• Title/Summary/Keyword: 만성요통환자

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A Convergence Study on the Relationships between Self-Efficacy and Health Behavior in eldery women with chronic low back pain (만성 요통을 가진 여성 노인의 자기 효능감과 건강행위간의 관계에 대한 융합연구)

  • Park, Jum-mi;Shin, Na-yeon
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.43-50
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    • 2018
  • Purpose: The purpose of this study is to examine the relationships between self efficacy and health behavior of elderly woman with chronic low back pain. Methods: A descriptive correlational design was used and the participants were 130 eldery women patients with chronic low back pain from one general hospital in 2012. The structured questionnaire included Perceived Self Efficacy Scale, Health Behavior Assessment tool of the Korean Elders. Data analysis included t-test, ANOVA and Pearson's correlation. Results: The mean scores were $67.34{\pm}18.32$ for self efficacy, $99.70{\pm}14.46$ for health behavior. There were significant correlations between self efficacy and health behavior(r=.80). Conclusion: The findings suggest that elderly woman with chronic low back pain need nursing interventions to improve health behaviors by promoting self efficacy.

Effects of lumbar stabilization exercise on multifidus muscle cross-sectional area, static posture control and pain in patient's with chronic low back pain (요부 안정화운동이 만성요통환자의 다열근 단면적, 정적자세조절, 통증에 미치는 영향)

  • Kim, Deahun
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.223-229
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    • 2021
  • This study analyzed the effects of an exercise program that combined lumbar stabilization exercise and muscle strengthening exercise and an exercise program that applied only lumbar muscle strengthening exercise on multifidus muscle cross-sectional area, static posture control ability, and low back pain in patients with CLBP. For the study method, 28 patients with CLBP were divided into two exercise propram groups and exercised three times a week for 8-weeks. The data analysis of this study used the t-test to compare before and after group exercise program application, and between each group (p<.05). As a result of the study, significant results were found before and after application of the exercise program within each group, such as multifidus muscle cross-sectional area, static posture control ability, and low back pain (p<.05). Between each group, the exercise program that combined lumbar stabilization exercise and muscle strengthening exercise was found to be more effective (p<.05). In conclusion, it was found that the exercise program with additional lumbar stabilization exercise improved the structure and function of various lumbar vertebrae and reduced lumbar pain.

The Effects of Trunk Stability Exercise on Functional Movement, Dynamic Balance Ability and Trunk Stability in Patients with Chronic Back Pain (체간 안정성 운동이 만성 요통 환자의 기능적 움직임과 동적 균형능력 및 체간 안정성에 미치는 영향)

  • Jung, Jooyeon;Kim, Taegyu;Kim, Sooyong
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.245-252
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    • 2020
  • The present study aimed to identify the effects of the trunk stability exercise on functional movement, dynamic balance, and trunk stability in patients with chronic low back pain, and to compare the difference among yoga exercise, pilates exercise and core exercise. Forty-three patients with chronic low back pain were divided into three groups; 15 yoga groups, 15 pilates groups, and 13 core exercise groups. All subjects were tested the Functional movement, dynamic balance, and trunk stability using Functional Movement Screen (FMS), Lower Quater Y-Balance Test (YBT-LQ) and Trunk Stability Test (TST), respectively, and after each 8-week exercise program was applied, all variables were retested. After exercising during 8 weeks, FMS, YBT-LQ and TST scores of all three groups were significantly improved, compared to before, but there were no interaction effect among three groups depending on application of exercise program. These results showed that yoga, pilates and core exercise help to improve functional movement, dynamic balance and trunk stability in adults with chronic low back pain.

