• Title/Summary/Keyword: Back Pain

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The Impacts of Muscle Energy Technique (MET) and Transcutaneous Electrical Nerve Stimulation (TENS) Performed on Elector Spinae Muscle of Acute Low Back Pain Patients on Pain and Meridian Electromyography (경근추나요법과 경피전기자극치료가 급성 요통 환자의 통증 및 척추기립근 경근전도에 미치는 영향)

  • Kim, Soon-Joong;Park, Dong-Su;Jeong, Su-Hyeon;Ahn, Jae-Min
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.1
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    • pp.83-92
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    • 2014
  • Objectives To evaluate the clinical usefulness between muscle energy techniques (MET) and transcutaneous electrical nerve stimulator (TENS), we performed both on elector spinae muscle of acute low back pain patients. Methods After performing MET and TENS, we compared both in terms of electrical activity. We performed MET or TENS on elector spinae muscle of acute low back pain patients in each group (n=15,15). After performing MET or TENS, we analyzed root mean square (RMS), median edge frequency (MEF) and asymmetry index (AI). Results 1. After performing MET on elector spinae muscle of acute low back pain patients, RMS was significantly decreased compared with before (p<0.005). 2. After performing TENS on elector spinae muscle of acute low back pain patients, RMS was significantly decreased compared with before (p<0.005). 3. After performing MET on elector spinae muscle of acute low back pain patients, asymmetric index was significantly decreased compared with before (p<0.05). Conclusions According to above results, performing MET on elector spinae muscle of acute low back pain patients has effect in terms of RMS and asymmetric index. And performing TENS on elector spinae muscle of acute low back pain patients also has similar effect in terms of RMS but has not in terms of asymmetric index.

The Effect of Exercise Program on Pain, Daily Living Disability, and Depression in Chronic Low Back Pain Patients Treated with Epidural Injections (요부운동 프로그램이 경막외 신경차단술을 받은 만성요통 환자의 통증, 일상생활제한 및 우울 감소에 미치는 효과)

  • Kim, Kyoung A;Lee, Myung Ha;Kim, Hyun Kyung;Jeong, Seok Hee
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.454-463
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    • 2013
  • Purpose: This study aimed to evaluate the effects of exercise program on chronic low back pain, daily living disability and depression in chronic low back pain patients treated with epidural injections. Methods: The design of this study was a nonequivalent control group pretest-posttest experiment. The sample was recruited among low back pain patients treated with epidural injections from an orthopedic specialty hospital. Participants were randomly assigned to a treatment group (n=25) or a comparison group (n=27). The treatment was a six week exercise program for low back pain. Data were collected from September to November 2011, and were analyzed using descriptive statistics, $x^2$-test, one-tailed t-test for independent samples, and Mann-Whitney U test using the SPSS/WIN 12.0 program. Results: Patients in the treatment group reported statistically significantly lower levels of back pain on flexion and extension, less daily living disability, and less depression than those in the comparison group. Conclusion: The back pain relief exercise program could be an effective adjunct nursing intervention for low back pain patients treated with epidural injections.

Effect of Abdominal Compression Belt on Static Balance During One Leg Standing in Low Back Pain Patients (한 발 서기 시 복부 압박 벨트가 요통 환자의 정적 균형에 미치는 영향)

  • Ju, Hwa-Phyeoung;Choi, Sol-A;Jeong, Da-Hye;Han, Na-Rin;Woo, Young-Keun
    • PNF and Movement
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    • v.15 no.3
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    • pp.353-360
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    • 2017
  • Purpose: This study aimed to measure static balance of low back pain patients while one-leg standing in abdominal compression belts. Methods: The study included 40 adult males and females at J university, divided into a low back pain patient group and a normal group through the Oswestry disability questionnaire (ODQ). The subjects were instructed to hold a one-leg standing posture for 15 seconds on a balance measurement plate while wearing an abdominal compression belt. Shifting distance (0.1 cm), mean velocity (cm/s), pressure, and contact area were analyzed using BioRescue (BioRescue, RMINGEIEIRIE, Rodez, France). The average value was used to measure the result 3 times for each condition. Results: Both normal and low back pain groups significantly decreased in the speed of sway while wearing the abdominal compression belt. Furthermore, the pressure of the center of motion significantly decreased in the low back pain groups while wearing abdominal compression belt. However, there were no significant differences in the speed of sway or the pressure of center of motion between groups after wearing the abdominal pressure belt. Conclusion: These results suggest that abdominal compression belts are one option for improving balance temporarily. However, balance after wearing abdominal compression vests depends on onset of back pain, age, and symptoms of pain in the groups with low back pain. Further research is needed to investigate muscle activity, dynamic balance, and the effect of the period of wearing abdominal compression belts in the variety of low back pain patients.

