• 제목/요약/키워드: Odi

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요추관 협착증에 대한 봉약침 병행 치료 효과의 임상적 연구 (The Clinical Study on Effects of Bee Venom Pharmacupuncture Therapy in Patients with Lumbar Spinal Stenosis)

  • 정선미;박찬규;김광호;김자영;손성철
    • Journal of Acupuncture Research
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    • 제25권1호
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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.

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Oswestry Disability Analysis of Fuzzy Control Multi-cup Electric Cupping System

  • Kim, Jong-Chan;Ko, Jae-Sub;Wei, Tung-Shuen;Kim, Chee-Yong;Choi, Heung-Kook
    • 한국멀티미디어학회논문지
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    • 제18권2호
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    • pp.207-217
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    • 2015
  • A multi-cup electric cupping system (MECS) was proposed, based on the ancient cupping method. MECS consisted of several cups that could be used simultaneously to treat 85 lumbago patients. Each cup was equipped with its own pump and pressure-monitoring system. The vacuum pressure of the cups was controlled using fuzzy logic. Through automated control of the vacuum pressure, long-term relief of muscle tightness was achieved. To develop a scientific foundation for this alternative treatment, we compared the Oswestry Disability Index (ODI) scores from conventional basic cupping to the ODI scores for our proposed MECS. The ODI scores using MECS decreased from $11.71{\pm}1.61$ before treatment to $4.81{\pm}1.48$ and $1.87{\pm}1.61$ after three and five treatments, respectively. The improvement rate in the ODI scores using MECS after three treatments was higher than that achieved by basic cupping. These results, combined with the convenience offered by enhanced information technology and fuzzy logic capabilities, should increase the efficiency of this device, and facilitate the opportunity to further explore the potential of Oriental medical practices.

요통 환자의 굴곡신연기법의 효과에 대한 임상적 연구 (The Clinical Study for the Effects of Flexion-Distraction Technique on Patients with Low Back Pain)

  • 정원희;서상경;박국지;강준혁
    • 한방재활의학과학회지
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    • 제20권3호
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    • pp.61-74
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    • 2010
  • Objectives : The purpose of this study is to find out the effects of flexion-distraction technique on low back pain. Methods : The 40 patients were divided into 2 groups: group a was treated except flexion-distraction technique and group B was treated with flexion-distraction technique. Both groups were treated with acupuncture treatment, physical therapy and manipulation. Patients were evaluated by McGill pain questionnaire-short form(SF-MPQ), visual analogue scale(VAS), Oswestry disability index(ODI) and pain disability index(PDI). Results : 1. Both Groups were significantly decreased in VAS and ODI after 3 weeks of treatment. 2. Group B compared with Group A was significantly decreased in SF-MPQ, VAS, ODI and PDI after 3 weeks of treatment. Conclusions : We found out that flexion-distraction technique is considered to be effective and useful on low back pain.

Effects of Lumbar Stabilization Exercise with Kinesio Taping on Pain, Muscle Strength, and Oswestry Disability Index in Patients with Chronic Low Back Pain

  • Kim, Kyunghun
    • Physical Therapy Rehabilitation Science
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    • 제10권3호
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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.

Reliability and Validity of the Side-lying Instability and Prone Instability Tests in Patients with Lumbar Segmental Instability