The Relationship between Perceived Stress and Coping Strategies in Patients with Chronic Low Back Pain (만성요통 환자들에서 스트레스지각과 대응전략 간의 관계)

  • Shin, Yoon-Sik;Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.18-26
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    • 2002
  • Objectives : The object of this study was to investigate the relationship between coping strategies and perceived stress or pain discomfort in patients with chronic low back pain. 80 patients with chronic low back pain and 100 normal controls participated in this study. Methods: Global assessment of recent stress (GARS) scale and Stress Response Inventory (SRI) were used to measure perception for stressors and stress responses. Coping scale and pain discomfort scale were used to measure coping strategies and pain perception. Results : Scores of perceived stress related to work or job, interpersonal relationship, changes in relationship, sickness or illness and the total scores on the GARS scale were significantly higher in those with chronic low back pain than normal controls. Scores of the SRI fatigue subscale scored significantly higher in those with chronic low back pain than normal controls. No significant difference was found on total scores of the pain discomfort scale between those with chronic low back pain and normal controls. The patients with chronic low back pain scored significantly higher on planful problem solving and positive reappraisal than normal controls. In the patient group, pain perception had significant positive correlations with total scores of the SRI and scores of stress perception related to illness or injury. The extent of escape-avoidance showed significant negative correlations with age, whereas the extent of distancing or escape-avoidance had significant negative correlations with the level of education. Significant difference was also found in accepting responsibilities between male subjects and females. However, no significant correlations were found between coping strategies and perceived stressors, stress responses or pain perception. Conclusion : The results suggest that patients with chronic low back pain were more likely to use more active coping strategies than normal controls, though the former had more perception for stressors than the latter. It was also found that coping strategies used by the patients were associated with sociodemographic factors, but that they were not associated with perceived stressors, stress responses or pain perception.

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Mediating Effect of Coping Strategies in the Relationship between Pain Beliefs and Depression, Pain Disability among Chronic Back Pain Patients (만성요통환자에서의 통증신념과 우울, 통증생활방해와의 관계에서 대처전략의 매개효과)

  • Kim, Kyoung-A;Chu, Sanghui
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.206-215
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    • 2017
  • The Purpose of this study was to investigate of coping strategies(active and passive) between pain beliefs and depression, pain disability among chronic back pain patients. Data were analyzed by the SPSS-WIN 21.0 program. Indirect SPSS macro(Bootsrapping)was used to analyze the multiple-mediation model of this study. The result showed that the mean score for pain belief was $3.42{\pm}9.67$, and he passive coping strategies was $29.68{\pm}8.04$, active coping was $25.49{\pm}4.22$. The mean score of depression was $25.49{\pm}11.56$. The pain disability index was $46.94{\pm}12.65$. It found that there were significant correlations among the 5 variables. The multiple mediated effects of passive coping and active coping on pain beliefs and depression were (b=.453, 95% CI=.228, .703) and on pain beliefs and pain disability were (b = .285, 95% CI = .131, .519) in chronic low back pain patients. This study discovered that the active coping strategies had a positive mediating effect in the relationship between pain beliefs and depression, pain beliefs and pain disability. And passive coping strategies had a negative mediating effect. Based on findings of this study, improving the active coping strategy programs or management is highly recommended in chronic back pain patients.

Effects of Lumbar Stabilization Exercise using PNF Techniques on Thickness of Lumbar Deep Muscle and Functional Activity in Chronic Low Back Pain Patients (만성요통환자에서 PNF 기법을 이용한 요부안정화 운동이 요부 심부근 두께 및 기능적 활동에 미치는 효과)

