• 대한한방부인과학회지
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• 제25권2호
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• pp.174-184
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• 2012

Objectives: The purpose of this study was to observe the early postpartum low back pain and pelvic girdle pain in the Korean medical hospital for 2-weeks. Methods: Fifty-one postpartum women who admitted for postpartum care in Korean hospital from December 3rd, 2011 to January 31st, 2012 had written out pain measurement questionnaires(SF-MPQ, VAS, ODI) three times for 2-weeks. SPSS 18.0 for Windows was used to analyse the data and the independent samples t-test, paired T-test were used to verify the results. Results: 1. Evaluation of low back pain within the first week after birth was as follows: SF-MPQ sensory area was $5.06{\pm}4.41$ points; SF-MPQ emotional areas was $0.86{\pm}1.34$ points; VAS mean was $3.79{\pm}2.02$ points; and ODI mean was $10.27{\pm}6.69$. 2. Early postpartum low back pain and pelvic girdle pain were significantly decreased in SF-MPQ, VAS, and ODI after 2-weeks(p < 0.01). 3. Age, birth type, parity, weight, and BMI increased during pregnancy does not affect the postpartum low back pain and pelvic girdle pain. Conclusions: The top 10% of postpartum low back pain scale was 10.8 points or more in the sensory area of SF-MPQ, and 3 points or more in the affective area of SF-MPQ. In the case of VAS, it was more than 7 points, and ODI was more than 21.8 points. Postpartum back pain with oriental medical treatment was significantly improved.

• 대한물리치료과학회지
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• 제29권4호
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• pp.86-95
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• 2022

Background: The purpose of this study is to investigate the effect of ultra-thin microcurrent patch application on pain, tenderness, trunk flexion, and trunk extension in patients with back pain. Design: pretest-posttest design: single blind. Methods: Thirty men and women diagnosed with chronic back pain were classified into 15 microcurrent application groups and 15 placebo groups. Changes in pain were observed on a visual analog scale, tenderness was observed with a digital tenderness meter, and changes in trunk flexion and trunk extension angles were evaluated with a posture analyzer. The paired t-test was used to see the changes within each group before and one week after the experiment, and the independent t-test was used to see the change in the difference between the groups, and the significance level was 0.05. Results: In both the experimental group and the control group, there was a significant difference in pain within and between groups(p<0.05). In the experimental group, there were significant differences in the intra- and inter-group changes in the erector spinae muscle tenderness and low back pain disorder index(p<0.05). In the experimental group, there was a significant difference in the change in trunk flexion and extension within the group(p<0.05). Conclusion: In this study, it was confirmed that the application of ultra-thin microcurrent was effective for pain, tenderness, and movement of back extension in patients with low back pain. It is expected that it will be used as a basic data for microcurrent therapy and as a treatment method for improving the function of patients with back pain in the future.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.87-99
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• 2000

A study was conducted in order to determine back pain experience status of elementary. junior and senior high school teachers and the factors affecting their knowledge of back pain and physical therapy from April 2 through June 30, 1999 in major big cities and small and medium towns. Questionnaires were sent to 924 teachers and the collected daa were analyzed. The results summarized are as follows ; 1. $46.3\%$ of the respondents had experienced back pain, and $47.0\%$ of females, $62.0\%$ of the people over 50years old, $57.4\%$ of junior high school teachers, $47.5%$ of teachers of art and physical education, $46.9\%$ of married persons, $47.8\%$ of the people living in medium or small towns, and $58.6\%$ of the persons whose economic status was low han experienced back pains, $58.9\%$ of respondents who were not healthy, and $49.3\%$ of those who did not drink alcohol, $47.9\%$ of nonsmokers, and $49.1\%$ of those who slept on ondol had experienced back pains. $76.7\%$ of the respondents got health information on back pains from health professionals. 2. An average level of the respondents en physical therapy was $14.95\pm8.32$ points out of 44 and it was 34 points when converted to 100. The knowledge levels of males,. elementary teachers, married persons, those teaching students far more than 20 hours a week, smokers, those who did not drink, those who exercised regularly, and those who had experienced back pains were higher than those in other groups. The knowledge level of those who had experienced back pain prevention education was $18.88\pm8.88$ points and the difference between those with experience and those without experience was statistically significant. The depression level of those who got 40 pome on back pains, and physical therapy was higher than other group(p<0.001). 3, Depression levels of teachers on back pains and physical therapy related knowledge was higher in those with back pains than those without back pains(p<0.01). 4. The factors affecting experience of back pains were back pain related age, economic status, health status, smoking, style of kitchen, sown of information on back pain, and back pain prevention education. (p<0.001), 5. The factors affecting the knowledge on physical therapy were general knowledge levels on back pains, position when tilling, and moving heavy stuffs, driving position, sources of information on back pain prevention, type of bed, age, and health status, and the explanation power of those factors was $45.2\%$.

