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Difference of Sensory Changes by Central and Peripheral Stimulation for Improving Life Care in Chronic Low Back Patients

만성 허리통증환자의 라이프 케어 증진을 위한 중추성과 말초성 자극에 따른 감각변화의 차이

  • Kim, Kyung-Yoon (Department of Physical Therapy, Dongshin University) ;
  • Park, Chi-Bok (Department of Physical Therapy, Good Body Care Center)
  • 김경윤 (동신대학교 물리치료학과) ;
  • 박치복 (바른체형가꾸기센터)
  • Received : 2020.11.16
  • Accepted : 2020.12.29
  • Published : 2020.12.31
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Abstract

This study aimed to investigate the difference of sensory changes by central and peripheral stimulation for improving life care in chronic low back pain patients. Twelve chronic low back pain patients were randomly assigned to central stimulation (CS, n=6) and peripheral stimulation (PS, n=6). Quantitative sensory test (QST), pressure pain threshold (PPT) and Korean oswestry back pain disability index (KODI) were used to quantitatively measure and analyze. As a result, QST, PPT and KODI showed significant differences by period (p<.01) but did not showed any difference between the two groups (p>.05). Therefore, both stimulations had significant effects on increased sensory threshold and function improvement of the muscles that became sensitive due to pain. It is thought to be significant in improving life care for patients with chronic low back pain.

본 연구는 만성 허리통증환자의 라이프 케어 증진을 위해 중추성과 말초성 자극에 따른 감각변화의 차이를 알아보고자 하였다. 12명의 만성 허리통증환자는 중추성 자극군(central stimulation, CS, n=6)과 말초성 자극군(peripheral stimulation, PS, n=6)으로 무작위 할당하여 정량적감각검사(QST), 압력통각역치(PPT) 그리고 요통기능장애지수(ODI)를 정량적으로 측정 및 분석하였다. 연구결과, QST, PPT 그리고 ODI는 시기별 유의한 차이를 나타냈으나(p<.01) 두 군 간의 차이는 나타나지 않았다(p>.05). 따라서, 두 자극 모두 통증으로 인해 민감해진 근육의 감각역치 증가와 기능개선에 유의한 효과를 보여 만성 허리통증환자를 위한 라이프케어 증진에 상당한 의미가 있다고 생각된다.

Keywords

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