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http://dx.doi.org/10.15207/JKCS.2019.10.5.085

Effect of chest compressions on the quality of back pain prevention and chest compressions by applying body stabilization Convergence movement  

Hong, Eun-Jeong (Dept. Emergency Medical Technology, Chungbuk Health & Science University)
Cho, Byung-Jun (Dept. Emergency Medical Technology, Kangwon National University)
Kim, Gyoung-Young (119 Emergency Medical Service, YangPyeong Fire Station)
Publication Information
Journal of the Korea Convergence Society / v.10, no.5, 2019 , pp. 85-94 More about this Journal
Abstract
This study was aimed to identify a study on the effect of chest compressions combined with abdominal drawing-in technique on prevention of back pain and chest compression quality. We tested motion analysis, electromyography, and chest compression quality of 15 paramedics. Data were normalized to SPSS 21.0 (Kolmogorov-Smirnov and Shapiro-Wilk test). The paired t-test was used for the pre- and post-test chest compressions, the one-way ANOVA was used for the analysis of the measurement point-in-time differences, and LSD was used for the post-test. The results of the study showed significant difference in muscle activity and chest compression success rate when the chest pressure was applied with abdomen drawing-in. Therefore, it is necessary to study cardiopulmonary resuscitation education which can increase the chest compression success rate while preventing the back pain of the paramedics in the future.
Keywords
cardiopulmonary resuscitation; Paramedic; out-hospital; compressions; back pain;
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1 J. J. Kim, J. H. Kim & G. S. Shim. (2017). The Relationship among Job stress, Emotional labor, Resilience and Mental Health in Fire fighters. Journal of the Korea Convergence Society, 8(12), 379-389. DOI : https://doi.org/10.15207/JKCS.2017.8.12.379   DOI
2 G. Y. Hwang & G. J. Joo. (2017). Health status and health management program participation of 119 emergency medical technicians. JKEMT. 21(1), 45-58. DOI : https://doi.org/10.14408/KJEMS.2017.21.1.045   DOI
3 C. A. Richardson, P. Hodegs, & J. A. Hides. (2004). Therapeutic exercise for lumbopelvis stabilization. : A motor control approach for the treatment and prevention of low back pain., 2nd ed. Edinburgh U.K.: Churchill Livingstone DOI :https://doi.org/10.1016/B978-0-443-07293-2.X5001-8
4 C. Kisner, & L. A. Colby. (2002). Therapeutic Exercise: Foundations and Techniques(4th ed). Philadelphia, PA: F.A. Davis. Philadelphia, PA: F.A. Davis Company.
5 M. G. Shin. (2011). The Effect of abdominal muscle contraction on center of Gravity moving and Lumbar Lordosis -in low back pain patients with pelvic anterior shift-. Graduate School of Alternative Medicine, Kyonggi University, Kyonggi.
6 A. Bjerkefors, M. M. Ekblom., Josefsson. & Alf. Thorstensson. (2010). Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow. Man Ther, 15(5), 502-507. DOI : https://doi.org/10.1016/j.math.2010.05.006   DOI
7 S. S. Choi, M. A. Han, S. W. Yun & S. Y. Ryu. (2013). Back strength and relevance of CPR chest compression. JKEMT, 17(2), 57-64.
