• Title/Summary/Keyword: Oswestry disability index

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Study and three Cases Report for Lumbar Spinal Stenosis Treatment Using a Combination of Acupotomy and Existing Treatments (기존치료법과 침도침 시술을 병행한 요추관협착증의 증례보고 및 분석)

  • Jung, Ki-Yong;Sur, Young-Chan;Jang, Woo-Soon;Lee, Ji-Eun;Kim, Kyoung-Hoon;Shin, Gwang-Soon;Han, You-Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.1
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    • pp.120-127
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    • 2012
  • This study reports the effect of acupotomy for patients diagnosed with lumbar spinal stenosis(LSS). We treated three patients diagnosed with LSS using acupotomy. We measured the Numerical Rating Scale(NRS), Oswestry Disability Index(ODI) scores and Odom's criteria before and after treatment to assess improvements in symptoms and functions. In all patients, NRS, ODI scores and Odom's criteria were improved. We found a beneficial effect with acupotomy for three patients diagnosed with LSS. Thus, these data suggest LSS may be treated successfully with acupotomy.

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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    • 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.

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

  • Kim, Sun-Kyung;Kang, Su-Jin;Hong, Ka-Kyung;Choi, Chang-Min
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.2
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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.

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

  • Yu-jin Lee;Minjin Kwon;Na-young Kim;Yu-Ra Im
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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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.

The effect of home training using video contents on abdominal muscle thickness, Oswestry disability index, and pain in students with chronic low back pain (비디오 컨텐츠를 사용한 홈 트레이닝이 만성 허리 통증이 있는 대학생의 배근육 두께, 허리기능 및 통증에 미치는 영향)

  • Sun-Wook Park
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.71-82
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    • 2023
  • PURPOSE: This study examined the effect of training using video content on abdominal muscle thickness, Oswestry disability index (ODI), and pain in college students with chronic back pain. METHODS: Twenty-nine college students with chronic back pain participated in this study. The subjects were assigned randomly to 15 experimental groups who trained using video content and 14 control groups who exercised voluntarily using back exercise leaflets. The video used for the intervention was obtained from YouTube, and the difficulty level of the video was classified into six levels. Both groups participated in the intervention for 40 minutes/day, three times a week for six weeks, and the variables of abdominal muscle thickness, ODI, and pain were compared before and after the intervention. RESULTS: In the experimental group, there were statistically significant changes in the thickness of the internal oblique and transverse abdominis muscles, ODI, and pain after the intervention, except for the external oblique muscle (p < .05). In the control group, there was no statistically significant difference in all variables after the intervention (p > .05). A statistically significant difference in all variables was observed between the experimental group and the control group after the intervention except for the external oblique muscle (p < .05). CONCLUSION: Treatment of chronic low back pain using video content is a possible alternative treatment if quality images are selected and the difficulty levels are adjusted.

Development of a Modified Disability Questionnaire for Evaluating Disability Caused by Backache in India and Other Developing Countries

  • Aithala, Janardhana P.;Kumar, Suraj;Aithal, Shodhan;Kotian, Shashidhar M.
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.1106-1116
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    • 2018
  • Study Design: Prospective observational study. Purpose: To evaluate the disability domains relevant to Indian patients with low backache and propose a modified disability questionnaire for such patients. Overview of Literature: The Oswestry Disability Index (ODI) is a self-reported measurement tool that measures both pain and functional status and is used for evaluating disability caused by lower backache. Although ODI remains a good tool for disability assessment, from the Indian perspective questions related to weight lifting and sexual activity of ODI are questioned in some of the earlier studies. Activities of daily living in Indian patients vary substantially from those in other populations and include activities like bending forwards, sitting in floor and squatting which are not represented in the ODI. Methods: In this prospective observational study, a seven-step approach was used for the development of a questionnaire. Thirty patients were interviewed to identify the most challenging issue they faced while performing their daily activities (by free listing) and understand how important the questionnaire items were in terms of the standard ODI. Thus, a comprehensive disability questionnaire comprising 14 questions was developed and administered to 88 patients. Both qualitative (interviews) and quantitative methods (to establish the validity, reliability, and correlation with the Visual Analog Scale [VAS] and Rolland Morris disability questionnaire) were used to identify the 10 questions that best addressed the disability domains relevant to Indian patients. Results: According to free listing, four new questions pertaining to bending forward, sitting on the floor, walking on uneven surfaces, and work-related disabilities were included. In the second phase, wherein the questionnaire with 14 items was used, 56.8% patients did not answer the questions related to sexual activity, whereas 23.8% did not answer those related to walking on uneven surfaces. The modified questionnaire demonstrated good internal consistency (Cronbach's alpha=0.892) and correlation with the Rolland Morris questionnaire (Cronbach's alpha=0.850, p>0.05), as well as with the VAS score for disability (Cronbach's alpha=0.712, p>0.05) and pain (Cronbach's alpha=0.625, p>0.05). Conclusions: A modified disability questionnaire that was designed by adding two questions related to bending forward and work status and removing questions related to sexual activity and weight lifting or traveling (depending on the occupation) can help evaluate disability caused by back pain in Indian population.

