• Title/Summary/Keyword: Rating scale for low back pain

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Effects of Yoga on Pain, Function, and Depression in Individuals with Nonspecific-Low Back Pain

  • Song, Seonghyeok;Choi, Youngam;Cho, Namjeong;Kim, Hyun-Joong
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.165-171
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    • 2022
  • Objective: Nonspecific low back pain (NSLBP) is experienced worldwide by many age groups. Yoga is recommended as an exercise to reduce back pain and stress because it is a breathing exercise, posture, and meditation as key elements. The aim of this study is to compare the effects of yoga and stabilization exercise on pain intensity, function, and depression. Design: An open-label, parallel arm, randomized controlled trial Methods: Twenty-four participants were allocated to the experimental and the control group in a ratio of 1:1. Yoga (experimental group) and stabilization exercise (control group) were received twice a week for 6 weeks Participants were assessed at baseline and post-intervention for pain intensity (numeric pain rating scale), function (Aberdeen low back pain scale, flexibility,and strength), and depression (Beck depression inventory). Results: When the experimental group (Yoga) and control group (stabilization exercise) were performed twice a week for 6 weeks, numeric pain rating scale, Aberdeen low back pain scale, and flexibility in post-intervention showed significant improvement in both groups (P<0.05), However, in all variables, the experimental group showed a positive benefit compared to the control group (P<0.05). Conclusions: The results of this study show that yoga has more positive benefits compared to stabilization exercise in pain intensity, function, and depression in individuals with NSLBP.

Assesment of Bee-venom Acupuncture Effect on Herniated Disc Patients by Rating Scale (요추간판탈출증 환자 22례에 대한 봉독약침 치료의 요통 평가지수를 이용한 임상보고)

  • Kim, Ji-Hoon;Lee, Jae-Dong
    • The Journal of Korean Medicine
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    • v.20 no.2
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    • pp.200-207
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    • 1999
  • Herniation of intervertevral disc(HIVD) is the most common disease causing low back pain. Acupuncture, electroacupuncture and moxibustion has been used for treatment of HIVD. Bee venom (BV) also has been traditionally applied to relieve pain. Recently, it has been reported that BV is effective in treating HIVD. But more objective methods were required to assess the efficacy of BV on HlVD. So we assessed of BV-acupuncture effect on herniated disc patients by use of rating scale for low back pain. We researched 22 patients who were treated at Department of Acupuncture & Moxibustion, Kyung Hee Medical Center from January 1999 to June 1999. The patients were diagnosed by MRI as having a herniated disc. The results of treatment using rating scale for low back pain in HIVD showed that $43.77{\pm}14.39$ point of pre-treatment score and $84.5{\pm}3.97$ point post-treatment score. The improvement index showed $0.43{\pm}0.15$. Especially, clinical score of neurologic deficits showed most highest improvement index of $0.7{\pm}0.45$. Assessment of BV-acupuncture Effect by MRI finding were showed that protruded disc and extruded disc got more higher improvement index than bulging disc. Among 22 patients, satisfactory assessment of BV-acupuncture effect showed that 15(68.2%) were excellent, and 7(31.8%) were good. The result suggest that BV-acupuncture is good method for treatment of HIVD.

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Changes in Gait Patterns after Physical Therapy in Patients with Non-specific Chronic Low Back Pain: a Pilot Study

  • Song, Seonghyeok;Cho, Namjeong;Kim, Hyun-Joong
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.105-112
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    • 2022
  • Objective: Nonspecific low back pain (NS-LBP) causes pain and disability, affecting the neuromuscular system and altering gait patterns. The purpose of this study is to investigate the effect of improvement of low back pain symptoms through physical therapy on foot pressure and spatiotemporal gait parameters. Design: A pilot study. Methods: Participants received manual therapy and supervised therapeutic exercise, which consisted of 12 sessions for 6 weeks. Participants were assessed for pain intensity (a numeric pain rating scale), disability index (oswestry disability index), and spatiotemporal gait parameters before and after intervention. Wilcoxon signed rank test was used to analyze the before-and-after differences in a single group. Results: All seven NS-LBP patients completed the study without dropout. After six weeks of physical therapy, the numeric pain rating scale and oswestry disability index showed significant improvement (Z= -2.388, P=0.017). There was no significant improvement in both static and dynamic conditions in foot pressure (P>0.05). However, in the spatiotemporal gait parameters, there were significant differences in all variables except the right stance phase and left mid stance (P<0.05). Conclusions: In our pilot study, 12 sessions of physical therapy in NS-LBP patients improved gait quilty in spatiotemporal gait parameters. Similarly, it has resulted in clinically positive improvements in pain and disability.

