Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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Effect of combined application of manipulation and stabilization exercises on pain and spinal curvature in patients with chronic back Pain

도수 교정과 안정화 운동 복합적용이 만성 허리통증 환자의 통증과 척추 만곡도에 미치는 영향

  • Jang, Jae Sun (Dept. of Graduate Medical Sciences, Nambu University) ;
  • Kim, Yong Nam (Dept. of Physical Therapy, Nambu University)
  • 장재선 (남부대학교 대학원 통합의학과) ;
  • 김용남 (남부대학교 물리치료학과)
  • Received : 2021.11.01
  • Accepted : 2022.01.12
  • Published : 2022.06.30
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Abstract

Background: The purpose of this study was to investigate the effect of the combined application of manipulation and stabilization exercises on pain and spinal curvature in patients with chronic back pain. Design: Randomized controlled trial Methods: The research subjects included 24 women in their 40s and 50s who have chronic back pain. The sample was evenly divided into an experimental group, which received the combined application of manipulation and stabilization exercises, and a control group, which received stabilization exercises only. The 30-minute intervention was applied five times a week for eight weeks. A bivariate repeated measures analysis of variances was conducted to identify the differences between the two groups before the experiment, after the fourth week, and at the end of the eight-week experiment. The level of statistical significance was set at.05. This analysis examined the within-group changes and the between-group changes using a paired t-test and an independent t-test, respectively. Results: Changes in pain differed significantly depending on the time of the measurement, the interaction between the time of the measurement and each group, and between the two groups (p<.05). Changes in the curvature of the bones of the neck, the bones of the back, and the lumbar vertebrae differed significantly depending on the time of the measurement and the interaction between the time of the measurement and each group (p<.05). Conclusion: The combined application of manipulation and stabilization exercises demonstrated a positive effect on changes in pain and spinal curvature, and the method is expected to be a useful intervention for reducing pain and improving spinal curvature in patients with back pain.

