• 제목/요약/키워드: Low back

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진사탁(陳士鐸)의 요통(腰痛) 처방연구(處方硏究) (Low Back Pain Treatment Prescriptions of Jin Sa Tak)

  • 성시열;국윤범
    • 대한한의학방제학회지
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    • 제18권1호
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    • pp.13-21
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    • 2010
  • Low Back Pain Prescriptions of Jin, sa tak are peculiar to using Atractylodis Macrocephalae Rhizoma(AMR). All low back pain prescriptions which are enlisted in Byunjeunggimoon, Byunjeungrok and Byunjeungokham include AMR. Whereas low back pain prescriptions which is enlisted in Seoksilbirok are 7 of 10. Preexistence of low back pain prescriptions are not necessarily used AMR. But Jin, sa tak who lived at Ming and Ching era presented AMR in low back pain treatment. AMR is able to get rid of dampness between the kidney functional area and umbilicus. The results are as follows : It is made much of the malicious dampness which is in the kidney. There are not used cold but warm and eliminating dampness herbs to invigorate kidney. It shows that Jin, sa tak who was a Taoist used invigorating and warming kidney herbs. Atractylodis Macrocephalae Rhizoma is mainly used in treating low back pain from Jin, sa tak. Jin, sa tak shows concrete prognosis to treat a disease.

요통환자에 대한 ICF Tool을 적용한 중재전략의 증례 (A Case Report of Intervention Strategy Applied ICF Tool on Patient with Low Back Pain)

  • 강태우;송명수;김창헌
    • PNF and Movement
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    • 제10권2호
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    • pp.17-24
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    • 2012
  • Purpose : The purpose of this study was to describe the Intervention strategy applied ICF Tool on patient with low back pain. Methods : The data was collected by low back pain patient. We applied the ICF Tool for low back pain patient. Parameters of result were collected for using the VAS, 6 minute walk test and ICF assessment sheet. Results : Significant differences were observed the low back pain patient for VAS, 6 minute walk test and ICF assessment sheet. low back pain patient improved all test. Conclusion : ICF Tool applied Intervention about low back pain patient is very useful and effective. It is effective in clinical practice.

요각통(腰脚痛)에 대(對)한 체성분(體成分) 분석검사(分析檢査)의 진단적(診斷的) 의의(意義) (Diagnostic significance of body component analysis test for low back pain)

  • 노정두;육태한
    • Journal of Acupuncture Research
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    • 제19권2호
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    • pp.128-136
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    • 2002
  • Objective : The purpose of this study was to evaluate water distribution differences of the right and left low limb in patients who had low back pain with sciatica or not. Methods : Water distribution differences of the right and left low limb by body composition(INBODY 2.0, Biospace, seoul, korea) were analysed in the views of groups(low back pain with and without sciatica) and duration of disease. Results : 1. In the case of low back pain patient, there was no significance in variance of water distribution of the right and left lower limbs regardless of suffering period, but significance difference in patients that have suffered low back pain with one side sciatica showed according to suffering period. 2. Within 2 weeks, there was no significant deflection between low back pain with and without sciatica in water distribution of the right and left lower limbs, More than 2 weeks significant deflection showed. Conclusion : Loss of lower limb's muscle that ensue in contracting a disease period was observed in Low Back Pain with Sciatica. The continuos studies about pathological change of lower limb in low back pain have to be perfomed.

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만성 요통 환자의 통증, 지식 및 교육 요구 (Degrees of Low Back Pain, Knowledge of and Educational Needs for Low Back Pain in Patients with Chronic Low Back Pain)

  • 김성경;김희승;정성수
    • 근관절건강학회지
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    • 제24권1호
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    • pp.56-65
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    • 2017
  • Purpose: The purposes of this study were to identify degrees of low back pain, knowledge of and educational needs for low back pain of patients with chronic low back pain and to investigate their relationships. Methods: Data were collected from questionnaires distributed to 83 patients with chronic low back pain at a hospital. Results: The low back pain score was $4.70{\pm}2.22$ out of 10. The degree of low back pain was a statistically significant difference according to gender, smoking, radiating pain and frequency and duration, daily life disturbance degree, sleep disturbance and depression. The knowledge score was 8.29 out of 13. The knowledge was a statistically significant difference according to smoking and degree of sleep disturbance. The educational needs score was 39.83 out of 50. The educational needs was a statistically significant difference according to age, duration of disease, radiating pain, standing time, depression, pain treatment experience, and treatment institutions. As the low back pain increased, the educational needs increased (r=.254, p=.021). There were no correlations between low back pain and knowledge (r=-.040, p=.720) and knowledge and educational needs (r=.061, p=.581). Conclusion: It is important to focus on items with statistically significant differences in pain, knowledge, and educational needs, and to select low knowledge and high educational needs items to develop a systematic education plan.

