한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제30권4호
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  • Pages.143-154
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  • 2020
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  • 1229-1854(pISSN)
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  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
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한방병원에 입원한 요통 환자의 요추 전만각, 요천각 변화의 심각도에 따른 예후 분석 연구

Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis

  • 한수빈 (자생한방병원 한방재활의학과) ;
  • 김은산 (자생의료재단 척추관절연구소) ;
  • 김효준 (대전자생한방병원 한방재활의학과) ;
  • 조후인 (자생한방병원 침구과) ;
  • 김미혜 (자생한방병원 한방재활의학과) ;
  • 이남우 (자생한방병원 한방재활의학과) ;
  • 한정훈 (자생한방병원 한방재활의학과) ;
  • 박병학 (자생한방병원 한방재활의학과) ;
  • 손재민 (자생한방병원 한방재활의학과) ;
  • 강도현 (자생한방병원 한방재활의학과) ;
  • 민태운 (자생한방병원 한방재활의학과) ;
  • 이현준 (자생한방병원 한방재활의학과) ;
  • 안재서 (자생한방병원 한방재활의학과) ;
  • 이한솔 (자생한방병원 한방재활의학과)
  • Han, Su-Bin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kim, Eun-San (Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation) ;
  • Kim, Hyo-Jun (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jo, Hoo-In (Department of Acupuncture and Moxibustion Medicine, Jaseng Hospital of Korean Medicine) ;
  • Kim, Mi-hye (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Nam-Woo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Han, Jeong-Hun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Park, Byung-Hak (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Son, Jae-Min (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kang, Do-Hyeon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Min, Tae-Woon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hyun-Jun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Ahn, Jae-Seo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Han-Sol (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine)
  • 투고 : 2020.09.17
  • 심사 : 2020.10.07
  • 발행 : 2020.10.31
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초록

Objectives To analyze the prognosis of patients with low back pain according to the severity of abnormal lumbar lordotic angle and Ferguson's angle. Methods Data from electronic medical record of a total of 199 patients hospitalized in Korean medicine hospital were analyzed. With the sagittal view of lumbar spine X-ray, lumbar lordotic angle was defined as the angle between the superior endplate of L1 with the inferior endplate of L5. Ferguson's angle was defined as the angle between the superior surfaces of the sacral with a horizontal line. 'Measure Cobb's Angle Tool' of 'INFINITT PACS' was used to measure both angles. Lumbar lordotic angle and Ferguson's angle were subdivided into five sections. The number of days from onset and the duration of hospitalization were analyzed in each section. Results Severe hypolordotic lumbar lordotic angle group were found to have longer medical history and hospitalization duration than the control group. The ratio of long-term hospitalization (over 15 days) and chronic medical history (over 180 days) of patients with severe hypolordotic Ferguson's angle were significantly higher than the control group. The ratio of patients with chronic medical history (over 180 days) was significantly higher in severe hyperlordotic Ferguson's angle group than the control group. Conclusions Severe hypolordotic lumbar lordotic angle was related to patient's prognosis. Both severe hyperlordotic and severe hypolordotic Ferguson's angle were found to be related to patient's prognosis. However, a moderate loss of lumbar lordotic angle and Ferguson's angle was not related to prognosis of low back pain patients.

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