The Impacts of Muscle Energy Technique (MET) and Transcutaneous Electrical Nerve Stimulation (TENS) Performed on Elector Spinae Muscle of Acute Low Back Pain Patients on Pain and Meridian Electromyography

경근추나요법과 경피전기자극치료가 급성 요통 환자의 통증 및 척추기립근 경근전도에 미치는 영향

  • Kim, Soon-Joong (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Park, Dong-Su (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Jeong, Su-Hyeon (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Ahn, Jae-Min (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University)
  • 김순중 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 박동수 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 정수현 (세명대학교 한의과대학 한방재활의학과교실) ;
  • 안재민 (세명대학교 한의과대학 한방재활의학과교실)
  • Received : 2013.12.04
  • Accepted : 2013.12.14
  • Published : 2014.01.31

Abstract

Objectives To evaluate the clinical usefulness between muscle energy techniques (MET) and transcutaneous electrical nerve stimulator (TENS), we performed both on elector spinae muscle of acute low back pain patients. Methods After performing MET and TENS, we compared both in terms of electrical activity. We performed MET or TENS on elector spinae muscle of acute low back pain patients in each group (n=15,15). After performing MET or TENS, we analyzed root mean square (RMS), median edge frequency (MEF) and asymmetry index (AI). Results 1. After performing MET on elector spinae muscle of acute low back pain patients, RMS was significantly decreased compared with before (p<0.005). 2. After performing TENS on elector spinae muscle of acute low back pain patients, RMS was significantly decreased compared with before (p<0.005). 3. After performing MET on elector spinae muscle of acute low back pain patients, asymmetric index was significantly decreased compared with before (p<0.05). Conclusions According to above results, performing MET on elector spinae muscle of acute low back pain patients has effect in terms of RMS and asymmetric index. And performing TENS on elector spinae muscle of acute low back pain patients also has similar effect in terms of RMS but has not in terms of asymmetric index.