버스 운전기사의 요통발생 요인에 관한 연구 (A Study of Risk Factors related to Back Pain in Bus Drivers)

  • 박소연
    • 한국전문물리치료학회지
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    • 제4권2호
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    • pp.18-35
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    • 1997
  • The purpose of this study were to determine causes of low back pain in bus drivers who usually work in prolonged sitting position and to find the relationship of back pain with general characteristics and work environmental characteristics, stress symptoms, to com맹re lordosis angle of habitual driving posture and resting posture in low back pain group and non-low back pain group, and to use this result as a basis for improvement of work environment and comprehensive rehabilitative management of low back pain. Ninety-eight bus drivers were selected from the membership of an urban transit union in Seoul. These informations were collected from May 1, 1997 to May 25, 1997 by means of structured questionnaires and X-ray findings. These data were analyzed by $x^2$ test, t-test, logistic regression using SAS. The major results were as follows: 1. Of the respondents, 66.3% of bus drivers were found to be experiencing back pain. 2. Of the respondents of low back pain groups, 78.5% reported that major cause of low back pain was due to prolonged sitting. 3. The group with experiences of frequent or continuous vibration had more low back pain (p<0.05). There were no significant differences among other work environmental factors. 4. Average stress score was significantly higher in the group with low back pain than in the group without low back pain (p<0.05). 5. The results of the logistic regression analyses were statistically significant vibration from seat and stress score among the risk factors (p<0.05). 6. Averaged lordosis angle of habitual driving posture was $7.6{\pm}14.9$ degrees in low back pain group, $16.5{\pm}8.7$ degrees in non-low back pain and averaged lordosis angle of resting sitting posture was $10.8{\pm}13.7$ degrees in low back pain, $18.9{\pm}9.6$ degrees in non-low back pain group but the difference in mean lordosis angles of two groups was not statistically significant. The results of this study indicate that professional drivers developed chronicity of low back pain due to unfit seat, poor habitual posture and stress from vibration or other risk factors. Therefore, there is need to improve work environment, i.e. enough resting, to set a seat to support lumbar spine properly and to provide comprehensive rehabilitation program including early diagnosis, proper treatment and education for self help management.

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건식수치료가 요통환자의 통증과 요부장애에 미치는 영향 (The Effects of Dry-Hydrotherapy on The Low Back Disability and Pain for Patients with Low Back Pain)

  • 송창호;배하석;이승원
    • The Journal of Korean Physical Therapy
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    • 제18권2호
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    • pp.1-6
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of dry-hydrotherapy to release pain in patient with low back pain. Methods: The subjects of the study were fifty patient with low back pain in orthopedic clinic. Fifty patients who had low back pain were randomly divided into 2 groups, 1) dry-hydrotherapy group 2) control group. Visual analog scale(VAS) and Oswestry low back pain disability questionnaire were measured before and after treatment. The treatment plan Was as follows; 15 min. exercise per day and 5 days per week for 2 weeks. Results: 1. Before dry-hydrotherapy, there was no significant difference in VAS score and Oswestry low back pain disability questionnaire score between two groups. 2. The VAS score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in the AS score in dry-hydrotherapy group was significantly lower than in control group. 3. The Oswestry low back pain disability questionnaire score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in Oswestry low back pain disability questionnaire score dry-hydrotherapy group was significantly lower than in control group. Conclusion: In conclusion, the dry-hydrotherapy was effective to alleviate pain in patients with low back pain.

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병원 근무자의 요통 발생 요인에 관한 연구 (A Study on the Factors Affecting the Low Back Pain of Workers in Hospital)

