• 제목/요약/키워드: back pain index

검색결과 427건 처리시간 0.025초

Comparative Study of Lumbar Magnetic Resonance Imaging and Myelography in Young Soldiers with Herniated Lumbar Disc

  • Kang, Suk-Hyung;Choi, Seung-Hong;Seong, Nak-Jong;Ko, Jung-Min;Cho, Eun-Suk;Ko, Kwang-Pil
    • Journal of Korean Neurosurgical Society
    • /
    • 제48권6호
    • /
    • pp.501-505
    • /
    • 2010
  • Objective : This study was undertaken to compare the diagnostic performances of magnetic resonance imaging (MRI), MR myelography (MRM) and myelography in young soldiers with a herniated lumbar disc (HLD). Methods : Sixty-five male soldiers with HLD comprised the study cohort. A visual analogue scale for low back pain (VAS-LBP), VAS for leg radiating pain (VAS-LP), and Oswestry disability index (ODI) were applied. Lumbar MR, MRM, and myelographic findings were checked and evaluated by four independent radiologists, respectively. Each radiologist was asked to score (1 to 5) the degree of disc protrusion and nerve root compression using modified grading systems devised by the North American Spine Society and Pfirrmann and the physical examination rules for conscription in the Republic of Korea. Correlated coefficients between clinical and radiological factors were calculated. Interpretational reproducibility between MRI and myelography by four bases were calculated and compared. Results : Mean patient age was $20.5{\pm}1.1$. Mean VAS-LBP and VAS-LP were $6.7{\pm}1.6$ and $7.4{\pm}1.7$, respectively. Mean ODI was $48.0{\pm}16.2%$. Mean MRI, MRM, and myelography scores were $3.3{\pm}0.9$, $3.5{\pm}1.0$, and $3.9{\pm}1.1$, respectively. All scores of diagnostic performances were significantly correlated (p < 0.05). However, none of these scores reflected the severity of patients' symptoms. There was no statistical difference of interpretational reproducibility between MRI and myelography. Conclusion : Although MRI and myelography are based on different principles, they produce similar interpretational reproducibility in young soldiers with a HLD. However, these modalities do not reflect the severity of symptoms.

밸런스트레이닝이 대사증후군 지표 및 기능적 체력에 미치는 영향 (Effect of Balance Training on Metabolic Syndrome Indicators and Functional Fitness)

  • 백순기
    • 산업융합연구
    • /
    • 제20권11호
    • /
    • pp.213-219
    • /
    • 2022
  • 본 연구는 밸런스트레이닝이 대사증후군 지표 및 기능적 체력에 미치는 영향을 살펴보고자 하였다. 이를 위해 평상시 허리 및 어깨 통증을 호소하는 고령여성 16명을 대상으로 12주간의 밸런스트레이닝을 실시하였다. 또한 16명의 대상자 중 8명은 운동군(68.48세), 8명은 통제군(67.90세)으로 구분하여 트레이닝 프로그램의 효과를 검증하였다. 12주간의 밸런스트레이닝 전, 후의 대사증후군 지표와 기능적 체력을 살펴본 결과 다음과 같은 결과를 얻었다. 첫째, 12주간의 밸런스트레이닝 전, 후 대사증후군 지표에서는 유의한 상호작용을 나타냈다. 둘째, 기능적 체력에서 12주간의 밸런스트레이닝 전, 후에 유의한 상호작용을 나타냈다. 이는 밸런스트레이닝이 고령여성의 대사증후군 지표의 긍정적 변화와 함께 기능적 체력에 긍정적 영향을 미친다는 것을 확인할 수 있었다. 향후 트레이닝 기간과 측정변인의 확대를 통해 밸런스트레이닝의 효과를 보다 명확하게 할 필요가 있다.

수원지역 노인들의 여가활동유형이 건강상태와 비만지표에 미치는 영향 (Effects of Leisure Type on Health Status and Obesity Index of Senior Citizens in Suwon Area)

  • 김윤혜;이복희
    • 한국식생활문화학회지
    • /
    • 제21권3호
    • /
    • pp.344-350
    • /
    • 2006
  • The study aims to examine whether regular leisure activity of the elderly with active and passive types has a beneficial effect to enhance their health condition. The elderly subjects of 164 (82 of elderly who do active leisure and 82 of elderly who do passive leisure) aged over 60 years in Suwon area were employed. Survey questionnaires were administered to investigate general characteristics, life style, and health status along with anthropometric measurement. From the findings, the elderly who do active leisure were highly educated and better in living status. The elderly who do passive leisure showed higher drinking and smoking rates as well as higher obesity and overweight rates in comparison to the other counterpart. Furthermore, the elderly who do passive leisure were poor in health status. 'Painful knee and eye', 'lower back pain', and 'fatigue' were the most prevalent among subjective symptoms of the elderly. In conclusion, the elderly with active leisure activity seemed to have better life style and maintain good health status. Therefore, it is critically important to establish the health program combined with various leisure activity for the seniors to promote and energize the later years of life.

