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The Effect of Flexion-distraction Technique and Drop Technique on Pain and Sacral Angle of Patients with Lumbar Spine Herniated Intervertebral Disc

굴곡-신연기법과 낙차 교정법이 허리 척추사이원반 탈출증 환자의 시각적 상사 척도 및 엉치뼈 각에 미치는 영향

  • Oh, Hyun-Ju (Department of Physical Therapy, Taegu Science University) ;
  • Choi, Seok-Joo (Department of Physical Therapy, Taegu Science University) ;
  • Lee, Kwan-Sub (Department of Physical Therapy, Daegu Health College) ;
  • Choi, Ji-Oun (Bullo Union Orthopedics)
  • 오현주 (대구과학대학교 물리치료학과) ;
  • 최석주 (대구과학대학교 물리치료학과) ;
  • 이관섭 (대구보건대 물리치료과) ;
  • 최지운 (불로연합정형외과)
  • Received : 2018.11.15
  • Accepted : 2018.12.24
  • Published : 2018.12.30

Abstract

Background: In order to find out the effect of therapy methods through Flexion-distraction technique and drop technique on pain, sacral angle of patients with lumbar herniated intervertebral disc targeting patients with lumbar herniated intervertebral disc due to L5-S1. Method: This study was to present the directivity of the therapy method for lumbar herniated intervertebral disc by comparing and analyzing the spinal decompression therapy and provide an effective treatment method to patients with lumbar herniated intervertebral disc by identifying the therapeutic effect of Flexion-distraction technique and drop technique. The research period is March 1, 2018 to June 30, 2018 and subjects are the patients diagnosed as lumbar herniated intervertebral disc due to L5-S1 by their doctor through clinical findings and medical equipment such as X-ray, CT, MRI etc. Among patients who visited and hospitalized in S Orthopaedics located in Daegu and 30 female patients with sacral angle of more than $30^{\circ}$ were randomly classified into 15 people and we carried out treatment three times a week for 8 weeks for 15 people in the experimental group applying Flexion-distraction technique and drop technique and 15 people in the control group applying spinal decompression therapy to compare and analyze the changes in pain, sacral angle of patients with lumbar herniated intervertebral disc. Result: According to the results of this study, changes in the Visual Analogue Scale showed statistically significant differences in both the experimental group and control group(p<.05), while there was statistically significant difference in the comparison between groups before and after measurement of experimental group (p<.05). In the comparison within two groups of sacral angle, both groups showed statistically significant difference(p<.05) but there was no statistically significant difference in the comparison of scores between groups before and after measurement of each group(p>.05). Discussion: All those results the above proved that we need to confirm various benefits of the therapy with the flexion-distraction technique and drop technique, and the findings of the concerned study will possibly become useful information when doctors actually work on a therapy to treat patients with the lumbar herniated intervertebral disc.

Keywords

References

  1. Hwan-Mo Lee. "Classification and Imaging Study of the Lumbar Disc Herniation" Jouranal of Korean Spine Surg, Vol. 8, No. 3, pp. 314-320, 2001. https://doi.org/10.4184/jkss.2001.8.3.314
  2. Deyo, Richard A. "A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain", New England Journal of Medicine, Vol.7, pp. 1627-1634. 1990.
  3. Tremont-Lukats, Ivo W. "Anticonvulsants for neuropathic pain syndromes" ,Drugs, Vol.60, pp. 1029-1052. 2000. https://doi.org/10.2165/00003495-200060050-00005
  4. Won-Man, Park., Yoon-Hyuk, Kim. "Biomechanical analysis of two-step traction therapy in the lumbar spine", Manual Therapy", Vol. 19, No. 6, pp. 527-533, 2014. https://doi.org/10.1016/j.math.2014.05.004
  5. Hammer, Christopher J. "Chiropractic Management and Rehabilitation of a 38-Year-Old Male with an L5-S1 Disc Herniation", Journal of Chiropractic Medicine, Vol. 3, No. 4, pp. 145-152, 2004. https://doi.org/10.1016/S0899-3467(07)60102-5
  6. Hertzman-Miller, Ruth P, et al. "Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study". ,American Journal of Public Health, Vol. 92, No. 10, pp. 1628-1633, 2002. https://doi.org/10.2105/AJPH.92.10.1628
  7. Saravanakumar, K, & Harvey, A.. "Lumbar Zygapophyseal (Facet) Joint Pain" Reviews in Pain,. Vol. 2, No. 1, pp. 8-13, 2008.
  8. Ferreira, Paulo H, Ferreira, Manuela L, & Hodges, Paul W. "Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity", Spine, Vol. 29, No. 22, pp. 2560-2566, 2004. https://doi.org/10.1097/01.brs.0000144410.89182.f9
  9. Ombregt, Ludwig., "A system of orthopaedic medicine", Elsevier Health Sciences, pp. 20-23, 2013.
  10. Christie, Heather J, et al "Postural aberrations in low back pain", Archives of physical medicine and rehabilitation, No. 76, Vol. 3, pp. 218-224, 1995. https://doi.org/10.1016/S0003-9993(95)80604-0
  11. Sung-Yub, Jung., Young-Hoi Park, Dong-Ho Keum, "Statistical Study of the Ferguson Angle and Lumbar Gravity Line in Acute and Chronic Lumbago Patients", Journal of Oriental Rehab Med, No. 13, Vol. 1, pp. 119-129, 2003
  12. Tae-Kyo, Lee, "The effects of Chuna Treatment on the Low Back Pain and Radiating Pain".2001
  13. Sang-Youl, Ma. "The Effect of the Manipulation and the Physiotherapy on the Pelvic Subluxation" .2002.
  14. Cox, James M, "Low back pain: mechanism, diagnosis and treatment", Lippincott Williams & Wilkins, 2012.