• Title/Summary/Keyword: BACK PAIN

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Relationship of trunk muscle atrophy and provocation position in patients with chronic low back pain

  • Shin, Doo Chul;Song, Chang Ho
    • Physical Therapy Rehabilitation Science
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    • v.1 no.1
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    • pp.28-32
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    • 2012
  • Objective: The purpose of this study is to compare chronic low back pain patients' pain provocation position so as to identify the relevance with lumbar stabilizing muscles atrophy and pain provocation position. Design: Cross-sectional study. Methods: Fifty five chronic low back pain patients were participated in this study. Subjects were eligible for study participation if they were 35-55 years old and had experienced low back pain for more than 3 months. Subjects were questioned about pain and pain provocation test were done. And then they were inspected their cross sectional area (CSA) of lumbar muscles (erector spinae, iliopsoas, and multifidus) by using computed tomography. Analyze the relevance through the result data with painful area, aspect of pain and pain provocation position. Results: CSA of erector spinae showed significant decrease on ipsilateral extension position (p<0.05). Iliopsoas muscle showed significant decrease on contralateral position (p<0.05). Multifidus showed significant decrease on the position of contralateral extension and contralateral flexion (p<0.05). Conclusions: Based on the results of our study, it may be possible to evaluate muscle atrophy by assessing causing position.

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Nerve Root Block with Corticosteroids, Hyaluronidase, and Local Anesthetic in the Failed Back Surgery Syndrome (FBSS) (Failed Back Surgery Syndrome (FBSS) 환자에서 Hyaluronidase를 사용한 신경근차단술의 효과)

  • Lee, Kyung-Jin;Han, Sang-Gun;Yoon, Seuk-Hwan;Kim, Jin-Soo;Lee, Young-Suk
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.191-194
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    • 1999
  • Background: Millions of patients with chronic sciatica are still treated with epidural corticosteroids. The efficacy of epidural corticosteroids remains questionable, especially in the failed back surgery syndrome (FBSS). We studied to evaluate outcome for 10 patients with failed back surgery syndrome treated with spinal nerve root block using corticosteroids, hyaluronidase, and local anesthetics. Methods: The affected nerve roots are localized with the help of fluoroscopy and contrast dye. Local anesthetic diluted in 1,500 U hyaluronidase and 40 mg methylprednisolone is injected. A small retrospective pilot group of 10 patients with FBSS was treated. The success rate is evaluated using a visual analogue scale at 1 week and 3 month interval after the last injection. Results: Initially, 7 patients experienced good pain relief; 5 patients suspained pain relief for 3 months. No complications were observed. Conclusions: This technique is worthwhile for patients with FBSS and where epidural fibrosis is suspected to be the pain origin.

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The Effect of Horse-Riding Exercise on Pain and Body Flexibility for the Patient with Chronic Low Back Pain (승마 운동이 만성요통환자의 통증 및 체간 유연성에 미치는 영향)

  • Lee, Chaewoo;Lee, Insil;Kim, Hyeonsu
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.3
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    • pp.111-118
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    • 2013
  • Purpose : The purpose of this study was to investigate the effect of horse riding exercise for pain and body flexibility in the patient with chronic low back pain. Method : 26 subjects in H-equestrian were randomly divided two group, ball exercise(BE) group and horse-riding exercise(HE) group. Each group carried out 40 minutes exercise three times a week for 8 weeks. VAS were measured for pain, and evaluation of body flexibility in position with forward and backward. Result : The results were as follows, the pain scales of VAS(visual analog scale) between ball exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The flexibility scales of body between ball exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horse-riding exercise was effective on pain and body flexibility of patient with chronic low back pain so that these exercise can be new altematives exercise for pain and body flexibility in the patient with chronic low back pain.

