• 제목/요약/키워드: low-back pain

검색결과 1,516건 처리시간 0.026초

슬괵근 단축 유무에 따른 요통환자에 대한 능동적 움직임 조절 검사의 타당도 연구 (The Study of Validity in Active Movement Control test for Low Back Pain Patients with or without Hamstring Shortening)

  • 오세준;최종덕
    • 대한물리의학회지
    • /
    • 제7권4호
    • /
    • pp.443-450
    • /
    • 2012
  • PURPOSE: This study was investigated to find the validity of active movement control test for low back pain patients with or without hamstring shortening. METHODS: The subjects of this study were 28 subjects and all of them agreed to participate in the study. All subjects were classified according to 4groups. Group1 was no LBP, no hamstring shortening. Group2 was no LBP, hamstring shortening. Group3 was LBP, no hamstring shortening. Group4 was LBP, hamstring shortening. We measured to see their low back pain and hamstring shortening with VAS, Goniometer for active movement control test. We analyzed the data using Cochran Q test and crosstabulation for agreement index. RESULTS: The results of this study were as follows : 1) Low back pain had effect on active movement control by Group1 and Group2. 2) Hamstring had effect on active movement control by Group1 and Group2 3)Low back pain with or without hamstring shortening had effect on active movement control by Group4 CONCLUSION: According the results of this study, active movement control test were significantly influenced on low back pain and hamstring interaction.

요통 환자의 운동행위 변화단계에 미치는 영향 요인 (Influencing Factors on the Stages of Change of Exercise in Patients with Low Back Pain)

  • 이혜경;신은희;황선미
    • 재활간호학회지
    • /
    • 제17권2호
    • /
    • pp.72-80
    • /
    • 2014
  • Purpose: The objective of this study was to analyze the factors affecting the stages of exercise behaviors changes of low back pain patients. Methods: The participants in this study were 220 low back pain patients who have been treated by therapeutic exercise or had the exercise treatment under the doctor's advice. The tools used for this study were the stages of exercise behavior change, intrinsic motivation questionnaires, and physical activity social support scale (PASS). Results: The group that did exercise (preparation stage, maintenance stage, action stage) was 75.9% but the group that did not exercise (precontemplation stage, contemplation stage) was 24.1%. Social supports from family members and friends and motivation affected the exercise behaviors changes. And 34.6% of the exercise behavior change can be explained by the social support (family, friend) and motivation. Conclusion: There were two recommendations for maintaining the exercise behaviors of low back pain patients based on theoretical background. First, we recommended more exercise programs which reinforce social supports from family and friend for constant exercise behaviors of low back pain patients. Second, more exercise programs for the low back pain patients who have similar health goals or problems were needed for motivating them to join the exercise programs.

제조업 근로자들의 작업과 연관된 요통의 위험요인에 관한 연구 (Risk Factors of Work-related Low Back Pain in Manufacturing Workers)

  • 김대환;김정호;신해림;전진호;김용완;이채언
    • Journal of Preventive Medicine and Public Health
    • /
    • 제26권1호
    • /
    • pp.20-36
    • /
    • 1993
  • Work-related low back pain is one of the major factors that cause the loss of working power especially in actively working age, therefore controlling the work-related low back pain is one of the major issues in the field of industrial safety and health. This study was performed for detecting the risk factors and proposing the efficient control program of the work-related low back pain. The subjects were male workers employed at the manufacturing industry in Pusan with longer than 6 months' working duration. The data was collected by self-reported questionnaire and interview from May 1 to October 31,1992. The contents of questionnaire were as follows:. the experience of low back pain within the recent one month, general characteristics(age, marital status, education level, religion, regular exercise), physical characteristics(height, weight), employment status(working duration, daily working hours, rest during work, satis(action fur the job), type of work and working environments(posture, forward bending, lifting and movement, satisfaction for table and chair). The result was analyzed for 608 entire respondents by case-control comparative method. The number of cases was 152 with a history of work-related low back pain, so the relative frequency of self-reported work-related low back pain was 25.0%, and the number of controls was 344 without any history of low back pain. As a result, two characteristics of the employment status(working duration, satisfaction fur the job) and all characteristics of type of work and working environments showed a statistical significance between the case and control groups(p<0.01). The Oddb ratios of these variables for Work-related low back pain were calculated. They were 7.88 for the satisfaction fur chair, 7.86 for lifting and movement,3.31 for satisfaction for table, and 2.22 fur bending forward(p<0.01). And for the multivariate logistic regression analysis confirmed that unsatisfaction for table was independent risk factor for Work-related low back pain. In summary, though this study was based upon the self-reported questionnaire and the subjective complaints, the satisfaction for chair, lifting and movement, satisfaction for table, and bending forward concerned with the type of work and working environments were considered as the main factors causing the work-related low back pain, and the work-related low back pain may be preventable by the ergonomic control of these factors.

