• Title/Summary/Keyword: Pain (LBP)

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The Effect of Exercise Program on Pain of Patients with Chronic Low Back Pain (운동프로그램이 만성요통 환자의 통증에 미치는 효과)

  • Jang, Chel;Lee, Geon-Cheol;Lee, Dae-Hee;Jung, Hyun-Sung;Kim, In-Seop;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.1
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    • pp.41-47
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    • 2007
  • Purpose : This study was to find the effects of conservative therapy and sling therapy program of strength exercise and Gymnic Ball therapy program of stabilizer exercise and to find the effects of pain relieve through visual analogue scale(VAS) in chronic low back pain patients (male; 18, female;22). Methods : The measurement of pain was performed to both group by VAS from pre treatment to one to seven weeks. Results : 1. By the result of one-way ANOVA, Both group was the statistical significance in VAS during seven weeks(p<.05). 2. By the result of paired t-test, Both group was not statistical significance between the values of pre treatment and treatment after six and seven weeks but was statistical significance one week to seven weeks(p<.05). Conclusion : It was concluded that low back pain would be relieved by the progressive exercise and education for low back pain, and that the interventions would be helpful to prevent additional injuries by increasing the flexibility and muscular endurance.

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The Study on History Period and Treatment Outcomes of Patients Admitted to a Korean Medicine Hospital for Low Back Pain (요통으로 한방병원에 입원한 환자의 병력기간별 호전도에 관한 연구)

  • Cho, Changyoung;Kim, Wonwoo;Seong, Ikhyun;Lee, Kapsoo;Jung, Jaehoon;Park, Sangwon;Lee, Jinho;Ha, Inhyuk
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.137-143
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    • 2014
  • Objectives Low back pain causes disability and incurs large socioeconomic burden. Many cases of acute low back pain progress into chronic conditions. As the treatment period extends, burden of socioeconomic expenses also rises. Thus this study is to investigate whether history period influences improvement rate of pain and disability in the patients who receive conservative Korean medicine treatment. Methods 447 inpatients who received conservative Korean Medicine treatment for the management of low back pain have been grouped into acute, sub-acute and chronic according to the length of history period. NRS, ODI and improvement rate of each group were investigated. Treatment every patient has received as follow; acupuncture, herbal medicine, Chuna manipulation, bee venom, and physical treatment. Results Acute patients showed improvement with NRS of $3.98{\pm}2.50$ and ODI of $28.04{\pm}21.54$. The NRS of sub-acute patients showed improvement with NRS of $2.81{\pm}2.07$, ODI also showed improvement with $11.64{\pm}13.94$. Statistically significant difference was observed in NRS, ODI and improvement for acute patients. Improvement in pain and disability was observed to be larger. Conclusions It demonstrated that receiving valid conservative Korean medicine treatment is beneficial for low back pain patients in improvement of their pain and disability.

Correlation Analysis Between Radiological Result and Radiating Pain in Lumbosacral Pain (요통환자에 있어서 방사통과 영상의학검사 소견상의 연관성 분석)

  • Kim, Han-Kyum;Kim, Seok;Bahn, Hyo-Jung;Yoon, Hyun-seok;Yeom, Sun-kyu;Hong, Soon-Sung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.1
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    • pp.95-102
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    • 2009
  • Objectives : We studied in order to compare the differences between the symptoms of patients and findings of MRI and X-Ray of patients with herniated disc which has been diagnosed often recently. Methods : We randomly selected among the 301 patients with X-Ray and L-spine MRI films who have visited Jaseng Hospital with low-back pain and lumbar and low extremity pain from Jan.1st of 2009 to Jan.28. We used SPSS 13.0 for Windows I in analyzing statistical data of study results and the level of significance were below 0.05. Results and Conclusions : 1. If there were radiating pain, based on MRI findings, the amount of herniation was more severe(P>0.05). 2. If the finding of a X-ray showed narrowing, based on MRI findings, the amount of herniation was more severe(P>0.05). 3. There were no significant differences between the presence of radiating pain and the findings of X-Ray(P>0.05). 4. Among the 301 cases, cases which showed findings beside HIVD were 79. 7 cases of hemanggioma(2.3%), 24 cases of spinal neoplasm(cord cyst, tumor etc)(8%), 7 cases of spondylitis(2.3%), 16 cases of spinal canal stenosis(5,3%) 9 cases of ligamentum flavum thickening(3%) and 16 cases of facet syndrome(5.3%).