The study of pain and functional disability scales for low back pain (요통의 통증과 기능장애 평가에 관한 고찰)

  • Lee, Hyun-Jong;Nam, Sang-Soo;Lee, Yun-Ho
    • Journal of Acupuncture Research
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    • v.19 no.2
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    • pp.137-148
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    • 2002
  • Objective : The low back pain was the main reason of receiving acupuncture treatment. Despite its widespread prevalence, objective data assessing the pain and the results of various forms of treatment were difficult to find in korea. In order to compare the value of different types of treatment, it was necessary to use standard and meaningful forms of assessment. Methods : Pain and functional disability scales for low back pain were reviewed for contents, measurement properties and current methodological issues. Results and Conclusions : 1. The SF-36 Bodily Pain Scale and the Graded Chronic Pain Scale were commonly used for the standard pain scale. 2. The Oswestry Disability Questionnaire and the Roland-Morris Disability Questionnaire were commonly used for the standard function scale. 3. When evaluated, there was no definite answer to the results of the treatment. In the literature, the responsiveness of the Roland-Morris Disability Questionnaire ranged from 2 to 8 points but clinically, the ranges should be minimally changed from 2 to 3 points. 4. In the future, scale for low back pain should be standardized in multiple dimension so that the computerized adaptive testing by Item Response Theory could be widely used.

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The Clinical Report on 1 case of Low Back Pain and radiational pain Patient Treated by Chuna Traction and Conservative Treatment (Disc Bulging과 Stenosis 소견을 보인 요각통 환자를 대상으로 보존적 치료와 굴곡신정법(屈曲伸延法)을 병용한 치험 1례)

  • Kang, Man-Ho;Kim, Soo-Yong;Lee, Jin-Ho;Koh, Dong-Hyun;Song, Woo-Sub
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.1-9
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    • 2006
  • The purpose of this report is to investigate the clinical application of conservative treatment to a patient who has the low back pain and radiational pain. In this case, a female patient, 67 years old, who had low back pain and radiational pain on the right leg. We treated the patient with conservative treatment (acupuncture, herbal medicine, moxibustion) and chuna traction. In result, the in-patient's pain has decreased and walking distance has increased from 10m to 300m for 27 days. In conclusion, conservative treatment and chuna traction could be effective methods to treat the patient who has low back pain and radiational pain.

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Effects of Crocodile Breathing Exercise on Pain, Muscle Tone, and Muscle Stiffness in Patients with Non-specific Low Back Pain (크로커다일 호흡 운동이 비특이성 요통을 가진 환자들의 통증과 체간 근긴장도 및 근경직도에 미치는 영향)

  • Cho, Yong Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.117-124
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    • 2019
  • PURPOSE: This study was to investigate the effects of crocodile breathing exercise on pain, muscle tone, and muscle stiffness of non-specific low back pain patients. METHODS: The subjects were 37 patients with nonspecific low back pain. The patients were divided into two groups. The experimental group (EG) performed crocodile breathing exercise and the control group (CG) performed chest expansion breathing exercise. The intervention was conducted for 10 minutes every day for a total of eight weeks. Pain was measured using a VAS. Muscle tone and stiffness were measured using Myoton PRO. Two points were measured for muscle tone and muscle stiffness. They were measured at 30mm from the spinous process of the L1 and T10 vertebra. RESULTS: Pain, muscle tone and muscle stiffness at the T10 level showed a significant decrease in both EG and CG. Muscle tone and muscle stiffness in the L1 level area decreased significantly in the experimental group but the control group did not show any difference. The only statistically significant difference was observed in the L1 muscle tone between the pre and post intervention values. CONCLUSION: This study suggests that Crocodile breathing is a good method for managing pain, muscle tone, and muscle stiffness in non-specific low back pain patients.

Low Back Pain of Some Taxi Drivers in Gimhae City, Kyung Nam and Related Factors (경남 김해시 소재 일부 택시 운전기사들의 요통경험 및 관련요인)

  • Kim, Sung-Mi;Wang, Cheol-Min;Ahn, Duck-Hyun
    • Physical Therapy Korea
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    • v.12 no.3
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    • pp.84-93
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    • 2005
  • The purpose of this study was to find prevalence and the relevant factors of low back pain among taxi-drivers. Information were obtained by a self-administered questionnaire during september, 2004, from 83 taxi-drivers in Gimhae, Kyung Nam province. The data were analyzed by chi-square test and Multiple Logistic Regression(if this is a proper noun, it needs to be capital, if not it needs lower case) by using SPSS 10.0 program. The result were as follows: 1) The prevalence rate of low back pain during lifetime was 81.9% among 83 taxi-drivers. 2) Statistically significant factors related to low back pain during lifetime were sleeping time(p<.05). 3) Through the multiple logistic regression, significantly relevant factors with low back pain were alcohol drinking (OR=.017, 95% CI=.001~.509), and sleeping time (OR=.111, 95% CI=.020~.636). It is necessary to study on a preventive measure of low back pain and systematic human engineering approach through objective clinical research.

