• 제목/요약/키워드: Back Pain

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만성 요통환자가 이용하는 대체요법과 통증, 삶의 질에 대한 연구 (Use of the Complementary and Alternative Therapies, Pain and Quality of Life in Patients with Chronic Back Pain)

  • 하성화;서연옥
    • 재활간호학회지
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    • 제11권1호
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    • pp.5-12
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    • 2008
  • Purpose: The purpose of this study was to identify the uses of complementary and alternative therapies(CAT), pain, and quality of life(QOL) in patients with chronic back pain. Method: A descriptive survey was conducted using convenient sample. One hundred sixty two patients with chronic back pain participated in this study. Types and satisfaction of CAT, pattern of back pain, and QOL were investigated. Result: 83.3% of all participants reported in the use of CAT. The most common types of CAT used were acupuncture and half-bath. Yoga were the most high satisfaction among the types. The mean score of back pain was 4.12, QOL was 3.10, that was mostly low score. There was no significant difference back pain and QOL between CAT user and nonuser. Correlation with satisfaction of CAT according the most using types were a negative correlation with back pain and a positive correlation with QOL. Conclusion: These result indicate that the mostly patients with back pain feels the satisfaction of CAT use. It is important that provide the obvious information about CAT which can be helpful to patient.

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진사탁(陳士鐸)의 요통(腰痛) 처방연구(處方硏究) (Low Back Pain Treatment Prescriptions of Jin Sa Tak)

  • 성시열;국윤범
    • 대한한의학방제학회지
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    • 제18권1호
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    • pp.13-21
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    • 2010
  • Low Back Pain Prescriptions of Jin, sa tak are peculiar to using Atractylodis Macrocephalae Rhizoma(AMR). All low back pain prescriptions which are enlisted in Byunjeunggimoon, Byunjeungrok and Byunjeungokham include AMR. Whereas low back pain prescriptions which is enlisted in Seoksilbirok are 7 of 10. Preexistence of low back pain prescriptions are not necessarily used AMR. But Jin, sa tak who lived at Ming and Ching era presented AMR in low back pain treatment. AMR is able to get rid of dampness between the kidney functional area and umbilicus. The results are as follows : It is made much of the malicious dampness which is in the kidney. There are not used cold but warm and eliminating dampness herbs to invigorate kidney. It shows that Jin, sa tak who was a Taoist used invigorating and warming kidney herbs. Atractylodis Macrocephalae Rhizoma is mainly used in treating low back pain from Jin, sa tak. Jin, sa tak shows concrete prognosis to treat a disease.

요통환자에 대한 ICF Tool을 적용한 중재전략의 증례 (A Case Report of Intervention Strategy Applied ICF Tool on Patient with Low Back Pain)

  • 강태우;송명수;김창헌
    • PNF and Movement
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    • 제10권2호
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    • pp.17-24
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    • 2012
  • Purpose : The purpose of this study was to describe the Intervention strategy applied ICF Tool on patient with low back pain. Methods : The data was collected by low back pain patient. We applied the ICF Tool for low back pain patient. Parameters of result were collected for using the VAS, 6 minute walk test and ICF assessment sheet. Results : Significant differences were observed the low back pain patient for VAS, 6 minute walk test and ICF assessment sheet. low back pain patient improved all test. Conclusion : ICF Tool applied Intervention about low back pain patient is very useful and effective. It is effective in clinical practice.

공중 근무자의 요통 발생 요인에 관한 연구 (A Study of Risk Factors Related to Low Back Pain in Civil Airmen)

  • 정미선;김영록
    • 한국전문물리치료학회지
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    • 제8권1호
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    • pp.59-75
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    • 2001
  • The purposes of this study were to investigate risk factors of low back pain in civil airmen and to use this information as basis for the back rehabilitation. Subjects of this study were randomly selected 276 civil airmen who had been employed at four airports in Seoul. These data were analyzed by $X^2$ test, t-test, ANOVA, and multiple logistic regression using SAS. The results were as follows: 1) The prevalence of low back pain among 276 civil airmen was 64.9%. 2) The most common cause of low back pain was load lifting (stewardess), long sitting (aircrew A), and long sitting plus training (aircrew B). 3) There were no statistically significant associations among age, height, body weight, and low back pain. 4) No statistically significant relationships were found among the average monthly working time, total working time, average monthly rest time, working year and low back pain. 5) There was statistically significant relation ship between abnormal posture and low back pain (p<.01). 6) There was statistically significant relation ship between fatigue and low back pain among stewardess and aircrew B. 7) There was a statistically significant relationship between job satisfaction and job-related stress (p<.05). 8) In stewardess, higher satisfaction score was associated with less likelihood of low back pain (odds ratio = .80). The results of this study indicate that civil airmen developed chronicity of low back pain due to unfit seat, poor habitual posture, fatigue symptom, and stress or other risk factors. Therefore, there is a need to improve the working environment for the prevention of posture-related low back pain.