• 척추신경추나의학회지
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• 제8권1호
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• pp.15-26
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• 2013

Objectives: The purpose of this study is to find out the relationship between lumbar lordotic angle and low back pain patterns. Methods: We randomly selected the 1191 patients (595 males, 596 females) who have visited Bu-Chun Jaseng Hospital of Korean Medicine with low back pain. We have taken lumbar x-ray films and measured their lumbar lordotic angle, the angle formed between L1 superior margin and S1 superior margin. We investigated 1191 patients' low back pain patterns(date of occurence, existence of radiating pain, trend of increasing pain with lumbar extention and flexion, trend of increasing pain with standing and sitting positions) and analysed the relationship between lumbar lordotic angle and low back pain patterns. Results: 1. The lumbar lordotic angle of the acute phase patient is more straight than the chronic one. 2. The lumbar lordotic angle of the patients with radiating pain is more straight than the patients without radiating pain. 3. At acute phase, the lumbar lordotic angle of the patients with increasing pain from lumbar extention is more straight than those with increasing pain from lumbar flexion. 4. At chronic phase, the lumbar lordotic angle of the patients with increasing pain from lumbar flexion is more straight than those with increasing pain from lumbar extention. Conclusions: There was a significant correlation between lumbar lordotic angle and low back pain.

• 한국재난정보학회 논문집
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• 제5권1호
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• pp.142-158
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• 2009

The increasing number of crimes in rapidly changing modern society is enhancing people's desire for safety. As of 2008, 2,900 private security businesses with 133,000 employees operated in the private security industry which emerged in response to growing demands from society and people. Of the employees, bodyguards (hereinafter referred to as "private security guard") accounted for about 10% or 13,000. Most private security guards were suffering from various occupational diseases. Especially as they needed to guard their clients many hours a day and worked in a standing position for a long time, private security guards often complained of low back pain. Under the pain, they were hardly expected to perform their tasks efficiently. There are several causes of low back pain. The most prevalent cause is muscle weakness and imbalance around low back. Especially because private security work often requires security guards to maintain a standing position for a long time, many of them are suffering from low back pain. This study pursued the following purposes. First, it tried to identify the pathogenesis of low back pain caused by muscle weakness and imbalance around low back. Second, it tried to provide private security guards, who can hardly have personal time at work, with an easy method to prevent and manage low back pain any time by researching an effective therapy for low back pain caused by muscle weakness and imbalance around low back.

• 대한정형도수물리치료학회지
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• 제10권1호
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• pp.103-116
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• 2004

