Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
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Comparison of Rehabilitation Programs in Traumatic Low Back Injuries with Industrial Accident

산업재해로 발생한 외상성 허리손상에 대한 새로운 재활치료프로그램의 효과 비교

  • Received : 2019.05.15
  • Accepted : 2019.06.19
  • Published : 2019.06.30
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Abstract

Objectives: The purpose of this study was to investigate the effect of intensive rehabilitation programs on pain, range of motion (ROM), lumbar muscle strength, core muscle endurance, disability, and depression in patients with traumatic low back injuries and to compare the efficacy of this therapy with that of conventional rehabilitation therapy. Methods: The study was performed with a retrospective medical chart review of patients with traumatic low back injury referred to the rehabilitation center at the Daegu Hospital of the Korean Workers Compensation and Welfare Service. Forty-four patients were allocated to either the conventional rehabilitation group (CRG; n = 22) or the intensive rehabilitation group (IRG; n = 22). The CRG group patients, who received 30-min therapist-supervised physical therapy and modality therapy five times per week for four weeks, were compared with the IRG group patients, who received 60-min therapist-supervised physical therapy, 30-min therapist-patient 1:1 matching rehabilitation therapy, and modality therapy five times per week for four weeks. Outcome measures were a numerical rating scale, ROM, lumbar muscle strength, lumbar core muscle endurance, thickness of lumbar deep focal core muscle (transverse abdominis and lumbar multifidus), Oswestry disability index (ODI), and depression (Korean version patient health questionnaire-9). Results: There were statistically significant improvements after treatment in all outcome measures in both groups (p < 0.05). In the intergroup comparison, NRS scores on the activity and thickness of lumbar deep focal core muscles increased significantly more in the IRG than in the CRG (p < 0.05). There were no statistically significant intergroup differences in NRS scores on resting, ROM except left lateral bending, lumbar muscle strength, core muscle endurance, ODI, and depression. Conclusions: We could confirm the superior effectiveness of an intensive rehabilitation program compared to conventional rehabilitation therapy in patients with traumatic low back injuries.

Keywords

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Figure 1. Comparison of outcome measures in the numeric rating scale within group and between both groups at pre-treatment and post-treatment.

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Figure 3. Comparison of outcome measures in the lumbar muscle strength within group and between both groups at pre-treatment and post-treatment.

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Figure 2. Comparison of outcome measures in the lumbar range of motion within group and between both groups at pre-treatment and post-treatment.

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Figure 4. Comparison of outcome measures in the lumbar core muscle endurance within group and between both groups.

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Figure 5. Comparison of outcome measures in the transverse abdominis thickness of lumbar deep focal core muscle within group and between both groups at pre-treatment and post-treatment.

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Figure 6. Comparison of outcome measures in the multifidus thickness of lumbar deep focal core muscle within group and between both groups at pre-treatment and post-treatment.

Table 1. Rehabilitation intervention in intensive rehabilitation group and conventional rehabilitation group

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Table 2. Baseline characteristics before rehabilitation

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Table 3. The Oswestry disability index on both groups at pre-treatment and post-treatment

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Table 4. The Korean patient health questionnaire-9 on both groups at pre-treatment and post-treatment

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