Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Self-management techniques and subsequent changes in pain and function in patients with chronic low back pain

만성 요통 환자의 자가 관리 요법에 따른 통증 및 기능의 변화

  • Choi, Jun Hyun (Rehabilitation Medicine, Presbyterian(Jesus) Medical Center) ;
  • Kim, Eun-Shil (Rehabilitation Medicine, Presbyterian(Jesus) Medical Center) ;
  • Yoon, Yong-Soon (Rehabilitation Medicine, Presbyterian(Jesus) Medical Center) ;
  • Kim, Ka-Eun (Dept. of Naturopathic Medicine, Graduate School of Health and Welfare, Jeonju University) ;
  • Lee, Mi-Hyun (Dept. of Physical Education, Sungkyul University) ;
  • Jang, Hong-Young (Convergence Research Center for Medical Sciences, Jeonju University)
  • 최준현 (예수병원 재활의학과) ;
  • 김은실 (예수병원 재활의학과) ;
  • 윤용순 (예수병원 재활의학과) ;
  • 김가은 (전주대학교 보건복지대학원 자연의학과) ;
  • 이미현 (성결대학교 체육교육과) ;
  • 장홍영 (전주대학교 의과학융합연구소)
  • Received : 2020.09.14
  • Accepted : 2020.10.20
  • Published : 2020.10.28
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Abstract

To investigate the effects of self-management programs for chronic low back pain (LBP), 63 subjects were assigned to three groups; self-exercise group (SEG), hot pack and low-frequency electrical stimulation group (HEG), and thermo-massage group (TMG). Parameters were the pain numeric rating scale (PNRS), Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMDQ) and Relapse frequency (RF). PNRS, ODI and RMDQ of SEG and TMG sustained effectiveness, however, PNRS, which improved after treatment in HEG, worsened in 6 month. Between the groups, all parameters were better in SEG and TMG compare to HEG. Exercise and thermo-massage can be considered as useful self-management performed at home to prevent the relapse of chronic LBP.

재활치료를 받고 호전된 만성 요통 환자들이 집에서 수행하는 자가 관리 프로그램의 효과를 알아보고자 63명을 자가 운동 (SEG), 핫팩 및 저주파 전기 자극 (HEG) 및 온열 마사지 (TMG) 3개 그룹으로 나누었다. 통증장애 지표로 통증 수치 등급 척도 (PNRS), Oswestry 장애 지수 (ODI) 및 Roland Morris 장애 설문지 (RMDQ)를 병원 내원시, 치료 후 및 가정에서 자가 관리 6 개월 후에 평가하였고 재발 빈도 (RF)를 내원 전 6 개월 전과 자가관리 6 개월 후에 평가하였다. 각 그룹 내의 비교에서 SEG 및 TMG의 PNRS, ODI, RMDQ는 6개월 후에도 효과가 유지되었으나, HEG에서는 치료 후 개선되었던 PNRS가 6개월 후에 악화되었다. 그룹간 비교에서 SEG 및 TMG의 PNRS, ODI, RMDQ 및 RF는 6개월 후에 HEG에 비해 더 좋았다. 운동과 온열 마사지는 요통 자가 관리 방법으로 고려볼 수 있으나, 향후 더 많은 환자들과 다양한 연령, 직업들을 고려하여 추가 연구가 필요하다.

Keywords

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