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Characteristics of 601 Low Back Pain Patients: A Korean Medicine Hospital Experience, Retrospective Chart Review (요통으로 한방병원에 입원한 환자 601명에 대한 후향적 연구)

  • Nam, Dae-Jin;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.135-153
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    • 2015
  • Objectives The purpose of this study was to investigate the characteristics of inpatients who were admitted to Korean medicine hospital due to low back pain. Methods The current study was designed as a retrospective chart review to investigate descriptive characteristics of LBP patients. The clinical records of 601 patients who were hospitalized for treatment of LBP in Cheonan Korean Medicine Hospital, Daejeon University from 1st, January, 2013 to 31th, December, 2013 were analyzed. Results 1. Most frequently given diagnosis was sprain and strain of lumbar (45.93%). 2. Female outnumbered male patients in all disease groups except fracture of lumbar spine. 3. In distribution according to age, sprain and strain of lumbar, HNP of L-spine and lumbago with sciatica were most frequent at 30s, fracture of lumbar spine was most frequent at 50s and spinal stenosis was most frequent at 70s. 4. The most frequently motive for low back pain was traffic accident (35.4%) 5. Patients with no related medical history were 76.95% 6. 0~1week interval between onset and visit to Korean Medicine Hospital was most frequent in all disease groups. 7. 50.85% of patients went through treatment at medical institutions before the admitting to Korean Medicine Hospital. 8. The average admission days of female was higher than male's. And age goes up, average duration of admission was longer. 9. In most (74.59%) of the patients, symptoms were more than improved. 10. Most frequently prescribed examination was X-ray (65.13%). 11. Most frequently prescribed herb medicine was whal-lak-tang (Huoluo-tang). Conclusions In most (74.59%) of the patients, symptoms were more than improved, especially in sprain and strain of lumbar and lumbago with sciatica. But Patients with a local hospital statistic is not be representative of the incidence of the population. In order to obtain more accurate statistics, it is necessary to compare analysis collect statistics from other medical hospitals.

The Relationships between Isokinetic Muscular Function and Flexibility of the Lower Back Pain(LBP) in Elite Weight Lifter (엘리트 남녀역도선수들의 등속성 허리 근기능 및 유연성과 요통과의 관계)

  • Kim, Don-Hyun;Joo, Ynu-Yong
    • Journal of Korean Clinical Health Science
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    • v.3 no.2
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    • pp.311-319
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    • 2015
  • Purpose. This study of purpose was to compare and analyze the relationship among the isokinetic trunk muscular functions, flexibility and low back pain of elite weight lifter with regard of sex. Methods. we measured the level of low back pain, isokinetic muscular functions according to gender, then analyzed the relationship between isokinetic functions and the level of low back pain, between flexibility and the level of pain, between Athletic Career and the level. Results. In this study, the gender, the VAS point was $2.6{\pm}2.3$ and the VRS point was $2.3{\pm}1.3$ in males. The other side, in females the VAS points was $3.6{\pm}1.7$ and the VRS was $3.2{\pm}1.1$. There was significant negative correlation(r=-0.826) between the VAS point and the maximal flexion muscular strength per kilogram of $30^{\circ}/sec$ isokinetic exercise in female. also there was negative correlation between the muscular flexion strength per kilogram and the VRS point in female, but there was no significant relationship in male. Conclusions. In current study, these results suggested that the higher muscular flexion strength per kilogram is, the lower the level of low back pain is in female athletes. this is caused by the imbalance between Abdominal Muscles and Back Extensor in weight lifter. Therefore, there is the need to apply the program to improve the balance of trunk.

