• 제목/요약/키워드: low back

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Effects of the Latest Robotic Horse-riding for Low Back Pain : Narrative Review

  • LEE, Jae-Hyuk
    • 웰빙융합연구
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    • 제4권4호
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    • pp.31-34
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    • 2021
  • Purpose: The purpose of this study is to review health-care program using the recent robotic horse-riding technology and its clinical effects for chronic low back pain. Research design, data and methodology: Recent clinical articles were determined under three inclusion criteria for in-depth review: 1) article that is published within 1 year, 2) article that includes the detailed explanation of health-care program using robotic horse-riding, 3) the article that deals with chronic low back pain during more than 6 months. Results: As a result, the finally-determined two articles demonstrated the clinical effects of robotic horse-riding statistically on pain intensity, low back muscle strength, spinal alignment, and fear-avoidance belief. Conclusions: After in-depth review, I concluded that health-care program using robotic horse-riding for chronic low back pain needs to be provided at low-intensity (e.g. less than 6km/h horse walking program) in the beginning of health-care for improving their motor control ability, then, at the increased intensity for strengthening core muscles.

농촌 부녀자와 농촌 생활지도사의 요통 교육에 관한 조사 (A Survey of Low Back Pain for the Rural Woman and Home Extension Worker Related Education)

  • 김순자
    • 대한물리치료과학회지
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    • 제2권2호
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    • pp.509-515
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    • 1995
  • The purpose of this study was to assess the rural women's general status in relation with low back pain. This survey was done after teaching them the prevention and treatment of low back pain with Meckenzie Method. 84 rural resident women including rural life guidance. The results were as follows. 1. The average age of rural were $35{\sim}50$ years old and the guidance's age were $21{\sim}25$ years old. The educational level of rural women were highest in primary school(46.67 %) and the home extension worker were college education(83.67 %). 2. 75 % of rural woman complained low back pain while 17.33 % of the home extension worker had back pain. 3. The home extension worker feel the necessity of the education in low back pain(100 %) while 88.89 % of the rural woman agreed. 4. All the rural women and the home extension worker had the concept of back pain and its prevention(100 %). 5. After this education, the confidence in prevention and treatment were each 78.79 % with rural women and 91.84 % with home extension worker. 6. The necessity for the treatment of low back pain were : first, the correction of posture, second, the activity posture correction, third, the supportive roll of back curve. 7. There were no statistical significant outcome specifically.

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생활습관자세 및 스트레스가 간호대학생의 요통에 미치는 영향 (Effects of Postural Habits and Stress on Low Back Pain in Nursing Students)

  • 김지수;최정실
    • 근관절건강학회지
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    • 제21권3호
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    • pp.165-172
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    • 2014
  • Purpose: The purpose of this study was to identify effects of postural habits and stress on low back pain experienced by nursing students. Methods: The survey was conducted with 282 students at 5 nursing schools in Seoul, Incheon, Chungcheongbuk, and Jeollabuk Province. Data were collected from October, 2013 to January, 2014. Data analyses including descriptive analysis, ANOVA, Pearson's correlation coefficient, Spearman's rank correlation coefficients, and multiple regression were performed using SPSS 21.0. Results: In multiple regression, habit of standing on force of one feet (${\beta}=.23$, p<.001), habit of sleeping on one's back (${\beta}=-.19$, p=.020), habit of resting the chin on one's hands (${\beta}=.15$, p=.029), and habit of carrying a bag on one shoulder (${\beta}=.12$, p=.011) were associated with low back pain experienced by nursing students. These factors accounted for 12.9% of the variance in the low back pain in undergraduate students. Conclusion: These results suggest that low back pain in nursing students are related to their habits of posture in daily life. Therefore, intervention program to encourage healthy postural habits can be effective to prevent low back pain in nursing students.

