth trying for which patients, and when?", Spine, 21, pp. 2874-2878, 1996. DOI: http://dx.doi.org/10.1097/00007632-199612150-00016
  4. L. A. Danneels, G. G. Vanderstraeten, D. C. Cambier, E. E. Witvrouw, H. J. Cuyper, "CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects", European Spine Journal, 9(4), pp. 266-272, 2000. DOI: http://dx.doi.org/10.1007/s005860000190
  5. K. J. McInnis, B. A. Frankin, J. M. Rippe, "Counseling for physical activity in overweight and obese patients", American Family Physician, 67(6), pp. 1249-1256, 2003.
  6. K. S. Han, K. S. Lee, G. D. Kim, "Effects of obesity on the weight distribution and lumbar extension strength in female patients with chronic low back pain", Korean Journal of Sports Science, 19(3), pp. 937-945, 2010.
  7. P. Y. Son, "The Effect of XCO Exercise and Lumbar Stabilization Exercise on Thickness of Lumbar Muscle and Pain Disability Index with Chronic Low Back Pain Patients", Nambu University: Gwangju, 2015.
  8. J. S. Lee, Y. S. So, M. J. Kim, S. J. Moon, S. D. Jang, Y. J. Kim, "Effects of the Lumbar stabilization exercise on scoliosis, Local muscle area, VAS and muscle function in female university students", Exercise science, 20(1), pp. 61-70, 2011. DOI: http://dx.doi.org/10.15857/ksep.2011.20.1.61
  9. J. J. Hebert, "Stabilization exercise and disorders of the lumbar spine: Neuromuscular implications and clinical efficacy in nonoperative and postoperative populations", Uta University: Texas, 2010.
  10. S. Demir, D. Dulgeroglu, A. Cakci, "Effects of dynamic lumbar stabilization exercises following lumbar microdiscectomy on pain, mobility and return to work. Randomized controlled trial", European Journal of Physical & Rehabilitation Medicine, 50(6), pp. 627-640, 2014.
  11. N. Gulati, M. Moitra, M. Goyal, "Lumbar stabilization exercises on pain, disability and endurance in patients with and without lumbosacral belt in mechanical low back pain", Indian Journal of Physiotherapy & Occupational Therapy, 8(4), pp. 60-65, 2014. DOI: http://dx.doi.org/10.5958/0973-5674.2014.00012.4
  12. S. O. Ganiyu, K. F. Gujba, "Effects of acupuncture, core-stability exercises, and treadmill walking exercises in treating a patient with post surgical lumbar disc herniation: A clinical case report", Journal of Acupuncture & Meridian Studies, 8(1), pp. 48-52, 2015. DOI: http://dx.doi.org/10.1016/j.jams.2014.08.002
  13. Y. S. Kim, J. K. Shim, "Effect of aquatic backward walking rehabilitation exercise(ABRE) program on lumbar extension strength in hernia-operated patients", Journal of Sport and Leisure Studies, 35(2), pp. 801-813, 2009. DOI: http://dx.doi.org/10.1016/j.apmr.2009.10.014
  14. Y. L. Ham, B. N. Seo, Y. H. Ahn, "Pain Patterns and Factors Affecting of Low Back Pain in Middle-aged Women", Journal of Muscle and Joint Health, 14(1), pp. 33-41, 2007.
  15. A. Liberati, D. G. Altman, J. Tetzlaff, C. Mulrow, P. C. Gotzsche, J. P. Ioannidis, et al., "The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration", The British Medical Journal, 339, pp. b2700, 2009. DOI: http://dx.doi.org/10.1136/bmj.b2700.
  16. Scottish Intercollegiate Guidelines Network (SIGN) (2013, April26). Methodology checklist 2: Randomized controlled trials. Retrieved May 09, 2013, From www.sign.ac.uk/methodology/checklists.html
  17. S. H, Jeong, "Systematic review of the literatures on music intervention for neurological patients in korea", Journal of Korean Biological Nursing Science, 15(2), pp. 65-73, 2013. DOI: http://dx.doi.org/10.7586/jkbns.2013.15.2.65
  18. Y. K. Jung, B. R. Kim, S. J. Kang, "Effect of low back exercises and resistance training on the flexibility, muscle endurance, lumbar muscle strength and visual analogue scale of the lower back pain patients during 8 weeks", The Official Journal of the Korean Association of Certified Exercise Professionals, 8(2), pp. 93-102, 2006.
  19. J. G. Jun, "The effect of aquatic exercise on lumbar strength, pain and inflammation markers in obese low back pain patients", Dong-A University: Busan, 2008.
  20. A. N. Kim, "The effects of pilates training on pain level, lumbar mobility and stability of middle-aged women with chronic low back pain", Dongshin University: Jeonnam, 2014.
  21. C. H. Shin, D. H. Seo, G. D. Park, "The effects of sling exercise and lumbar stabilization exercise for 8 weeks on spine shape lumbar muscular strength in middle-aged women by chronic lumbar back pain", The Korean Journal of Growth and Development, 21(4), pp. 279-285, 2013.
  22. M. H, Shin, "The effect of yoga activities in different temperature environments on spine muscles, pelvic bone asymmetry and plasma components in middle-aged women with chronic low back pain", Woosuk University: Jeonbuk, 2014.
  23. S. J. Yun, S. H. Park, "The effect of yoga on the change of thickness of multifidus and self-symptoms of low back pain in CLBP(chronic low back pain) middle-aged women", Official Journal of Korean Society of Dance Science, 22, pp. 1-13, 2010.
  24. K. K. Lee, "The effects of elastic band, swiss ball and lumbar stabilizing exercise on weight contribution, lumbar strength and pain degree in middle-aged women with chronic lower back pain", Sejong University: Seoul, 2009.
  25. R. Y. Song, S. H. Ahn, "Effect of lumbar stabilization exercise on back pain, physical fitness, sleep, and depression in middle-aged women with chronic back pain", The Korean Academic Society of Adult Nursing, 20(2), pp. 84-94, 2008.
  26. D. Y. Hwang, "Effects of lumbar neuromuscular control exercises on pain, degree of disability, and gaitin middle-aged women with chronic low back pain", Sahmyook University: Seoul, 2014.
  27. S. B. Kim, "Effect of chiropractic treatment and low back rehabilitation exercise on EMG, foot pressure and MVAS in low back pain patients", Kyunghee University: Seoul, 2008.
  28. S. B. Kim, "Effect of manual adjustment and gym-ball exercise on sEMG, Cobb's angle, VAS, flexibility, and strength in elderly women with low back pain symptom", Kyunghee University: Seoul, 2012.
  29. H. U. Park, "Effects of lumbopelvic stabilization exercise on lumbosacral region angle, dynamic balance, trunk extensor endurance and pain index in chronic low back pain patients", Dankook University: Gyeonggido, 2013.
  30. W. L. Haskell, I. M. Lee, R. R. Pate, K. E. Powell, S. N. Blair, B. A. Franklin, et al., "Physical activity and public health: updated recommendation for adults from the American", Circulation, 116(9), pp. 1081-1093, 2007. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.107.185649