A Cross-Sectional Satisfaction Survey of 845 Traffic Accident Patients Treated with Korean Medicine

  • Kim, No H.;Lee, Yoon J.;Suh, Chang Y.;Lee, Gi B.;Yang, Kyu J.;Kim, Tae-Gyu;Gi, Yu-Mi;Kwon, Mijung;Ha, In-Hyuk
    • Journal of Acupuncture Research
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    • v.35 no.2
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    • pp.69-74
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    • 2018
  • Background: We conducted a cross-sectional study to analyze the pain characteristics and satisfaction scores in traffic accident (TA) patients seeking Korean medicine treatment. Methods: A survey was conducted in 845 outpatients who visited 10 Korean medicine institutions due to TA-associated symptoms from February 25th, 2016 to March 9th, 2016. The questionnaire included information about patient sociodemographic characteristics, accident circumstance details, pain levels, treatment methods, satisfaction and pre-existing musculoskeletal disorders. All statistical analyses were performed using STATA 14.0. Results: A total 754 of the 845 respondents had experienced acute pain of onset within 1-2 days. Pain in the neck or low back was most common, and low back pain (LBP) was more prevalent in pedestrian-vehicle accident cases. Patients showed highest satisfaction with pharmacopuncture treatment, followed by acupuncture and Chuna manual therapy. Although treatments were not completed at the time of the survey, the majority of patients were satisfied with the Korean medicine treatments they received and indicated their intent to reuse this treatment in the future. The degree of pain reduction after treatment was a factor that influenced patient satisfaction with and intention to reuse Korean medicine. Conclusion: This study determined the characteristics and status of TA patients using Korean medicine and suggests the need for further more inclusive studies.

Case Report of Two Cases on Effect of Combined Bee Venom and CS Pharmacopuncture with Koream Medicine Treatment on HIVD of L-spine (요추 추간판탈출증 환자에 대한 봉약침과 CS약침을 병행한 한의학적 복합치료 효과에 대한 증례보고)

  • Hwang, Ji Hye;Kim, Deok-Hyun
    • Korean Journal of Acupuncture
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    • v.35 no.4
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    • pp.239-246
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    • 2018
  • Objective : This case study reports the therapeutic effect of Korean Medicine (KM) treatments including CS(care special pain) and BV(bee venom) pharmacopuncture on herniated intervertebral disc(HIVD) of lumbar spine(L-spine). Methods : Two patients diagnosed with HIVD of L-spine were treated with CS and BV pharmacopuncture on GV3 and EX-B2, acupuncture, cupping, and herbal medicine. The Numeric Rating Scale(NRS), the Oswestry low back pain Disablility Index(ODI) and the Roland Morris Disability Questionnaire(RMDQ) scores were evaluated before and after treatment for comparison. Results : Low back pain(LBP) and radiating pain was improved with a decrease in patients' NRS, ODI and RMDQ scores. Conclusion : These results suggest that KM treatments including combined CS and BV pharmacopuncture could be an effective treatment on patients with HIVD of L-Spine.

Changes of Maximum Inspiratory Pressure, Maximum Expiratory Pressure, Back Mobility by Diaphragm Stretching Technique in Patients with Low Back Pain (가로막 스트레칭 기법에 의한 허리통증 환자의 최대들숨압력과 최대날숨압력, 허리 가동성 변화 )