8 A. Y. Jones & R. Y. Lee. (2005). Cardiopulmonary resuscitation and back injury in ambulance officers. Int Arch Occup Environ Health, 78(4), 332-336. DOI : https://link.springer.com/article/10.1007/s00420-004-0577-3   DOI
9 C. H. Chi, J. Y. Tsou & F. C. Su. (2008). Effects of rescuer position on the kinematics of cardiopulmonary resuscitation(CPR) and the force of delivered compressions. Resuscitation, 76(1), 69-75. DOI : https://doi.org/10.1016/j.resuscitation.2007.06.007   DOI
10 A. Ashton, A. McCluskey, C. L. Gwinnutt & A. M. Keenan. (2002). Effect of rescuer fatigue on performance of continuous external chest compression over 3 min. Resuscitation, 55(2), 151-155. DOI :https://doi.org/10.1016/S0300-9572(02)00168-5   DOI
11 R. A. Ekstrom, R. A. Donatelli, & K. C. Carp. (2007). Electromyographic analysis of core trunk, hip and thigh muscles during 9 rehabilitation exercises. J Orthop Sport Phys Ther, 37(12), 754-762.   DOI
12 G. J. Lehman, W. Hoda & S. Oliver. (2005). Trunk muscle activity during bridging exercises on and off a Swissball. Chiropractic & Osteopathy, 13, 14. DOI : https://doi.org/10.1186/1746-1340-13-14   DOI
13 J. W. Ahn. (2018). Chest compression quality of EMT during the transfer of pre-hospital cardiac arrest and the effectiveness of mechanical CPR device. Department of Emergency Medical Service Graduate School of Industry & Science, Kangwon National University, Kangwon.
14 P. W. Marshall, & B. Murphy. (2003). The validity and reliability of surface EMG to assess the neuromuscular response of the abdominal muscles to rapid limb movement. J Electromyogr Kinesiol, 13(5), 477-489. DOI : https://doi.org/10.1016/S1050-6411(03)00027-0   DOI
15 G. A. Hansson, C. Nordander, O. Asterland, K. Ohlsson, U. Stromberg, S. Skefving & D. Remperl. (2000). Sensitivity of trapezius electromyography to differences between work tasks-influence of gap definition and normalisation methods. J Electromyogr Kinesiol, 10(2), 103-115. DOI : https://doi.org/10.1016/S1050-6411(99)00030-9   DOI
16 J. C. Lee, S. K. Lee & K. Kim (2013). Comparison of abdominal muscle activity in relation to knee angles during abdominal drawing-in exercises using pressure biofeedback. J Phys Ther Sci, 25(10), 1255-1257. DOI : https://doi.org/10.1589/jpts.25.1255   DOI
17 T. K. Rajab, C. N. Pozner, C. Conrad, L. H. Cohn, J. D. Schmitto. (2011). Technique for chest compressions in adult CPR. World J Emerg Surg, 6(41), 1-5 DOI : 10.1186/1749-7922-6-41.   DOI
18 KACPR. (2018). Korean basic life support. Seoul. Koonja. http://www.kacpr.org/board/bbs_list.php?code=CPRbbs&category_idx=65&category1_code=1412125592&page_idx=1135
19 A. Y. Jones & R. Y. Lee. (2008). Rescuer's position and energy consumption, spinal kinetics and effectiveness of simulated cardiac compression. Am J Crit Care, 17(5), 417-425.   DOI
20 I. Bejia, M. Younes, H. B. Jamila, T. Khalfallah, K. Ben Salem, M. Touzi, M. Akrout & N. Berqaoui. (2005). Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine, 72(3) , 254-259. DOI :https://doi.org/10.1016/j.jbspin.2004.06.001   DOI
21 J. W. Son, J. B. Park. (2017). Evaluation of musculoskeletal disorders risk of 119 emergency medical technicians during emergency medical services procedures in fire fighter combat challenge. Korean J Emerg Med Ser, 21(3). 59-71   DOI
22 Hides, J., Wilson, S., Stanton, W., McMahon, S., Keto, H., McMahon, K., Bryant, M., & Richardson, C. (2006). An MRI investigation into the function of the transversus abdominis muscle during"drawing-in"of the abdominal wall. Spine, 31(6), 175-178. DOI : https://10.1097/01.brs.0000202740.86338.df   DOI
