• 제목/요약/키워드: Low back pain(LBP)

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요통(腰痛)의 최근(最近) 치료(治療) (Recent Treatment of Low Back Pain)

  • 엄상묵
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.225-234
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    • 1995
  • Low back pain(LBP) is one of the most common ailment. There were two type of LBP in the clinic. One of them is low back pain with leg pain, the other one is low back pain without leg pain. Author explain the reasons, characters. mechanism, diagnosis, and reported 156 cases of LBP. There are various method to treatment of low back pain in recent. The first selection for treatment of LBP were intervertebral block added "+" type block(IVP "+" TB). according to author's experience, the rate of Excellent and good were account for 96.2%. Other method of LBPO therapy were also used in Pain clinic, such as psoas compartment block, caudal block, epidural steroid block, zygapophysial joint block, nerve root block, subarachnoid neural block, Lumbar sympathetic block, etc. Finally, author introduced Pain clinic in China. divided to three titles: (1) history, (2) CASP and scientific activity, (3) pain therapy in China.

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Differential Item Functioning of the Oswestry Low Back Pain Questionnaire Between Participants With and Without Low Back Pain

  • Choi, Bong-Sam
    • 한국전문물리치료학회지
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    • 제21권4호
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    • pp.40-48
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    • 2014
  • Differential item functioning (DIF) based on Rasch model can be used to examine whether the items function similarly across different groups and identify items that appear to be too easy or difficult after controlling for the ability levels of the compared groups. The Oswestry low back pain disability (Oswestry) has traditionally been proved as an effective instrument measuring disability resulting from low back pain (LBP). In this study, DIF method was used to explore whether items on the Oswestry perform similarly across two different groups (participants with LBP and no LBP). A series of Rasch analyses on the 10 items of the Oswestry were performed using Winsteps$^{(R)}$ software. Forty-two participants with back pain were recruited from 3 rehabilitation hospitals in Gainesville, Florida. Another 42 participants with no LBP were recruited from several public places in the rehabilitation hospitals. Based on the DIF analysis across the two groups, several items were found to have an uniform DIF. Participants with no LBP had more difficulty on lifting and personal care items and participants with LBP had more difficulty on sleeping and social life items. For non-LBP group, a high ceiling effects (83% of participants with non-LBP) was detected, which was not be able to be effectively measured with the Oswestry items. Although 4 items of the Oswestry function differently across the two groups, all items of the Oswestry were well targeted the LBP group.

임부의 요통 관련 요인과 정신건강과의 관계 (A Study on Characteristic Factors Related to Low Back Pain and Mental Health of Pregnant Women)

  • 왕명자;임상원;전선혜;차남현
    • 지역사회간호학회지
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    • 제20권3호
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    • pp.381-389
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    • 2009
  • Purpose: The study was to explore the level of low back pain and characteristic factors influencing low back pain (LBP) and mental health during pregnancy. Methods: The subjects were a total of 383 healthy pregnant women in S City and K-Do. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation. Results: 82.5% of the pregnant women answered the existence of LBP and 19.7% of them had high LBP. The preferred method of controlling LBP was 'Just endure'(42.3%). There were significant differences in pregnancy level (p<.05) and discomfort condition related to pregnancy (p<.01) according to low back pain. There were significant differences in pain intensity according to mental health. The correlation between pain level and pregnancy weeks (p<.001) and BMI in previous pregnancy (p<.001) was significant. The correlation between mental health and age was significant (p<.001). Conclusion: The majority of the pregnant women experienced LBP during pregnancy. However, they were not offered the best method of controlling the pain. Thus, for preventing LBP during pregnancy, we recommend regular exercises and BMI control.

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산모의 요통 실태와 관리에 대한 조사 연구 (A Survey of Characteristics and Management of Low Back Pain in Postpartum Women)

  • 김선엽;남건우
    • 한국전문물리치료학회지
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    • 제9권1호
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    • pp.69-79
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    • 2002
  • Many pregnant women have experienced low back pain (LBP) during pregnancy and after delivery, and it has been an important component in women health. This study was designed to investigate the characteristics and management of the LBP in postpartum women. Eighty-five postpartum women were participated in this survey. Mean age of 85 women was 28.1 years. Of 85 postpartum women, 55.3% (n=47) had LBP after pregnancy. Thirty of 47 women had pain on lumbar region, 17 postpartum women had pain on sacroilium region. Of 85 postpartum women, 74% (n=54) had LBP before pregnancy and 71.8% (n=61) had LBP during pregnancy. Of 47 postpartum women who had LBP, 83% (n=39) had not received medical management for LBP, 12.8% (n=6) took medication, and 4.3% (n=2) performed self-exercise. None of postpartum women had received physical therapy during pregnancy and after delivery for treatment low back pain. The pain in SI region was more severe than in lumbar region after pregnancy according to VAS (visual analog scale) (p<.05). However, there was no significant difference in VAS scores between SI pain and lumbar pain before and during pregnancy (p>.05). Pain region after delivery was related to pain region of pre-pregnancy and during pregnancy (p<.01). Pain level after delivery was related to the pain and night pain level during pregnancy (p<.01).

