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.
Journal of International Academy of Physical Therapy Research
/
v.2
no.2
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pp.318-323
/
2011
The purpose of this study identify that spinal decompression therapy effect on and pain, length Of leg distance(LLD), and muscle power and flexibility in patient with low back pain. The participants is 20 female and male with low back pain, and participant assign to decompression therapy group and control group at random. The decompression therapy apply to 20 minute 3 time for a week during 4 weeks. The Measurement items is pain, LLD, and muscle power, flexibility. The comparison between the before and after was Wilcoxon's U test, and 2 group after spinal decompression therapy application compared Mann-Whithney U test. Spinal decompression therapy reduced statistically significance the pain, LLD, and increased statistically significance the muscle power and flexibility increased the muscle power(p<.05). This study showed that spinal decompression therapy does affect pain, LLD, and muscle power and flexibility in patient with low back pain.
This study was conducted to investigate the prevalence rate of low back pain during past one year and its risk factors. The data were collected from 1,384 manufacturing factory workers from March 1, 1992 to August 30, 1992. The results obtained were as follows: 1. The one year prevalence rate of low back pain by manufacturing company was 38.4% in textile manufacturing, 35.2% in concrete reenforcement, 31.0% in cigarette and 26.1% in metal part(P<0.01). 2. In textile manufacturing, age groups with high prevalence rate of low back pain were 30's(36.8%) and 40's(36.4%) (P<0.05), and the one year prevelence rates of low back pain by marital state were 34.9% in married workers and 28.5% in unmarried(P=0.0511). 3. The one year prevelence rates of low back pain by job part are 35.0% in labor workers and 26.1% in clerical(P<0.05), and by work hour per day it was 34.9% in 9 or more and 28.9% in 8 or less(P<0.05). 4. The highest group of low back pain by work posture was 43.5% in 'lifting and transfering materials', and it by fitness of chair was 56.0% in uncomfortable one, and by height of working board was 33.6% in low working one. 5. In logistic regression analysis, significant determinants with low back pain were marital state(p<0.05), work hour per day(P<0.05), height of working board(P<0.01), and work posture(P<0.01).
Bertolotti's syndrome is a congenital abnormality in which the expanded lower lumbar transverse process articulates with the ilium or sacrum. It is an important cause of low back pain in children and adolescents that is frequently misdiagnosed. We describe the case of a 17-year-old girl with low back pain who had a 4-year history of juvenile idiopathic arthritis. She subsequently underwent plain radiography and magnetic resonance imaging and was eventually diagnosed with Bertolotti's syndrome. She was managed conservatively with 6 weeks of physical therapy and an exercise program, and her pain subsided. This case demonstrates the importance of considering anatomical and structural variants when evaluating low back pain in adolescents.
The purpose of this study was to examine the effects of graded low back exercise program with patient education about low back pain care on abdominal strength, endurance and flexibility of waist of chronic low back pain patents. For this study 13 patients aged 40 to 60 were selected as subjects, who suffered from low back pain and got diagnosed by physician. The exercise program and the education were executed for total 6 weeks, posture education were executed with physical exercises over first 1 to 4 weeks period and over 5 to 6 weeks the exercises were executed. The effect of the exercises and the education were evaluated through weights, WHR, fat(%), flexibility by sit-and-reach and trunk extension test, strength by sit-up test and back sit-up test. Weights were, decreased after physical exercise and education, but there was no statistical significance. Wasit hip ratio(WHR) and fat(%) were decreased after physical exercise and education, but there were no statistical significances. Sit-and-reach was significantly increased from $13.68{\pm}5.59cm$ to $19.45{\pm}3.81cm$ after education and physical exercise(P<0.05). Trunk extension was significantly increased from $30.31{\pm}11.34cm$ to $40.88{\pm}6.16cm$ after education and physical exercise(P<0.05). Sit-up and Back sit-up were increased after physical exercise and education, but there were no statistical significances. These results suggest that graded low back exercise program with patient education about low back pain care increase the abdominal strength, endurance and the flexibility of waist in low back pain patients.
Purpose: The purpose of this study was to determine the effects of a modified abdominal draw-in maneuver on trunk stability and functional capacity as well as pain in patients with chronic low back pain. Methods: The study included 3 patients with chronic low back pain who volunteered to participate. The modified abdominal draw-in maneuver included a posterior pelvic tilt, a traditional abdominal draw-in maneuver, and a vibration sensory feedback device. Voluntary abdominal contraction using the vibration sensory feedback device was performed by the subjects for more than 1 hour per day, 5 times per week, for 6 weeks along with common low back pain treatment. Electromyographic signals in the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spinae (ES) muscles were measured to compare muscle activation. The degree of pain was measured using the visual analogue scale (VAS), and functional capacity was measured using the Korea Oswestry Disability Index (K-ODI). All results were compared to the means before and after intervention. Results: After the intervention, the RA, EO, and IO showed increased muscle activation and the ES showed decreased muscle activation. The visual analogue scale decreased after intervention and the K-ODI decreased after intervention. Conclusion: Modified abdominal draw-in maneuvers in daily life combined with therapeutic exercises may be effective in relieving pain and dysfunctions in chronic low back pain patients.
