• Title/Summary/Keyword: back pain index

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Case Series of 5 Failed Back Surgery Syndrome Patients Who were Treated by Direct Moxibustion Therapy (직접구 치료에 의해 호전된 척추수술후통증증후군 환자 5례)

  • Lee, Dong-Wha;Shin, Mi-Sook
    • Korean Journal of Acupuncture
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    • v.28 no.3
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    • pp.233-244
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    • 2011
  • Objectives : To evaluate the effectiveness of direct moxibustion in patients with failed back surgery syndrome (FBSS). Methods : 5 patients (3 females and 2 males) with FBSS underwent direct moxibustion on ouch points (阿是穴) for 10 to 15 weeks (once a week). The effectiveness of the treatment was evaluated with NRS (numerical rating scale), ODI (Oswestry disability index), BDI (Beck depression inventory) score, SF-36 (short form 36 health survey) score and PSQI (Pittsburgh sleep quality index) before and after the treatment. Results : Within observation period, average value changed from 10.0 to 4.2 in NRS of pain, from 37.0 to 20.6 in ODI, from 20.6 to 12.0 in BDI score, 42.2 to 62.6 in SF-36 score, and from 8.6 to 5.2 in PSQI. Conclusions : Direct moxibustion on FBSS patients showed more or equivalent effectiveness when compared to conventional FBSS treatment modalities.

Effects of Sciatic Nerve Mobilization on Pain and Lower Back Isometric Muscle Strength in Female Patients in their 40s with Lumbar Radiculopathy

  • Jeong, Ui Cheol;Kim, Hee Kyung;Yoo, Hyo Jin;Kim, Cheol Yong
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1105-1113
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    • 2017
  • The Purpose of this study was to determine the effects of sciatic nerve mobilization on pain and lower back muscle strength in female patients in their 40s who have been diagnosed with lumbar radiculopathy. Using a simple blinded method, 20 female patients with neuropathy in the nerve segments between L4-S1 were randomly divided into one group (n=10) that would undergo sciatic nerve mobilization, and another group (n=10) that would perform lower back segment stabilization exercises. The two groups attended 3 sessions per week, with each session taking 30 minutes, for a duration of 4 weeks. In the preliminary examinations, the pain index as well as the isometric muscle strength of the lower back extensor and flexor muscles were measured. After the passing of 4 weeks. The same method of measurement was used for the concluding examinations. Comparison of the pain indices in the two groups revealed that they both experienced a statistically significant decrease, and further inspection revealed that the there was a more substantial difference in the sciatic nerve mobilization group. Results of comparing changes in the Isometric Muscle Strength lower back muscle and bending muscle by group, In comparison between groups, the isometric strength of the lower back extensor showed a more significant difference in the sciatic nerve mobilization group (p <.05). Conclulsion, it can be inferred that application of sciatic nerve mobilization has a positive effect on the pain index and isometric muscle strength of the lower back in female patients with lumbar radiculopathy in their 40s.

The Effect of CF Herbal Acupuncture by Oswestry Disability Index (오스웨스트리 장애지수를 이용한 홍화약침(CF)의 효과)

  • Cho, Tae-Sung;Son, In-Suk;Kwon, Hae-Yon;Youn, Hyoun-Min;Jang, Kyung-Jeon;Song, Choon-Ho;Ahn, Chang-Beohm;Seo, Jung-Chul
    • Journal of Pharmacopuncture
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    • v.4 no.3
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    • pp.15-20
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    • 2001
  • Objective: The aim of this study was to assess the effect of CF herbal acupuncture for low back pain by Oswestry Disability Index Methods: Ten patients with back pain were selected and CF herbal acupuncture was administered one time per 5 days after admission. The degree of improvement was evaluated by Oswestry Disability Index and visual analogue scale(VAS). Oswestry Disability Index consisted of eleven items and they were scored as 5 or 6 points per one item. Results: All of the 10 patients, after CF herbal acupuncture, showed decreased score by Oswestry Disability Index and VAS. It means that the patient's satisfaction increased after treatment. Conclusion: These results suggest that the CF herbal acupuncture was effective for low back pain

The Effects of PNF Technique Versus Trunk Exercise Program on the Pain, Disability and Balance in Chronic LBP Patients (만성 요통환자에 대한 PNF와 체간운동프로그램이 통증, 기능장애 및 균형에 미치는 효과)