  • PDF

중년여성이 경험하는 만성요통의 통증정도와 우울 (A Study on the Relationship Between Level of Pain and Depression in Middle-aged Women with Chronic Low Back Pain)

  • 서복남;함영림;안양희
    • 근관절건강학회지
    • /
    • 제14권2호
    • /
    • pp.118-126
    • /
    • 2007
  • Purpose: The purpose of the study was to examine the relationship between the level of pain and depression in middle-aged women with chronic low back pain. Method: A descriptive correlational research design was utilized. The participants were middle-aged women who visited 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 was collected using a questionnaire which included Visual Analogue Scale (VAS), Center Epidemiology Studies Depression Scale(CES-D), and general characteristics. Descriptive statistics, t-test, ANOVA and Pearson correlation coefficients were utilized in the analysis. Results: The mean score for chronic low back pain as measured by the VAS was 4.99 (SD 2.41). The average score for depression as measured by the CES-D was 22.00 (SD 10.18). There was a significant relationship between the level of pain and depression (r=.372, p<.001). Conclusion: Nurses need to take into consideration depression of middle-age women with chronic low back pain for assessment and intervention. In the future, developing a strategy for integrating intervention of pain-control and depression will be needed in nursing care for middle-aged women with chronic low back pain.

  • PDF

심인성(心因性) 만성요통(慢性腰痛) 환자에 대해 한방치료(韓方治療)와 정신요법(精神療法)을 적용한 1례 (A Case Report of the Herbal Medication Treatment and Psychotherapy for a Patient with Psychogenic Chronic Low Back Pain)

  • 김지형;한창;류기준;안건상;권승로;조재희
    • 동의신경정신과학회지
    • /
    • 제19권3호
    • /
    • pp.299-307
    • /
    • 2008
  • In this study, we treated a patient with psychogenic chronic low back pain for 2 years with herbal medication treatment and psychotherapy. The case was a 17 years old female patient complained chronic low back pain for a long time. She received the spine operation, epidural injection, many kind of oriental medicine treatment about low back pain, but there was no improvement. We diagnosed her pain as a psychogenic pain disorder, and treated her with herbal medication for decrease her stress, and did a psychotherapy such as the progressive muscle relaxation, and counseled about trouble with her family. After treatment, her chronic low back pain was improved so much. We think that the herbal medication treatment and psychotherapy can be helpful to treat patients who have psychic and physical disorders.

  • PDF

급성기 요통의 치료에서 경판의 유용성 평가 (The Evaluation about Effects of the Hard Board on Treating Acute Low Back Pain)

  • 이동열;이수길;류헌식
    • 대한한의정보학회지
    • /
    • 제11권2호
    • /
    • pp.57-64
    • /
    • 2005
  • Objectives The aim of this study is to evaluate effects of hard board applied to acute low back pain patient by using Visual Analogue Scale(VAS) and Pain Rating Score(PRS). Methods From March. 2005 to October. 2005, 20 cases of acute low back pain were divided into 2 groups in sequence. Control group took a rest on the bed(marble-sponge mattress) and sample group took a rest on the hard board. Visual Analogue Scale(VAS) and Pain Rating Score(PRS) were used to assess the change of pain. VAS and PRS were checked 3 times before the treatment, after 3day treatment and 6day treatment. Results 1. After 3day and 6day treatment, there was statistical significance between control and sample group by VAS. 2. After 3day and 6day treatment, there was statistical significance between control and sample group by PRS. Conclusions On treating acute low back pain, it is more effective taking a rest on the hard board than taking a rest on the bed. Further study is needed about effects of hard board applied to acute low back pain patient.

  • PDF

추나치료를 병행한 임신초기 급성요통 한의 치험 1례 (A Clinical Study of Acute Low Back Pain treated by Chuna & General Oriental Therapy during Pregnancy)

  • 이은희
    • 대한한방부인과학회지
    • /
    • 제29권3호
    • /
    • pp.110-120
    • /
    • 2016
  • Objectives: The object of this study is to report a clinical effect of oriental medical treatments with Chuna for acute low back pain during the early stages of pregnancy.Methods: The patient in this case, 31 years-old female was admitted for 1days (20th/June/2016-30th/June/2016) due to the acute low back pain on the 7 weeks of pregnancy. We diagnosed as 挫閃腰痛, 傷筋 (Sprain and strain of lumbar spine) and treated with Chuna therapy and other conservative treatments including acupuncture herbal mixture. And we measured Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ).Results: After treatments, Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ) were significantly improved in case.Conclusion: Oriental medical treatments with Chuna manual therapy were associated with improvement of acute low back pain during the early stages of pregnancy.

