• 제목/요약/키워드: 만성요통환자

검색결과 177건 처리시간 0.025초

만성요통환자의 한발서기 시 체간 안정화 근육의 활성화 변화 (Trunk Stabilization Muscle Activity in Chronic Low Back Pain Patients during One Leg Stance)

  • 민동기
    • 대한물리치료과학회지
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    • 제21권1호
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    • pp.13-20
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    • 2014
  • Purpose : The purpose of this study was to analyze and compare the surface electromyography(EMG) activity of trunk region muscle between normal subjects and chronic low back pain(CLBP) patients during one leg stance. Methods : The subjects were 27 people, were consisted of 12 subjects who don't have low back pain and 15 subjects who have low back pain from 19 to 28 year of age(mean age 22.22). We used surface EMG to evaluate the activity of the Rectus abdominis, External abdominal oblique, Quadratus lumborum, Gluteus medius muscle. We used independent two samples t-test for statistical data. Results : The result of this study showed that the maximal voluntary isometric contraction(%MVIC) ratio of the trunk muscles was higher in patients with CLBP than in normal subject. But there were no statistically significant differences. There were statistically significant differences of the activity of the Quadratus lumborum, Gluteus medius muscle(p<0.05).

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만성요통환자의 복부근육의 일상 동작에 대한 경근전도 분석 (Meridian-Electromyograph Analysis on Features of Abdominal Muscles in Chronic Low Back Pain Patients)

  • 정재영;이준환;남기봉;김성수
    • 한방재활의학과학회지
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    • 제18권4호
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    • pp.203-215
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    • 2008
  • Objectives : The purpose of this study was to investigate abdominal muscles in chronic low back pain patients by meridian-electromyograph. Methods : Sample group of 11 with from low back pain during three months and control group of 10 subjects without low back pain have been recruited. Outcomes were assessed using meridian-electromyograph, visual analogue scale, and oswestry disability index. Results : Contraction power of external oblique abdominalis in control group was significantly higher than sample group, but there was no significant difference in muscle fatigue. Conclusions : According to above results, there are correlations between abdominal muscles and low back pain.

PNF기법을 적용한 슬링운동이 만성요통환자의 통증과 균형능력에 미치는 영향 (Effect of Sling Exercise with PNF Basic Procedure for Pain and Balance Ability of Patients with Chronic Low Back Pain)

  • 강태우;박영시
    • PNF and Movement
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    • 제11권1호
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    • pp.1-6
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    • 2013
  • Purpose : The purpose of this study was to investigate the effect of sling exercise with PNF basic procedure in patients with chronic low back pain. Methods : This study included 14 patients with chronic low back pain, who were performed sling exercise combined PNF basic procedure. The exercise program comprised 3 sessions of 30 minutes per week for 8 weeks. The VAS(Visual analogue Scale) and BBS(Berg Balance Scale) were evaluated before and after training. All data were analyzed using SPSS 12.0. Results : Significant differences were observed the chronic low back pain patient for VAS, BBS. Chronic low back pain patient improved all test. Conclusion : Sling exercise with PNF basic procedure about chronic low back pain patient is very useful and effective. It is effective in clinical practice.

만성 요통환자가 이용하는 대체요법과 통증, 삶의 질에 대한 연구 (Use of the Complementary and Alternative Therapies, Pain and Quality of Life in Patients with Chronic Back Pain)

  • 하성화;서연옥
    • 재활간호학회지
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    • 제11권1호
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    • pp.5-12
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    • 2008
  • Purpose: The purpose of this study was to identify the uses of complementary and alternative therapies(CAT), pain, and quality of life(QOL) in patients with chronic back pain. Method: A descriptive survey was conducted using convenient sample. One hundred sixty two patients with chronic back pain participated in this study. Types and satisfaction of CAT, pattern of back pain, and QOL were investigated. Result: 83.3% of all participants reported in the use of CAT. The most common types of CAT used were acupuncture and half-bath. Yoga were the most high satisfaction among the types. The mean score of back pain was 4.12, QOL was 3.10, that was mostly low score. There was no significant difference back pain and QOL between CAT user and nonuser. Correlation with satisfaction of CAT according the most using types were a negative correlation with back pain and a positive correlation with QOL. Conclusion: These result indicate that the mostly patients with back pain feels the satisfaction of CAT use. It is important that provide the obvious information about CAT which can be helpful to patient.

