일부 요통환자와 대조군의 요추 전만도 차이

Difference of Lumbar Lordosis in Patients with Low Back Pain and Controls

본 연구는 1999년 10월 1일부터 2000년 3월 30일까지 대구시 세종 신경외과의원에서 요통을 진단 받고 물리치료실에 내실한 환자 40명과 대조군 40명을 합한 총 80명을 대상으로 하였다. 대상자에게 요추 1번과 5번의 상연을 연결하는 요추 전만각도 측정에서 요통환자의 $29.88^{\circ}$는 대조군의 $35.31^{\circ}$보다 통계적으로 유의하게 감소했다(p<0.01). 성별 전만도 차이는 여성 환자의 $32.32^{\circ}$가 남성 환자의 $27.32^{\circ}$보다 유의하게 증가했고(p<0.05), 대조군에서도 여성이 $36.63^{\circ}$로 남성의 $34.12^{\circ}$보다 증가했으나 통계적 차이는 없었다. 연령별 전만도 차이는 40세 이하의 환자가 $27.95^{\circ}$로 이상의 $32.32^{\circ}$보다 감소하였으나, 대조군은 각각 $35.82^{\circ}$와 $34.27^{\circ}$ 40세 이하가 조금 증가했으나 통계적 유의성은 없었다. 작업자세와 요추 전만도 차이에서 앉아서 작업하는 환자$(31.35^{\circ})$는 서서 작업하는 환자$(28.93^{\circ})$ 보다 증가했으나, 대조군은 양자가 비슷하였다. 따라서 본 연구결과 환자의 요추 전만도가 대조군 보다 유의하게 감소했고, 여성 환자가 남성 환자 보다 증가했다.

Objectives: The purpose of this study was to compare the difference of Lumbar Lordosis Angle(LLA) between patients with Low Back Pain(LBP) and control groups. Methods: Questionnaires were completed by 40 adult LBP patients seeking physical therapy services and by 40 controls at the Department of Physical Therapy. Saejong Neurosurgical Clinic in Taegu city from October 1999 to March 2000. LLA was measured on lateral x-ray films in a standing position. The angle between a line parallel to the top of the first Lumbar(L1) and the top of the fifth Lumbar(L5) was defined LLA. Results: LLA of $29.88^{\circ}$ for LBP patients was a statistically significant decrease from that of $35.31^{\circ}$ for controls in the difference of lumbar lordosis(p<0.01). There were statistically significant differences between senders in patient groups. Females$(32.32^{\circ})$ had significantly greater angles than males$(27.32^{\circ})$(p<0.05), while $36.63^{\curc}$ for female was also greater than $34.12^{\circ}$ for male in the controls. No significant difference was found between age. In patient groups, $27.95^{\circ}$ for below age 40 was a smaller than $32.32^{\circ}$ for above, however, $35.82^{\circ}$ for below age 40 was a little greater than $34.27^{\circ}$ for above in controls. Patients in a sitting posture had greater LLA$(31.35^{\circ}$ than those standing$(28.93^{\circ})$, however values for controls were similar to each other. Conclusion: Results from this study indicate that distinct differences exist among patients and controls and gender, whereas little difference exists in age and working posture.