Keywords

References

  1. 강권영, 김은경, 홍기훈. 만성 허리통증환자의 운동프로그램에 대한 효과. 대한물리치료과학회 2011;18(2):1-8.
  2. 김상진, 김원경, 유호길, 등. 카이로프랙틱이 만성 허리통증 환자의 통증과 유연성에 미치는 영향. 한국발육발달학회 2021;29(3):317-20.
  3. 김선엽. 요통의 요골반부 안정화 접근법. 대한정형물리치료학회 1998;4(1):7-19.
  4. 김영환, 길재호. 4주간 카이로프랙틱 처치와 요통운동프로그램이 요통환자의 요추 전만각, 통증 및 등속성 근력에 미치는 영향. 운동과학 2010;19(3):257-66. https://doi.org/10.15857/KSEP.2010.19.3.257
  5. 박선자, 김은경, 김영미, 등. 척추 안정화 운동과 등뼈가동술이 만성 허리통증환자의 척추 유연성에 미치는 영향. 대한물리의학회 2021;16(2):115-23.
  6. 박은영, 김원호. 척추안정화운동과 도수치료가 급성기 또는 아급성기 허리통증 환자의 통증지수와 오스웨스트리 장애지수에 미치는 영향. 한국산학기술학회 2013;14(4):1792-8. https://doi.org/10.5762/KAIS.2013.14.4.1792
  7. 박재철, 정진규, 이동규. 8자형 어깨 보조기와 테이핑 중재가 전방머리자세를 가진 환자의 둥근어깨자세와 등뼈 뒤 굽음 및 가슴우리가동성에 미치는 즉각적인 효과. 대한고유수용성신경근촉진법학회 2021;19(2):205-13.
  8. 신철호. 흉요추부 저항성 운동이 척추 및 골반 부정렬, 요추근력에 미치는 영향. 한국발육발달학회 2015;23(2):145-50.
  9. 오동건, 이만균, 성순창. 카이로프랙틱과 PNF 운동의 복합처치가 앞쪽머리자세 환자 목 부위의 근뼈대계 기능에 미치는 영향. 체육과학연구 2016;27(2):258-71. https://doi.org/10.24985/KJSS.2016.27.2.258
  10. 정지문, 김재희. 천골후두골 테크닉을 이용한 카이로프랙틱이 만성 요통환자의 통증과 신체기능에 미치는 영향. 한국산학기술학회 2013;14(9):4402-11. https://doi.org/10.5762/KAIS.2013.14.9.4402
  11. 형인혁, 하미숙. 메이트란드 도수치료가 만성 요통환자의 즉각적인 동적 균형능력에 미치는 영향. 한국콘텐츠학회 2009;9(6):207-15. https://doi.org/10.5392/JKCA.2009.9.6.207
  12. Black KM, McClure P, Polansky M. The influence of different sitting positions on cervical and lumbar posture. Spine 1996;21(1):65-70. https://doi.org/10.1097/00007632-199601010-00015
  13. Colloca CJ, Keller TS. Active trunk extensor contributions to dynamic posteroanterior lumbar spinal stiffness. J Manipulative Physiol Ther 2004;27(4):229-37. https://doi.org/10.1016/j.jmpt.2003.11.001
  14. Darnall BD, Roy A, Chen AL, et al. Comparison of a single-session pain management skills intervention with a single-session health education intervention and 8 sessions of cognitive behavioral therapy in adults with chronic low back pain: A randomized clinical trial. JAMA network open 2021;4(8):e2113401-e2113401. https://doi.org/10.1001/jamanetworkopen.2021.13401
  15. De Mauroy JC. Kyphosis physiotherapy from childhood to old age. physical therapy perspectives in the 21st century-challenges and possibilities 2012:41-64.
  16. Deyo RA, Dworkin SF, Amtmann D, et al. Report of the nih task force on research standards for chronic low back pain. Phys Ther 2015;95(2):e1-e18. https://doi.org/10.2522/ptj.2015.95.2.e1
  17. Evans DW. Mechanisms and effects of spinal high-velocity, low-amplitude thrust manipulation: Previous theories. J Manipulative Physiol Ther 2002;25(4):251-62. https://doi.org/10.1067/mmt.2002.123166
  18. Faul F, Erdfelder E, Buchner A, et al. Statistical power analyses using g* power 3.1: Tests for correlation and regression analyses. Behav Rre Methods 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149
  19. Freburger JK, Holmes GM, Agans RP, et al. The rising prevalence of chronic low back pain. Arch Intern Med 2009;169(3):251-8. https://doi.org/10.1001/archinternmed.2008.543
  20. Han WJ, Son KH. The Effect of Unstable Support Surface Plank Exercise on Flexibility, Abdominal Muscle Thickness and Pain in Chronic Low Back Pain. Journal of Korean Physical Therapy Science 2019;26(3):23-36. https://doi.org/10.26862/jkpts.2019.12.26.3.23
  21. Heo SY, Lee HJ, Ham AJ, et al. The Effects of Virtual Reality Therapy on Executive Function and Balance for Stroke Patients: A Randomized Controlled Clinical Trial. Korean J of Occup Therapy 2016;24(4):1-14.
  22. Hiromune O Yukio U, Yuki Y, et al. Effects of respiratory-muscle exercise on spinal curvature. Journal of sport rehabilitation 2012;12(1):63-8.
  23. Hong A, Varshney V, Hare GM, et al. Spinal cord stimulation: A nonopioid alternative for chronic pain management. CMAJ 2020;192(42):E1264-E1267. https://doi.org/10.1503/cmaj.200229
