• 제목/요약/키워드: ODI (oswestry disability index)

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기구 필라테스 운동이 만성 요통 환자의 통증 정도, 장애 지수, 복부근 두께에 미치는 영향 (Effects of Equipment-Based Pilates Exercises on Visual Analogue Scale Scores, Oswestry Disability Index scores, and Core Muscle Thickness in Patients with Chronic Low Back Pain)

  • 권오국;최현;박찬호;양영식;유달영
    • 대한정형도수물리치료학회지
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    • 제29권1호
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    • pp.53-67
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    • 2023
  • Background: This study comparatively evaluated the effects of equipment-based pilates exercises (EPE) and lumbar stability exercises (LSE) in patients with chronic low back pain in terms of their Visual Analogue Scale(VAS), Oswestry Disability Index(ODI), and abdominal muscle thickness. Methods: A total of 30 participants were recruited and randomly assigned to either the EPE or the LSE. The VAS, ODI, and abdominal muscle thicknesses of the participants were measured before and after the intervention. Results: The EPE were more effective in terms of the duration of a sustained reduction in VAS scores. post hoc test revealed that EPE were more efficacious in terms of a sustained improvement in ODI scores. With respect to changes in abdominal muscle thickness, there was a significant difference in the thickness of internal oblique muscles(IO) and the external oblique muscles(EO) between the two groups. Conclusion: In this study, both types of exercise interventions resulted in improvements in the VAS, ODI scores, and abdominal muscle thickness in patients with chronic low back pain. However, EPE were found to be more effective than LPE in terms of longer sustained improvements in VAS and ODI scores. Also, with respect to abdominal muscle thickness, the thickness of EO and IO improved only in the EPE group.

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요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구 (Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous)

  • 유상민;이종영;이향숙;권기록
    • Journal of Acupuncture Research
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    • 제23권5호
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    • pp.39-54
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    • 2006
  • Objectives : Herniation of Nucleus Pulpous (HNP) of Lumbar is one of the most common causes of low back pain. The aim of this study is to investigate the effectiveness of acupuncture, bee venom acupuncture (BVA), and bee venom Pharmacopuncture (BVP) therapy for HNP. Methods : We separated 35 patients with HNP of L-spine into three groups; Acupuncture treated group, BVA treated group, and BVP treated group, and monitored for 30 days. 4 grades of recovery degree, score of Visual Analog Scale (VAS), and Oswestry Disability Index (ODI) were examined for comparison. Results : 1. Visual Analogue Scale of low back pain and radiating pain showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_2, VAS0_3 evaluations. 2. ODI of disability of daily activities showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_1, VAS0_2, and VAS0_3 evaluations. 3. Compared to the Acupuncture group, BVA and BVP groups were improved in S.L.R.T and R.O.M of L-spine as confirmed by the physical examination. 4. Treatment efficacy was more apparent in acute cases as ODI was significantly lower than chronic cases. Conclusion : BVA and BVP therapies can be used in addition to the acupuncture therapy for highly effective treatment of HNP. Further clinical studies are required to verify these findings.

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허리부위 근골격계 자각증상이 있는 자동차 제조업 근로자를 위한 맞춤형 능동 위주의 운동프로그램이 통증과 오스웨스트리 장애지수에 미치는 영향 (Effect of an Active Tailored Exercise Program on Pain and Oswestry Disability Index in Automobile Manufacturing Workers with Musculoskeletal Symptoms of the Low Back)

  • 김원호
    • 대한물리의학회지
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    • 제14권3호
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    • pp.109-116
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    • 2019
  • PURPOSE: This study examined the effects of an active tailored exercise program on pain and the Oswestry disability index (ODI) among workers with musculoskeletal symptoms of the lower back in an automobile parts manufacturing company. METHODS: Twenty-two workers with musculoskeletal symptoms of the lower back were included in the study. The experimental group was composed of 15 workers and a control group of seven workers. The experimental group was provided an active tailored exercise program and education on the risk factors of musculoskeletal disorders. The control group was only provided ergonomic education. The exercise program, which consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, was applied twice a week for two months for one hour a day. Pain, which was determined using a visual analogue scale (VAS), and the ODI were measured before and after exercise. RESULTS: After applying the exercise program for two months, the VAS and ODI of the experimental group were significantly lower than those of the control group (p<.05). In the experimental group, the VAS decreased significantly after one month (p<0.05), and the ODI decreased significantly after two months (p<.05). CONCLUSION: Because active tailored exercise programs are effective in improving the pain and disability indices, it is necessary to actively implement such programs among manufacturing workers with musculoskeletal symptoms of the lower back.

