대한정형도수물리치료학회지 (The Journal of Korean Academy of Orthopedic Manual Physical Therapy)

  • 제24권1호
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  • Pages.23-29
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  • 2018
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  • 1226-3680(pISSN)
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  • 2508-7282(eISSN)
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manual Physical Therapy)
권호 표지

고관절 가동술이 만성요통환자의 통증, 체간 유연성 및 기능에 미치는 영향

The Effects of Hip Mobilization on Pain, Trunk Flexibility, Function for Chronic Low Back Pain Patients

  • 투고 : 2018.03.25
  • 심사 : 2018.05.09
  • 발행 : 2018.06.30
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초록

Background: This study aimed to the effects of hip mobilization on pain, trunk flexibility, function for chronic low back pain patients. Methods: Patients were randomly assigned to control group (n=15) and experimental group (n=15). Both groups received conventional physical therapy, three times a week for four weeks. Experimental group was performed additional hip mobilization, three times a week for four weeks. All measurement of each subject were measured at pre-intervention and post-intervention (after 4 weeks). Results: Assessed items included the visual analog scale score (VAS), Korean version of the Oswestry disability Index (KODI) a significant reduction was observed post intervention compared to pre-intervention values in both group (p<.01). Trunk flexibility was significant increased post intervention compared to pre-intervention values in both group (p<.01). There were significant difference between two groups in VAS (p<.01), trunk flexibility (p<.05) and except KODI. Conclusions: Our results indicate that conventional physical therapy with the hip mobilization may be useful for improving chronic low back pain patient.