요통환자와 정상인의 장요근의 긴장 도 비교 (The Comparison of Iliopsoas Tightness Between Low Back Pain Patients and Healthy Subjects)

  • 이준용;윤홍일
    • 대한정형도수물리치료학회지
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    • 제12권2호
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    • pp.11-20
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    • 2006
  • Low back pain is often experienced by many people who are in an activity flag. Their work and daily life are affected by low back pain. There are many causes of low back pain. Among those many causes, this study was focused on a relation between low back pain and the tightness of iliopsoas. The study was implemented by measuring the angles of the hip joints in subjects consisting of a 30 patients group, who had been selected from the outpatients at the Median Hospital, and a 30 people control group from the outpatients at the M Hospital and employee of M hospital. The patients group consists of the patients with low back pain who have intermittently or continuously experienced low back pain within the last 6 months. The group also had no symptom of spondylolysis or spondylolithesis and no muscular abnormality in terms of pathology without any experience of disc or spine fusion operation. The control group consisted out of persons who had never experienced lower back pain and had never been subjected to physical therapy due to lower back pain. The hip joint angles of the subjects of this study were measured by means of the modified Thomas test position. Data was analysed by independent sampling t-test using SPSS 11.0. The following results were obtained: 1. The measured angles of patient's both hip joints were significantly smaller than the control group's. 2. In the males group, The angles of patients' both hip joints were smaller than the controls'. In the females group, The angles of patients' both hip joints were smaller than the controls'. In conclusion, this study demonstrates that there is a significant difference in the tightness of the iliopsoas muscles when comparing the patient group with the control group. We should therefore pay more attention in releasing the muscle tightness of iliopsoas muscles when performing physical therapy with patients with lower back pain.

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급성 요통환자와 만성 요통환자에서 척추주변근육의 정량적 분석 (A Qualitative Analysis on Paraspinal Muscles in Patients with Acute Low Back Pain and Chronic Low Back Pain)

  • 정대근
    • 디지털융복합연구
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    • 제11권11호
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    • pp.613-620
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    • 2013
  • 본 연구는 MRI를 사용하여 급성 및 만성 요통환자들의 척추주변근육에 나타나는 변화를 정량적으로 측정 및 분석하고 이를 토대로 요통에 대한 진단 및 치료에 임상적 기초자료를 제공하고자 2012년 8월부터 2013년 1월까지 내원한 환자로 요통이 발생한지 12주 이내의 급성요통환자 20명과 요통이 발생한지 12주 이상 경과된 만성 요통 환자 20명을 대상자로 선정하여 MRI를 촬영한 후 측정하여 비교하였다. 왼쪽과 오른쪽의 지방변성율에서는 척추세움근과 뭇갈래근에서 유의한 차이가 있었고(p<.001), 전체 집단 간 지방변성율 비교에서도 급성요통군과 만성요통군간의 큰허리근, 척추세움근, 뭇갈래근에서 유의한 차이가 있었다(p<.001). 사후검정에서는 급성요통군과 만성요통군에서 각각 다열근과 척추세움근의 지방변성율이 가장 높은 것으로 나타났다. 만성 요통군에서 다열근과 척추기립근의 심한 지방율의 변성은 척추의 안정성을 유지하는 근육의 근력 약화로 나타나는데 본 연구결과를 토대로 급성 만성요통환자들의 재활운동과정에 있어서 뭇갈래근, 급성 요통군은 뭇갈래근과 큰허리근에 더 주의를 기울이고 재활운동 선정 과정에서 중요한 자료와 근거를 제시 할 수 있으라고 사료된다.

Should We Start Treating Chronic Low Back Pain with Antibiotics Rather than with Pain Medications?

  • Birkenmaier, Christof
    • The Korean Journal of Pain
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    • 제26권4호
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    • pp.327-335
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    • 2013
  • For those of us who have read the 2 recently published articles by a Danish - British research group, it might appear that we are observing an impending paradigm shift on the origins of chronic low back pain. The results of this research indicate, that chronic low back pain associated with bone marrow edema in vertebral endplates that are adjacent to herniated intervertebral discs may be caused by infections with anaerobic bacteria of low virulence. According to these articles, treatment with certain antibiotics is significantly more effective than placebo against this low back pain. If these findings are to hold true in repeat studies by other researchers, they stand to fundamentally change our concepts of low back pain, degenerative disc disease and in consequence the suitable therapies for these entities. It may in fact require pain specialists to become familiarized with the details of antibiotic treatments and their specific risks in order to be able to properly counsel their patients. While this seems hard to believe at first glance, bacteria have been implicated in the pathogenesis of other conditions that do not primarily impose as infectious diseases such as gastric ulcers. While the authors refer to a few previous studies pointing into the same direction, the relevant research is really only from one group of collaborating scientists. Therefore, before we start prescribing antibiotics for chronic low back pain, it is imperative that other researchers in different institutions confirm these results.