Therapeutic Effect of Ten case Treated with Scalp and Do-ma acupuncture related with Governer Vessel and Bladder Meridian on Acute Low Back Pain (두부(頭部) 독맥경(督脈經), 족태양방광경(足太陽膀胱經) 경혈(經穴)의 도마침법(倒馬鍼法)을 시행한 급성(急性) 요부(腰部) 염좌(捻挫) 환자 10례(例)에 대한 임상고찰(臨床考察))

  • Lee, Jun-Sung;Kim, Young-Il
    • Journal of Haehwa Medicine
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    • v.14 no.2
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    • pp.177-187
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    • 2005
  • Objective : This study is designed in order to evaluate the therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) on acute low back pain Methods : We investigated 10 patients suffering from acute low back pain were treated from Mach. 1st 2005 to Jun. 30th 2005. 10 patients, were diagnosed only straightened curvature on lateral view of lumbar spine X-ray and get Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. And visual analog scale(VAS) was used, too. Results : Both Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture therapy showed good effect on acute low back pain. It was proved by the difference between PRS and VAS checked before treatment and what checked after treatment. In the evaluation of treatment effect, Exellent was 2(20%), Good was 5(50%), Moderate was 3(30%), Poor was 0(0%). Conclusion : The therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture on acute low back pain can be recommended as a useful therapy to treat acute low back pain.

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Pain Patterns and Factors Affecting of Low Back Pain in Middle-aged Women (중년여성이 경험하는 만성요통의 통증양상 및 영향요인)

  • Ham, Young-Lim;Seo, Bok-Nam;Ahn, Yang-Heui
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.33-41
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    • 2007
  • Purpose: The purpose of the study was to identify the pain patterns and factors affecting low back pain in middle-aged women with backache. Method: A descriptive research design was utilized. The participants were middle-aged women who visited to two back pain clinics in Wonju from October, 2006 through February, 2007. A total of 195 low back pain patients agreed to participate in this study, and data from 177 were analyzed. Data were collected using a questionnaire which included a modified short-form Korean pain rating scale, demographic factors, factors related to low back pain and health behavior. Descriptive statistics and multiple regression analysis was utilized in the analysis. Results: The mean score for low back pain was relatively low(M=21.57, SD=11.44). Among pain patterns, scores for dull pain were the highest of all the dimensions. In the regression analysis, significant factors affecting low back pain were found to be age, level of education, religion, BMI, experience of pregnancy, delivery type and exercise. These variables explained 24.8% of variance in low back pain(F=3.79, p<.001). Conclusion: These results suggest that nurses need for assessment and intervention to take into consideration pain patterns as well as factors affecting middle-age women with backache.

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Effect of Walking Exercise with Functional Shoes on Chronic Low Back Pain (기능성 신발을 활용한 보행운동이 만성 요통에 미치는 효과)

  • Ku, Ji-Young;Lee, Seung-Hwon;Kwon, Gi-Sun;Cho, Sung-Woo;Youn, Hyoun-Min;Jang, Kyung-Jeon;Song, Choon-Ho;Kim, Cheol-Hong;Hong, Sang-Hoon
    • Journal of Acupuncture Research
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    • v.28 no.3
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    • pp.73-84
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    • 2011
  • Objectives : The purpose of this study is to evaluate the effect of 12 weeks-walking exercise with functional shoes on chronic low back pain. Methods : The subjects of this study were 18 females from thirty to sixty years old who had suffered from low back pain over 12 weeks. They wore S shoes with curved out-sole and soft material in arch of foot We asked them to walk wearing shoes for 1 hour a day over 4 days a week for 12 weeks. Improvement of the symptoms was evaluated by pain rating scale, Oswestry low-back pain disability index. We measured lumbar lordotic angle, Ferguson's angle, bone mineral density, body composition. The measurements were checked before and after exercise. Results : This study showed significant improvement in pain rating scale, oswestry low-back pain disability index, and body composition. And lumbar lordotic angle, Ferguson's angle and bone mineral density decreased. Conclusions : These results showed that walking exercise with functional shoes could decrease the symptoms of chronic low back pain. But, it's too difficult to conclude whether the efficacy was due to functional shoes or walking exercise because we didn't set the control group wearing general shoes.