The Effects of Early Exercise Program on the Pain, Disability and Balance on Undergo Single-level Lumbar Discectomy (단일 요추간판 절제술 환자의 조기 운동프로그램이 통증, 장애, 균형에 미치는 영향)

  • Jeon, Jae-Guk;Kim, Myung-Jun
    • 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.

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The clinical study of Scolopendrid aquacupuncture on HIVD of lumbar spine by follow up (추적조사를 중심으로 한 요추간판탈출증(腰椎間板脫出症)에 대한 오공약침(蜈蚣藥鍼)의 임상적(臨床的) 연구(硏究))

  • Choi, Hoi-kang;So, Ki-suk;Koh, Kang-hoon;Park, So-young;Kim, Sung-nam;Lee, Jong-deok;Won, Kyoung-suk;Moon, Hyung-cheol;Kim, Sung-chul
    • Journal of Acupuncture Research
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    • v.20 no.3
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    • pp.238-252
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    • 2003
  • Objective : This study is performed for the purpose of examining the efficacy of the scolopendrid(Scolopendra morsitans L.) which has been to low back pain as a folk remedy. Methods & Results : Seventy patients with H.I.V.D. treated with the scolopendrid aquacupuncture and examined 4 tests; D.I.T.I., physical test, Oswestry disability index, and self-conscious pain rate were studied. And we follow up after discharge, we evaluated the present state and recovery period. Or we evaluated by herniated type and duration of onset. There was 58~97% of efficacy rate in each tests. Moreover, statistically valuable change in all 7 D.I.T.I. points and in disability index and in self-conscious pain rate was showed. Conclusion : The scolopendrid aquacupuncture is possible to be effective terating the H.I.V.D patients. So we suggest the possibility using this new remedy to the H.I.V.D. patients.

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Effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women: A single-subject study (브로거 운동을 병행한 산전운동프로그램이 임산부의 허리 통증 및 균형에 미치는 영향 단일 사례 연구)

  • Kim, Sun Min;Jang, Sang Hun
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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    • pp.85-96
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    • 2021
  • Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.

The Study Of Functional Disability Scales for Low Back Pain (요통의 기능 평가방법에 대한 고찰)

  • Moon, Sang-Hyun;Ryu, Han-Jin;Lee, Jons-Soo;Youn, You-Suk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.39-53
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    • 2003
  • Objectives : The object is to the difference among the funtional disability scale for low back pain and to use Methods : I researched the contents of funtional disability scale for low back pain Results & Conclusions : 1. The funtional disability scale for low back pain is specific-condition and general-health 2. A proposal of set core of funtional disability scale for low back pain is back specific function, generic health state, pain, work disability, satisfaction 3. Oswestry disability index or Rolland disability questionnaire. wase used for standard specific-condition scale and SF-36 was used for standard general-health scale 4. SF-36 is able to use the funtional disability scale for low back pain independence 5. In the future, scale for low back pain shulod be standardized in multiple dimension by computer

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