근육뼈대계 환자보고식 결과 측정과 KCF의 연결: 물리치료 중심으로 (Mapping between Musculoskeletal Patient-Reported Outcome Measures and KCF: Physical Therapy Perspective)

  • 송주민
    • 대한물리의학회지
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    • 제19권1호
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    • pp.143-154
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    • 2024
  • PURPOSE: The present study was conducted to improve the understanding of the Korean Standard Functional, Disability, and Health Classification (KCF) and its ease of use in the clinical domain of the musculoskeletal system by comparing, analyzing, and linking the KCF codes with items from patient-reported outcome measures (PROMs), which are currently mainly used to evaluate patients with neck, shoulder, waist, and knee pain. METHODS: The items of the most widely used PROMs, the Neck Disability Index (NDI), Disabilities of the Arm, Shoulder, and Hand (DASH) scores, Oswestry Disability Index (ODI), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the codes of the KCF were linked by two experts according to the linking rules. RESULTS: The concordance between the items of each of the PROMs and the KCF code linked by the two experts was NDI,86.4%86.4%, DASH 83.3%, ODI 92.0%, and WOMAC 80.7%. The NDI, DASH, and WOMAC indexes were found to comprise items corresponding to physical function, activity, and participation areas, and were linked to 22, 43, and 31 KCF codes, respectively. In addition to these two areas, the ODI included items related to environmental factors and was linked to 25 codes (duplicated codes are treated as one). CONCLUSION: This research can be used by adding the KCF code to the questions of the currently used evaluation tool. This coding can be easily applied and will contribute to the easy understanding of the KCF.

대학생의 요통장애지수에 대한 분포 (The Prevalence of Low Back Pain Disability Index in College Students)

  • 권원안;김동대;엄기매;송영화;오현주;이재홍
    • 한국산학기술학회논문지
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    • 제11권10호
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    • pp.3846-3852
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    • 2010
  • 요통은 청소년과 성인에서 흔히 경험하게 된다. 이 연구의 목적은 20대 대학생의 요통장애지수에 대한 분포를 조사하는 것이다. 요통장애지수(ODI) 설문지를 이용하여 대학생(남성: 233, 여성: 407)들 대상으로 조사하여 수집하였다. 통계적 분석은 SPSS 12.0을 이용하여 기술통계, 독립표본 t-test 및 피어슨의 상관분석을 실시하였다. 연구의 결과는 첫째, 요통장애지수(ODI) 항목 중에서 가장 높은 점수를 나타내는 것은 '앉기'이고, 가장 낮은 점수는 '개인위생'로 나타났다. 둘째, 요통장애지수는 남성이 4.62점, 여성이 6.13점으로 나타나 성별간의 차이가 있는 것으로 나타났지만(p<0.01), 요통장애지수 등급은 성별간의 차이가 없는 것으로 나타났다(p<0.01). 셋째, 요통장애지수 등급과 각각의 요통장애지수 항목은 상관성이 있는 것으로 나타났다(p<0.01). 위의 결과는 앞으로의 임상적, 역학적 연구자료로 의미를 가질 것이다.

국가대표 필드하키선수들의 허리의 시각적 상사 척도와 오스웨스트리 및 허리 근력의 스포츠 융합분석 (Sports convergence Analysis of muscle power and VAS, ODI of National Male Field Hockey Athletes.)

