• 한국산학기술학회논문지
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• 제11권12호
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• pp.4812-4818
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• 2010

경부 통증은 청소년과 성인에서 흔히 경험된다. 경부장애지수는 경부통의 상태를 평가하기 위하여 가장 흔히 사용되는 자가보고 방식이다. 이 연구의 목적은 일부 대학생의 경부장애지수에 대한 분포를 조사하는 것이다. 자료는 대학생(남성: 229, 여성: 405)을 위한 NDI 설문지로 수집되었다. 통계학적 분석은 SPSS 12. 0으로 이루어졌고, 기술통계, 독립표본 t-test와 피어슨 상관분석을 사용하였다. 결과는 다음과 같다. 첫째, 경부장애의 정도를 나타내는 두 번째 선택 안에서 높은 항목은 '두통'으로 나타났고, 세 번째 선택 안에서 높은 항목은 통증정도로 나타났다. 둘째, 여성이 남성보다 더 높은 경부장애지수, 백분율, 경부장애등급을 나타냈다(p<0.05). 셋째, 남성은 '장애 없음'이 63.8%, '경도 장애'가 35.4%, '중등도 장애'가 0.9%로 나타났고, 여성은 '장애 없음'이 53.6%, '경도 장애'가 44.7%, '중등도 장애'가 1.5%, '중증 장애'가 0.2%로 나타났다. 마지막으로 경부장애지수등급은 경부장애지수 항목과 상관성이 있는 것으로 나타났다(p<0.05). 본 연구의 결과들은 장래의 임상적, 역학적 연구 자료에 기초를 제공할 수 있을 것이며, 경부장애의 예방과 관리에 대한 적절한 교육과 대책이 필요함을 나타낸다.

• PNF and Movement
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• 제14권3호
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• pp.185-193
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• 2016

Purpose: The purpose of this study was to investigate the effects of neck patterns in proprioceptive neuromuscular facilitation (PNF) for neck movement and the neck disability index (NDI) among adults with forward head posture. Methods: Thirty-nine subjects were randomly assigned into two groups. Subjects in the proprioceptive neuromuscular facilitation exercise group (PNFG, n = 20) received 20 minutes of PNF neck pattern (flexion-Rt. lateral flexion-Rt. rotation followed by extension-Lt. lateral flexion-Lt. rotation) 3 times weekly for 4 weeks. Outcomes were measured using absolute rotation angle (ARA), anterior weight bearing (AWB), range of flexion and extension motions (RFEM), and neck disability index (NDI) methods before and after the 4-week intervention period. Results: There were significant effects for the PNFG, pre- and post-intervention, in ARA, AWB, RFEM, and NDI. There were significant differences in ARA, AWB, RFEM, and NDI compared with CG. Conclusion: The results of this study suggest the PNF neck pattern could be beneficial for adults with forward head posture.Purpose: This study investigates how abdominal muscular exercise based on proprioceptive neuromuscular facilitation (PNF) can affect chronic low back pain patients in terms of their pulmonary function, pain, and functional disability indexes. Methods: Fourteen target subjects with chronic low back were randomly assigned to the control group (n = 7) that performed abdominal muscle exercises and the experimental group (n = 7) that performed PNF abdominal muscular exercises. The exercises were performed five times a week for six weeks. To check the change in pulmonary function, the forced expiratory volume at one second (FEV1) and visible analogue scale (VAS) were measured to check the pain level. The disability level caused by back pain was measured by the Oswestry Disability Index (ODI). A paired t-test was applied to compare the differences between the groups before and after the intervention, and an independent t-test was used to compare the differences between the groups. The level of statistical significance was set as ${\alpha}=0.05$. Results: Before and after the intervention, the experimental group showed a significant change in FEV1 (p < 0.01), and both the experimental and the control groups showed significant changes in VAS and ODI (p < 0.01). A comparison of the differences between the groups indicated that the experimental group showed more significant changes in FEV1 (p < 0.05). Conclusion: According to the study results, PNF abdominal muscular exercise effectively improved pulmonary function, pain, and functional disability indexes in subjects with chronic back pain. The proposed program can be applied to chronic back pain patients as a useful therapy.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.665-673
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• 2009