  • Kim, Bo-Eon;Lee, Kwan-Woo;Park, Dae-Sung
    • 대한물리의학회지
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    • 제16권1호
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    • pp.1-7
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    • 2021
  • PURPOSE: The purpose of this study is to conduct inter-rater and intra-rater reliability tests in patients with low back pain (LBP) using the prone instability test (PIT) and side-lying instability test (SIT). We have analyzed the Korean version Oswestry disability index (K-ODI) correlations and radiograph finding (RF) for validity. METHODS: Individuals (n = 51) (mean age of 40.27 ± 13.28) with LBP for at least over a week were recruited, together with two participating physical therapist examiners. The measurement consisted of PIT, PST, K-ODI, and RF. Sensitivity (Sn), specificity (Sp), positive predictive value, negative predictive value, prevalence index, agreement %, Cohen's kappa, and prevalence-adjusted bias-adjusted kappa (PABAK) were calculated. The PIT and SIT were compared with RF for validity analysis, while PIT, SIT, K-ODI, and RF were calculated for the correlation analysis. RESULTS: The intra-rater reliability test measured for the PIT (kappa = .79, PABAK = .88) and SIT (kappa = .73, PABAK = .84), and inter-rater reliability test measured for the SIT (kappa = .80, PABAK = .88) showed good agreements. The PIT (Sn = .65, Sp = .63) and SIT validities (Sn = .68, Sp = .70) were compared with RF, showing a significant correlation in PIT and RF (r = .69), SIT and RF (r = .73), and PIT and K-ODI (r = .53). CONCLUSION: The SIT is a more comfortable position test than the PIT in patients. Both PIT and SIT have acceptable reliability and validity.

환율, GDP, 해외직접투자가 한국의 대동아시아 수출에 미치는 영향: 패널 FMOLS기법의 적용 (Effects of Exchange Rate, GDP, ODI on Export to the East Asia: Application the Panel FMOLS Approach)

  • 김창범
    • 통상정보연구
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    • 제14권3호
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    • pp.307-322
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    • 2012
  • 본 논문은 패널 단위근, 패널 공적분, 패널 인과성 검정, 패널 FMOLS(fully modified OLS) 기법을 이용하여 한국의 대 동아시아 수출 결정요인을 분석하였다. 분석결과 변수들이 패널 단위근 검정을 통하여 단위근을 가지며 1차 차분 후 안정적인 자료로 전환됨을 알 수 있었으며, 패널 공적분 통계량 모두 공적분 관계가 존재하지 않는다는 귀무가설을 기각함으로써 적어도 하나의 공적분 벡터가 존재함을 알 수 있었다. 다음으로 패널 벡터오차수정모형을 도입하여 동태적 인과성 분석을 실시하였다. GDP변동이 수출변동에 영향을 미치고 수출변동이 GDP변동에 영향을 미침으로써 수출과 GDP 간에 쌍방적 인과관계가 존재함을 알 수 있었다. 그리고 ODI변동의 오차수정항 계수가 수출변동의 오차수정항 계수보다 약 1.65배 크게 나타나 ODI의 불균형에서 균형으로 조정속도가 수출보다 1.7배 정도 빠름을 확인할 수 있었다. 이와 더불어 패널 GM FMOLS 결과 환율이 1% 상승했을 때 수출이 0.28% 감소하고, GDP가 1% 증가했을 때 수출은 0.77% 증가하고, 해외직접투자가 1% 증가했을 때 수출은 0.11% 증가함을 알 수 있었다.

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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.

ICF 개념을 이용한 만성요통 환자의 특성 분석 (Analysis of the characteristics of Patients with Chronic Low Back Pain Using the ICF Concept)

  • 이해정;송주민
    • The Journal of Korean Physical Therapy
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    • 제25권5호
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    • pp.282-287
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    • 2013
  • Purpose: The purpose of this study was to investigate the characteristics of patients with Chronic Low Back Pain (CLBP) in disability, pain, and cognition, and to compare those characteristics to the ICF concept analyzing the association between World Health Organization Disability Assessment Schedule 2.0: 12 item-interviewer version (WHODAS 2.0) and those of scales i.e. Oswestry Disability Index (ODI), the Short-Form McGill Pain Questionnaire (SFMPQ), and the Fear avoidance & belief questionnaire (FABQ). Methods: A total of 91 patients with CLBP were invited to participate in the study. Physical therapists interviewed all participants using SFMPQ, FABQ, ODI, and WHODAS 2.0 for collection of information on pain, cognition, and functional level data. Subjects scored their disability, pain, and cognition related to LBP using WHODAS 2.0, ODI, SFMPQ, and FABQ. Data analysis was performed using the Spearman correlation coefficient. Results: A positive relationship was observed between WHODAS 2.0 and each scale indicating that lower back specific disability components could be related to the ICF concept in ODI (r=0.77). Pain intensity and pain oriented movement were found to be related to general functioning in patients with CLBP (r=0.52, r=0.55, respectively). Conclusion: It can be suggested that the specific disability scale for LBP, ODI can be related to the ICF concept, WHODAS 2.0, and it may be a useful measure for patients with CLBP.