  • Jeon, Hye-Jin;Lee, Moon-Hwan
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.665-673
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    • 2009
  • This study was conducted to compare the PNF and Trunk Exercise Program has effectiveness on the pain, disability, static and dynamic balance in chronic low back pain patients. To evaluate the effects of exercise, subjects were evaluated by using VAS for pain, Oswestry disability index for disability, One leg stand test for static balance and Balance System for dynamic balance test. Pain, Oswestry disability index, One leg stand test, and Dynamic balance test in PNF had statistical significance than Trunk exercise program(p<0.05). So this results were suggested that the lifting and chopping pattern of PNF was effective on pain, disability and balance in chronic low back pain patients.

The Clinical Study of Muscle Energy Techniques(MET) in Elector Spinae Muscle on Low Back Pain Patients-Through Meridian Electromyography (요통환자의 근에너지 기법 시술 전과 후의 척추기립근 변화-경근전도를 통해)

  • Choi, Jin-Seo;Ahn, Jae-Min;Kim, Choo-Young;Lee, Jae-Hun;Park, Dong-Su;Jeong, Su-Hyeon;Kim, Soon-Joong
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.1
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    • pp.15-23
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    • 2013
  • Objectives : To evaluate the clinical utility of MET in elector spinae muscle on low back pain patients. Methods : We compared electrical activity between a before MET and a after MET in elector spinae muscle on low back pain patients in same group(n=30) in dynamic flexion-reextension state during five seconds. We analyzed amplitudes and areas of electrical activity and asymmetry index(AI). Results : 1. After MET in elector spinae muscle on low back pain patients were significantly decreased in Visual Analogue Scale(VAS) than before MET in elector spinae muscle on low back pain patients(p<0.05). 2. After MET in elector spinae muscle on low back pain patients were lower electrical activity than before MET in elector spinae muscle on low back pain patients but it is not a pointless observation(p<0.05). 3. AI of the after MET in elector spinae muscle on low back pain patients significantly decreased compared with before MET in elector spinae muscle on low back pain patients(p<0.05). Conclusions : According to above results, there is clinical effect MET on low back pain patients.

Case Report: The Complex Korean Medicine Treatment of Abdominal and Lower Back Pain after Laparoscopic Hysterectomy (자궁적출술 후 하복부 및 요추부 통증을 호소하는 환자에 대한 한방 복합 치료 1례)

  • Yu-jin Lee;Minjin Kwon;Na-young Kim;Yu-Ra Im
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.197-206
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    • 2023
  • Objesctives: This study reports the effect of Korean medicine treatment on a patient with abdominal and lower back pain after a laparoscopic hysterectomy. Methods: The patient received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment for six days. We measured the numeric rating scale (NRS), Oswestry Disability Index (ODI), Range of Motion (ROM), and Life-5 Dimensions scale (EQ-5D) to assess symptom changes. Results: After treatment, the patient showed decreased numeric rating scale (NRS) and Oswestry Disability Index (ODI), as well as augmented Range of Motion (ROM) and European Quality of Life 5 Dimensions scale (EQ-5D). Conclusion: The results indicate that Korean medicine treatment is effective management for patients with abdominal and lower back pain after a laparoscopic hysterectomy.

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

  • Oh, Se-Jun;Choi, Jong-Duk
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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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.

A Randomized Controlled Trial to Verify Effects of Kuesu Point on Low Back Pain and Accompanied Sciatica