  24. Johansson M, Jensen Stochkendahl M, Hartvigsen J, et al. Incidence and prognosis of mid-back pain in the general population: A systematic review. Eur J Pain 2017;21(1):20-8. https://doi.org/10.1002/ejp.884
  25. Kader D, Wardlaw D, Smith F. Correlation between the mri changes in the lumbar multifidus muscles and leg pain. Clin Radiol 2000;55(2):145-9. https://doi.org/10.1053/crad.1999.0340
  26. Kim DH, Kim SY. Comparison of immediate effects of sling-based manual therapy on specific spine levels in subjects with neck pain and forward head posture: A randomized clinical trial. Disabil Rehabil 2020;42(19):2735-42. https://doi.org/10.1080/09638288.2019.1571638
  27. Lee J, Cho JH, Kim KW, et al. Chuna manual therapy vs usual care for patients with nonspecific chronic neck pain: A randomized clinical trial. JAMA network open 2021;4(7):e2113757-e2113757. https://doi.org/10.1001/jamanetworkopen.2021.13757
  28. Leemans L, Elma O, Nijs J, et al. Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: A randomized controlled clinical trial. Braz J Phys Ther 2021;25(1):86-96. https://doi.org/10.1016/j.bjpt.2020.04.001
  29. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017;389(10070):736-47. https://doi.org/10.1016/S0140-6736(16)30970-9
  30. Mayer TG, Vanharant H, Gatchel RI, et al. Compression of CT scan muscle measurements and isokinematic trunk strength in postoperative patients. Spine
  31. Mennell JM. Back pain: Diagnosis and treatment using manipulative techniques Amsterdam: Lippincott Williams & Wilkins; 1960. 1989;14(1):1433-6
  32. Nault ML, Allard P, Hinse S, et al. Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis. Spine 2002;27(17):1911-7. https://doi.org/10.1097/00007632-200209010-00018
  33. Nguyen C, Boutron I, Zegarra-Parodi R, et al. Effect of osteopathic manipulative treatment vs sham treatment on activity limitations in patients with nonspecific subacute and chronic low back pain: A randomized clinical trial. JAMA Intern Med 2021;181(5):620-30. https://doi.org/10.1001/jamainternmed.2021.0005
  34. Park JC, Lee DK. The effects of bridge exercise with one hip joint adduction on trunk muscle thickness. J Kor Phys Ther 2020;32(6):354-8. https://doi.org/10.18857/jkpt.2020.32.6.354
  35. Peck J, Urits I, Peoples S, et al. A comprehensive review of over the counter treatment for chronic low back pain. Pain Ther 2021;10(1):69-80. https://doi.org/10.1007/s40122-020-00209-w
  36. Rajput N, Atta S. Effects of cyriax manual therapy versus mulligan technique on pain and grip strength in patients with lateral epicondylitis. RMJ 2021;46(3):733-5.
  37. Schneider S, Randoll D, Buchner M. Why do women have back pain more than men?: a representative prevalence study in the Federal Republic of Germany. Clin J Pain 2006;22(8):738-47. https://doi.org/10.1097/01.ajp.0000210920.03289.93
  38. Swain CT, Whyte DG, Ekegren CL, et al. Multi-segment spine kinematics: Relationship with dance training and low back pain. Gait Posture 2019;68:274-9. https://doi.org/10.1016/j.gaitpost.2018.12.001
  39. Thompson DM. Kinesiology of the musculoskeletal system: Foundations for physical rehabilitation. Physical Therapy 2003;83(4):402-3.
  40. Traeger A, Buchbinder R, Harris I, et al. Diagnosis and management of low-back pain in primary care. CMAJ 2017;189(45):E1386-E1395. https://doi.org/10.1503/cmaj.170527
  41. Tsokanos A, Livieratou E, Billis E, et al. The efficacy of manual therapy in patients with knee osteoarthritis: A systematic review. Medicina 2021;57(7):696. https://doi.org/10.3390/medicina57070696
  42. Wiltse LL, Winter R. Terminology and measurement of spondylolisthesis. JBJS 1983;65(6):768-72. https://doi.org/10.2106/00004623-198365060-00007
  43. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness.High Altitude Medicine & Biology 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814