  • 김현철;박기준
    • 한국융합학회논문지
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    • 제11권6호
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    • pp.89-94
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    • 2020
  • 본 연구는 국가대표 남자 필드하키선수들을 대상으로 허리의 시각적 상사 척도와 오스웨스트리 장애지수 및 허리의 근력 간의 상관관계 알아보고자 하였다. 시각적 상사 척도와 오스웨스트리 장애지수는 자기 기입식 평가로 진행하였으며, 허리의 근력을 DAVID를 이용하여 측정하였다. 자료 분석은 피어슨의 적률상관관계를 사용하였으며, 통계적 유의 수준은 α=.05로 하였다. 연구 결과 남자 필드하키선수들의 허리의 시각적 상사 척도와 오스웨스트리 장애지수는 통계적으로 유의하였다. 그러나 그 외의 시각적 상사 척도와 오스웨스트리 장애지수는 허리의 근력에 어떠한 상관관계도 없었다. 따라서, 필드하키선수들의 허리 재활운동 시 단순한 근력운동이 아닌 새로운 운동프로그램이 개발되어야 할 필요성이 있다. 이러한 연구들은 향후 선수들의 치료 및 운동프로그램 개발에 유용한 기초자료로 제공될 것으로 사료된다.

한방 집중 치료 후 호전된 요추 추간판 탈출증 환자 10례 (10 Cases of Patients with Lumbar Disc Herniation Improved after Oriental Intensive Therapy)

  • 이상영;정필선;한세혁;황춘호;윤영제;김형석;김형우;정현우
    • 동의생리병리학회지
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    • 제25권4호
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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.

Baastrup's disease의 보존적 치료에 대한 증례 (The Case Report about Baastrup's Disease Treated with Conservative Treatment)

  • 조현철;이병이;이길재;임형호
    • 한방재활의학과학회지
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    • 제18권3호
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    • pp.201-210
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    • 2008
  • Objectives : This report was performed to evaluate the treatment of acupuncture therapy, Bee venom acupuncture therapy and herbal medication in Baastrup's disease. Methods : We treated 1 case of Baastrup's disease with acupuncture therapy, Bee venom acupuncture therapy one times a week and took herbal medicine after a meal two times daily. The patients' symptoms were assessed 3 month, 6 month, 9 month by Visual analogue scale(VAS), Oswestry disability index(ODI). Results : Visual Analog Scale(VAS), Oswestry Disability Index(ODI) was significantly improved after treatment for 9 months. Conclusions : This study suggested that acupuncture therapy, Bee venom acupuncture therapy and herbal medicine can be effective for decreasing pain and improving functional recovery. We think that it need the further study and clinical trial for Baastrup's disease.

황련해독탕 약침 치료를 병행한 임신 중 좌골신경통을 동반한 요통 환자의 증례보고 (A Clinical Case Report on Traditional Korean Medical Treatment Including Hwangryunhaedok-tang Pharmacopuncture for Low Back Pain with Sciatica during Pregnancy)

  • 김선경;강수진;홍가경;최창민
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.138-147
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    • 2019
  • Objectives: This study was to report clinical effect and safety of Traditional Korean Medical Treatment including Hwangryunhaedok-tang Pharmacopuncture for pregnant woman with low back pain with sciatica. Methods: The patient who suffered from sudden low back pain with sciatica was treated with Hwangryunhaedok-tang Pharmacopuncture, acupuncture, moxibustion, herbal medication and cupping therapy during admission. Visual Analog Score (VAS), Oswestry Disability Index (ODI), McGill pain questionnaire-short form (SF-MPQ) were checked to measure the outcome. Results: After treatment, Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ) were considerably improved in this case. Conclusions: The results indicate that Traditional Korean Medical Treatment including Hwangryunhaedok-tang Pharmacopuncture is the effective therapy for low back pain with sciatica during pregnancy.

자궁적출술 후 하복부 및 요추부 통증을 호소하는 환자에 대한 한방 복합 치료 1례 (Case Report: The Complex Korean Medicine Treatment of Abdominal and Lower Back Pain after Laparoscopic Hysterectomy)

  • 이유진;권민진;김나영;임유라
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.197-206
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    • 2023
  • Objesctives: This study reports the effect of Korean medicine treatment on a patient with abdominal and lower back pain after a laparoscopic hysterectomy. Methods: The patient received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment for six days. We measured the numeric rating scale (NRS), Oswestry Disability Index (ODI), Range of Motion (ROM), and Life-5 Dimensions scale (EQ-5D) to assess symptom changes. Results: After treatment, the patient showed decreased numeric rating scale (NRS) and Oswestry Disability Index (ODI), as well as augmented Range of Motion (ROM) and European Quality of Life 5 Dimensions scale (EQ-5D). Conclusion: The results indicate that Korean medicine treatment is effective management for patients with abdominal and lower back pain after a laparoscopic hysterectomy.