  • In-young Kong
    • PNF and Movement
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    • v.21 no.2
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    • pp.185-192
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    • 2023
  • Purpose: This study aimed to confirm the effectiveness of the diaphragm stretching technique as a treatment method for low back pain by evaluating maximum inspiratory pressure, maximum expiratory pressure, and changes in back mobility in patients with low back pain. Methods: Thirty-four patients with low back pain were randomly divided into two groups: an experimental group and a control group. The diaphragm stretching technique was conducted in the experimental group, and the placebo intervention was conducted in the control group. The diaphragm stretching technique was conducted once, maintaining tension for 7 min. The placebo intervention was conducted in the same position as the diaphragm stretching technique, but with only light contact maintained without pressure. Maximum inspiratory pressure, maximum expiratory pressure, and back mobility were measured before and after the intervention, and the changes were compared and analyzed. A paired sample t-test was used to compare measurements within the group before and after the intervention. An independent t-test was used to compare the experimental and control groups. Statistical significance (α) was set at 0.05. Results: In the experimental group, maximum inspiratory pressure, maximum expiratory pressure, and back mobility increased significantly after the intervention (p < 0.05). However, there was no significant difference in the changes in all areas of the control (p > 0.05). As a result of comparative analysis of changes before and after the intervention, there were significant differences in maximum inspiratory pressure, maximum expiratory pressure, and back mobility only in the experimental group (p < 0.05). Conclusion: The diaphragm stretching technique improved maximum inspiratory pressure, maximum expiratory pressure, and back mobility compared to the placebo intervention. Therefore, the diaphragm stretching technique can be recommended as a physical therapy intervention to improve pain in patients with LBP.

Comparison of improvement on Low back pain depending on male inpatient's Pulse wave velocity (남성 입원환자들의 맥파속도에 따른 요통 호전도의 비교 연구)

  • Lee, Jin-Hyuk;Sui, Mu-Chang;Min, Kwan-Sik;Lee, Han;Jeong, Ho-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.39-45
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    • 2009
  • Objectives : The aim of this study is to compare the improvement of Low back pain (LBP) depending on male Inpatient's Brachlalankle Pulse Wave Velocity (baPWV), Method : We evaluated 35 LBP inpatients who took pulse wave velocity test during admission at Jaseng hospital from November 2008 to september 2009. We used applanation tonometry method to measure pulse wave velocity and numerical rating scale to measure patient's improvement. Result : At admission, standard deviation of normal group's NRS was $7.44{\pm}1.67$ and high risk group's was $7.57{\pm}2.09$(P=0.678). After 5 days of admission, standard deviation of normal group's NRS was $5.67{\pm}1.94$ and high risk group's was $6.00{\pm}2.17$(P=0.680). After 10 days of admission, standard deviation of normal group's NRS was $4.00{\pm}1.80$ and high risk group's was $4.95{\pm}1.96$(P=0.281). After 15 days of admission, standard deviation of normal group's NRS was $2.89{\pm}1.62$ and high risk group's was $4.10{\pm}1.92$(P=0.124). At discharge, standard deviation of normal group's NRS was $5.11{\pm}1.69$ and high risk group's was $4.86{\pm}2.08$(P=0.504). Comparison between admission and discharge, standard deviation of normal group's NRS was $5.11{\pm}1.69$ and high risk group's was $4.86{\pm}2.08$(P=0.504) Conclusion : Low back patients with high Brachialankle Pulse Wave Velocity, showed slower improvement rate compare to patients within normal rate. But statically, had no significance.

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A study on Related Factor and Knowledge of Back Pain in Workers Employed at Cement factory (일부 시멘트 산업근로자의 요통 관련 요인 및 요통 지식에 관한 연구)

  • Kim, Gi-Yeol;Oh, Jung-Lim;Hwang, Kyoung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.536-543
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    • 2015
  • This study describes on the level of back pain knowledge from a survey that conducted from November 1, 2013 to January 31, 2014 for 82 cement factory workers at C region in Chung-Buk. The survey results showed that 56.1% of workers experienced back pain. Also the number of back pain of workers increased when workers who subjected more stresses from their works, had been growth in urban area and have not satisfied their given works. The survey also show that workers who subjected back pain once, usually they stopped smoking and reduced drinking, and they willing to take education for back pain-reducing. The worker's level of back pain knowledge was relatively low scores as 56.29 points in the 100-point conversion score, specially back pain associated with the posture were the lowest point of 50 points. Knowledge of back pain, a positive correlation was observed. Finally workers experienced back pain and education of back pain had higher willing to receive the education in the future. However, workers were not obtained the knowledge information on back pain indicated lower scores.