  • Lee, Jeong-Won;Kim, Dong-Il
    • The Journal of Korean Medicine
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    • v.28 no.4
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    • pp.86-94
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    • 2007
  • Objective : Kuesu point is a newly discovered point, it is located in 3-cun from the centre of sacrum laterally, paralleled to the 4th foramen on the sacrum. This controlled trial was to evaluate the superior effect of Kuesu point on back pain which radiated to lower extremities. Methods : Randomized Controlled Trial (RCT) and Single Blind in patient was designed. Patients (n=31) were randomized to two groups, Kuesu-point acupuncture group (Group A, n=16) and non Kuesu point acupuncture group (Group B, n=15). Group A was acupunctured on B25 (大腸兪), B26 (關元兪) and B60 (崑崙) with Kuesu point. Group B was acupunctured on the same points without Kuesu point. The clinical subjects were female patients. Beside acupuncture, the other therapies were excluded. Clinical period was three weeks total. Each group was treated 4-5 times per week for 3 weeks. The outcome measurements were The Estimation Index of Backache (quality of life), Pain Rating Scale (pain intensity) and other physical examinations (ROM, SLR, etc.). Results : 31 patients (Group A: n=16, Group B: n=15) were Randomized, 6 of them dropped out. Eventually 25 patients (Group A: n=15, Group B: n=10) were included in the analysis. Group A acupunctured on Kuesu point scored more significant Estimation Index of Backache and lower PRS (Pain Rating Scale) than Group B acupunctured without Kuesu point (p=0.003/2). It turned out that the group acupunctured on Kuesu point show meaningful high improvement index. And other examination's results showed that the treatment effects of Group A are twice as better as Group B. Conclusion : These results suggest that Kuesu point acupuncture was more effective on lower back pain and improved the life quality of patients, being compared with non Kuesu point acupuncture.

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Effects of Sweet Bee Venom Pharmacopuncture Combined with Korean Medicine Treatment for Acute Low Back Pain Syndrome Patient: A Case Report (급성 요통 증후군 환자에 대해 봉독약침요법을 병행한 한의학적 치료 효과: 증례보고)

  • Bong, Sung Min;Jang, Woo Seok;Kim, Kyung Ho
    • Korean Journal of Acupuncture
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    • v.37 no.1
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    • pp.54-62
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    • 2020
  • Objectives : Acute low back pain syndrome causes pain and poor quality of life. There are various studies of SBV (Sweet bee venom) pharmacopuncture, but few have identified the therapeutic effects for patients unable to walk due to acute back pain. This case series report three cases of acute low back pain syndrome treated with SBV pharmacopuncture combined with Korean Medicine (KM) treatments. Methods : Three acute low back pain syndrome patients with no other acute abnormalities in the imaging were treated by KM treatments including SBV pharmacopuncture, acupuncture, cupping, herbal medicine and physical therapy. The improvement of symptoms was evaluated using Numerical rating scale (NRS), Oswestry disability Index (ODI), EuroQol-5 dimension index (EQ-5D) and EuroQol-visual analogue scale (EQ-VAS). Results : Patients who were unable to walk due to acute back pain were able to walk. There were significant improvements of NRS, ODI, EQ-5D and EQ-VAS after treatment. The patients experienced an average 90% decrease in low back pain after inpatient KM treatment for about 8 days. NRS decreased by an average of 78.9%, ODI decreased by an average of 49.4%, and EQ-VAS increased by an average of 92.6%. In the case 1, EQ-5D decreased in all categories, but in the case 2, it decreased in all categories except for pain/discomfort and anxiety/depression, but in the case 3, it decreased in all categories except anxiety/depression. There was no serious side effect after treatment of SBV pharmacopuncture. Conclusions : KM treatments including SBV pharmacopuncture may be effective for acute low back pain syndrome patients. However, randomized controlled trials are needed in the future to confirm the clinical effects of these interventions.

Approach of Conservative Treatment in Low Back Pain (요통의 보존적 치료 접근)

  • Kang, Jeom - Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.2
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    • pp.79-84
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    • 2007
  • Purpose: The data was performed to evaluate the effect of conservative treatment in 30 patients aging from 21 to 71 with lumbar back pain. Methods: The effect of conservative treatment was analyzed with use of pain behavior scale, pain self assessment scale by Million Index in according to age, occupation, duration of symptom, symptom. Results: The occupation were desking job 43.4%, standing job 33.3%, house wife 23.3%. Duration of symptoms in over 2-5 months was 40.0%. The pain in below 1 months, classified by duration of symptoms, was reduced from 2.1 to 3.0 in pain behavior scale, 6.0 to 2.2 in pain self assessment scale(p<0.05). The pain in only lumbar back pain, classified by symptoms, was reduced from 2.0 to 3.0 in pain behavior scale, 6.6 to 2.4 in pain self assessment scale(p<0.05). Conclusion: The pain in over 9 months. classified by duration of physical therapy, was increase 2.0 in pain behavior scale, 4.0 in pain self assessment scale (p<0.05).

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