23 C. A. Richardson, C, J. Snijders, J. A. Hides, L. Damen, M. S. Pas & J. Storm. (2002). Th e relation between the transversus abdominis muscle, sacroiliac joint mechanics, and low back pain. Spine, 27(4), 399-405.   DOI
24 N. P. Foo, J. H. Chang, H. J. Lin & H. R. Guo. (2010). Rescuer fatigue and cardiopulmonary resuscitation positions: A randomized controlled crossover trial. Simulation and education, 81(5), 579-584. DOI : https://doi.org/10.1016/j.resuscitation.2010.02.006   DOI
25 B. Stuge, E. Laerum, G. Kirkesola & N. Vollestad. (2004). The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnacy: a randomized controlled trial. Spine, 29(4), 351-359.   DOI
26 V. K. Stevens, P. L. Coorevits, K. G. Bouche, N. N. Mahieu, G. G. Vanderstraeten & L. A. Danneels. (2007). The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther, 12(3), 271-279. DOI :https://doi.org/10.1016/j.math.2006.07.009   DOI
27 R. N. Natarajan, J. R. Williams, G. B. Andersson. (2004). Recent advances in analytical modeling of lumbar disc degeneration. Spine, 29(23), 2733-2741. DOI: 10.1097/01.brs.0000146471.59052.e6, PMID: 15564922   DOI
28 F. J. Ochoa, E. Ramalle-Gomara, V. Lisa & I. Saralegui. (1998). The effect of rescuer fatigue on the quality of chest compressions. Resuscitation, 37(3) , 149-152. DOI: doi.org/10.1016/S0300-9572(98)00057-4   DOI
29 P. McCarthy. (1995). Take the pain out of CPR training. Rn, 58(6), 17-20.
30 J. Y. Tsou, C. H. Chi, R. M. Hsu, H. F. Wu & F. C. Su. (2009). Mechanical loading of the low back during cardiopulmonary resuscitation. Resuscitation, 80(10) , 1181-1186. DOI : 10.1016/j.resuscitation.2009.06.025   DOI
31 A. J. Cha & S. J. Kang. (2016). The Convergent Relationship of Fatigue, CPR-related Stress and Job Satisfaction Long-term Care Hospital Nurses. Journal of the Korea Convergence Society, 7(3), 167-175. DOI : http://dx.doi.org/10.15207/JKCS.2016.7.3.167   DOI
32 M. Solomonow, B. H. Zhou, R. V. Baratta, Y. Lu & M. Harris. (1999). Biomechanics of increased exposure to lumbar injury caused by cyclic loading: Part 1. Loss of reflexive muscular stabilization. Spine, 24(23), 2426-2434.   DOI
33 J. W. Kim. (2009). The effect of various exercises for strengthening lumbar muscles on the function of lumbar and extremities muscles. Department of Physical Education, Graduate School, Keimyung University, Daegu.
34 C. L. Hubley-Kozey & M. Vezina. (2002). Muscle activation during exercises to improve trunk stability in men with low back pain. Arch Phys Med Rehabil, 83(8), 1100-1108. DOI : https://doi.org/10.1053/apmr.2002.33063   DOI
35 Adams, M. A., & Dolan, P. (1996). Time-dependent changes in the lumbar spine's resistance to bending. Clin Biomech(Bristol, Avon), 11(4), 194-200. DOI : https://doi.org/10.1016/0268-0033(96)00002-2   DOI
36 J. Y. Tsou, F. C. Su, P. C. Tsao, M. Y. Hong, S. C. Cheng, H. W. Chang, J. S. Yang & C. H. Chi. (2013). Electromyography activity of selected trunk muscles during cardiopulmonary resuscitation. Am J Emerg Med, 32(3), 216-220. DOI : https://doi.org/10.1016/j.ajem.2013.10.044   DOI
37 B. C. Queiroz, M. F. Cagliari, C. F. Amorim & I. C. Sacco. (2010). Muscle activation during four pilates core stability exercises in quadruped position. Arch Phys Med Rehabil, 91(1), 86-92. DOI : https://doi.org/10.1016/j.apmr.2009.09.016   DOI