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요통 유무에 따른 경항통 환자의 경추 전만각 퇴행성 변화 비교분석 (Roentgenographic Analysis of Cervical Lordosis and Disc Degeneration in Neck Pain Patients with or without Low Back Pain)

  • 이상호;정석희;이종수;김성수;신현대
    • 대한추나의학회지
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    • 제2권1호
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    • pp.85-92
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    • 2001
  • Objectives : To study the cervical lordosis and disc degeneration in neck pain patients with or without low back pain. Subjects. The study was composed of 57 neck pain patients with low back pain(LBP group) and 40 neck pain patients without low back pain(Non-LBP group). Methods : Radiographic measures of spinal lordosis(cervical and lumbar) and disc degeneration were collected, and statistically analyzed. Results: LBP group showed a significant increase in cervical lordotic angle as compared with Non-LBP group, whereas no significant change in cervical disc degeneration. A relationship was found between cervical and lumbar disc degeneration in LBP $group({\gamma}-0.3064)$. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's low back pain.

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요통환자의 사상체질별 양도락 특성에 관한 연구 (The Study on the Characteristics of Ryodoraku Score accoding to Sasang Constitution in the Low Back Pain Patients)

  • 오현준;송호섭
    • Journal of Acupuncture Research
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    • 제28권5호
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    • pp.121-126
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    • 2011
  • Objectives : The aim of the study is to investigate the characteristics of Ryodoraku score accoding to Sasang constitution in the low back pain patients. Methods : For Roydoraku score examination, we made a comparison between 44 patients who were diagnosticated to low back pain(LBP group) and 35 persons who were not(non-LBP group). 1. We campared the variation from physiologic range of 12 Roydoraku points between LBP and non-LBP group. 2. We campared the variation from physiologic range of 12 Roydoraku points according to Sasang constitution between LBP and non-LBP group. 3. We campared the variation from physiologic range of 12 Roydoraku points according to Sasang constitution in LBP and non-LBP group. Results : 1. The score of H2 H5 F5 had statistical differences. 2. The score of H3 H5 F5 had statistical differences in Soeumin. 3. The score of H3 F4 had statistical differences in LBP gorup. Conclusions : These results suggest that roydoraku maybe used to evaluate low back pain patients.

슬괵근 단축 유무에 따른 요통환자에 대한 능동적 움직임 조절 검사의 타당도 연구 (The Study of Validity in Active Movement Control test for Low Back Pain Patients with or without Hamstring Shortening)

  • 오세준;최종덕
    • 대한물리의학회지
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    • 제7권4호
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    • pp.443-450
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    • 2012
  • PURPOSE: This study was investigated to find the validity of active movement control test for low back pain patients with or without hamstring shortening. METHODS: The subjects of this study were 28 subjects and all of them agreed to participate in the study. All subjects were classified according to 4groups. Group1 was no LBP, no hamstring shortening. Group2 was no LBP, hamstring shortening. Group3 was LBP, no hamstring shortening. Group4 was LBP, hamstring shortening. We measured to see their low back pain and hamstring shortening with VAS, Goniometer for active movement control test. We analyzed the data using Cochran Q test and crosstabulation for agreement index. RESULTS: The results of this study were as follows : 1) Low back pain had effect on active movement control by Group1 and Group2. 2) Hamstring had effect on active movement control by Group1 and Group2 3)Low back pain with or without hamstring shortening had effect on active movement control by Group4 CONCLUSION: According the results of this study, active movement control test were significantly influenced on low back pain and hamstring interaction.

Postural Stability Change in Young People with Low Back Pain

  • Lee, Gyu-Chang
    • The Journal of Korean Physical Therapy
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    • 제24권3호
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    • pp.181-185
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    • 2012
  • Purpose: We investigated balance change in patients with low back pain (LBP) by comparing postural sway velocity between young LBP patients and healthy subjects. Methods: The cross-sectional study enrolled 37 young patients with over 3-month duration of LBP and 38 healthy subjects between the ages of 20 and 30 years old. All subjects were targeted by measuring their balance during quiet standing with open eye and closed eye conditions. The postural sway velocity between the LBP patients and healthy subjects was compared. As well, postural sway velocity was determined in the LBP patients with both eyes open and closed. Results: Significant differences were evident in the anteroposterior and mediolateral mean velocity of center-of-pressure between LBP patients and healthy subjects, and in LBP patients in the eye open and eye closed conditions. Conclusion: The balance of young LBP patients was worse than healthy subjects during quiet standing, and was especially lessened in the absence of vision.