Prevalence, Pathophysiology, Screening and Management of Osteoporosis in Gastric Cancer Patients

  • Lim, Jung-Sub;Lee, Jong-Inn
    • Journal of Gastric Cancer
    • /
    • 제11권1호
    • /
    • pp.7-15
    • /
    • 2011
  • Osteoporosis in gastric cancer patients is often overlooked or even neglected despite its high prevalence in these patients. Considering that old age, malnutrition, chronic disease, chemotherapy, decreased body mass index and gastrectomy are independent risk factors for osteoporosis, it is reasonable that the prevalence of osteoporosis in gastric cancer patients would be high. Many surviving patients suffer from back pain and pathological fractures, which are related to osteoporosis. Fractures have obvious associated morbidities, negative impact on quality of life, and impose both direct and indirect costs. In the era of a >55.6% 5-year survival rate of gastric cancer and increased longevity in gastric cancer patients, it is very important to eliminate common sequelae such as osteoporosis. Fortunately, the diagnosis of osteoporosis is well established and many therapeutic agents have been shown to be effective and safe not only in postmenopausal females but also in elderly males. Recently, effective treatments of gastric cancer patients with osteoporosis using bisphosphonates, which are commonly used in postmenopausal woman, were reported.

경근추나를 중심으로 보존적 치료 후 호전된 요추추간판탈출증 치험례 (A Case Report on HIVD Patient Treated by Conservative Oriental Medical Treatment with Kyungkuen Chuna)

  • 신정미;강미숙;송윤경
    • 척추신경추나의학회지
    • /
    • 제3권1호
    • /
    • pp.83-94
    • /
    • 2008
  • This study is designed to evaluate the effect of conservative oriental medical treatment with Kyungkuen Chuna for Herniated intervertebral lumber disc(HIVD) patient. The improvement of the patient was evaluated by Range of Motion(ROM), Straight Leg Rasing Test(SLRT), Visual Analogue Scale(VAS), Oswestry Low-back Pain Disability Index(ODI). After conservative oriental medical treatment with Kyungkuen Chuna, ROM, SLRT, VAS and ODI were significantly improved. It is suggested that Conservative oriental medical treatment with Kyungkuen Chuna could be effective methods to treat the HIVD patient.

  • PDF

복식호흡을 병행한 척추 안정화운동이 요통환자의 균형능력과 오스웨스트리 장애지수에 미치는 영향 (Effect of Stabilization Exercise with Abdominal Breath on Balance and Oswestry Disability Index for Low Back Pain Patients)

  • 손호희;오정림
    • 한국콘텐츠학회:학술대회논문집
    • /
    • 한국콘텐츠학회 2014년도 추계 종합학술대회 논문집
    • /
    • pp.401-402
    • /
    • 2014
  • 본 연구는 복식호흡을 병행한 척추 안정화 운동이 요통환자의 균형능력과 통증에 미치는 영향을 알아보기 위해 시행되었다. 20대 요통환자 18명을 대상으로 하였으며 실험군은 척추안정화 운동을 실시하는 동안 복식호흡을 함께 적용하였으며 대조군은 척추안정화 운동만을 시행하였다. 운동은 8주간 적용하였으며 운동 시작 전과 후에 오스웨스트리 요통장애지수 설문지를 사용하여 통증을 비교하고 BioRescue를 사용하여 신체중심이 이동한 길이와 면적을 측정하여 균형능력을 비교하였다. 실험결과, 두 그룹 모두 운동 후, 요통장애지수가 유의하게 감소하였으나 그룹간의 유의한 차이는 없었다. 신체중심이동면적 비교에서 실험군은 운동 후 유의한 감소가 있었으나 그룹간의 유의한 차이는 없었다. 신체중심이동길이의 비교에서 눈을 감은 상태에서 실험군은 유의한 차이가 있었으나 대조군은 유의한 차이가 없었으며 그룹간 비교에서도 유의한 차이가 있었다. 이러한 결과를 통해 요통환자에게 안정화운동과 복식호흡을 함께 병행하여 실시한다면 더욱 효과적일 것이라고 생각된다.

