• Title/Summary/Keyword: Back treatment

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The Effects of Moxibustion on Chronic Back Pain and Activities of Daily Living in Aged (뜸 요법이 노인의 만성 요통과 일상생활 활동장애에 미치는 효과)

  • Ryu, Hye Sook;Park, Kyung Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.1
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    • pp.38-45
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    • 2015
  • Purpose: This study was attempted in order to verify the effects of moxibustion on aged back pain and activities of daily living. Methods: A research design is quasi-experiment with pre-post test design in nonequivalent control group. As for data collection and experimental treatment, it accidentally sampled totally 50 people with 24 people for the experimental group and 26 people for the control group who appeal for chronic back pain aged over 60 who visited 4 senior centers where are located in N city from November 7, 2012 to December 3, 2012. Experimental treatment was carried out moxibustion totally 12 times by 3 times for 4 weeks in the experimental group. Data analysis was made by using SPSS program. As an analytical technique, the experimental group and the control group were analyzed the homogeneity verification with t-test, Fisher's exact test and $x^2$ test and the hypothesis verification with t-test. Results: The back pain level was reduced in the experimental group than the control group. The disability of daily living activities was reduced in the experimental group than in the control group. Conclusion: Moxibustion was considered to be likely useful therapeutic method for effects of chronic back pain and disability of daily living activities in aged.

Examination of Adult Low Back Pain Using the Quantitative Sensory Testing (정량적 평가도구를 이용한 성인 요통검사)

  • Lee, Dongjin
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.2
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    • pp.39-46
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    • 2015
  • Purpose: For this study, low back pain was analyzed by determining the influences of pain threshold, proprioceptive sense, and balance ability. Method: A total of 80 college students participated in this study with 30 adults regarded as normal and 50 adults regarded as having lower back pain. Measurements for participants regarding pain threshold, proprioception, and balance ability were conducted from April 10 to May 16, 2014. Result: Results from this study show significant differences between groups for back with regards to cold pain threshold, warm pain threshold measurements. There were also significant differences in proprioception for extension measurements. Finally, there were significant differences when comparing groups regarding balance for total balance score. Conclusion: With this data, practicing physical therapists can realize that a difference may exist between the patient's perception of treatment received and the actual treatment given by professionals due to differences in threshold, proprioception and balance ability. It is important for physical therapists to understand the reliance on objective data showing the effects of threshold, proprioception and balance ability on patients with back pain.

Effectiveness of Acupuncture for Laryngopharyngeal Reflux Disease: A Systematic Review and Meta-Analysis

  • Jihun Oh;Jaewoo Yang;Jungmin Yang;Minsoo Kang;Sukyoung Kim;Minjun Lee;Jinwoong Lim
    • Journal of Acupuncture Research
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    • v.40 no.3
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    • pp.188-200
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    • 2023
  • Laryngopharyngeal reflux (LPR) disease is a condition in which the stomach contents return to the larynx and pharynx via the esophagus, causing mucosal injury. While conventional treatments, such as proton pump inhibitors, have limitations, acupuncture has been shown to reduce LPR symptoms. However, its effectiveness has not been systematically assessed. This study aimed to systematically evaluate the effectiveness of acupuncture in treating LPR. We review 10 electronic databases with a consistent search strategy, and 2 independent reviewers screened the articles based on the inclusion and exclusion criteria. This study selected and analyzed 7 randomized controlled trials after the screening to assess primary outcomes, including reflux symptom index and reflux finding score, and secondary outcomes, including upper and lower esophageal sphincter pressure. The results revealed the statistically significant effectiveness of acupuncture in combination with conventional treatment in reducing LPR symptoms compared with conventional treatment alone. The most commonly used acupuncture points were CV22, ST36, and LR3. However, the meta-analysis demonstrated low reliability, as assessed using the GRADE Tool. Further research is needed to improve the evidence and draw clear conclusions regarding the clinical use of acupuncture for treating LPR.

