교통사고로 인한 다발성 외상 환자의 국소진동을 동반한 물리치료 중재가 통증 및 관절운동범위, 심리적 상태에 미치는 영향

The Effects of Physical Therapy Intervention with Local Vibration on Pain, ROM and Psychological Status in Multiple Trauma Patients Caused by Traffic Accident

  • 안승원 (동국대학교 일산병원 물리치료실) ;
  • 정영준 (구미대학교 물리치료과) ;
  • 정상모 (경인의료재활센터병원 재활센터)
  • Ahn, Seung-won (Dept. of Physical Therapy, Dongguk University International Hospital In Ilsan) ;
  • Jung, Young-june (Dept. of Physical Therapy, Gumi University) ;
  • Jung, Sang-mo (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center)
  • 투고 : 2019.09.30
  • 심사 : 2019.12.05
  • 발행 : 2019.12.31

초록

Background: The purpose of this study was to investigate into the effects of physical therapy intervention with local vibration on pain, ROM (range of motion) and psychological status in multiple trauma patients caused by traffic accident. Methods: A patient with multiple trauma were recruited. Before treatment, he was evaluated using numeric pain rating scale (NPRS), Korean-version impact of event scale-revised (IES-R-K), Beck Depression inventory (BDI), passive and active range of motion, and were reevaluated after 4 and 8 weeks of treatment. Results: As a result of comparing the participant before and after the experiment, the score of the IES-R-K and BDI decreased. And the passive and active ROM increased. Conclusion: According to the results above, physical intervention with local vibration by Blackroll Releazer can help improve pain, physical function and psychological status. Also, physical intervention with Blackroll's Releazer technique was able to select interventions depending on the patient's conditional and the desired goal.

