• 제목/요약/키워드: low-back pain

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임신 중 교통사고로 인한 요통 및 골반통으로 입원한 환자 증례 보고 (Case Series of Low Back Pain and Pelvic Pain Caused by Traffic Accident during Pregnancy)

  • 오광우;류익한;김지양;김해중;강정아;이수정;최창민
    • 대한한방부인과학회지
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    • 제22권4호
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    • pp.194-204
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    • 2009
  • Purpose: When pregnant women get symptom like pain, because of fear of using analgesic drugs and X-ray test during pregnancy, pain is nevertheless often left. This study was to report the clinical application and safety of oriental treatment to low back pain and pelvic pain caused by traffic accident during pregnancy. Methods: We experienced seven patients who suffered from low back pain and pelvic pain caused by traffic accident during pregnancy. During their admission, we treated with acupuncture, cupping therapy and herbal medicine. We checked the symptoms during admission at progress note, and follow up by phone call. Results: The degree of low back pain and pelvic pain were decreased or resolved. After treatment, no serious adverse effects were found on the patients, and there were no adverse effects at all on the infants. Conclusion: The results indicate that oriental treatment can be effective for the management of low back pain and pelvic pain caused by traffic accident during pregnancy. And these treatments are safe to both patients and infants.

동의보감(東醫寶鑑) 요문(腰門)의 요통처방(腰痛處方)에 대(對)한 분석(分析) (The Analysis of Prescription Used for Low Back Pain in the Yomun(腰門) Chapter of 《Donguibogam(東醫寶鑑)》)

  • 안중혁;이명종
    • 한방재활의학과학회지
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    • 제15권1호
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    • pp.77-87
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    • 2005
  • Objectives: This analysis of prescription used for low back pain in the Yomun(腰門) chapter of ${\ll}$Donguibogam(東醫寶鑑); The Precious Mirror of Oriental Medicine${\gg}$ is designed to be helpful to practical use of clinics. Methods : Proscriptions used for low back pain in the Yomun(腰門) chapter of ${\ll}$Donguibogam(東醫寶鑑)${\gg}$ were classified and analyzed according to the frequency of proscriptions and the characteristics of each herbs in proscriptions(efficacy, used frequency, related organs etc.) Results and conclusions : After analysis, we obtained the following results : 1. The causes of low back pain are mainly eohyeol(瘀血), yangheo(陽虛), punghanseub(風寒濕). In care of low back pain, I suppose more efficiency that if Angelica gigas NAKAI(當歸) Cnidium officinale MAKINO(三芎) Prunus persica BATSCH(桃仁) is added when the cause is eohyeol(瘀血), or if Psoralea corylifolia L.(破古紙), Cinnamomum cassia PRESL(肉桂), Foeniculum vulare MILL(茴香), Eucommia ulmoides OLIV.(杜冲), Citrus unshiu MARKOVICH(陳皮) are added when the cause is yangheo(陽虛), or if Phellodendron amurense RUPR.(黃柏), Notopterygium incisum TING(羌活), Atractylodes Japonica KOIDZ.(蒼朮) are added when the cause is punghanseub(風寒濕).

일부 여성에 대한 요통의 관련인자 분석 (Analysis of Women with Low Back Pain and Bone mineral density)

  • 강점덕;김종봉
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.851-857
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    • 2001
  • Objectives: The objective of this study was to investigate the associated factors of low back pain in measurement of women. Methods: The data were collected from women who visited Physical Examination Center of hospital located in Daegu from July 20, 2000 to September 29, 2000. Data from 36 normal in the women. Results: The experience rate for low back pain was 58.3%. The mean age is 56 years. The the lumbar spine of healthy women in age($50\sim59$) was 73.4%, the lumbar spine of women low back pain in age($50\sim59$) was 66.7%, Variables significantly associated with low back pain were weight, education, Exercise time, menopause existence, occupation(p<0.05). The experience for LBP increased as weight increased(Odds ratio = 999.000). The experience for LBP increased as Exercise time decreased(Odds ratio = 1.090), The experience for LBP increased as menopause existence increased(Odds ratio = 0.7111), However all three variables had significant relationship. Conclusions: Results from this study indicated that a statistically significant association between LBP and weight, education. Exercise time, menopause existence, occupation, smoking in $x^2$-test. In logistic regression test. there were related variables.