자동차 제조업체 근로자들의 요통에 대한 역학적 요추 x-선학적 고찰 (Epidemiological and Lumbar x-ray Studies on the Low Back Pain of the Workers in an Automobile Industry)

  • 김순례
    • 지역사회간호학회지
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    • 제6권2호
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    • pp.319-334
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    • 1995
  • To investigate the risk factors of low back pain, an epidemiological study was carried out among male workers aged 20-55 employed in an automobile industry in Korea during the time period from February 1993 to October 1995. Workers participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionnaires. General characteristics, medical history, work related factors, fatigue, and MMPI were compared between two groups. To clarify the relationship between job related low back pain and radiologic features of lumbar spine, radiographic study was carried out. The resultant data were processed for $x^2-test$, t-test, and stepwise logistic regression to confirm the adjusted odds ratios. The results were as follows: 1. History of back disease, lifting and carrying work, excessive physical fatigue, and weakend back strength of individual workers were directly associated with low back pain. Odd ratios of these 4 risk factors of low back pain were 5.07, 3.34, 1.49, and 1.22 respectively. 2. The frequency of low back pain history was significantly higher in LBP group. 3. Back muscle strength of lumbar spine of LBP group were significantly lower than control group. 4. The workers in LBP group revealed high fatigue symptoms. 5. In MMPI test LBP group showed higher scales in hypochondriasis, depression, hysteria, psychopathic deviate, paranoia, psychasthenia, schizophrenia, and hypomania. 6. LBP group were more frequently involved in lifting and carrying, working in awkward position, bending, twisting and using lower extremities. 7. LBP group were exposed more to vibration during working. 8. In the Analysis of radiographs of lumbar spine, Jacob's line not crossing fourth lumhar disc space, transitional vertebrae and lumbar displacement more than 4.4mm in standing lateral view were more frequently observed in LBP group than control group. Through these results, it is concluded that identification of previous history of back problem, change of work or working environment for workers with previous back problem and measures to relieve both physical and psychological fatigue of the workers are required for optimal management of work-related back problems among workers. In the present study, several results were different from the previous reports: Jacob's line not corssing fourth lumbar disc space, lumbarization, and vertebral slipping (spondylolisthesis) more than 4.4mm are related to backache. Meticulous studies are required to elucidate the difference.

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테이핑 요법으로 호전된 요통환자의 요추전만도 변화 1례 (Change of Lumbar Lordotic angle by Taping Therapy on Low Back Pain Patient with Lumbar Hyperlordosis ; A Case Report)

  • 윤유석;이종수;문상현
    • 대한추나의학회지
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    • 제4권1호
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    • pp.157-165
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    • 2003
  • Low back pain (LBP) is a significant in today's society, with lifetime include factors associated with LBP ar reporter. Among the causes, aberration of posture may play a role in the development of LBP. Many investigators have assessed the curvature of spine in standing posture. But LBP is associated with Lumber Hyperlordosis of Hyperlordosis is controversial Subjects: In conservative treatment(acupuncture, herb med, manipulation & TENS. exercise, potural correction) for a 40 years old woman who had low back pain(V AS) be caused by decrease lumbar lordotic angie. Objectives: The object is change of lumbar lordotic angle of a 40 years old woman who had low back pain with Lumbar hyperlordosis, In conservative treatment. Method: In conservative treatment, We added taping therapy(mechanical correction taping of Kinesio Taping) about Lumbar Lordosis. Conclusion: We experienced a 40 years old woman who had love pack pain with Lumbar hyperlordosis. In conservative treatment, Her pain was Improved by additional taping therapy In company with decrease of Lumbar Lordosis. 1. abnormal spinal curvature, specially lumbar hyperlordosis act on induction & perpetuation agent for low back pain 2. In a patient had low back pain with lumbar hyperlordosis, change of lumbar lordotic angle is of utility value for the effect of treatment and assessment of prognosis. 3. pain control is more relative with change of lumbosacral angle than lumbar lordotic angle, in patient had low back pain with lumbar hyperlordosis. 4. mechanical taping therapy with elastic adhesive tape is effective for patient had low back pain with lumbar hyperlordosis

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