Effects of Auricular Acupressure on Low Back Pain and Headache in Nurses (귀 지압이 간호사의 요통과 두통에 미치는 효과)

  • Park, Eun-Mee;Jo, Ga-Won;Sim, Sug-Hee;Choi, Jong-Min;Lee, Eun-Jin
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.75-82
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    • 2022
  • Purpose: The aim of the study was to examine the effect of auricular acupressure on low back pain and headaches in nurses. Methods: A open-label randomized controlled trial was used. Thirty-nine nurses with low back pain for more than 3 months participated in this study. Auricular acupressure stickers were applied to the participants's waist, head and Shen men in the experimental group for 2 weeks. The Numeric Rating Scale (NRS), the Visual Analog Scale (VAS), and the Headache Impact Test-6 (HIT-6) were administered to measure participants' pain. Results: The mean differences of the VAS and the HIT-6 were significant in the experimental group at the pre and post-tests. A repeated-measures ANOVA revealed that low back pain and headache measured using NRS in the experimental group decreased significantly compared to the control group at the pre and post-tests over 2 weeks. Conclusion: The results of this study indicated that auricular acupressure could be used as a useful intervention for self-care for nurses with low back pain and headache.

Application of Rasch Analysis to the Modified Oswestry Low Back Pain Disability Questionnaire for Work-Related Low Back Pain Patients (수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로)

  • Park, So-Yeon;Oh, Jae-Seop;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.26-34
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    • 2008
  • The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, "pain intensity" and "social life" showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the "changing degree of pain" item being the most difficult and the "walk" item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.

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The Effect of the Treatment with Venesection on Treating Low Back Pain of Acute Stage (급성기(急性期) 요통(腰痛)의 치료(治療)에 자락요법(刺絡療法)의 병행(竝行)이 미치는 영향(影響))

  • Song, Hyong-gun;Song, Min-sik;Kim, Jeong-ho;Kang, Jae-hui;Kim, Young-hwa;Kim, Young-il;Hong, Kwon-eui;Lee, Hyeon;Lee, Hwan-dong
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.113-122
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    • 2004
  • Objective : This study is designed in order to evaluate the therapeutic effect of venesection on acute low back pain. Methods : From Nov. 1st 2003 to Apr. 30th 2004, 40 cases of low back pain patients at acute stage were divided into 2 groups; one group(control group) took only acupuncture therapy, and the other group(test group) took acupuncture and venesection therapy. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. And visual analog scale(VAS) was used, too. PRS and VAS was checked twice, before the treatment and after the treatment. Treatment was done twice a day. Results : Both acupuncture therapy and acupuncture with venesection therapy showed good effect on low back pain of acute stage. And the latter group showed better effect on decreasing pain than former. It was proved by the difference between PRS and VAS checked before treatment and what checked after treatment. But it was not proved statistically. Conclusion : Only acupuncture and acupuncture with venesection can be recommended as a useful therapy to treat low back pain of acute stage.

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One case on Lumbar Kyphosis with Complaining Lower Back Pain and Low Extremity Pain (요각통으로 입원한 요추부 후만곡 환자 1례에 대한 증례보고)

  • Kwon, Hyeok-Joon;Kim, Joo-Won;Ryu, Ki-Jun;Kim, Ho-Jun;Lee, Myeong-Jong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.109-120
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    • 2009
  • Objectives : We already know the importance of stability and flexibility on the vertebra. It is important to keep the lumbar lordosis for stability and flexibility. We hope to reduce lower back pain and low extremity pain by changing the angle of the Lumbar Kyphosis through conservative treatment. We have evaluated the effect of conservative treatment with Saamchimbeop Pejeonggyeok by experimenting one patient suffering from Lumbar Kyphosis with lower back pain and low extremity pain. Methods : One patients were diagnosed as Lumbar Kyphosis through X-ray examination. We used conservative treatment, especially Pejeonggyeok Treatment to the patients and measured NRS((Numerical Rating Scale), rating scale for low back pain, low extremity pain and SLR(Straight Leg Raising) test and walking time in whole term of admission, and we also measured flexion, extension angle and lumbar kyphosis using lumbar x-ray lateral view after diganosing by Lumbar Kyphosis. Results and Conclusions : After treating conservative therapy, We figured out that the patient were on the mend, and we found out the angle change in flexion, extension and lumbar Kyphosis. These results suggest that Pejeonggyeok Treatment were effective to improved Lumbar Kyphosis and reduced the low back pain.

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