Comparison Study of Static and Dynamic Plantar Foot Pressure between Chronic Low Back Pain Patients and Normal Adults (만성 요통 환자와 정상 성인의 정적, 동적 족저압 비교 연구)

  • Lee, Jeon-Hyeong;Kim, Gi-Chul;Seo, Hyun-Kyu;Park, Youn-Ki
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.1
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    • pp.49-54
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    • 2013
  • Background: The purposed of this study is to examine the static and dynamic plantar foot pressure in chronic low back pain patients and normal adults. Methods: The subjects were divided into a group of 30 patients with chronic low back pain and a control group of 30 healthy persons. While static posture and dynamic posture at comfortable walking speeds, the low back pain group and the control group measured their plantar foot pressure and the trajectory of their center of pressure (COP) using the Matscan(R) system. Independent t-tests were measured to compare differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group. Results: In the comparison of differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group, the anteroposterior (AP) displacement of COP showed significant differences (p<.05). Although the low back pain group and the control group did not show any significant differences in leg length, weight distribution, mediolateral (ML) displacement of COP, static contract area, dynamic contract areas (p>.05), increases in the contract area values were shown in the hind foot in general. Conclusion: In this study, it was shown that patients with chronic low back pain were walking with short AP displacement of the COP as a compensatory action to avoid pain.

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Effects of trunk Muscles Endurance, Hip Joint Muscular Strength, and Pelvic Alignment on Mild Low Back Pain

  • Kim, Wondeuk;Seo, Miryea;Park, Dongchun;Shin, Doochul
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.156-160
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    • 2021
  • Objective: Low back pain easily becomes chronic and has a high recurrence rate. Therefore, it is most important to prevent chronicity and reduce the risk of recurrence in the early stages of back pain or at the stage with mild pain. Therefore, this study was conducted to compare hip joint muscle strength, trunk muscle endurance, and pelvic alignment between subjects with mild low back pain and subjects without back pain. Design: Crossed-sectional study Methods: The study was conducted by recruiting 30 students in their twenties who are enrolled in K University in Gyeongsangnam-do, and classifying them into 15 patients with mild back pain and 15 patients with normal. The subjects who participated in the experiment were measured for hip flexor and extensor muscle strength, trunk flexion and extension muscle endurance, and pelvic alignment. To measure hip joint muscle strength, biodex was used, and muscle endurance of the trunk was recorded at the end range of the trunk flexion and extension. And pelvic alignment was measured using Formetric 4D. Results: There were no significant differences in hip joint muscle strength, pelvic alignment, and trunk extension muscle endurance. The retention time was found to be significantly shorter in the mild low back pain group than in the normal group for trunk flexion muscle endurance. Conclusions: In the early stages of back pain or in the mild pain stage, training to increase muscle endurance of the flexor muscles may be helpful.

The Clinical Study of the Association Between Cigarette Smoking and Effect of Oriental Medical Treatment in Low Back Pain (흡연과 요통치료의 상관성에 대한 임상적 고찰)

  • Jeong, Su-Hyeon;Kim, Sun-Jung;Lee, Eun-Yong
    • Journal of Acupuncture Research
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    • v.18 no.4
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    • pp.32-45
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    • 2001
  • Objective : This study was performed to estimate the association between cigarette smoking and effect of oriental medical treatment in low back pain. Methods : We reviewed 40 male patients of low back pain, who were hospitalized at the Oriental Medical Hospital of Se-Myung University. 40 patients were divided into 2 groups(smokers, non-smokers) and effective scores of treatments were measured on age, symptom, etc. Result & Conclusion : Between smokers and non-smokers, statistically significant differences were not found in effective scores of treatments of low back pain, but in almost every non-smokers, they were higher than those of smokers. They seems to show that possibility of the association between cigarette smoking and effect of oriental medical treatment in low back pain.