일부 요통환자를 대상으로 한 OLBPDI의 신뢰도 및 타당도 (Reliability and Validity on Oswestry Low Back Pain Disability Index(OLBPDI) in Patients with Low Back Pain)

  • 이승주;김진섭
    • 대한물리치료과학회지
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    • 제18권3호
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    • pp.53-61
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    • 2011
  • Purpose : his study was to analyze the reliability and validity on Oswestry Low Back Pain Disability Index (OLBPDI) in patients with low back pain. Methods : The sample consisted of 211 patients who had received treatments at the physical therapy units of 3 medical institutions from February to December 2008 in Andong city. Questionnaires on the OLBPDI were recruited by 6 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient:${\alpha}$), item-discriminant validity, Pearson's relation coefficient. Results : An average of patients's age was 41.1 years. The range of OLBPDI subscales were .93~.94 in Cronbach's ${\alpha}$. The internal consistency reliability of total item-each item were also internally consistent with Cronbach's ${\alpha}$ range of .94~.95(Pearson's correlation coefficient range: .62~.89). However, high correlation were obtained among 10 items(.67~.83), therefore the item-discriminant validity was a little low. Conclusion: In conclusion, the results reported here confirm the reliability of the OLBPDI scales in patients with low back pain. The collection of information on the level of disability due to low back pain using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the reliability and validity.

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흡연과 요통치료의 상관성에 대한 임상적 고찰 (The Clinical Study of the Association Between Cigarette Smoking and Effect of Oriental Medical Treatment in Low Back Pain)

  • 정수현;김순중;이은용
    • Journal of Acupuncture Research
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    • 제18권4호
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    • pp.32-45
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    • 2001
  • Objective : This study was performed to estimate the association between cigarette smoking and effect of oriental medical treatment in low back pain. Methods : We reviewed 40 male patients of low back pain, who were hospitalized at the Oriental Medical Hospital of Se-Myung University. 40 patients were divided into 2 groups(smokers, non-smokers) and effective scores of treatments were measured on age, symptom, etc. Result & Conclusion : Between smokers and non-smokers, statistically significant differences were not found in effective scores of treatments of low back pain, but in almost every non-smokers, they were higher than those of smokers. They seems to show that possibility of the association between cigarette smoking and effect of oriental medical treatment in low back pain.

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요통 환자와 정상인의 양하지 체중지지 차이 비교 (Comparison of the Difference of Weight-bearing Distribution Between Subjects With Low Back Pain and Healthy Subjects)

  • 김선엽
    • 한국전문물리치료학회지
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    • 제8권1호
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    • pp.1-8
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    • 2001
  • The purpose of this study was to compare the differences of weight-bearing distribution between subjects with low back pain and healthy subjects. Fifty-one subjects (22 men, 29 women; mean age = 42.9 years) with low back pain and 31 healthy subjects (11 men, 20 women; mean age = 35.4 years) were evaluated. The weight-bearing distribution was measured by two commercial scales during comfortable standing. The difference of weight-bearing distribution between right and left side was calculated for each subject. The differences of weight-bearing distribution in subjects with low back pain and healthy subjects were 6.0 kg and 4.5 kg, respectively. However, there were no significant differences in the weight-bearing distribution between subjects with low back pain and healthy subjects.

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요통에 대한 첩대(스파이랄 테이핑)요법의 효과 (The Effects of Spiral Taping Treatment on Low Back Pain)

  • 황재옥;서정철
    • 대한약침학회지
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    • 제9권1호
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    • pp.103-107
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    • 2006
  • Objective : The purpose of this study is to estimate the effects of spiral taping treatment on low back pain. Methods : 420 low back pain patients were treated with spiral taping or spiral taping plus herbal medicine, and no other treatments such as acupuncture, herbal acupuncture, and chiropractic therapy were added. We evaluated the improvement by physical examination and pain. Results : 364 patients felt no pain or inconvenience of daily life and 43 patients showed improvement of pain or symptom after 1 month of treatment. 13 patients showed same pain with before treatment. Conclusion : These results suggest spiral taping treatments contribute to the improvement of low back pain. Further study is needed for the confirmation of this effect of spiral taping treatments on low back pain.