Keywords

References

  1. 대한침구학회 교재편찬위원회. 침구학(하). 서울:집문당. 2008:72.
  2. 양진향. 만성통증환자의 통증분류에 따른 통증, 우울 및 자기효능감 정도. 성인간호학회지. 2004;16(2):202-10.
  3. 심성윤, 박희준, 이준무, 이향숙. 통증평가도구에 관한 고찰. 대한경락경혈학회지. 2007;24(2):77-97.
  4. 대한침구학회 교재편찬위원회. 침구학(하). 서울:집문당. 2008:77-9.
  5. 한태륜, 방문석. 재활의학. 제3판. 서울:군자출판사. 2008: 174-7.
  6. 권정주, 임형호, 송윤경. 정골의학적(Osteopathic) 수기요법 분석 및 경근추나와의 관련성 연구. 한방재활의학과학회지. 2011;21(2):171-88.
  7. 조재흥, 이종수, 김성수. 경근전도 검사의 임상 활용에 관한 연구. 한방재활의학과학회지. 2005;15(4):89-104.
  8. 최호영. 그림으로 풀어 쓴 임상근육학. 서울:대성의학사. 1999:357-9.
  9. Krismer M, van Tulder M. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007;21:77-91. https://doi.org/10.1016/j.berh.2006.08.004
  10. van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15:S169-91. https://doi.org/10.1007/s00586-006-1071-2
  11. Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, York J, Das A, McAuley JH. Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ. 2008;337:154-7.
  12. Schiottz-Christensen B, Nielsen GL, Hansen VK, Schodt T, Sorensen HT, Olesen F. Long-term prognosis of acute low back pain in patients seen in general practice. a 1-year prospective follow-up study. Fam Pract. 1999;16:223-32. https://doi.org/10.1093/fampra/16.3.223
  13. Lurie JD. What diagnostic tests are useful for low back pain? Best Pract Res Clin Rheumatol. 2005;19:557-75. https://doi.org/10.1016/j.berh.2005.03.004
  14. van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15:169-91. https://doi.org/10.1007/s00586-006-1071-2
  15. 의학교육연수원. 가정의학. 서울:서울대학교출판부. 1996: 205-6.
  16. 김정룡, 정명철. 근전도의 정량적 분석시 사용되는 수리적 파라미터의 민감도 비교. Journal of the Korean Institute of Industrial Engineers. 1999;25(3):330-5.
  17. 윤신중, 백승현, 김형준, 신명희. 요가 수행이 중년여성의 요부 근활성도에 미치는 영향. 대한피부미용학회지. 2010; 8(1):21-9.
  18. 백승현. 일과성 운동 후 회복기 스포츠 마사지가 근 기능, 심혈관계 기능, 혈중 피로물질 및 전해질 농도에 미치는 영향. 전북대학교. 2009.
  19. Visser A, McCarroll RS, Oosting J, Naeije M. Masticatory electromyographic activity in healthy young adults and myogenous craniomandibular disorder patients. J Oral Rehab. 1994;21:67-76. https://doi.org/10.1111/j.1365-2842.1994.tb01125.x
  20. 정성창, 김영구, 고명연, 김기석, 한경수, 최재갑, 기우천, 홍정표, 윤창륙, 박준상, 신민, 최종훈. 구강안면동통과 측두하악장애. 서울:신흥인터내셔날. 2006:244-59.
  21. Fox EJ, Melzack R. Transcutaneous electrical stimulation and acupuncture: Comparison of treatment for low-back pain. Pain. 1976;2(2):141-8. https://doi.org/10.1016/0304-3959(76)90109-3
  22. Melzack R, Jeansa ME, Stratforda JG, Monks RC. Ice massage and transcutaneous electrical stimulation: Comparison of treatment for low-back pain. Pain. 1980;9(2): 209-17. https://doi.org/10.1016/0304-3959(80)90008-1
  23. Melzack R, Wall PD. Acupuncture and transcutaneous electrical nerve stimulation. Postgrad Med J. 1984; 60(710):893-6. https://doi.org/10.1136/pgmj.60.710.893
  24. Chen CC, Johnson MI. An investigation into the hypoalgesic effects of high- and low-frequency transcutaneous electrical nerve stimulation (TENS) on experimentally-induced blunt pressure pain in healthy human participants. The Journal of Pain. 2010;11(1):53-61.
  25. Chesterton LS, Foster NE, Wright CC, Baxter GD, Barlas P. Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects. Pain. 2003;106(1-2):73-80. https://doi.org/10.1016/S0304-3959(03)00292-6
  26. Chen CC, Tabasam G, Johnson MI. Does the pulse frequency of transcutaneous electrical nerve stimulation (TENS) influence hypoalgesia? A systematic review of studies using experimentalpain and healthy human participants. Physiotherapy. 2008;94(1):11-20. https://doi.org/10.1016/j.physio.2006.12.011
  27. Leon C. 대한정형도수치료학회 역. 최신 근에너지 기법. 제 3판. 서울:군자출판사. 2008:1-20.
  28. 유덕주, 조재흥, 정석희. 요통환자군과 정상대조군 사이의 표면근전도값 비교에 관한 연구문헌 고찰. 한방재활의학과학회지. 2013;23(4):83-93.
  29. David JG, Jane BM, David MW, Margaret A, Steven F. A randomized comparative trial of acupuncture versus transcutaneous electrical nerve stimulation for chronic back pain in the elderly. Pain. 1999;82:9-13. https://doi.org/10.1016/S0304-3959(99)00027-5
  30. 박장성, 김문수. TENS와 He-Ne Laser를 이용한 외이자극이 지연성 근육통에 미치는 영향. 대한임상전기생리학회지. 2006;4(1):85-93.
  31. 이재학, 윤범철, 전민정, 정경희, 이명화. 저주파 경피신경자극이 지연성 근육통과 근력에 미치는 효과. 대한스포츠물리치료학회지. 2005;1(1):31-7.
  32. 김근조, 이규리, 정병옥, 방현수. 자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두갈래근의 통증과 근력 및 근활성도에 미치는 영향. 한국산학기술학회논문지. 2009;10(12):3902-9.
  33. Wilson E, Payton O, Donega-Shoaf L, Dec K. Muscle energy technique in patients with acute low back pain: a pilot clinical trial. J Orthop Sports Phys Ther. 2003;33(9): 502-12. https://doi.org/10.2519/jospt.2003.33.9.502