• Title/Summary/Keyword: Chronic Back Pain

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The Effects of Australian Stabilization Exercises for Decreasing Dysfunction and Pain in Chronic Back Pain Patients (호주식 안정화 운동이 만성 요통환자의 기능부전과 통증감소에 미치는 효과)

  • Koo, Hee-Seo
    • Journal of Korean Physical Therapy Science
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    • v.16 no.4
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    • pp.39-47
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    • 2009
  • Background: To evaluate the effects of Australian stabilization exercise for chronic low back pain. Methods: Interventions consisted of exercises aimed at recovery of Multifidus in cocontraction with Transverse abdominis through neural control retraining. Results: After exercise, there were significant improvement(p<.05) in pain and disability score. Conclusions: Neural control stabilization exercise can be effective intervention for chronic Low Back Pain patients.

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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.

Comparison of the Effects of Joint Mobilization, Gym Ball Exercises, and Breathing Exercises on Flexion Relaxation Phenomenon and Pain in Patients with Chronic Low Back Pain

  • Lim, Chaegil
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.1981-1991
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    • 2020
  • Background: Although various exercises have been performed for patients with chronic low back pain (CLBP), the effects of these exercises including joint mobilization, gym ball exercises, and breathing exercises on flexion relaxation ratio (FRR) have not been compared. Objective: To compare the effects of joint mobilization, gym ball exercises, and breathing exercises on the flexion relaxation phenomenon (FRP) and pain in patients with chronic low back pain. Design: Randomized pretest-posttest control group design. Methods: Thirty-six patients with chronic low back pain who were undergoing rehabilitation at a rehabilitation center were included. The patients were randomly divided into three groups: joint mobilization group (JMG; n=12), gym ball exercise group (GBG; n=12), and breathing exercise group (BEG; n=12). The exercises were performed for 40 minutes a day, twice a week, for a total of 12 weeks. Results: There were no significant differences in FRR between the three groups (P>.05). Significant decreases in the modified visual analog scale (MVAS) scores after intervention between the groups were found (P<.05). The GBG was significantly decreases from the JMG in the MVAS (P<.05). However, there were significant improvements between the pre- and post-interventional findings on FRR and MVAS in the three groups (P<.05). Conclusion: We demonstrated that intervention using joint mobilization, gym ball exercises, and breathing exercises improve FRP and pain in patients with CLBP.

Comparison of the Effects of Scrambler and Transcutaneous Electrical Nerve Stimulation Therapy on Pain, Functional Disability, and Depression in Patients with Chronic Low Back Pain (스크램블러 치료와 경피신경전기자극 치료가 만성 허리 통증 환자의 통증과 기능 장애 및 우울에 미치는 효과 비교)

  • Park, Jae-Cheol;Lee, Dong-Kyu
    • PNF and Movement
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    • v.19 no.3
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    • pp.383-390
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    • 2021
  • Purpose: The purpose of this study was to compare the effects of scrambler and transcutaneous electrical nerve stimulation therapy on pain, functional disability, and depression in patients with chronic low back pain. Methods: Twenty patients with chronic stroke were assigned randomly to an experimental (n=10) or control (n=10) group. The experimental group performed scrambler therapy. The control group performed electrical nerve stimulation therapy. Training was conducted once a day for 30 minutes, five days per week, for three weeks. The pain was measured using the numeric rating scale. Functional disability was measured using the Roland-Morris disability questionnaire. Depression was measured using the Beck depression inventory. Results: As a result of comparison between the groups, the experimental and control groups showed significant difference for pain, functional disability and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which scrambler therapy was applied, showed a more significant reduction in pain, functional disability and depression than the control group (p<0.05). Conclusion: Based on these results, scrambler therapy shows positive effects on pain, functional disability, and depression in patients with chronic low back pain.

Regression Analysis of the Relationship Among the Level of Pain and Dysfunction and Psychosocial Factors in Patients With Chronic Back Pain (회귀분석을 이용한 만성요통환자의 통증 및 기능장애수준과 심리사회학적 요인의 상관성 연구)

  • Choi, Im-soon;Jang, Hyun-jeong;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.38-45
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    • 2016
  • Background: Chronic back pain shows a high correlation with lumbar disability, physical disability for daily activities, and psychosocial factors, such as depression. Object: The purpose of this study was to examine the correlation of the level of pain and disability with psychosocial factors, which are potential disturbance variables, in patients with chronic lumbar pain. Method: The sample included 258 patients, who had complained of chronic lumbar pain for more than three months. The Quadruple Visual Analogue Scale was used to measure the level of pain, and a Korean version of Oswestry Disability Index was used to measure the level of disability. Psychosocial factors were measured using the Tampa scale for Kinesiophobia-11, Fear Avoidance Beliefs Questionnaire, and Pain Self-Efficacy Questionnaire. The collected data was analyzed using PASW 18.0, and an independent samples t-test was used to examine frequency, percentage, mean, and standard deviation of sociodemographic characteristics and major variables. Pearson's correlation coefficient was used to investigate the correlation between the level of pain and disability and psychosocial factors. Stepwise multiple regression analysis was done to determine the level of pain and psychosocial factors of functional disorder. The significance level was set at ${\alpha}=.05$. Result: There is a strong correlation between the level of pain and functional disorder and psychosocial factors in patients with chronic lumbar pain. The study also revealed that as the levels of pain and fear avoidance increase, pain self-efficacy decreases. Conclusion: The results suggest that negative perceptions towards pain, limitations of physical movement, and severe fear avoidance directly affect the decrease in pain self-efficacy. Therefore, it is recommended to test pain self-efficacy when measuring the level of pain and disability in patients with chronic low back pain.

