• Title/Summary/Keyword: low back

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A Study of the Biomechanic of the Lumbar Intervertebral Disk (요추 추간원판의 생체역학에 대한 연구)

  • Choi Jin-Ho;Lee Han-Suk;Hong Wan-Sung
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.163-170
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    • 1994
  • Low back pain is one of the moot common human diseases, striking $70\~80$ percent of the population. Many of the causes of low back pain are unknown. Yet, degenerative and mechanical changes are regarded by some as the most common cause of low back pain is physical therapy using various types of modalities and exercise. Therefore physical therapist must understand not only structure of intervertebral disk but also biomechanics of the lumbar intervertebral disk for prevent accourance of low back pain and treat patients with low back pain. The purpose of this article was to study biomechanices of the lumbar intervertebral disk and its intradiscal pressure in various position.

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The Effect of Robo-horseback Riding Exercise on Trunk Muscle Activity Ratios in Patients with Low Back Pain

  • Kang, Hyungkyu;Chang, Sookyung
    • The Journal of Korean Physical Therapy
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    • v.24 no.6
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    • pp.393-397
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    • 2012
  • Purpose: We investigated to identify the effect of robo-horseback riding exercise (RHRE) on trunk muscle activity ratios for patients with low back pain. Methods: Twelve patients with low back pain and twelve healthy adults were recruited for this study. Subjects performed the RHRE with the neutral spine position. The amplitude of electromyography activity was recorded from the selected trunk muscles (internal oblique [IO], rectus abdominis [RA], multifidus [MF], the thoracic part of the iliocostalis lumborum [ICLT]). The ratios of the relative local muscle activity to the global muscle activity in abdominal and lumbar parts were calculated. Results: There were significant differences in the change values of the IO/RA and the MF/ICLT between low back pain (LBP) patients and healthy adults. The IO/RA ratio and the MF/ICLT ratio showed significant increase in LBP patients after training. Conclusion: The RHRE improved the trunk muscle activity ratio in patients with low back pain. The information presented here is important for investigators who use lumbar stabilization exercises as a rehabilitation exercise.

Low Back Pain due to Lumbosacral Transitional Vertebra -A case report- (요천부 이행성 척추증에 의한 요통의 치험 -증례 보고-)

  • Chun, Yong-Suk;Won, Seog-Kyu;Lee, Myung-Eui;Shim, Jae-Chul
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.134-137
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    • 1998
  • The presence of an enlarged transverse process on one or both sides of the last lumbar vertebra is a common congenital anomaly of the lumbar vertebra. It is thought to be a genetic or developmental anatomical variant. The first reported assimilation of the fifth lumbar vertebra into the sacrum associated with low back pain was in 1917 by Bertolotti. However, clinical significance of lumbosacral transitional vertebra has not been fully considered due to lack of scientific investigations dealing with it. We experienced a case of symptomatic lumbosacral transitional vertebra during management of low back pain. Low back pain was relieved after infiltration of local anesthetics and steroid into the false joint of lumbosacral transitional vertebra. This result may possibly indicate a significant correlation between low back pain and lumbosacral transitional vertebra.

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Recent Treatment of Low Back Pain (요통(腰痛)의 최근(最近) 치료(治療))

  • Yan, Xiang Mo
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.225-234
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    • 1995
  • Low back pain(LBP) is one of the most common ailment. There were two type of LBP in the clinic. One of them is low back pain with leg pain, the other one is low back pain without leg pain. Author explain the reasons, characters. mechanism, diagnosis, and reported 156 cases of LBP. There are various method to treatment of low back pain in recent. The first selection for treatment of LBP were intervertebral block added "+" type block(IVP "+" TB). according to author's experience, the rate of Excellent and good were account for 96.2%. Other method of LBPO therapy were also used in Pain clinic, such as psoas compartment block, caudal block, epidural steroid block, zygapophysial joint block, nerve root block, subarachnoid neural block, Lumbar sympathetic block, etc. Finally, author introduced Pain clinic in China. divided to three titles: (1) history, (2) CASP and scientific activity, (3) pain therapy in China.