The effect of home training using video contents on abdominal muscle thickness, Oswestry disability index, and pain in students with chronic low back pain (비디오 컨텐츠를 사용한 홈 트레이닝이 만성 허리 통증이 있는 대학생의 배근육 두께, 허리기능 및 통증에 미치는 영향)

  • Sun-Wook Park
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.71-82
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    • 2023
  • PURPOSE: This study examined the effect of training using video content on abdominal muscle thickness, Oswestry disability index (ODI), and pain in college students with chronic back pain. METHODS: Twenty-nine college students with chronic back pain participated in this study. The subjects were assigned randomly to 15 experimental groups who trained using video content and 14 control groups who exercised voluntarily using back exercise leaflets. The video used for the intervention was obtained from YouTube, and the difficulty level of the video was classified into six levels. Both groups participated in the intervention for 40 minutes/day, three times a week for six weeks, and the variables of abdominal muscle thickness, ODI, and pain were compared before and after the intervention. RESULTS: In the experimental group, there were statistically significant changes in the thickness of the internal oblique and transverse abdominis muscles, ODI, and pain after the intervention, except for the external oblique muscle (p < .05). In the control group, there was no statistically significant difference in all variables after the intervention (p > .05). A statistically significant difference in all variables was observed between the experimental group and the control group after the intervention except for the external oblique muscle (p < .05). CONCLUSION: Treatment of chronic low back pain using video content is a possible alternative treatment if quality images are selected and the difficulty levels are adjusted.

The Correlation between Cross-sectional Area of Lumbar Paraspinal Muscles and Walking Ability in the Patients with Lumbar Spinal Stenosis (척추관 협착증 환자의 보행능력과 요추 주변 근육 단면적의 상관관계 연구)

  • Kim, Min Chul;Seo, Young Hoon;Lee, Sang Min;Kim, Yu Jong;Hong, Je Rak;Yoo, Do Hyun;Kim, Ji Su;Kim, Tae Gyu;Choi, Jae Young;Kim, Tae-Hun
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.3
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    • pp.109-117
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    • 2016
  • Objectives The purpose of this study was to investigate the correlation between walking ability of lumbar spinal stenosis patients and the cross-sectional area (CSA) of lumbar paraspinal muscles. Methods This study was carried out on 62 lumbar spinal stenosis patients who had limited walking abilities because of neurogenic claudication (NC). All patients received more than 2 weeks of complex treatment at Mokhuri Neck&Back Hospital. CSA of lumbar paraspinal muscles was measured from axial T2-weighted MRI and divided by CSA of adjacent vertebral body to avoid influence of body statues (RCSA-Relative CSA). Pain Free Walking Distance and Numerical Rating Scale (NRS) was measured before and after treatment. Results The Pain Free Walking Distance had significantly increased in patients who had bigger RCSA of psoas muscle (r=0.313, p<0.05). Conclusions The psoas muscle can be a predictive factor for restoring walking ability of lumbar spinal stenosis patients who have limitations walking.

The Controversy Regarding the Optimal Management of Chronic Low Back Pain: Interventional vs. Medical Treatment (만성요통의 적정 치료를 둘러싼 논란: 중재적 치료 대 보존적 치료)

  • Kwon, O-Hyun
    • Annals of Clinical Neurophysiology
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    • v.12 no.1
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    • pp.1-2
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    • 2010
  • Chronic non-specific low back pain (CLBP) is one of the major health problems casting substantial amount of economic expenses and negative impact on quality of life onto an individual as well as society. On contrary to public familiarity, the ways of management of CLBP are diverse and there is yet no general consensus about which approach is better than others or to whom the specific management should be applied. Some hold the negative point of view on the efficacy of the invasive maneuver such as epidural injection because there is no controlled clinical trial (RCT) yielding better long term outcome of those invasive managements over conservative ones. But the experts of interventional or surgical treatment stress the methodological difficulty in performing RCT and assert that those invasive treatments can bring the prompt and complete resolution of low back pain and restoration of function in appropriately selected cases. These seemingly opposite views on the invasive management on CLBP are rather complimentary each other than to be contradictory.

The Effects of Spinal Decompression Therapy on Pain and Disability in Patients with Chronic Low Back Pain

  • Oh, Hyun-Ju;Jeon, Chun-Bae;Jeong, Mu-Geon;Choi, Seok-Joo
    • The Journal of Korean Physical Therapy
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    • v.29 no.6
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    • pp.299-302
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of spinal decompression therapy on pain and disability in patients with chronic low back pain. Methods: Twenty patients with chronic low back pain were divided into an experimental group (spinal decompression therapy, n=10) and a control group (conservative physical therapy, n=10). Both groups were treated three times a week over a four-week period. Results: The comparison of between-group changes post-treatment revealed statistically significant lower levels of pain and disability in the experimental group than the control group. The comparison of within each group changes before and after the treatment showed statistically significant declines in pain and disability indexes of both groups. Conclusion: Spinal decompression therapy may be an effective intervention for improving pain and disability in patients with chronic low back pain.