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Comparison of the Difference of Weight-bearing Distribution Between Subjects With Low Back Pain and Healthy Subjects (요통 환자와 정상인의 양하지 체중지지 차이 비교)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.8 no.1
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    • pp.1-8
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    • 2001
  • The purpose of this study was to compare the differences of weight-bearing distribution between subjects with low back pain and healthy subjects. Fifty-one subjects (22 men, 29 women; mean age = 42.9 years) with low back pain and 31 healthy subjects (11 men, 20 women; mean age = 35.4 years) were evaluated. The weight-bearing distribution was measured by two commercial scales during comfortable standing. The difference of weight-bearing distribution between right and left side was calculated for each subject. The differences of weight-bearing distribution in subjects with low back pain and healthy subjects were 6.0 kg and 4.5 kg, respectively. However, there were no significant differences in the weight-bearing distribution between subjects with low back pain and healthy subjects.

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A Study of the Biomechanic of the Lumbar Intervertebral Disk (요추 추간원판의 생체역학에 대한 연구)

  • Choi Jin-Ho;Lee Han-Suk;Hong Wan-Sung
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.163-170
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    • 1994
  • Low back pain is one of the moot common human diseases, striking $70\~80$ percent of the population. Many of the causes of low back pain are unknown. Yet, degenerative and mechanical changes are regarded by some as the most common cause of low back pain is physical therapy using various types of modalities and exercise. Therefore physical therapist must understand not only structure of intervertebral disk but also biomechanics of the lumbar intervertebral disk for prevent accourance of low back pain and treat patients with low back pain. The purpose of this article was to study biomechanices of the lumbar intervertebral disk and its intradiscal pressure in various position.

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The Effect of Robo-horseback Riding Exercise on Trunk Muscle Activity Ratios in Patients with Low Back Pain

  • Kang, Hyungkyu;Chang, Sookyung
    • The Journal of Korean Physical Therapy
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    • v.24 no.6
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    • pp.393-397
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    • 2012
  • Purpose: We investigated to identify the effect of robo-horseback riding exercise (RHRE) on trunk muscle activity ratios for patients with low back pain. Methods: Twelve patients with low back pain and twelve healthy adults were recruited for this study. Subjects performed the RHRE with the neutral spine position. The amplitude of electromyography activity was recorded from the selected trunk muscles (internal oblique [IO], rectus abdominis [RA], multifidus [MF], the thoracic part of the iliocostalis lumborum [ICLT]). The ratios of the relative local muscle activity to the global muscle activity in abdominal and lumbar parts were calculated. Results: There were significant differences in the change values of the IO/RA and the MF/ICLT between low back pain (LBP) patients and healthy adults. The IO/RA ratio and the MF/ICLT ratio showed significant increase in LBP patients after training. Conclusion: The RHRE improved the trunk muscle activity ratio in patients with low back pain. The information presented here is important for investigators who use lumbar stabilization exercises as a rehabilitation exercise.

A study of Recurrence rate in a period about patient who had HIVD and chronic back pain cured by chuna treatment (추나치료(椎拿治療)로 완치(完治)된 HIVD 및 만성요통환자(慢性腰痛患者)의 재발율(再發率)에 대한 연구(硏究))

  • Shin, Jun-Sik
    • Korean Journal of Oriental Medicine
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    • v.3 no.1
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    • pp.321-333
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    • 1997
  • Clinical studies were performed on 119 cases who had HIVD and chronic back pain cured by chuna treatment from August 1984 to June 1997. The results were as follows 1. In 119 cases of HIVD and chronic back pain, 39 cases(32.8%) were male and 80 cases (67.2%) were female. 2. In 119 cases of HIVD and chronic back pain, 19 cases were under the age of 30 and 30 cases were under the age of 40 and 42 cases were under the age of 50 and 28 cases were older than 60 years old. 3. On Duration of Treatment in a Step, 29 cases were taken I -step treatment and 53 cases were taken II -step treatment and 31 cases were taken III -step treatment. 4. In 119 cases of HIVD and chronic back pain, recurrent rate was 12.6%.

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