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Adaptation Experience to Work of Nurses with Low Back Pain (요통을 가진 간호사의 근무 적응 경험)

  • Yang, Jin-Hyang
    • Korean Journal of Adult Nursing
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    • v.25 no.6
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    • pp.597-609
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    • 2013
  • Purpose: This study was to explore work experience among nurses with low back pain. Specific aims were to identify problems nurses face as workers at a hospital and how they interact with other workers. Methods: Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 9 nurses with low back pain as key informants, and a head nurse and a charge nurse who had experiences working with nurses with low back pain as general informants. Results: Through constant comparative analysis, a core category emerged as "to make one's own ground". The process of "to make one's own ground" was identified as four categories: perception of limitations, intervening conditions, balancing limitations, and controlling limitations. Intervening conditions were identified as 'working conditions' and 'personal traits'. Conclusion: Findings of the study indicate that there is a need for health professionals and administrators to understand limitations to working experience among nurses with low back pain. In addition, institutional and psychological support program is needed to improve an adaptation to working environment among nurses with low back pain.

The Effect of Center of Pressure Displacement and Muscle Activation Onset during Expected and Unexpected Sudden Upper Limb Loading in Subjects with Low Back Pain and Healthy Subjects (예측된 그리고 예측되진 않은 갑작스런 상지로의 부하 적용시 요통 환자와 정상인의 압력 중심 이동 및 근활성 개시에 미치는 영향)

  • Chae, Yun-Won
    • The Journal of Korean Physical Therapy
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    • v.18 no.4
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    • pp.51-60
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    • 2006
  • Purpose: This study was to compare the effect of center of pressure(COP) displacement and muscle activation onset during expected and unexpected sudden limb loading in subjects with low back pain and healthy control subjects. Most studies of COP displacement and muscle activation onset on postural task focused on sudden trunk loading or gross limb movements. Investigation of the COP displacement and muscle activation onset during expected and unexpected sudden upper limb loading deserves similar attention. Methods: For this study, 14 subjects with low back pain and 12 healthy control subjects are participated. Force plate and surface EMG measures were used to determine COP displacement and muscle activation onset under expected and unexpected sudden upper limb loading. Results: COP displacement and muscle activation onset under unexpected sudden upper limb loading were similar in subjects with low back pain and healthy control subjects. However, COP displacement and muscle activation onset under expected sudden upper limb loading were shortened in healthy control subject but not among the subjects with low back pain. Conclusion: The results provide evidence for impaired feed-forward control in subjects with low back pain.

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The Correlation of Four Constitution and Ryodoraku (요통환자의 사상체질과 양도락의 상관관계)

  • Oh, Myung-Jin;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.28 no.5
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    • pp.127-133
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    • 2011
  • Objectives : The aim of the study is to investigate the correlation of Ryodoraku score and four constitution in the patients with chronic low back pain. Methods : Using Pearson's correlation test, we divided 79 patients into two groups(normal and chronic low back pain group) and analyzed the correlation between Ryodoraku score and major constitution rate of four constitution. Results : 1. Ryodoraku score in the chronic low back pain group was mostly found to be below 40 ${\mu}A$, regardless of constitution. 2. There was negative correlation on F2 in lesser Yin person of chronic low back pain group, and there was positive correlation on H4 H5 F2 F4 and F5 in greater Yin person of chronic low back pain group. 3. There was negative correlation on H1 and H6 in lesser Yang person of normal group. 4. There was negative correlation on H6 in lesser Yang person of total group including normal and chronic low back pain group. Conclusion : These results suggest that roydoraku should be correlated to four constitutional diagnosis in part and available to increase accuracy of four constitutional or Ryodoraku diagnosis.