  • 정진영;손경현
    • 대한물리치료과학회지
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    • 제16권3호
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    • pp.55-66
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    • 2009
  • Background: The purpose of this research was to investigate the factors affecting the low back pain of workers in hospital. 214 subjects waking at two general hospitals in Yosu city participated in this survey. Subjects consisted of doctors, nurses, medical engineers, officers and general laborers. The survey data were collected by a written questionnaire which made out by themselves for 25 days, from fourth August to 29th August, 2008. Methods: The questionnaire consisted of four categories, general, occupational, working habitual and the daily living characteristics. The collected data were analyzed by Chi-square test based on the present or absent of low back pain. Results: 1. In the general characteristics, low back pain had no significant relationship to all factors, sex, ago, body mass index, weight and height. 2. In the occupational characteristics, the phase of distribution of low back pain had statistical significant differences in the working hours a week, satisfaction of pay, satisfaction of occupation(p<0.05). However low back pain did not significantly related to the kind of occupation, period of work and degree of stress. 3. In the habitual characteristics, low back pain was significantly influenced by working posture, frequency of using lumbar and heavy material lifting, monotonous repetition of working operation and noise(p<0.05). No significant difference was shown in the factor of convenience of chair. 4. In the daily living characteristics, low back pain shown the significant differences in walking time a day, status of health and smoking pattern(p<0.05). there were, however, no significant differences in the aspect of the kind of house and bed, sleeping attitude, driving, riding time on the vehicle, exercising, frequency of cultural life and drinking alcohol. Conclusion: when I see above resultants totally, it appears a higher incidence caused by working environment rather than living habit and then consequently compared to hospital workers, they also have high incidence like others. In order to reduce incidence of low back pain and enjoy the our life we need to educate ourselves preventing program for low back pain and try to effort for preventing of low back pain on each department and individual.

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고전에 나타난 요통 및 관련 전신 증상에 관한 문헌적 고찰 - 한의학적 분류 및 진단 체계의 표준화를 위한 기초 자료 수집을 중심으로 - (A Bibliographic Study on Low Back Pain and Related General Symptoms in Classical Literatures - Standardization for Classification and Diagnosis of Low Back Pain -)

  • 곽현영;남동우;강중원;김은정;김갑성;최도영;이재동
    • Journal of Acupuncture Research
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    • 제27권1호
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    • pp.31-41
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    • 2010
  • Objectives : The purpose of this study is to set up the standard for Classification and Diagnosis of Low Back Pain by through collecting bibliographic study on Low Back Pain and related general symptoms in classical literatures Methods : We investigated the contents of classical literatures about chronic low back pain and related general symptoms. With this contents, we established a systemic classification and diagnostic standard for Low back pain. Results : There are many different opinions on classification of low back pain and general symptoms in oriental medicine classical literature. Every opinion is reasonable, so it is difficult to establish a diagnosis of Low back pain. But it is necessary to set up the one-systemic classification and diagnostic technique of Low back pain. Conclusions : We conclude that the Ten type Low back pain classification of in Dong-Eui-Bo-Gam is a reasonable standard for diagnostic classification.

요통(腰痛)의 운동요법(運動療法)에 관한 고찰(考察) (Therapeutic Exercise of Low Back Pain)

  • 송영상;임형호
    • 대한추나의학회지
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    • 제2권1호
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    • pp.51-84
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    • 2001
  • Objective : The therapeutic exercise on low back found In the literatures mostly have adopted methods that are applied to only certain muscles. The purpose of this paper to classify various low pains and to Investigate an active physical treatment can be applied to certain low back pain. Methods : By exploring the journals and medical publications. Results and Conclusions 1. A goal of low back exercise is reinforcement and extension of muscles in order to control pains. 2 Low back exercise which causes the movement of the spinal joint and disk can control pains. 3. Flexion exercise of lumbar spine can be generally applied to any low back pains except kyposis. 4. Extension exercise of lumbar spine can be applied to any low back pains except facet joint syndrome or hyperlordosis. 5. Rotation exercise of lumbar spine can be applied to any low back pains except facet joint syndrome. 6. Lateral bending exercise of lumbar spine can be applied to HNP. facet Joint syndrome, scoliosis.

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요통의 진단과 치료 (Diagnosis and Management of Low Back Pain)

  • 장재홍;김병조
    • Annals of Clinical Neurophysiology
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    • 제14권1호
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    • pp.1-6
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    • 2012
  • Low back pain is a common clinical condition with heterogeneous causes and challenges to manage. High prevalence and numerous assessments result in an enormous socioeconomic burden. Clinician must conduct efficient and stepwise evaluation process to rule out serious spinal pathology, neurologic involvement, and identify risk factors for chronicity. The process can be achieved through the focused history taking and physical examination. Certain factors related to serious spinal pathology include age (>50 years), trauma, unexplained fever, recent urinary or skin infection, unrelenting night or rest pain, unexplained weight loss, osteoporosis, immunosuppression, steroid use, and widespread neurological symptoms. In non-specific low back pain, diagnostic imaging and laboratory studies are often unnecessary and can disturb an appropriate management. For the management of acute low back pain, patient education and medication such as acetaminophen, non-steroidal anti-inflammatory drugs, and muscle relaxants are recommended. For chronic low back pain, behavior therapy, back exercise, and spinal manipulation are beneficial. The evidence based approach could improve success rate of management, result in prevention of acute low back pain from being chronic intractable pain.