요부운동 프로그램이 경막외 신경차단술을 받은 만성요통 환자의 통증, 일상생활제한 및 우울 감소에 미치는 효과 (The Effect of Exercise Program on Pain, Daily Living Disability, and Depression in Chronic Low Back Pain Patients Treated with Epidural Injections)

  • 김경아;이명하;김현경;정석희
    • 성인간호학회지
    • /
    • 제25권4호
    • /
    • pp.454-463
    • /
    • 2013
  • Purpose: This study aimed to evaluate the effects of exercise program on chronic low back pain, daily living disability and depression in chronic low back pain patients treated with epidural injections. Methods: The design of this study was a nonequivalent control group pretest-posttest experiment. The sample was recruited among low back pain patients treated with epidural injections from an orthopedic specialty hospital. Participants were randomly assigned to a treatment group (n=25) or a comparison group (n=27). The treatment was a six week exercise program for low back pain. Data were collected from September to November 2011, and were analyzed using descriptive statistics, $x^2$-test, one-tailed t-test for independent samples, and Mann-Whitney U test using the SPSS/WIN 12.0 program. Results: Patients in the treatment group reported statistically significantly lower levels of back pain on flexion and extension, less daily living disability, and less depression than those in the comparison group. Conclusion: The back pain relief exercise program could be an effective adjunct nursing intervention for low back pain patients treated with epidural injections.

Benefits of the Various Pain Procedures as Therapeutic Option in Low Back Pain

  • Kim, Jung-Hee;Kong, Min-Ho;Hong, Hyun-Jong;Song, Kwan-Young;Kang, Dong-Soo
    • Journal of Korean Neurosurgical Society
    • /
    • 제39권3호
    • /
    • pp.204-209
    • /
    • 2006
  • Objective : The authors retrospectively evaluate the benefits of the various pain procedures for the treatment of low back pain unresponsive to conservative management. Methods : Over a period of 2 years from May 2002 and June 2004, the authors had performed various pain procedures on 106 patients with low back pain. Epidural block, facet joint block, sacroiliac joint block, and myofascial block were included among various pain procedures. The pain improvement, period of analgesic use, and degree of satisfaction were evaluated 1 day, 4 weeks, and 6 months after injections. The outcome of pain procedures was analyzed by using a modified Macnab criteria. Results : Sixty-four patients had a single procedure with no combination and 42 patients [39.6%] received the combination of the various pain procedure. Regardless of the single or combination cases of procedure, combination of appropriate spinal level on each procedure was conducted in 104 [98.1%]. Mean follow up period was 12.2 months. Eighty-two patients [77.4%] experienced significant pain relief and overall analgesic medication was reduced in 91 patients [85.8%] at 6 months after procedure. Unfavorable results were demonstrated in 10 patients. Permanent procedural complications did not occur. Conclusion : The various pain procedures are the possible therapeutic option for low back pain unresponsive to conservative management including medication or physical therapy.

노인의 요통과 우울과의 관련성 (Relationship Between Low Back Pain and Depression Among Some Elderly)

  • 윤성우;오경애
    • 한국산학기술학회논문지
    • /
    • 제15권3호
    • /
    • pp.1599-1605
    • /
    • 2014
  • 본 연구는 지역노인을 대상으로 요통과 우울과의 관련성을 살펴보고자 시행되었다. 2008년 지역사회건강조사 자료에서 65세 이상 노인 3,649명 중 응답이 불충분한 2명을 제외한 3647명을 최종 대상으로 선정하여, 자료는 SPSS Win(ver.19.0)을 이용하여 가중치를 적용하여 복합표본 분석방법 중 Rao-Scott ${\chi}^2$-test, 로지스틱회귀분석을 실시하였다. 통계적으로 유의성은 p<0.05로 하여 분석하였다. 노인의 우울에 대한 관련요인으로 요통, 주관적 건강수준, 평균수면시간이 관련이 있는 것으로 나타났고, 요통이 없는 군에 비해 있는 군에서 우울이 1.38배 높게 나타났다. 요통이 있는 노인의 우울을 감소시키기 위해서는 일상생활의 불편함을 감소시키는 프로그램이 필요할 것으로 판단되며, 요통이 있는 노인의 우울과 관련하여 본 연구보다 더욱 다양한 변수를 적용한 연구가 필요할 것으로 사료된다.