The purpose of this study was to investigate between low back pain scale and disability index owing to gait pattern. For the period of February 1 to February 29, 2004, we had conducted a questionnaire and direct interview with 100 persons lived in Daejeon. The result were as follows: 1. The stride length of experimental group. the male was $49.9{\pm}12.9cm$. the female $45.7{\pm}12.9cm$ and the width of feet, the male was $13.5{\pm}5.7cm$, the female $12.2{\pm}4.8cm$. 2. The Fick angle of all subjects was showed in external disposition, the left angle showed in asymmetry, the male was $11.0{\pm}5.7^{\circ}$, the female $8.5{\pm}1.3^{\circ}$. 3. The foot arch was similar to sex as a weight bearing and non-weight bearing, the male was $1.3{\pm}0.8cm$, the female $1.3{\pm}0.9cm$. 4. The impedimental index according to back pain grade, men was a lower than women, the male was $5.7{\pm}6.9$ and the female $7.2{\pm}5.3$. 5. The relation to difference between foot arch and disability index according to back pain grade as a weight bearing and non-weight bearing, the higher foot arch, the higher back pain grade was statistically significance(p<.05). 6. The relation between width of feet and disability index according to back pain grade, the wider width of feet, the higher back pain grade was statistically significance(p<.01). 7. The relation between stride length and disability index according to back pain grade, the wider stride length, the higher back pain grade was statistically significance(p<.05).

• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.33-44
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• 2017

Background: Lumbar stabilization exercise and gluteal muscle strengthening exercises are widely used to treat for lower back pain patient. The present study aimed to compare the effects of lumbar stabilization exercise and gluteal muscle strengthening exercises on chronic lower back pain with lumbar spine instability, with regard to pain intensity, disability, and psychosocial factors. Methods: Among 53 patients with chronic lower back pain, those with spine instability were selected using 5 examination tests. The selected 28 patients were randomly assigned to lumbar stabilization exercise group (LSE, n=15) and gluteal strengthening exercise group (GSE, n=13). Each group performed the corresponding exercise for 40 minutes, twice a week for 4 weeks. To analyze and compare the effects, pain intensity, the level of low back disability, and psychosocial factors were assessed before and after intervention. Results: There was significant difference in lower back pain intensity between the two groups before and after intervention. The change in low back disability was significant in the GSE group alone following intervention (p<.05), but no other significant difference was found between the groups. Among psychosocial factors, the changes in the fear-avoidance beliefs questionnaire (FABQ)-physical activity and FABQ-total were significant in the LSE group alone following intervention (p<.05). However, no significant difference were found in these factors between the two groups before and after intervention. Conclusions: LSE and GSE for lower back pain with lumbar spine instability showed no significant difference for pain intensity, physical disability, or psychosocial functioning.

• PNF and Movement
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• 제18권3호
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• pp.351-363
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• 2020

Purpose: The purpose of this study was to investigate the effects of Pilates exercise on the back pain index, pelvic tilt angle, and physical fitness of pregnant women with low back pain. Methods: All study participants, all of whom had pregnancy-induced back pain, were randomly assigned to either a Pilates exercise group (PG, n = 8) or control group (CG, n = 7). The PG performed a Pilates exercise for 50 minutes three times a week for eight weeks. The back pain scale and pelvic tilt angle were measured using a visual analogue scale and angulometer, respectively. Cardiopulmonary endurance, flexibility, and grip strength were measured to examine the physical fitness. The variables were analyzed using two-way repeated-measures ANOVA with the Holm-Sidak post hoc procedure. Results: Back pain in the PG significantly decreased from 4.69 ± 1.28 to 1.06 ± 0.94, whereas the CG showed significantly increased back pain from 2.63 ± 2.20 to 4.71 ± 2.56. The left pelvic angle in the PG showed a significant decrease from 13.94 ± 3.70° to 12.29 ± 2.95°, while the CG showed a non-significant difference from 13.07 ± 4.42° to 17.37 ± 3.13°. The right pelvic angle in the PG showed a significant decrease from 13.50 ± 4.47° to 10.34 ± 3.66°, while a non-significant difference in the CG from 44 ± 4.98° to 15.30 ± 3.61° was found. These results showed that the regular participation in Pilates exercise was effective in reducing the pelvic tilt angle. In terms of physical fitness, the PG showed a significant increase in cardiopulmonary endurance, flexibility, and grip strength. However, the CG showed any significance increase in those variables. Conclusion: Eight weeks of Pilates exercise was associated with a decrease in lower back pain, a maintained or reduced pelvic tilt angle, and increased cardiopulmonary endurance, grip strength, and flexibility in pregnant woman with lumbar pain.