A comparative study on the cardiovascular function response to maximal exercise of chronic low back pain patients and normal group (최대운동부하시 정상인과 만성요통환자의 심폐계 반응에 대한 비교연구)

  • Um Ki-Mai;Kim Gun-Do;Hwang Myoung-Hoon
    • The Journal of Korean Physical Therapy
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    • v.12 no.3
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    • pp.379-386
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    • 2000
  • This study is aimed to determine the cardiovascular function response to maximal exercise of chronic low back pain patients(N=13) and normal group(N=13). by using BRUCE PROTOCOL, subjects underwent tredmill exercise test. Their cardiovascular function responses during rest and after maximal exercise were compared The responses were analyzed using t-test for SPSS 7.0 program. The Cardiovascular function variables employed at rest time(Vo2, HR. Vo2/kg, VE, Vco2.) and all out time(Vo2peak. HRpeak, Vo2peak/kg, VEpeak. Vco2peak). Result show that : 1 There was no significant difference in Vo2 between chronic low back pain patients and normal group at rest time. However significant difference in Volpeak was observed after maximal exercise( p<.05). 2. There was no significant difference in HR between chronic low back pain patients and normal group at rest time. No significant difference in HRpeak likewise observed. 3. There was no significant difference in Vo2/kg between chronic low back pain patients and normal group at rest time. However significant difference in Vo2peak/kg was observed after maximal exercise load(p<.05). 4. There was no significance in VE between chronic low bark pain patients and normal group at rest time. However significant difference in VEpeak observed after maximal exercise load(p<.05).

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Development of Questionnaire for Pattern Identification of Chronic Low Back Pain by Delphi Method (만성 요통 변증 설문지 개발을 위한 전문가 Delphi 조사)

  • Ahn, Min-Youn;Song, Yun-Kyung;Ko, Seong-Gyu;Lim, Hyoung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.143-158
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    • 2013
  • Objectives The aim of this study is to contribute to developing questionnaire for pattern identification of chronic low back pain using delphi method. Methods The questionnaire which includes symptoms and signs of chronic low back pain is studied by delphi method. Seven experts of Korean medicine, especially of rehabilitation medicine participated in delphi examination. Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results By the Delphi method and score evaluation, 20 items of the initial copy of questionnaire are chosen for pattern identification of chronic low back pain. Conclusions By the delphic method among experts, a reference questionnaire for pattern identification of chronic low back pain was suggested. Further research is necessary for modification of questionnaire by statistics and certification by clinical trial research.

Effects of the Latest Robotic Horse-riding for Low Back Pain : Narrative Review

  • LEE, Jae-Hyuk
    • Journal of Wellbeing Management and Applied Psychology
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    • v.4 no.4
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    • pp.31-34
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    • 2021
  • Purpose: The purpose of this study is to review health-care program using the recent robotic horse-riding technology and its clinical effects for chronic low back pain. Research design, data and methodology: Recent clinical articles were determined under three inclusion criteria for in-depth review: 1) article that is published within 1 year, 2) article that includes the detailed explanation of health-care program using robotic horse-riding, 3) the article that deals with chronic low back pain during more than 6 months. Results: As a result, the finally-determined two articles demonstrated the clinical effects of robotic horse-riding statistically on pain intensity, low back muscle strength, spinal alignment, and fear-avoidance belief. Conclusions: After in-depth review, I concluded that health-care program using robotic horse-riding for chronic low back pain needs to be provided at low-intensity (e.g. less than 6km/h horse walking program) in the beginning of health-care for improving their motor control ability, then, at the increased intensity for strengthening core muscles.

Personalized Context-Aware System for Chronic Low Back Pain (만성 요통에 대한 맞춤형 상황 인지 시스템)

  • Yoon, Dowon;Jihn, Chang-Ho
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.44 no.4
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    • pp.23-31
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    • 2021
  • Treatment and management of chronic low back pain (CLBP) should be tailored to the patient's individual context. However, there are limited resources available in which to find and manage the causes and mechanisms for each patient. In this study, we designed and developed a personalized context awareness system that uses machine learning techniques to understand the relationship between a patient's lower back pain and the surrounding environment. A pilot study was conducted to verify the context awareness model. The performance of the lower back pain prediction model was successful enough to be practically usable. It was possible to use the information from the model to understand how the variables influence the occurrence of lower back pain.

The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability (요부안정화운동이 요부불안정성을 가진 산업체 만성요통환자의 통증관련 기능에 미치는 효과)

  • Jung, Dae-In;Ko, Dae-Sik
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.479-486
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    • 2017
  • The purpose of this study is to investigate the effects of lumbar stabilization exercise on pain-related function of industrial workers with chronic low back pain and lumbar instability. 20 industrial workers with chronic low back pain were divided into two groups, control group(n=10) and experimental group(n=10). Back muscle strength, flexibility, and balance ability were measured to assess physical functions, and visual analog scale(VAS) was used to evaluate pain levels. In both groups, back muscle strength and balance ability increased significantly, and pain levels decreased significantly. In comparison between the groups, the experimental group compared to the control group showed significant improvement in balance ability and significant diminishment in pain levels. In conclusion, the lumbar stabilization exercise has positive effects on industrial workers with lumbar instability and chronic low back pain by improving balance ability and reducing pain.