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자세반사에 기초한 요통의 테이핑 치료 (Taping Therapy for the Low Back Pain based on Postural Reflexes)

  • 김용권
    • 대한물리치료과학회지
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    • 제8권2호
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    • pp.1023-1032
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    • 2001
  • The muscles relating to movement of painful low back was analyzed kinematically, by method of applying elastic tapes and putting non-elastic tapes on muscles involving those movements which cause pain and limitation of range of motion (ROM) in low back and trunk. Taping therapy which is effective for improvement of painful low back and which is supposed to facilitate the total and continual movement based on the postural reflexes will be presented in this paper. Fifty cases who had painful low back were investigated. Patients with painful low back were at first asked pain point and direction of painful movement, and then tested the muscles which are cause of those pain and limited motion. Before attaching tape, all subjects were divided into two groups, flexor pattern and extensor pattern, according to direction of increasing pain. Elastic tapes were applied from origin to insertion of objective muscles and non-elastic tapes were put on effective points of the muscles which were associated with respect to pain and limited ROM. As a result of this study, all subjects with low back pain significantly improved in pain and ROM at the low back. The longest treatment duration group for the low back pain cases was herniated lumbar disc(10.4 days) group. Low back pain have been treated by so many ways. muscles factor should be emphasized to be distinguish1y important to reduce low back pain. The muscles relating to make directly painful motion in low back and trunk should be confirmed by means of taping and painful motion should be analyzed by point of view of postural reflexes.

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종합병원 간호사의 요통발생 실태와 관련요인 (A Survey on Low Back Pain of General Hospital Nurses)

  • 권영숙;김정남
    • 지역사회간호학회지
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    • 제7권1호
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    • pp.100-117
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    • 1996
  • The purpose of the survey was to find out the prevalence rate and related factors for low back pain of nurses and to develop educational program for prevention of the low back pain. The subjects of the survey were 593 nurses of general hospitals in Tae-gu City. The survey was conducted from June 10, 1994 to October 3, 1994. The questionnaire included 34 question items concerning general characteristics, factors related to low back pain, physical nursing activities, and characteristics of low back pain. The results were as follows : 1. Among 593 of subjects, the prevalence rate of low back pain showed 62.1%. 2. In relation of health related life activities and low back pain prevalence, self-reported health state was highly significant(P=.000). 3. In relation of work environmental factors and low back pain prevalence, job satisfaction (P=.026), job stress(P=.020), and workload(P=.002) were significant. 4. In relation of physical nursing activities and low back pain prevalence, bending (P=.000), trunk twisting(P=.003), stretching(P=.006), and pulling and pushing(P=.046) were significant. 5. Physical nursing activities inducing back stress was varicant according to wards. The results of this study pointed out that the subjects' low back pain prevalence was related to the work-related physiologic and psychologic factors. Therefore, for the effective prevention of low back pain, both practicing the body mechanics and raising the morale of the nurses are needed in educational program.

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요통완화프로그램이 만성 요통호소 여교사의 배근력, 통증정도, 기능장애에 미치는 효과 (An Effect of Low Back Pain Relieving Program on the Back Muscle Strenght, Intensity of Pain, Disability Level in Elementary School Women Teacher)

  • 최순영
    • 여성건강간호학회지
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    • 제6권1호
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    • pp.117-128
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    • 2000
  • The purpose of this study was to examine the effect of low back pain relieving program on back muscle strength, intensity of pain, low back disability level in elementary school teachers who have low back pain. subjects were elementary school women teachers who worked at eight elementary school located in Seoul. Intended subjects size were seventy consist of thirty-four experimental group(three schools) and thirty-six control group(five schools), but actual subjects size was forty-four. Among the forty-four patients subjects, twenty-three were experimental group receiving health education about right postures, etiologies of low back pain, diagnosis of low back pain and exercise program composed of muscle strengthening exercise, stretching exercises and twenty-one were control group. During the 8 weeks program, the subjects were received two times education and six times group exercise practices in 1st week and three times per week group exercise practices, two times education in other 7 weeks. This study as carried out from April 1, 1999 to June 30, 1999. Back muscle strength was measured by back muscle strength measuring machine and the intensity of pain were measured by the Visual Analogue Scale(VAS), and level of disability was measured by Oswestry low back pain disability scale. Study measurements were taken before and after 8 week exercise program. Data were analyzed using paired t-test, and ANCOVA. The results were summarized as follows. 1. After low back relieving program, back muscle strength was increased significantly(p=0.000) and there was significant difference in back muscle strength change between experimental group and control group(p=0.002). 2. After low back pain relieving program, pain on anterior bending, pain on posterior bending were decreased significantly than measurements before the program(p=0.000 p=0.000) and there was significant difference in pain on anterior bending and posterior bending change between experimental group and control group(p=0.000, p=0.000). 3. After low back pain relieving program, Oswestry disability scale scores were decreased significantly(p=0.000, p=0.000) but there was no significant difference in Oswestry disability score change between experimental group and control group.