  • Kim, Gi-Do;Lee, Yun-Jung;Choi, Wan-Suk;Lee, Dong-Woo;Jung, Dae-In;Kim, Kyung-Yoon
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.233-243
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    • 2012
  • The purpose of this study was to examine the effects of lumbar stabilization exercise using the PNF techniques on the lumbar deep muscles thickness and functional activity in chronic low back pain patient. Group I(n=10): general physical therapy group; Group II(n=10): general lumbar stabilization exercise group; Group III(n=10): lumbar stabilization exercise using PNF techniques(stabilizing reversal, rhythmic stabilization, combination of isotonic) group. Change of pain was measured with visual analog scale(VAS). To observe muscle thickness changes, we measured transverse abdominis(TrA), external oblique(EO), multifidus with real time ultrasound scanning. The functional activity were measured with Oswestry Disability Questionnaire(ODQ) and Roland & Morris Disability Questionnaire(RMDQ). In VAS test, group III had more significantly decreased than before exercise. In muscle thickness test, group III had more significantly increased than before exercise in right/left TrA, EO, multifidus. In ODQ & RMDQ test, group III had more significantly decreased than before exercise. This study show that the PNF techniques is effective in improving the lumbar stability and functional activity in chronic low back pain patients.

A study of Recurrence rate in a period about patient who had HIVD and chronic back pain cured by chuna treatment (추나치료(椎拿治療)로 완치(完治)된 HIVD 및 만성요통환자(慢性腰痛患者)의 재발율(再發率)에 대한 연구(硏究))

  • Shin, Jun-Sik
    • Korean Journal of Oriental Medicine
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    • v.3 no.1
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    • pp.321-333
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    • 1997
  • Clinical studies were performed on 119 cases who had HIVD and chronic back pain cured by chuna treatment from August 1984 to June 1997. The results were as follows 1. In 119 cases of HIVD and chronic back pain, 39 cases(32.8%) were male and 80 cases (67.2%) were female. 2. In 119 cases of HIVD and chronic back pain, 19 cases were under the age of 30 and 30 cases were under the age of 40 and 42 cases were under the age of 50 and 28 cases were older than 60 years old. 3. On Duration of Treatment in a Step, 29 cases were taken I -step treatment and 53 cases were taken II -step treatment and 31 cases were taken III -step treatment. 4. In 119 cases of HIVD and chronic back pain, recurrent rate was 12.6%.

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The effects of motorized flexion-distraction treatment on the lumbosacral region angle in patients with chronic low back pain (자동 굴곡-신연기법이 만성요통 환자의 요천추부 각도에 미치는 효과)

  • Ma, Sang-Yeol;Gong, Won-Tae;Cho, Gyo-Young
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.2
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    • pp.339-348
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    • 2009
  • This study is to examine effects of motorized flexion-distraction treatment on the pain, lumbosacral angle, lumbar lordosis angle, and lumbar 5 (L5) intervertebral disc angle in patients with chronic low back pain. We selected 30 cases of chronic low back pain, which were evenly divided into two groups: experimental group and control group. We applied the same hot pack, interferential current therapy, and ultrasound therapy to both groups. The experimental group had additional treatment of motrized flexion-distraction therapy and control group had additional of stretching exercise. For each subject, the pain, lumbosacral angle, lumbar lordosis angle, and lumbar 5 (L5) intervertebral disc angle were measured before and after treatment, While experimental groups showed significant improvements after treatment, more significant effects were found in the experimental group.

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A Study on Bodyblade Training of Convergency Relation of Trunk Muscles Activity and Pain in Patients with Low Back Pain (요통환자의 체간근 활성도 및 통증과 Bodyblade 훈련의 융합관계에 관한 연구)

  • Park, Chi-Bok;Jung, Enu-Ho;Lee, Ho-Shik
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.123-131
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    • 2017
  • The purpose of this study was to investigate the effect of bodyblade training on pain and trunk muscle activity in patients with chronic low back pain. A sample of 30 subjects were recruited for this study. Bodyblade training group(n=10) was performed bodyblade training three times a week for six weeks, lumbar stabilization training group(n=10) was performed lumbar stabilization training three times a week for six weeks, and control group(n=10) wasn't performed any other training. For evaluation of trunk muscle activity, surface EMG was used and for evaluation of pain, VAS was measured. The results were as follows: trunk muscle activity, there was significant difference according to the measurement, pain, there was significant difference according to the measurement. From the results, bodyblade training is expected to be an effective intervention for patients with chronic back pain.