• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.28 no.2
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• pp.45-55
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• 2022

Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.

• Physical Therapy Rehabilitation Science
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• v.10 no.3
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• pp.263-269
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• 2021

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.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.1
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• pp.1725-1733
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• 2019

Background: In some clinical guidelines followed in clinical practice, nonsurgical treatments are recommended as the primary intervention for patients with lumbar disc herniation (LDH). However, the effect of a therapeutic exercise program based on stabilization of the lumbar spine for treatment of multilevel LDH has not been evaluated thoroughly. Objective: To investigate the effects of therapeutic exercise on pain, physical function, and magnetic resonance imaging (MRI) findings in a patient with multilevel LDH. Design: Case Report Methods: A 43-year-old female presented with low back pain, radicular pain and multilevel LDH (L3-L4, L4-L5, L5-S1). The therapeutic exercise program was conducted. in 40-min sessions, three times a week, for 12 weeks. Low back and radicular pain, lumbar disability, and physical function were measured before and after 6 and 12 weeks of the exercise program. MRI was performed before and after 12 weeks of the program. Results: After 6 and 12 weeks of the therapeutic exercise, low back and radicular pain and lumbar disability had decreased, and lumbar range of motion (ROM) was improved bilaterally, compared with the initial values. Also improved at 6 and 12 weeks were isometric lumbar strength and endurance, and the functional movement screen score. The size of disc herniations was decreased on MRI obtained after 12 weeks of therapeutic exercise than on the pre-exercise images. Conclusions: We observed that therapeutic exercise program improved spinal ROM, muscle strength, functional capacity, and size of disc herniation in LDH patient.

• PNF and Movement
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• v.10 no.4
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• pp.33-40
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• 2012

Purpose : The purpose of this study was to investigate the effects of PNF on active lumbar flexion ROM and difficulty of activity of daily living for adult scoliosis with low back pain. Methods : A 23-aged adult scoliosis with diagnosed herniated lumbar disc. The patient was treated by PNF for 30 minutes a day, 2 times a week during six weeks. Active lumbar flexion ROM and difficulty of activity of daily living were evaluated by the Modified-Modified Schober test and Oswestry Disability Questionnaire every week after treatment including the pretest of the first day of treatment. Results : There were a significant improvement in active lumbar flexion ROM between pretest and the last test. There were significant decreased in difficulty of activity of daily living positive between pretest and the last test. Conclusion : PNF will be useful for increasing active lumbar flexion ROM and decreasing the difficulty of activity of daily living positive for adult scoliosis with low back pain.

• Journal of Korean Medicine Rehabilitation
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• v.27 no.1
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• pp.67-75
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• 2017

The purpose of this study is to report the effectiveness of diarrhea-inducing treatment by Gamsui-mal for lumbar spinal stenosis. During hospitalization four patients with lumbar spinal stenosis were treated with diarrhea-inducing treatment by Gamsui-mal and acupuncture, herbal medicine, moxibustion, cupping treatment, Bee-venom pharmacopuncture. Before treatment, we explained in detail about diarrhea-inducing treatment by Gamsui-mal and patients agreed with treatment. The symptoms appeared in patients of diarrhea, abdominal pain, and vomiting in the treatment process. We evaluated the degree of improvement by visual analogue scale (VAS), oswestry disability index (ODI). After treatment, we found that pain was reduced and patient's symptoms were improved by visual analogue scale (VAS), oswestry disability index (ODI) score. The results show that diarrhea-inducing treatment by Gamsui-mal was rapidly improving symptoms. Further studies are needed to clarify the effect of diarrhea-inducing treatment by Gamsui-mal.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.15 no.2
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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.

• Journal of Acupuncture Research
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• v.25 no.1
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• pp.97-106
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• 2008

Objectives : This study was designed to evaluate the effects of Bee Venom Pharmacopuncture therapy in patients with lumbar spinal stenosis. Methods : We investigated 16 patients with lumbar spinal stenosis. We divided patients into two groups : Bee Venom Pharmacopuncture was performed with acupuncture therapy for one group, and the other group received acupuncture therapy only. To evaluate the effectiveness of the treatment applied to the two groups, we used the Visual Analog Scale(VAS) and the Oswestry Low-back Pain Disability Index(ODI). We compared the VAS and ODI scores of the two groups statistically. Results : The Bee Venom Pharmacopuncture group received more effective relief than the acupunctureonly group as measured by decreasedpain and disability reported on the VAS and ODI by patients with lumbar spinal stenosis. Conclusions: Bee Venom Pharmacopuncture therapy can be used in addition to acupuncture therapy for highly effective treatment of patients with lumbar spinal stenosis. Further clinical studies are needed to verify these findings.

• Journal of Physiology & Pathology in Korean Medicine
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• v.25 no.4
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• pp.702-707
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• 2011

Patients with lumbar disc herniation are faced with lowered quality of life. For this reason, we investigated the effects of Oriental Intensive Therapy (OIT) including acupuncture, pharmacopuncture, manual therapy and herbal medicine on patients with lumbar disc herniation. Ten patients, diagnosed with lumbar disc herniation by MRI in hospital, were treated with OIT for 12 weeks. Symptoms of the patients were assessed using Verbal Numerical Rating Scale (VNRS) and Oswestry Disability Index (ODI). All patients were investigated every a week. In our results, intensity of pain was reduced after 4 weeks treatment significantly by VNRS, Quality of life has also improved after 4 weeks treatment by ODI. In conclusion, this study suggests that OIT may be effective to treat patients with lumbar disc herniation.

• The Journal of Internal Korean Medicine
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• v.43 no.2
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• pp.115-121
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• 2022

Lumbar puncture is an essential procedure for obtaining fluid from spinal meningeal spaces, and post-lumbar puncture headache is the most frequent adverse event. This case report evaluates the effects of treatment with traditional Korean medicine on a patient suffering post-lumbar puncture headache using the Headache Disability Inventory (HDI) and the visual analog scale (VAS). The patient's HDI score decreased from 46 to 6 after treatment, and the VAS score decreased from 62 to 5. The results suggest that traditional Korean medicine can be helpful in managing post-lumbar puncture headache.

• Journal of the Korea Convergence Society
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• v.9 no.2
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• pp.289-294
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• 2018

A test study was conducted to identify the effects of diathermy through therapist's hand on patients with chronic lumbar pain. The study assessed the effectiveness of Winback High Frequency TECAR Therapy on 21 patients suffering from chronic lumbar pain and the testing was held at H Hospital and began in April 2016 and concluded in September 2016. Assessment of pain relief was through a Visual Analogue Scale (VAS) and the Oswestry Disability Questionnaire (ODQ). The results showed a VAS score decrease from $6.67{\pm}1.76$ to $5.52{\pm}2.03$ (p<0.05) and the ODQ results also showed an decrease from $41.19{\pm}2.56$ to $35.14{\pm}5.11$ (p<0.05). Both of these results are indicative of the positive effects that diathermy through therapist's hand has in the treatment of chronic pain, and the necessity for further studies in this field.