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관절가동기법과 집단 요통 운동 프로그램이 청각장애 요통환자의 통증에 미치는 영향 (Effects of Joint Mobilization and Group Back Pain Exercise Program on The Hearing Impairment Patient with Low Back Pain)

  • 박현식;신영일;박종항
    • 대한정형도수물리치료학회지
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    • 제14권1호
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    • pp.48-60
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    • 2008
  • Purpose : The purpose of this study was to compare the effects of Joing Mobilization and Group back Pain Exercise Program on the disability level and the pain of flexibility and the back muscle strength in the hearing impairment patients with Low back pain. Methods : The subjects of this study were 12 patients, 8 males and females. They visited clinic for physical treatment within 6 months after onset of low back pain. One group was applied with Joing Mobilization and other group was with Group back Pain Exercise Program. The patient were treated special program 3 times session weekly. And treatment 2 times session was 15min with physiotherapy weekly. The muscle strength was measured by Cybex 660, the level of disability by Oswestry low back pain disability scale, the intensity of pain by visual analogue scale (VAS). The data was analysed by paired T-test and independent T-test. Results : The results of this study were summarized as follow : 1. The Oswestry disability score of experimental and control group were significantly decreased and there was no difference in the Oswestry disability score change between joint mobilization group and back pain exercise group. 2. The pains in anterior, postrior, lift lateral and right lateral bending and in rotation of back pain exercise group were significantly increased compared with those of joint mobilization group. 3. The flexors and extensors peak torque of back pain exercise group were significantly increased at test velocities $30^{\circ}$/sec, $60^{\circ}$/sec compared with those of the joint mobilization group. There was no significant difference in extensors and flexors peak torque at $30^{\circ}$/sec, $60^{\circ}$/sec between two group. The results showed that the back pain exercise group were effective in decreasing disability score and pain of trunk activity, increasing trunk extension and flexion peak torque. Conclusion : It is suggested theat the back pain exercise program could be an essential factor for the effective intervension to the hearing impairment patients suffere from low back pain.

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흉요추 이행부 원인에 의한 후장골릉 부근 요통 -증례 보고- (Pain Around the Posterior Iliac Crest of Thoracolumbar Origin -Case report-)

  • 황영섭;오광조;김우선;최훈
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.111-114
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    • 2000
  • Pain around the posterior iliac crest area is usually attributed to disorders of the lower lumbar or lumbosacral spine. However, low back pain arising from the thoracolumbar region is common and it is very similar to low back pain of lumbosacral origin. Low back pain of thoracolumbar origin is clinically distinguished from other nonspecific low back pain syndrome. It is characterized by symptoms localized at one posterior iliac crest innervated by posterior branch of $T_{12}$ spinal nerve. Patients never complain of spontaneous pain at the thoracolumbar junction. Only localized tenderness over involved segments of thoracolumbar junction can be noted. We report two cases of posterior iliac crest pain of thoracolumbar origin which was relieved by the treatment on the thoracolumbar junction.

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요천부 이행성 척추증에 의한 요통의 치험 -증례 보고- (Low Back Pain due to Lumbosacral Transitional Vertebra -A case report-)

  • 전용석;원석규;이명의;심재철
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.134-137
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    • 1998
  • The presence of an enlarged transverse process on one or both sides of the last lumbar vertebra is a common congenital anomaly of the lumbar vertebra. It is thought to be a genetic or developmental anatomical variant. The first reported assimilation of the fifth lumbar vertebra into the sacrum associated with low back pain was in 1917 by Bertolotti. However, clinical significance of lumbosacral transitional vertebra has not been fully considered due to lack of scientific investigations dealing with it. We experienced a case of symptomatic lumbosacral transitional vertebra during management of low back pain. Low back pain was relieved after infiltration of local anesthetics and steroid into the false joint of lumbosacral transitional vertebra. This result may possibly indicate a significant correlation between low back pain and lumbosacral transitional vertebra.

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