The Trend Review of Acupoints for Lumbar HIVD Treatment and the Literature Review of Anatomical Location of Hwatahyeopcheock (요각통 및 요추간판탈출증 침 치료에 다용되는 혈위 조사 및 협척혈의 해부학적 위치에 대한 문헌적 고찰)

  • Lee, Min-Su;Kang, Kyung-Rae;Woo, Ki-Won;Baek, Sang-Hyun;Ha, In-Hyuk;Shin, Min-Sik;Lee, Jin-Ho
    • Korean Journal of Acupuncture
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    • v.32 no.3
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    • pp.81-89
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    • 2015
  • Objectives : The purpose of this study is to explore the trends of acupoints used for lumbar HIVD(Herniated Intervertebral Disc) and treatment and anatomical location of Hwatahyeopcheock. Methods : We searched the latest clinical studies on acupuncture treatment for lumbar HIVD(Herniated Intervertebral Disc) through domestic studies search. To analyze the data, we categorized them by year and article types of literatures and investigated often-used acupoints and acupuncture types for treatment by reading treatment part of every paper searched. Domestic and Chinese literatures related to Hwatahyeopcheock were also studied for its anatomical location. Results : Total 50 articles are searched and local points are more used than distant points for lumbar HIVD(Herniated Intervertebral Disc) and most of them showed curative effects. Back-su points were used the most and Hwatahyeopcheock use accounted for one-third of the articles. In the articles of Hwatahyeopcheock use, except for one, patients complained of both low back pain and radiating pain, and all of them showed positive results after treatment. Conclusions : Back su point is considered to have its meaning as physical region where patients feel pain including herniated disc level rather than the effect meridian system makes. Through document research and meridian muscle theory, we found that Hwatahyeopcheock means vertebral facet joint, intervertebral foramen and surrounding muscle, nerve, blood vessel and related spinal nerves.

A Clinical Study on the Effects of Dong-Qi Acupuncture Treatment for Patents with low back pain and sciatica (동기침법(動氣鍼法)을 이용한 요각통(腰脚痛) 환자(患者)의 임상적(臨床的) 고찰(考察))

  • Lee, Kwang-Ho;Kwon, Ki-Rok;Kang, Mi-Suk
    • Journal of Pharmacopuncture
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    • v.8 no.3
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    • pp.123-128
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    • 2005
  • Objective : The purpose of this study is to observe the effects of Dong-Qi acupuncture treatment for the patients with low back pain and sciatica. Methods : 60 patients were divided into two, Group A of 30 persons and Group B of 30 persons. Only Group A was treated with Dong-Qi acupuncture treatment, Group B was treated with just Dong-Qi acupuncture treatment. Results : In VAS, Group A is $6.57{\pm}1.91$ and Group B is $5.20{\pm}2.22(P=0.013)$. In Improvement index, Group A is $0.2295{\pm}0.1036$ and Group B is $0.1545{\pm}0.0895\;(P=0.004)$. Conclusions : We knew that Dong-Qi acupuncture treatment is more effective.

The Effect of Adhesive Taping Therapy on the Relieve of Chronic Low Back Pain (만성요통환자의 접착용 테이핑 재활요법의 효과)

  • 최연희;백경신
    • Korean Journal of Health Education and Promotion
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    • v.15 no.2
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    • pp.55-66
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    • 1998
  • The purpose of this study was to test whether adhesive taping therapy, one of rehabilitation, helps to relieve chronic low back pain. Sample were selected from 35 outpatients at oriental medicine hospital in the period from April 20 to June 20, 1998. The research design was one-group pretest - posttest design. The pretest included measuring discomfort depending on the scope and types of a range of motion, and their pain by their activity of daily living(ADL). In this research design, a treatment was to expose adhesive taping therapy to samples. The posttest included remeasuring of their discomfort and pain by ADL. The results of this study was as follows: Hypothesis I was that the discomfort score of the post-treatment group had lower than does that of the pre-treatment group. This study accepted the hypothesis (t=2.70, p=.015). Hypothesis II was that the post-treatment group had the pain score by ADL lower than does the pre-treatment group. Empirical results showed statistical significance(t=4.53, p=.000). In summary, the effect measured by the discomfort with a visual analog scale was statistically significant. The degree of pain according to postures in ADL also showed statistical significance. Consequently, these findings showed that the adhesive taping therapy was effective to alleviation of chronic low back pain.

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