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만성 요통환자의 건강지각과 건강증진 행위에 관한 연구 (A Study on Health Perception and Health Promoting Behavior in Chronic Back Pain Patients)

  • 박형숙;강영숙;박경연
    • 대한간호학회지
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    • 제36권3호
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    • pp.439-448
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    • 2006
  • Purpose: The purpose of this study was to show a relationship between health perception and health promoting behaviors in chronic low back pain patients. Method: The subjects for this study were 213 persons who the visited hospital with low back pain-related problems. Results: The higher the level of the health perception in chronic back pain patients was the higher the rate of the practice of health promoting behaviors (r=0.393, p<.001). The health perception T score was $50.00{\pm}10.00$. As for health promoting behaviors, the T score was $49.99{\pm}10.00$. The subscale of the highest mean score was interpersonal support $(2.96{\pm}0.64)$ and the subscale of the lowest mean score was exercise $(2.13{\pm}0.99)$. Conclusion: This study showed that chronic low back pain patients had a lower level of perception of their health, and their practice to improve their health was not enough. Therefore, nurses should educate and encourage chronic low back pain patients in proper exercises and correct posture to strengthen and maintain lumbar extension muscle power.

요가 요통체조와 요부 신전근 지구력 운동이 만성요통 환자의 통증에 미치는 영향 (The Effects of Yoga Low Back Pain Exercise and Lumbar Extensor Muscle Endurance Exercise on Chronic Low Back Pain Patients)

  • 강승수;구봉오
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.107-112
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    • 2012
  • Purpose: In the present study, the degree of subjective pain in chronic low back pain patients through the course of six week of yoga low back pain exercise and lumbar extensor muscle strengthening training was analyzed, and a systematic and effective home exercise therapy program was proposed. Methods: For this study, we sampled 21 random patients with chronic low back pain who were receiving outpatient treatment at G Hospital Pusan, and conducted experiment for six weeks by applying yoga low back pain exercise+modalities (7) lumbar extensor muscle endurance exercise+ modalities (7) and modalities (7). To measure the degree of pain, the visual analogue scale (VAS) and Oswestry Low Back Pain Questionnaire were used. Pain was measured before the experiment and after six weeks. Results: Significant differences were observed between yoga, extensor muscle endurance exercise and modalities (VAS=0.00 Oswestry=0.00). The yoga and extensor endurance muscle exercise reduced low back pain by more than the modalities. Conclusion: This study will be used to develop a preventive and reduction method of LBP. Therefore, Yoga and extensor muscle endurance exercise are appropriate for use as a home program exercise to reduce low back pain in patients.

급·만성 요통 환자군의 통증, 기능장애, 정서 상태 및 교육 요구 (Pain, Disability, Emotional Status and Educational Needs between Acute and Chronic Low Back Pain Groups)

  • 안지혜;김희승;김혜진
    • Journal of Korean Biological Nursing Science
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    • 제21권1호
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    • pp.77-84
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    • 2019
  • Purpose: This study aimed to identify pain, disability, anxiety, depression and educational needs between acute and chronic low back pain groups. Methods: A total of 153 patients aged 18 to 64, recruited from S-neurosurgical clinic for low back pain in Gyeonggi-do. Out of 153 subjects, 70 were Acute Low Back Pain (ALBP) group and 83 were Chronic Low Back Pain (CLBP) group. The collected data was analyzed using the SAS System V 9.4 program by chi-square test/Fisher's exact test and t-test. Results: The pain and disability scores were higher in ALBP group while the depression score was higher in CLBP group. The educational needs score in the area for the time for lumbar operation was higher in CLBP group. In the Low Back Pain (LBP) treatment management, ALBP group visited clinic (60.0%) most frequently and CLBP group visited both clinic & traditional medicine (66.3%) regularly. Conclusion: In order to minimize the progression from acute to chronic LBP, it is necessary for patients who visited the clinic to be accompanied with an education program that reflects educational needs of patients and with proven alternative therapy.

만성요통환자의 점증적 요통 운동과 교육이 근력과 근지구력, 유연성에 미치는 효과 (The effect of muscle strength, endurance and flexibility on Graded Low back exercise and education of chronic low back pain patents.)