키워드

참고문헌

  1. 김영훈. 고관절 관절가동화기법이 뇌졸중환자의 관절가동범위, 균형 및 보행능력에 미치는 효과. 대전대학교 대학원, 석사학위논문. 2014.
  2. 김현희. 만성요통 환자에서 척추 안정화운동이 요추 주위근과 복근의 운동기능에 미치는 효과. 한국스포츠리서치. 2007;18(4):135-145.
  3. 유모환. 고관절 가동술을 적용한 요추 안정화 운동이 요추 불안정성 만성요통 환자의 통증, 관절 가동범위, 근 두께 및 요추 기능장애에 미치는 영향. 삼육대학교 대학원, 석사학위논문. 2017.
  4. 유정희. 고관절 도수치료가 만성 요통 환자의 통증과 정적, 동적균형 및 심리적 요인에 미치는 영향. 한림대학교 대학원. 석사학위논문. 2014.
  5. 이상욱. 수정된 고관절 외전근 강화운동이 중둔군 약화를 동반한 만성요통환자의 요통수준과 고관절 기능에 미치는 영향. 대전대학교 대학원, 박사학위논문. 2015.
  6. 장세희. 고관절 가동성 개선을 위한 운동프로그램이 만성 요통이 있는 아마추어 골퍼의 통증, 고관절과 체간 회전 가동범위, 골프 수행 수준에 미치는 즉각적인 효과. 대전대학교 대학원. 석사학위논문. 2018.
  7. 전지혜. 요추부 불안정성을 가진 요통환자의 요추부 안정화 운동과 둔근 강화 운동이 통증, 기능장애 및 심리사회수준에 미치는 효과 비교 연구. 대전대학교 대학원, 석사학위논문. 2017.
  8. 정한석, 한승혜, 함주현, 등. 카이로프랙틱 척추교정이 요추의 신전 및 굴곡 운동범위에 미치는 영향. 한국스포츠리서치. 2005;16(3):391-396.
  9. 주태성. 고관절가동술이 고관절 가동범위에 제한이 있는 만성요통환자의 통증, 기능, 관절가동범위 및 심리학적 요인에 미치는 영향. 삼육대학교 대학원. 석사학위. 2014.
  10. Bialosky JE, Bishop MD, Price DD, et al. The mechanisms of manual therapy in the treatment of musculoskeletal pain: A comprehensive model. Man Ther. 2009;14(5):531-538. https://doi.org/10.1016/j.math.2008.09.001
  11. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-1157. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
  12. Bogduk N, Engel R. The menisci of the lumbar zygapophyseal joints: A review of their anatomy and clinical significance. Spine. 1984;9(5):454-460. https://doi.org/10.1097/00007632-198407000-00006
  13. Burns SA, Mintken PE, Austin GP, et al. Short-term response of hip mobilization and exercise in individuals with chronic low back pain: A case series. J Man Manip Ther. 2011;19(2):100-107. https://doi.org/10.1179/2042618610Y.0000000007
  14. Burton AK, Balague F, Cardon G, et al. Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J. 2006;15(2):136-168. https://doi.org/10.1007/s00586-006-1070-3
  15. Ellison JB, Rose SJ, Sahrmann SA. Patterns of hip rotation rang of motion: A comparison between healthy subjects and patients with low back pain. Phys Ther. 1990;70(9):537-541. https://doi.org/10.1093/ptj/70.9.537
  16. Esola MA, McClure PW, Fitzgerald GK, et al. Analysis of lumbar spine and hip motion during for ward bending in subjects with and without a history of low back pain. Spine. 1996;21(1):71-78. https://doi.org/10.1097/00007632-199601010-00017
  17. Ferreira GE, Viero CC, Silveira MN, et al. Immediate effects of hip mobilization on pain and baropodometric variables: A case report. Man Ther. 2013;18(6):628-631. https://doi.org/10.1016/j.math.2013.03.001
  18. Godges JJ, Mattson-Bell M, Thorpe D, et al. The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. J Orthop Sports Phys Ther. 2003;33(12):713-718. https://doi.org/10.2519/jospt.2003.33.12.713
  19. Hando BR, Gill NW, Walker MJ, et al. Short and long term clinical outcomes following a standardized protocol of orthopedic manual physical therapy and exercise in individuals with osteoarthritis of the hip. J Man Manip Ther. 2012;20(4):192-200. https://doi.org/10.1179/2042618612Y.0000000013
  20. Hengeveld E, Banks K. Maitland's Peripheral Manipulation. Elsevier. London. 2005.
  21. Hoeksma HL, Dekker J, Ronday HK, et al. Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: A randomized clinical trial. Arthritis Rheum. 2004;51(5):722-729. https://doi.org/10.1002/art.20685
  22. Kim DY, Lee SH, Lee HY, et al. Validation of the korean version of the Oswestry disability index. Spine. 2005;30(5):123-127. https://doi.org/10.1097/01.brs.0000148999.21492.53
  23. Kisner C, Colby LA. Therapeutic exercise. foundation and techniques. FA Davis. Philadelphia. 2002;183-232.
  24. Lee SW, Kim SY. Effects of hip exercises for chronic low-back pain. J Phys Ther Sci. 2015;27(2):345-348. https://doi.org/10.1589/jpts.27.345
  25. McGregor AH, Hukins DW. Lower limb involvement in spinal function and low back pain. J Back Musculoskelet Rehabil. 2009;22(4):219-222. https://doi.org/10.3233/BMR-2009-0239
  26. Morrow LJ, Smith S. The management of lower back pain. J R Nav Med Serv. 2014;100(3):282-287.
  27. Murray E, Birley E, Twycross-Lewis R, et al. The relationship between hip rotation range of movement and low back pain prevalence in amateur golfers: An observational study. Phys Ther Sport. 2009;10(4):131-135. https://doi.org/10.1016/j.ptsp.2009.08.002
  28. Myers TW. Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists. Churchill Livingstone. New York. 2008.
  29. Nelson-Wong E, Gregory DE, Winter DA, et al. Gluteus medius muscle activation patterns as a predictor of low back pain during standing. Clin Biomech. 2008;23(5):545-553. https://doi.org/10.1016/j.clinbiomech.2008.01.002
  30. Paris SV. Mobilization of the spine. Phys Ther. 1979;59(8):988-995. https://doi.org/10.1093/ptj/59.8.988
  31. Roussel N, Nijs J, Truijen S, et al. Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: A case control study. Eur Spine J. 2009;18(7):1066-1073. https://doi.org/10.1007/s00586-009-1020-y
  32. Shaikh M, Ostor AJ. Evaluating the patient with low back pain. Practitioner. 2015;259(1788):21-24.
  33. Van Dillen LR, Bloom NJ, Gombatto SP, et al. Hip rotation range of motion in people with and without low back pain who participate in rotation-related sports. Phys Ther Sport. 2008;9(2):72-81. https://doi.org/10.1016/j.ptsp.2008.01.002
  34. Wainner RS, Whitman JM, Cleland JA, et al. Regional interdependence: A musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. 2007;37(11):658-660. https://doi.org/10.2519/jospt.2007.0110
  35. Wasiak R, Kim J, Pransky G. Work disability and costs caused by recurrence of low back pain: Longer and more costly than in first episodes. Spine. 2006;31(2):219-225. https://doi.org/10.1097/01.brs.0000194774.85971.df
  36. Winter S. Effectiveness of targeted home-based hip exercise in individuals with non-specific chronic or recurrent low back pain with reduced hip mobility: A randomised trial. J Back Musculoskelet Rehabil. 2015;28(4):811-825. https://doi.org/10.3233/BMR-150589
  37. Wong TK, Lee RY. Effects of low back pain on the relationship between the movements of the lumbar spine and hip. Hum Mov Sci. 2004;23(1):21-34. https://doi.org/10.1016/j.humov.2004.03.004