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Relationship between Breathing Pattern Disorder and Pain in Patients with Chronic Low Back Pain

만성요통환자의 호흡패턴이상과 통증과의 상관관계

  • Lim, Chae-Gil (Department of Physical Therapy, Gachon University)
  • 임재길 (가천대학교 물리치료학과)
  • Received : 2020.05.18
  • Accepted : 2020.06.26
  • Published : 2020.06.30
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Abstract

To investigate the relationship between breathing pattern disorder and pain in patients with chronic low back pain(CLBP). One hundred four patients were measured the End-tidal CO2(EtCO2) and respiration rate(RR) using capnography. Also, The Breathing-hold time(BHT), Nijmegen Questionnaire(NQ), and Thoracic excursion examinated. There was a significant correlation between EtCO2 and BHT, thoracic excursion(r=.302, r=.281)(p<.01), and a low negative correlation with RR, VAS(r=-.253, -200)(p<.05). There was a significant correlation between NQ and RR(r=.237)(p<.05). There was a low correlation between thoracic excursion and VAS(r=-.370)(p<.01). There was a significant difference in the EtCO2, RR, BHT, thoracic excursion, and VAS between the thoracic and diaphragm breathing pattern(p<.05). There were no significant differences in the NQ(p>.05). There was a correlation between EtCO2 and BHT, thoracic excursion, RR, VAS in patients with CLBP. In addition, There was a correlation between RR and NQ, thoracic excursion, and VAS. As a result, it was found that there is a close relationship between breathing pattern disorder and pain. There was a significant difference in the EtCO2 level, RR, BHT, thoracic excursion and VAS value in the comparison of thoracic breathing pattern and diaphragm breathing pattern. This is a meaningful result of suggesting a breathing pattern treatment approach in the rehabilitation and pain management of chronic low back pain patients in clinical practice.

이 연구는 만성요통환자의 호흡패턴이상과 통증관의 상관관계를 알아보기 위해 실시하였다. 104명의 만성요통환자의 날숨끝 이산화탄소농도(EtCO2)와 호흡률을 카프노그래프를 통해 측정하였고, 호흡유지시간과 Nijmegen Questionnaire, 가슴우리 움직임거리, 시각적사상척도를 추가로 평가하였다. Pearson's 검사로 상관관계를 분석하였으며, 결과는 EtCO2와 BHT, 가슴우리 움직임거리에서 통계적으로 유의한 상관관계를 보였으며(r=.302, r=.281)(p<.01), RR과 VAS에서 낮은 음의 상관관계(r=-.253,-.200)(p <.05)를 보였다. RR과 NQ에서도 유의한 상관관계를 보였으며(r=.237)(p<.05). 가슴우리 움직임거리와 VAS사이에서는 낮은 음의 상관관계를 보였다(r=-.370)(p<.01). 가슴 호흡과 가로막호흡 사이의 EtCO2, RR, BHT, 가슴우리 움직임거리, 그리고 VAS에서 통계적으로 유의한 차이가 있었으며(p<.05), NQ에서는 유의한 차이가 없었다(p>.05). 만성요통환자의 EtCO2, BHT, 가슴우리움직임거리, RR, 그리고 VAS 사이에는 상관관계가 있었다. 또한, RR과 NQ, 흉부 소풍과 VAS 사이에는 상관관계를 보였다. 결과적으로 호흡패턴이상과 통증 사이에는 밀접한 관계가 있었으며, 가슴호흡과 가로막호흡의 비교에서 EtCO2, RR, BHT, 가슴우리 움직임거리 및 VAS에서 유의한 차이가 있었다. 이것은 만성요통환자의 재활 및 통증 관리에서 호흡패턴중재가 기초자료로 사용될 수 있을 것으로 사료된다.

Keywords

Acknowledgement

본 논문에 도움을 주신 조병윤 박사에게 감사를 전합니다.

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