• Journal of Yeungnam Medical Science
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• 제24권2호
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• pp.186-196
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• 2007

1991년 2월부터 8월까지 7개월간 영남대학교 의과대학 부속병원에 근무하는 여성 471명을 대상으로 요통 발생에 대한 역학적 설문조사를 실시하고 그 자료를 분석한 결과는 다음과 같았다. 1. 배선원과 조리사 및 교환수에서 요통의 발생빈도가 타 직종에 비해 높았다. 2. 요통의 발생 빈도는 정신 신체 증상의 발현빈도에 주로 관계하였고 부분적으로는 미는 형태의 작업에 관계하였다. 3. 요통에 의한 근무의 지장정도는 드는 형태의 작업 혹은 육체적 노동량이 증가할수록 증가하였고, 정신 신체증상의 발현빈도 및 근무에 대한 불만의 정도와 관계가 있었다. 4. 사소한 요부 손상 혹은 불안정성은 주로 걷는 작업이 긴 형태 혹은 육체적 노동량이 많을수록 증가하였고, 사무적인 작업에서는 감소하였다. 또한 높은 연령과 밀접한 관계가 있었으며 부분적으로는 정신 신체증상의 발현빈도와 관계가 있었다. 이상의 설문지 조사를 통한 역학적 조사를 시행한 결과 요통의 발생 및 이로 인한 장애는 정신 신체적인 요소와 작업의 형태가 관계하여, 이의 예방 및 치료를 위해서는 작업에 대한 인간공학적인 연구 등을 통한 보다 합리적인 접근법이 요구되고 정신적인 인자에 대한 보다 다각적인 접근이 요구되었다. 또한 요부손상은 연령 등의 생리적 요소가 관계하며 이에 대한 보다 합리적인 대처가 요구 되었다.

• 대한간호학회지
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• 제17권3호
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• pp.184-194
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• 1987

The purposes of this study were; 1) to gather data relevant to demographic features. major main management practices, and the level of impairment of the activities of daily living (ADL) of patients with back pain, 2) to test the sensitivity of the Korean Pain Rating Scale and the Graphic Rating Scales, and 3) to identify indirect indicators of back pain by analysing pain related-behaviors. The level of pain was measured by Korean Pain Rating Scale(KPRS) and Graphic Rating Scales(GRS) developed by the reserchers. The GRS consists of two dimensions; the pain intensity (sensory) and unpleasantness (affective) measures. Of the 1,650 diagnosed back pain patients, from January 4 through June 30, 1987 by visiting outpatients' clinics of orthopedic and neurosurgical departments at 11 university hospitals in different districts of Korea, 330 men and women patients were self-selected by responding to the mailed questionnaires. The results were summarised as follows: Male exceeded female patients in number and onset of back pain were more prevalent in the age groups of 20s and the 30s. The average duration of suffering from the pain were 11 months, sixty three (19.1%) of the subjects retired from their jobs, one third(36.7%) have teen hospitalized for the treatment of back pain. In two thirds(64.8%) of the cases pain was characterized as lower back pain. The average sleep hour was 6.8 hours per 24 hours and the average rest hour during the day was 3.3 hours. The mean percentage of pain measured by GRS was higher than that of KPRS. The level of sensory intensity as well as the affective level of pain measured by KPRS and GRS were not highly correlated (sensory intensity r=0.4986, affective r=0.5029) which indicated low discriminative power. On the other hand, intercorrelation between sensory and affective dimension measured by KPRS and GRS showed moderate interrelation(r=0.7247; r=0.7899). One-third(32.5%) of the subjects complied with the hospital prescribed treatment while the other one-third(31.5%) depended on self-remedy and traditional practices, and the last one-third did not imply any pain management practices. The following 6 pain-related behaviors such as length of hospitalization, rest hour during day hours, varieties of pain management practice implied, number of pain sites, need for ADL and discomfort accompanied by ADL revealed to be important indicators of back pain. An investigation of sociodemographic features of patients with back pain in a larger context, i.e. with bigger number of respondents is recommended. Tests for construct validity of KPRS, i.e. factor analysis is further recommended.