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Meridian-Electromyograph Analysis on Features of Abdominal Muscles in Chronic Low Back Pain Patients (만성요통환자의 복부근육의 일상 동작에 대한 경근전도 분석)

  • Jung, Jae-Young;Lee, Jun-Hwan;Nam, Ki-Bong;Kim, Sung-Su
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.4
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    • pp.203-215
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    • 2008
  • Objectives : The purpose of this study was to investigate abdominal muscles in chronic low back pain patients by meridian-electromyograph. Methods : Sample group of 11 with from low back pain during three months and control group of 10 subjects without low back pain have been recruited. Outcomes were assessed using meridian-electromyograph, visual analogue scale, and oswestry disability index. Results : Contraction power of external oblique abdominalis in control group was significantly higher than sample group, but there was no significant difference in muscle fatigue. Conclusions : According to above results, there are correlations between abdominal muscles and low back pain.

The clinical research of low-back pain by observing of DITI focused on sides. (방위를 중심으로 한 체열검사로 관찰한 요통환자의 임상경과)

  • Jung, Jae Hun;Ahn, Hun Mo;Bae, Jae Ryong
    • Journal of Korean Medical Ki-Gong Academy
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    • v.16 no.1
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    • pp.78-100
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    • 2016
  • Objects : The purpose of this study is to value measuring of sagital, horizontal, frontal aspects of DITI as scale of low back pain. Methods : We investigated 16 patients with low back pain who had visited in the H Korean medicine hospital in Gimpo city, Gyeonggi Province from January 1st to, August 31th, 2016. We evaluated the change of them by using Digital Infrared Thermographic Imaging. Results : There is meaningful differences in values for CV12 in pretest and posttest which were observed by DITI. In the Correlation analysis of values of meridian points in pretest and posttest, there is relation ΔSagital04(ST25/BL52), ΔSagital04(CV4/GV3) with low back pain. Conclusions : These results suggest that ΔSagital04(ST25/BL52), ΔSagital04(CV4/GV3) can be used as value of Low back pain.

The Effects of Psychosocial Stress and Job Characteristics on Low Back Injury (사회심리적 스트레스 및 작업특성 요인이 직업성요통에 미치는 영향)

  • Heo, Guk-Gang;Park, Dong-Hyeon
    • Journal of the Ergonomics Society of Korea
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    • v.19 no.2
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    • pp.15-31
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    • 2000
  • The aim was to evaluate the prevailing ergonomic and psychosocial conditions regarding low back injury in an automobile assembly system. This study consisted of two parts. In the first part of the study, analytic biomechanical model and NIOSH guidelines were applied to evaluate risk levels of low back injury for automobile assembly jobs. Total of 246 workers were analysed. There were 20 jobs having greater back compressive forces than 300kg at L5/S1. Also, there were 44 jobs over Action Limit with respect to 1981 NIOSH guidelines. This might in part be explained by the ergonomic conditions of the company analysed generally being good, with a relatively low duration of 'combined' extreme work posture. The relationship between psychosocial factors and low back injury was examined in the second part of the study. It has recently been recognized that overall reaction to working conditions was influenced by a range of factors, some of which were physical and some psychosocial. The psychosocial environment surrounding the work place may contribute to the perception of risk and eventual ill-health. A battery of questionnaires concerning the psychosocial stress based on PWI(Psychosocial Well-being Index) and musculoskeletal pain symptoms at low back was completed by 246 workers at the same plant. Results showed that 207 out 246 workers experienced the symptoms and 27 workers were diagnosed as patients. Two groups(low stressed, high stressed) based on PWI score had no significant relationships with both symptoms and results of diagnosis. However, sensitivities for symptoms and diagnosis by PWI were 91.3% and 92.6% respectively. Finally, relationships between physical work load and psychosocial stress were analysed. Specifically, some postural factors {vertical deviation angle of forearm, horizontal deviation angle of upperarm, vertical deviation angle of thigh, etc) were highly correlated with psychosocial stress. The results illustrated that PWI scores were associated with some physical workloads. However, psychosocial stress levels couldn't be well related with the pain symptom as well as the actual incidence of low back injury since pain or discomfort regarding low back injury were more complex than that of other musculoskeletal disorders.