본 연구는 만성요통환자 30명을 대상으로 PNF와 체간 운동프로그램을 적용한 다음 환자들의 통증, 기능장애 그리고 정적균형과 동적균형에 미치는 효과에 대해 알아보기 위해 실시하였다. 각 군의 운동효과를 측정하기 위해 모든 대상자는 통증과 함께 Oswestry 장애지수와 외다리기립검사를 통해 정적균형을 측정하였고, Balance 측정기를 이용하여 동적균형을 측정하였다. 그 결과 통증, Oswestry 장애지수, 외다리 기립검사 및 동적균형 모두 체간운동군에 비해 PNF 군이 유의한 차이가 있었다(p<0.05). 따라서 이번 연구결과를 통해 알 수 있는 것은 PNF의 내려치기와 들어올리기 패턴이 만성 요통환자에게 효과적이라는 것을 알 수 있다.

• 한방재활의학과학회지
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• 제27권4호
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• pp.147-154
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• 2017

The purpose of this study is to report the effectiveness of Fire needling therapy in patients with a vertebral compression fracture. Three patients with a acute vertebral compression fracture were treated using Fire needling therapy. To evaluate the effectiveness of Fire needling therapy, we checked Numerical rating scale on a daily and Oswestry disability index on admission and discharge. Numerical rating scale decreased as the number of Fire needling therapy increased. Oswestry disability index on discharge improved compared to admission. The limitation of this study is the insufficient number of cases and outcome measurements. Further studies are needed to prove effect and safety.

• Korean Journal of Acupuncture
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• 제33권4호
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• pp.226-230
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• 2016

Objectives : The objective of this study is to report a effectiveness of korean medical treatment based on Meridian Tendino-musculature Acupuncture to patient with cervical dystonia. Methods : In this study, we conducted treatment based on Meridian Tendino-musculature Acupuncture to patients. And we also carried out treatments like herb medicine and cupping therapy etc. Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine were measured once a month to evaluate the severeness of symptom. Results : After 24 sessions of treatment, there were improvements on Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine. Conclusions : Korean medical treatment based on Meridian Tendino-musculature Acupuncture may be effective for relieving symptoms of cervical dystonia.

• Physical Therapy Rehabilitation Science
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• 제5권4호
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• pp.178-184
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• 2016

Objective: Tension-type headache is caused by hormones, foods, irritants, stress, obesity, fatigue, and neck and head trigger points-prolonged abnormal posture. The purpose of this study was to evaluate the effects of relaxation approach on head posture, static postural stability, and headache in persons with tension-type headache. Design: Randomized controlled trial. Methods: Thirty-five persons with tension-type headache participated in this study. This study was a pretest-posttest with a control group design for a duration of 4 weeks (60 min/3 times/1 wk). The participants were randomly allocated to the relaxation approach group (n=18) and the control group with conventional rehabilitation including thermotherapy and transcutaneous electrical stimulation for the same period (n=17). Outcome measures involved forward head posture (FHP), foot pressure, neck disability index (NDI), and six-item headache impact test (HIT-6). Results: Relaxation approach and control groups improved significantly in the amount of forward head posture, neck disability index, and six-item headache impact test scores after training (p<0.05). The control group was found to be significantly different in the amount of FHP, backward foot pressure, NDI, and HIT-6 after training compared to before training (p<0.05). The relaxation approach group significantly improved in forward head posture, neck disability index, and six-item headache impact test compared with control group after training (p<0.05). Neck disability index and six-item headache impact test significantly improved after training compared with before training in the control group (p<0.05). However, the foot pressure was not significantly different between relaxation approach and control groups. Conclusions: This study suggests that treatment with relaxation approach combined with self-exercise would be effective in reducing the amount of forward head posture, neck disability and headache impacts.