Objective: The purpose of this study was to examine the effects lumbar stabilization exercise with kinesio taping on pain, muscle strength, and oswestry disability index (ODI) in patients with chronic low back pain. Design: Two groups pre-post randomized controlled design Methods: Thirty-two subjects were randomly divided in two groups; 1) lumbar stabilization exercise with kinesio taping group (Experimental group, n=16), 2) lumbar stabilization exercise with sham kinesio taping group (Control group, n=16). The intervention was conducted in each group for thirty minutes a day, 5 times a week, for 4 weeks. Both group did 30 minutes of lumbar stabilization application. Evaluations were performed before the commencement of training and again 4 weeks after training was initiated. Visual analog scale (VAS) was used to evaluate pain level of patients with chronic low back pain. Distal muscle test was used to evaluate muscle strength of trunk extension. In addition, ODI was used to evaluate activity daily life of low back pain. Results: After training, the VAS, muscle strength of trunk extension and ODI were significantly more improvement in Experimental group than in the control group (p<0.05). Conclusions: We confirmed that the effects of lumbar stabilization exercise with kinesio taping group on pain, muscle strength, and ODI in patients with chronic low back pain.
Park, So-Hyun;Kim, Chul-Seoung;Lee, Dong-Gyu;Ahn, Sang-Ho
The Journal of Korean Physical Therapy
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v.23
no.5
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pp.29-34
/
2011
Purpose: The purpose of this study is to evaluate the short term effects of the traction and decompression device, which is a newly developed domestic medical device, on pain and functional activity in patients with chronic low back pain with or without radicular pain. Methods: Forty patients with chronic low back pain were included and allocated to decompression (n=20) and traction groups (n=20). They received decompression or traction therapy for 20 minutes a day, 3 days per week for two weeks. For evaluating pain and functional activity, a visual analogue scale (VAS) for low back pain and the Oswestry back pain disability index (ODI) were obtained on pre-treatment, and at 6, 12 and 15 days after treatment. Patients'satisfaction levels were measured 15 days after treatment. Results: VAS was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in both groups (p<0.05). ODI was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in the decompression group (p<0.05). However, there was no significant difference between the two groups in the VAS and ODI scales (p>0.05). Patients' satisfaction levels were significantly higher in the decompression group than in the traction group (p<0.05). Conclusion: These findings suggest that decompression therapy might be effective for increasing functional activity in patients with low back pain and could provide patients with higher satisfaction than traction therapy. This study provided validity data for the therapeutic effects of the decompression device in patients with low back pain and it will be useful for medical cost development and patient education of this device.
Objectives: The purpose of this study was to observe the early postpartum low back pain and pelvic girdle pain in the Korean medical hospital for 2-weeks. Methods: Fifty-one postpartum women who admitted for postpartum care in Korean hospital from December 3rd, 2011 to January 31st, 2012 had written out pain measurement questionnaires(SF-MPQ, VAS, ODI) three times for 2-weeks. SPSS 18.0 for Windows was used to analyse the data and the independent samples t-test, paired T-test were used to verify the results. Results: 1. Evaluation of low back pain within the first week after birth was as follows: SF-MPQ sensory area was $5.06{\pm}4.41$ points; SF-MPQ emotional areas was $0.86{\pm}1.34$ points; VAS mean was $3.79{\pm}2.02$ points; and ODI mean was $10.27{\pm}6.69$. 2. Early postpartum low back pain and pelvic girdle pain were significantly decreased in SF-MPQ, VAS, and ODI after 2-weeks(p < 0.01). 3. Age, birth type, parity, weight, and BMI increased during pregnancy does not affect the postpartum low back pain and pelvic girdle pain. Conclusions: The top 10% of postpartum low back pain scale was 10.8 points or more in the sensory area of SF-MPQ, and 3 points or more in the affective area of SF-MPQ. In the case of VAS, it was more than 7 points, and ODI was more than 21.8 points. Postpartum back pain with oriental medical treatment was significantly improved.
Park, Dong-Gu;Ahn, Myun-Whan;Ahn, Jong-Chul;Kim, Sae-Dong;Seo, Jae-Sung
Journal of Yeungnam Medical Science
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v.24
no.2
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pp.186-196
/
2007
Background : The aim of this study was to confirm the risk factors for low back pain and injury to improve the prevention and treatment of lower back pain. Materials and Methods : An epidemiologic study of low back pain and injury was performed with questionnaires distributed to 471 women working at Yeungnam university hospital. The differences in low back pain and injuries among various hospital departments were analyzed by a one-way analysis of variance (ANOVA), and the relevant factors included in the questionnaire were determined by a factor analysis. Results : The frequency of low back pain in women in the department of diet and in the maintenance department was higher than among the other departments. The frequency of low back pain was mainly related to the frequency of psychosomatic symptoms. In addition, the low back pain was partially related to the frequency of psychosomatic symptoms and partially related to the frequency of pushing during the workday. The degree of disability from low back pain was increased by lifting and hard physical work and was related to the frequency of psychosomatic symptoms and the degree of work dissatisfaction. The frequency of low back injury was increased by increased standing time during work and hard physical work. The frequency of low back injury was related to advancing age and in part to psychosomatic symptoms. Conclusion : Lower back pain and its associated complications are related to psychosomatic factors and type of work. Lower back injury is related to physiological factors such as age. For the prevention and treatment of lower back pain, a multidisciplinary approach is required.
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