키워드

참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders-IV-TR. Washington. DC: American Psychiatric Association. 2000;463-469.
  2. Andersen HS, Christensen AK, Petersen GO. Post-traumatic stress reactions amongst rescure workers after a major rail accident. Anxiety Res. 1991;4(3):245-251. https://doi.org/10.1080/08917779108248778
  3. Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck depression inventory-25 years of evaluation. Clin Psychol Rev. 1998;8: 77-100. https://doi.org/10.1016/0272-7358(88)90050-5
  4. Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatriy.1961;4:561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  5. Boucher JA, J Abboud, F Nougarou, et al. The effects of vibration and muscle fatigue on trunk sensomotor control in low back pain patients. PLoS ONE. 2015;10(8):e0135838. https://doi.org/10.1371/journal.pone.0135838
  6. Cardinale M, Wakeling J. Whole body vibration exercise: Are vibrations good for you? Br J Sports Med. 2005;39(9):585-589. https://doi.org/10.1136/bjsm.2005.016857
  7. Celnik P, Hummel F, Harris-Love M, et al. Somatosensory stimulation enhances the effects of training functional hand tasks in patients with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1369-1376. https://doi.org/10.1016/j.apmr.2007.08.001
  8. Christopher G. 2017 Blackroll Summit Workbook. Blackroll. 2017.
  9. Domken M, Scott J, Kelly P. What factors predict discrepancies between self and observer ratings of depression? J Affect Disord. 1994; 31:253-259. https://doi.org/10.1016/0165-0327(94)90101-5
  10. Edward B, Edward J, Ann E, et al. Who develops PTSD from motor vehicle accidents? Behav Res Ther. 1996;34(1):1-10. https://doi.org/10.1016/0005-7967(95)00058-6
  11. Edward B, Edward J, Neil Mitnick, et al. The impact of severity of physical injury and perception of life threat in the development of post-traumatic stress disorder in motor vehicle accident victims. Behav Res Ther. 1995; 33(5):529-534. https://doi.org/10.1016/0005-7967(94)00079-y
  12. Eun HJ, Kwon TW, Kwon SM, et al. A study on reliability and validity of the korean version of impact of event scale-revised. J Korean Neuropsychiatr Assoc 2005;44(3):303-310.
  13. Farrar JT, Young JP, LaMoreaux L, et al. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2):149-158. https://doi.org/10.1016/s0304-3959(01)00349-9
  14. Frank JB, Kosten TR, Giller EL, et al. A randomized clinical trial of phenelzine and imipramine for post-traumatic stress disorder. Am J Psychiatry. 1998;145(10):1289-1291. https://doi.org/10.1176/ajp.145.10.1289
  15. Hahn HM, Yum TH, Shin YW, et al. A standardization study of beck depression inventory in Korea. J Korean Neuropsychiatry Assoc. 1986;25:487-500.
  16. Hein S, Bonsignore M, Barkow K, et al. Lifetime depressive and somatic symptoms as preclinical markers of late onset depression. Eur Arch Clin Neurosci. 2003;253(1):16-21. https://doi.org/10.1007/s00406-003-0399-4
  17. Herrero AJ, H Menendez, L Gil, et al. Marin Effects of whole-body vibration on blood flow and neuromuscular activity in spinal cord injury. Spinal Cord. 2011;49(4): 554-559. https://doi.org/10.1038/sc.2010.151
  18. Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: A measure of subjective stress. Psychosom Med. 1979;41:209-218. https://doi.org/10.1097/00006842-197905000-00004
  19. Ivan U, Alicja P, Monika B, et al. Vibration therapy and its influence on health. BJSTR. 2018;6(5):5499-5502. https://doi.org/10.26717/bjstr.2018.06.001406
  20. Joseph S. Psychosomatic evaluation of Horowitzʼs Impact of Event Scale: A review. J Trauma Stress. 2000;13(1):101-113. https://doi.org/10.1023/A:1007777032063
  21. Kim TH, Kim Y, Yi SM, et al. Posttraumatic Stress Disorder in Physically Injured Patients after Motor Vehicle Accidents. J Korean Neuropsychiatr Assoc. 1998;37(4):650-660.
  22. Lee MK, Lee YH, Park SH, et al. A standardization study of Beck Depression Inventory 1-Korean Version (K-BDI). Korean J Psychopathol. 1995;4:77-95.
  23. Lohman EB, KS Sackiriyas, GS Bains, et al. A comparison of whole body vibration and moist heat on lower extremity skin temperature and skin blood flow in healthy older individuals. Med Sci Monit. 2012;18(7):CR415-424. https://doi.org/10.12659/msm.883209
  24. Maddalozzo GF, Kuo B, Maddalozzo WA, et al. Comparison of 2 multimodal interventions with and without whole body vibration therapy plus traction on pain and disability in patiens with nonspecific chronic low back pain. J Chiropr M. 2016;15(4):243-251. https://doi.org/10.1016/j.jcm.2016.07.001
  25. Mayou R, Bryant B, Duthie R. Psychiatric consequences of road traffic accidents. BMJ. 1993;307:647-651. https://doi.org/10.1136/bmj.307.6914.1282-b
  26. McFarlane AC. The long-term costs of traumatic stress: intertwined physical and psychological consequences. World Psychiatry. 2010;9(1):3-10. https://doi.org/10.1002/j.2051-5545.2010.tb00254.x
  27. Melham TJ, Sevier TL, Malnofski MJ, et al. Chronic ankle pain and fibrosis successfully treated with a new noninvasive augmented soft tissue mobilization technique (ASTM): a case report. MSSE. 1998;30(6):801-804. https://doi.org/10.1249/00005768-199806000-00004
  28. Noma T, Matsumoto S, Shimodozono M, et al. Antispastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients: a proof-ofprinciple study. J Rehabil Med 2012;44(4):325-330. https://doi.org/10.2340/16501977-0946
  29. Nosaka K, Newton M. Concentric or eccentric training effect on eccentric exercise-induced muscle damage. ACSM. 2002;34(1):63-69. https://doi.org/10.1097/00005768-200201000-00011
  30. Pongkitwitoon S, EM Weinheimer-Haus, Koh TJ, et al. Low intensity vibrations accelerate proliferation and alter macrophage phenotype in vitro. J of Biomechanics. 2016;49(5):793-796. https://doi.org/10.1016/j.jbiomech.2016.01.027
  31. Rittweger J, Just K, Kautzsch K, et al. Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise: a randomized controlled trial. Spine. 2002;27(17):1829-1834. https://doi.org/10.1097/00007632-200209010-00003
  32. Sackner MA, E Gummels, JA Adams. Nitric oxide is released into circulation with whole-body, periodic accelaration. CHEST. 2005;127(1):30-39. https://doi.org/10.1378/chest.127.1.30
  33. Steyvers M, Levin O, Verschueren S, et al. Frequency-dependent effects of muscle tendon vibration on corticospinal excitability: a TMS study. Exp Brain Res. 2003;151(1):9-14. https://doi.org/10.1007/s00221-003-1427-3
  34. Sung NH, You KY, Jeon KM, et al. Korea Road Traffic Authority. 2017
  35. Ursano RJ, Fullerton CS, Epstein RS, et al. Acute and chronic posttraumatic stress disorder in motor vehicle accident victims. Am J Psychiatry. 1999;156(4):589-595.
  36. Wilson JP, Keane TM. Assessing psychological trauma and PTSD. The Guilford Press. New York. 1st ed. 1997;399-411.
  37. Yi SM, Eun HJ. A Study of Reliability and Validity on the Korean Version of Impact of Event Scale. J Korean Neuropsychiatr Assoc. 1999;38(3):501-513.
  38. You IG. A study of Percutaneous Transarterial Embolization in Patients with Severe Multiple Traumas. Hanseo University. Master Thesis. 2012.
  39. Yule W, Udwin O. Screening child survivors for post-traumatic stress disorders: experiences from the 'Jupiter' sinking. Br J Clin Psychol. 1991;30(2):131-138. https://doi.org/10.1111/j.2044-8260.1991.tb00928.x