  • 한상완;공성아;이준희
    • 대한물리치료과학회지
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    • 제9권2호
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    • pp.27-36
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    • 2002
  • The purpose of this study was to examine the effects of graded low back exercise program with patient education about low back pain care on abdominal strength, endurance and flexibility of waist of chronic low back pain patents. For this study 13 patients aged 40 to 60 were selected as subjects, who suffered from low back pain and got diagnosed by physician. The exercise program and the education were executed for total 6 weeks, posture education were executed with physical exercises over first 1 to 4 weeks period and over 5 to 6 weeks the exercises were executed. The effect of the exercises and the education were evaluated through weights, WHR, fat(%), flexibility by sit-and-reach and trunk extension test, strength by sit-up test and back sit-up test. Weights were, decreased after physical exercise and education, but there was no statistical significance. Wasit hip ratio(WHR) and fat(%) were decreased after physical exercise and education, but there were no statistical significances. Sit-and-reach was significantly increased from $13.68{\pm}5.59cm$ to $19.45{\pm}3.81cm$ after education and physical exercise(P<0.05). Trunk extension was significantly increased from $30.31{\pm}11.34cm$ to $40.88{\pm}6.16cm$ after education and physical exercise(P<0.05). Sit-up and Back sit-up were increased after physical exercise and education, but there were no statistical significances. These results suggest that graded low back exercise program with patient education about low back pain care increase the abdominal strength, endurance and the flexibility of waist in low back pain patients.

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만성요통환자에서 복부심부근 강화 운동이 노력성 호기 폐기능 검사 동안 최대호기유량 및 1초간노력성호기량과 요통에 미치는 효과 (Effect of Abdominal Drawing-In Maneuver on Peak Expiratory Flow, Forced Expiratory Volume in 1 Second and Pain During Forced Expiratory Pulmonary Function Test in Patients With Chronic Low Back Pain)

  • 김기송;권오윤;이충휘
    • 한국전문물리치료학회지
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    • 제16권1호
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    • pp.10-17
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    • 2009
  • The aim of this study was to investigate the effect of abdominal drawing-in maneuver (ADIM) on peak exploratory flow (PEF), forced exploratory volume in 1 second ($FEV_1$), and low back pain during forced expiration. Twenty-two subjects (14 subjects in experimental group, 8 subjects in control group) participated in this study. The stabilizer was used for ADIM training for five consecutive days. Vitalograph PEF/$FEV_1$ DIARY and visual analogue scale (VAS) were used to determine forced expiratory pulmonary function and low back pain, respectively. Independent t-test and analysis of covariance were used for statistical analysis with a significance level of .05. The findings of this study were as follows: 1) There were no significant differences of ADIM effect on PEF and $FEV_1$ between experimental group and control group. 2) There was a significant pain reduction in experimental group with ADIM. 3) PEF and $FEV_1$ increased significantly in the fifth day compared with the first day pre-exercise baseline. Therefore, it is concluded that ADIM was effective in improving PEF and $FEV_1$, and reducing VAS during forced expiration in patients with chronic low back pain.

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허리관절가동기법이 만성요통환자의 균형과 요통 기능장애 지수에 미치는 영향 (The Effect of Spine Mobilization Technique on Balance and the Low Back Pain Disability Index of Patients with Chronic Back Pain)

  • 양대중;박승규;강정일;김제호;정대근;김영일;엄요한
    • 대한통합의학회지
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    • 제6권4호
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    • pp.139-148
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    • 2018
  • Purpose : The purpose of this study was to examine the effects of waist mobilization technique intervention for patients with chronic back pain on balance and the low back pain disability index. Methods : The subjects were 30 patients with chronic back pain. They were sampled and divided into a manual therapy group and a spinal decompression group. 15 subjects were randomly assigned to each group. Each training in this study participated for 6 weeks, 5 times a week, once a day, 15 minutes a day. Balance ability was measured with a balance analyzer, and the low back pain disability index was measured using the Oswestry Disability Index (ODI). Results : In the balance abilities, there was a significant difference in the manual therapy group compared to the spinal decompression group. In the low back pain disability index, there was a significant difference in the manual therapy group compared to the spinal decompression group. Conclusion : The analysis results of the effect of 6 weeks of waist mobilization technique intervention on the balance and low back pain disability index for patients with chronic back pain revealed that the manual therapy is more effective for static and dynamic balance ability and the low back pain disability index. In the future, we can promote independent life skills and expect a rapid recovery of patients with chronic back pain. Based on this study, further studies are needed on the effects of balance, the mechanical properties of muscle, and the low back pain disability index depending on various manual therapy techniques.