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A Study on the Development of Low Back Pain and the Risk Factors of Manufacturing Workers (일부 제조업 근로자들의 요통유병률과 요인에 관한 조사)

  • Park, Am
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.1 s.41
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    • pp.37-48
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    • 1993
  • This study was conducted to investigate the prevalence rate of low back pain during past one year and its risk factors. The data were collected from 1,384 manufacturing factory workers from March 1, 1992 to August 30, 1992. The results obtained were as follows: 1. The one year prevalence rate of low back pain by manufacturing company was 38.4% in textile manufacturing, 35.2% in concrete reenforcement, 31.0% in cigarette and 26.1% in metal part(P<0.01). 2. In textile manufacturing, age groups with high prevalence rate of low back pain were 30's(36.8%) and 40's(36.4%) (P<0.05), and the one year prevelence rates of low back pain by marital state were 34.9% in married workers and 28.5% in unmarried(P=0.0511). 3. The one year prevelence rates of low back pain by job part are 35.0% in labor workers and 26.1% in clerical(P<0.05), and by work hour per day it was 34.9% in 9 or more and 28.9% in 8 or less(P<0.05). 4. The highest group of low back pain by work posture was 43.5% in 'lifting and transfering materials', and it by fitness of chair was 56.0% in uncomfortable one, and by height of working board was 33.6% in low working one. 5. In logistic regression analysis, significant determinants with low back pain were marital state(p<0.05), work hour per day(P<0.05), height of working board(P<0.01), and work posture(P<0.01).

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Forward and Back Diffusion from Low Permeability Zone: A Review of Analytical Solutions with Different Boundary Conditions (저투수성 매체 내 오염물질의 정확산과 역확산: 경계조건에 따른 용질이동 해석해의 소개)

  • Kim, Changmin;Yang, Minjune
    • Economic and Environmental Geology
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    • v.53 no.1
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    • pp.99-110
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    • 2020
  • It is a global trend to consider contaminated low-permeability zones as one of the primary management targets for the remediation of DNAPL contaminated sites. In addition, studies on the persistence caused by back diffusion of DNAPLs from low-permeability zones have been actively conducted worldwide. On the other hand, the studies for domestic groundwater contamination with the low-permeability zones are insufficient. Therefore, this study introduces the forward and back diffusions of DNAPL through low-permeability zones and suggests the importance of them by reviewing representative previous studies, especially on back diffusion and plume persistence. We proposed six diffusion scenarios and analytical solutions based on various boundary conditions of low-permeability zones. FI (forward diffusion into infinite domain) and BI (back diffusion form infinite domain) scenarios illustrate forward and back diffusion in which the depths of a low-permeability layer are assumed to be infinite. FFN (forward diffusion into finite domain with no flux boundary) and BFN (back diffusion from finite domain with no flux boundary) scenarios describe forward and back diffusion for a finite domain of a low-permeability layer with no flux boundary at the bottom. When the bottom of a low-permeability layer is considered as flux boundary, forward and back diffusion scenarios correspond to FFF (forward diffusion into finite domain with flux boundary) and BFF (back diffusion from finite domain with flux boundary). The scenarios and analytical solutions in this study may contribute to the determination of an efficient remediation method based on site characteristics such as a thickness of low-permeability zones or duration of contamination exposure.

An Epidemiologic Study of Low Back Pain of Women Working at a General Hospital (종합병원 근무 여성의 요통에 대한 요인 분석)

  • Park, Dong-Gu;Ahn, Myun-Whan;Ahn, Jong-Chul;Kim, Sae-Dong;Seo, Jae-Sung
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.186-196
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    • 2007
  • Background : The aim of this study was to confirm the risk factors for low back pain and injury to improve the prevention and treatment of lower back pain. Materials and Methods : An epidemiologic study of low back pain and injury was performed with questionnaires distributed to 471 women working at Yeungnam university hospital. The differences in low back pain and injuries among various hospital departments were analyzed by a one-way analysis of variance (ANOVA), and the relevant factors included in the questionnaire were determined by a factor analysis. Results : The frequency of low back pain in women in the department of diet and in the maintenance department was higher than among the other departments. The frequency of low back pain was mainly related to the frequency of psychosomatic symptoms. In addition, the low back pain was partially related to the frequency of psychosomatic symptoms and partially related to the frequency of pushing during the workday. The degree of disability from low back pain was increased by lifting and hard physical work and was related to the frequency of psychosomatic symptoms and the degree of work dissatisfaction. The frequency of low back injury was increased by increased standing time during work and hard physical work. The frequency of low back injury was related to advancing age and in part to psychosomatic symptoms. Conclusion : Lower back pain and its associated complications are related to psychosomatic factors and type of work. Lower back injury is related to physiological factors such as age. For the prevention and treatment of lower back pain, a multidisciplinary approach is required.

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