• The Journal of Korean Physical Therapy
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• 제21권3호
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• pp.1-8
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• 2009

Purpose: The purpose of this study was to examine the functional category, the item structure and the model-data fit of the neck disability index (NDI) of neck pain subjects by performing a Rasch rating scale analysis. Methods: The data was obtained from the assessments of 71 college students (males: 27, females: 44) with neck pain. The data of the NDI was applied to the Rasch's rating scale model to estimate the difficulty of items, the goodness-of-fit of each item, the separation reliability and index, and the rating scale. Results: The 'sleep' item showed misfit and nine items were founds to be fits for self-reporting of disability due to neck pain. The most difficult item of the remaining 9 items was 'work' and the easiest item was 'headache'. The transformation formula score=(logit score+7.10)/(7.10+0.11)$\times$100. The 6 response levels of the NDI were validated according to the structure of the rating scale. The item and subject reliability of the separation reliability was 0.97 and 0.85, respectively. Conclusion: We proved that the NDI for self-reporting of disability of daily activities due to mild neck pain was valid and reliable. This study suggests that individuals with mild neck pain may be assessed by using the modified NDI that does not include the 'sleep' item in the 10 items of NDI.

• 대한물리치료과학회지
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• 제18권3호
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• pp.53-61
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• 2011

Purpose : his study was to analyze the reliability and validity on Oswestry Low Back Pain Disability Index (OLBPDI) in patients with low back pain. Methods : The sample consisted of 211 patients who had received treatments at the physical therapy units of 3 medical institutions from February to December 2008 in Andong city. Questionnaires on the OLBPDI were recruited by 6 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient:${\alpha}$), item-discriminant validity, Pearson's relation coefficient. Results : An average of patients's age was 41.1 years. The range of OLBPDI subscales were .93~.94 in Cronbach's ${\alpha}$. The internal consistency reliability of total item-each item were also internally consistent with Cronbach's ${\alpha}$ range of .94~.95(Pearson's correlation coefficient range: .62~.89). However, high correlation were obtained among 10 items(.67~.83), therefore the item-discriminant validity was a little low. Conclusion: In conclusion, the results reported here confirm the reliability of the OLBPDI scales in patients with low back pain. The collection of information on the level of disability due to low back pain using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the reliability and validity.

• 대한정형도수물리치료학회지
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• 제15권2호
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• pp.80-87
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• 2009

Purpose: This study was to determine the effects of a early exercise program on the pain, disability and balance after single-level lumbar discectomy. Methods: Forty patients were randomized into experimental(N=20) and control(N=20) groups. Three days after surgery, patients in the experimental group undertook a 4-week exercise program. Assessments were performed in all patients during the week before surgery and at 4 weeks after. The assessment included measures of back and leg pain(VAS), Oswestry disability index(ODI), stability index(SI) and weight distribution index(WDI). Results: At 4 weeks, VAS, ODI, SI, WDI were significantly reduced in both groups(p<.01). Also the experimental group was significantly reduced back and leg pain(VAS), ODI and WDI were better than the control group(p<.05). Conclusion: It seems that early exercise program is more effective in patients who undergo single-level lumbar discectomy.

• 대한정형도수물리치료학회지
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• 제26권2호
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• pp.19-27
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• 2020

Background: The purpose of this study was to examine the effects of a multi-modal exercise program for patients with chronic low back with respect to pain intensity, trunk muscle strength and Oswestry disability index. Methods: Thirty patients with chronic low back pain were recruited and divided equally into two groups. The multi-modal training program comprised a series of exercises such as warm-up, stabilization exercises, stretching, endurance exercises, and cool down whereas the control group performed only stabilization exercises. The both group spent an equal amount of time performing 60 minutes per day, three times per week, for five weeks. Results: The experimental group demonstrated statistically significant improvements in range of motion, trunk muscle strength, the visual analogue scale, and the Oswestry Disability Index (p<.05). Intergroup comparison showed a statistically significant difference in the range of motion of the lumbar spine and the degree of disability in the experimental group. Muscle strength and pain were statistically significant in both groups. Conclusion: The multi-modal exercise program is effective for patients with chronic low back pain, as it reduces lower back pain, increases trunk muscles strength, and decrease the potential for becoming disabled.