  • PDF

요추간판탈출증(腰椎間板脫出症) 환자(患者) 33례의 보존적 치료에 대한 보고 (The Clinical Study on the Effect of Conservative Treatment for Patients with Herniated Intervertebral Disc of Lumbar Spine)

  • 오승규
    • 대한추나의학회지
    • /
    • 제6권1호
    • /
    • pp.41-50
    • /
    • 2005
  • The aim of this study is to estimate clinical outcome of Conservative treatment for patients with Herniated Intervertebral Disc(HIVD) of lumbar spine. We investigated the 33 cases of Inpatients who were diagnosed as the HIVD of L-Spine and were treated Acupuncture therapy, Herb-medicine, Bee-vom treatment in Oriental Medicine Hospital from March 1, 2005 to November 31, 2005. We evaluated the subjective symptoms by Visual Analogue Scale, Hudgin's classification and follow-up of Activity Daily Living status. The improvement index showed that the oriental medical conservative therapy improved the symptom of HIVD effectively.

  • PDF

침도침 시술을 통한 요추추간판탈출증 환자 4명의 증례보고 (Four Case of HIVD-Lumbar Spine Patient Treated with Acupotomy)

  • 곽병민;홍권의
    • Journal of Acupuncture Research
    • /
    • 제25권4호
    • /
    • pp.149-156
    • /
    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with Lumbar intervertebral disc Herniation. Methods : We treated Four patients who have HIVD of L-spine with acupotomy. Visual analog scores(VAS) and Oswestry Low-back pain Disabiliby Index(ODI) were compared before-treatment with after-tretment. When the patients is discharged, the satisfaction of acupotomy were graded by Five-point Likert scale. Results : VAS and ODI were decreased at all case. Likert scale point were cheked as grade 4 at all case. Conclusions : This study shows acupotomy has useful effect on HIVD of L-spine.

  • PDF

길랑바레증후군으로 진단받은 환자의 한방치료 증례보고 1례 (Case Report of Patients Diagnosed with Guillain-Barre Syndrome Improved by Traditional Korean Medical Treatment)

  • 황동규;박삼민;김은지;김재영
    • 대한한방내과학회지
    • /
    • 제37권2호
    • /
    • pp.305-314
    • /
    • 2016
  • Objective: The present study reports on one patient diagnosed with Guillain-Barre syndrome.Method: One patient was treated by Sukjiyanggeun-tang, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in motor grade; scores in the modified Barthel index, the disability scale, and the numerical rating scale (NRS) of lower back pain; and ambulatory condition during hospitalization.Results: After 48 days of treatment, the patient's symptoms of Guillain-Barre syndrome showed improvement.Conclusions: Traditional Korean medical treatment appeared to be effective in reducing Guillain-Barre syndrome symptoms, but more research is required to confirm these results.

척추수술 실패 증후군에 대한 국내 연구 동향: 정의, 치료 방법, 평가 도구를 중심으로 (The Domestic Trend of Failed Back Surgery Syndrome: Definition, Treatment Trials and Instruments for Assessment)

  • 최희승;차윤엽;박원형;신우석;정동훈;손슬기;김종수;김신웅;김세준
    • 한방재활의학과학회지
    • /
    • 제24권4호
    • /
    • pp.41-48
    • /
    • 2014
  • Objectives The present study examines the domestic trend of Failed Back Surgery Syndrome (FBSS) in Korea. Methods The studies on FBSS were investigated via searching Korean web databases. As a result, 41 research papers were found and they were analyzed according to the year of publishment, the titles of journals which have the papers, the types of study, the definition of FBSS, employed treatment trials, and the instruments for assessment. Results The number of the research papers on FBSS published was increased since 2005. The studies on FBSS were mainly published in the Korean Journal of Pain. The most popular type of the studies were the case report and the most studies defined FBSS as persistent or recurring low back pain with or without sciatica after receiving spine surgeries. Various surgical and conservative treatments were employed in the studies and Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), Oswestry Disability Index (ODI) were used as primary means of assessments. Conclusions Reviewing the domestic trends of studies on FBSS and examining the definition of FBSS is essential for the future studies because there is no clear criteria for making diagnosis of FBSS. Therefore, the further studies on FBSS need to be more elaborate with the definition of FBSS, and it is also necessary to apply more assessment tools for the better understanding of FBSS from various aspects. Ultimately, this review is anticipated to benefit the future in-depth study on FBSS.