An Evaluation of the Quality of Sleep Before and After Surgical Treatment of Patients with Cervical Disc Herniation

  • Ogden, Mustafa;Akgul, Mehmet Huseyin;Yuksel, Ulas;Bakar, Bulent;Kamasak, Kagan;Ozveren, Mehmet Faik
    • Journal of Korean Neurosurgical Society
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    • 제61권5호
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    • pp.600-607
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    • 2018
  • Objective : It has been reported in recent studies that 50-80% of patients with cervical disc hernia have concomitant sleep disorders. The aim of this study was to evaluate the quality of sleep before and after surgical treatment in patients with cervical disc hernia and to assess the effects on treatment. Methods : The study included 32 patients performed discectomy and fusion with an intervertebral cage through the right anterior cervical approach. Oswestry Disability Index (ODI), Visual Analog Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI) were applied to all patients preoperatively and at one month postoperatively. Results : The postoperative PSQI total points and all the PSQI subscale points, the ODI and VAS scores were significantly reduced compared to the preoperative values. A positive correlation was determined between the preoperative ODI points and the PSQI total points and sleep duration, sleep latency and daytime functional loss subscale points. A positive correlation was also found between preoperative ODI points and VAS points. A positive correlation was determined between the preoperative VAS points and and the PSQI total points and sleep duration, and sleep latency subscale points. A negative correlation was determined between the postoperative ODI and the daytime functional loss subscale points. Conclusion : The results of the study showed that in patients with cervical disc hernia, sleep quality and daytime functionality were negatively affected by severity of pain that limited daily activities. Bringing the pain under control with surgical treatment was observed to increase sleep quality. It can be concluded that when planning treatment for these patients, it should be taken into consideration that there could be a sleep disorder in addition to the complaints and symptoms such as pain, hypoestesia and loss of strength.

요추 추간판 탈출증 환자에 대하여 기타 한방치료를 병행한 가열식 화침과 일반침의 효능 비교 연구: 무작위배정, 평가자 맹검, 평행군 설계 (The Comparative Study on the Effect of Fire Needling Therapy and General Acupuncture with Other Korean Traditional Medical Treatment for the Patient with Lumbar Herniated Intervertebral Disc: A Randomized, Assessor Blinded, Two Arm Trial)

  • 정세호;성희진;임수지;이은용;이참결
    • Journal of Acupuncture Research
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    • 제32권4호
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    • pp.29-36
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    • 2015
  • Objectives : The purpose of this study is to compare the efficacy of fire needling therapy and general acupuncture for the patient with lumbar herniated intervertebral disc. Methods : We observed 20 lumbar herniated intervertebral disc patients from March, 2014 to October, 2015. This study was randomized and assessor blinded. The patients were divided into two groups: one group(group A) was treated by general acupuncture only, and the other group(group B) was treated by fire needling therapy and general acupuncture. We evaluated the treatment effect experienced by each group using the visual analogue scale(VAS) and Oswestry disability index(ODI). Results : 1. In group A, VAS and ODI from before treatment to treatment 4, 8, 12, 16 were significantly improved in statistics. 2. In group B, VAS from before treatment to treatment 4, 8, 12, 16 was significantly improved, but ODI was significantly improved in statistics only from before treatment to treatment 12, not in treatment 4, 8, 16. 3. As a result of comparisons between group A and B, there were no statistical significance in VAS and ODI. Conclusions : This study was not able to determine statistical significance between the group treated by general acupuncture only and the group treated by fire needling therapy and general acupuncture, so further studies are required in the future.