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폐경 후 요통환자에서 골밀도와 퇴행성 요추 병변과의 관계 (Correlation between Bone Mineral Density(BMD) and Degenerative Lumbar Disease in Postmenopausal Patients with Low Back Pain)

  • 박영은;김철수;김규태;이제균;안건상;유혜경
    • 대한한방부인과학회지
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    • 제19권3호
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    • pp.203-213
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    • 2006
  • Purpose : This study was carried out to evaluate correlation between Bone Mineral Density(BMD) and degenerative lumbar disease in postmenopausal low back pain patients. Methods : 69 postmenopausal patients with low back pain were examined. Magnetic resonance imaging was performed to evaluate degenerative lumbar disease and bone mineral density of lumbar spine was measured by Dual energy X-ray absorptiometry. Data were analyzed by Pearson's Linear Correlation Coefficient. Results : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had negative correlation with the grade of intervertebral disc herniation and positive correlation with weight. Other lumbar diseases including Spinal stenosis, Spondylolisthesis and Facet joint arthrosis didn't have significant correlation with BMD. Conclusion : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had inverse relationship with the grade of intervertebral disc herniation.

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만성 요통 변증 설문지 개발을 위한 전문가 Delphi 조사 (Development of Questionnaire for Pattern Identification of Chronic Low Back Pain by Delphi Method)

  • 안민윤;송윤경;고성규;임형호
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.143-158
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    • 2013
  • Objectives The aim of this study is to contribute to developing questionnaire for pattern identification of chronic low back pain using delphi method. Methods The questionnaire which includes symptoms and signs of chronic low back pain is studied by delphi method. Seven experts of Korean medicine, especially of rehabilitation medicine participated in delphi examination. Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results By the Delphi method and score evaluation, 20 items of the initial copy of questionnaire are chosen for pattern identification of chronic low back pain. Conclusions By the delphic method among experts, a reference questionnaire for pattern identification of chronic low back pain was suggested. Further research is necessary for modification of questionnaire by statistics and certification by clinical trial research.

요통환자군과 정상대조군 사이의 표면근전도값 비교에 관한 연구문헌 고찰 (A Review of Studies Comparing of Surface Electromyography Values between the Low-back Pain Group and Healthy Controls)

  • 유덕주;조재흥;정석희
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.83-93
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    • 2013
  • Objectives To present reviews of studies comparing surface-electromyography (SEMG) values between low back pain group and control group. Methods We searched 8 databases including KoreaMed, Google, KISS (Korean studies Information Service System), RISS (Research Information Sharing Service), OASIS (Oriental medicine Advanced Searching Integrated System), Pubmed, Ovid-MEDLINE and EMBASE. After searching, we conducted study selection by using inclusion and exclusion criteria and quality-assessment. We reviewed the selected studies concerning about the subject's measuring position, findings, sensitivities and specificities. Results 27 Studies were searched and reviewed. In static surface electromyography, more muscle activities observed in low back pain subjects than in controls. In dynamic surface electromyography, the low back pain subjects showed more muscle activites during flexion, while the control group showed more muscle activities during extension. Faster muscle fatigue observed in isometric muscle analysis. Conclusions Surface electromyography values will be able to be objective marker for evaluating low back pain. Further research is needed to determine additional unified protocol such as the type of SEMG and its directions.

추나요법을 시행한 요통환자의 호전도와 Moire 영상 개선도와의 상관관계 (Investigation on the correlation Improvement Rate of Symptoms with Moire Topography Analytic Improvement Rate)

  • 허수영;김기호
    • 대한추나의학회지
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    • 제1권1호
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    • pp.55-65
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    • 2000
  • The present study retrospectively investigated clinical outcome at patients with low back pain or sciatica during Chuna treatment (flexion-distraction technique). The study population consisted of 29 patients. Discogenic group consisted of 21 patients who were already diagnosed as HNP of lumbar spine with serial MRIs(magnetic resonance imaging) or CTs(computerized tomography). Simple LBP group consisted of 8 patients with low back pain & sciatica who were non-specific disorder on radiologic examination. All patients were treated with flexion-distraction technique, one of Chuna technique, under analysis of Moire Topography. And the evaluation of clinical outcome was done twice during this study by Moire Topography Analytic Point and Low Back Pain Assesment, Visual Analogue Scale. The results were summarized as follows; Total improvement rate of Moire Topography was $25.8{\pm}17.8%$, and the rate of Low Back Pain Assesment was $56.5{\pm}23.0%$, Visual Analogue Scale of post-treatment was $32.6{\pm}22.5$ Between Improvement rate of Moire Topography and improvement rate of Low Back Pain Assesment, significant correlation was proved(Person's coefficient was 0.381, p<0.05). After all, it is certain improvement of Moire Topography represents symptom's improvement.

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요부굴곡과 신전관절범위측정을 위한 MMS방법 신뢰도 (Reliability of the Modified - Modified $Sch{\ddot{o}}ber$ Methods for Measuring Lumbar Flexion and Extension ROM)

  • 김태숙;조정선;박영한
    • 대한물리치료과학회지
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    • 제2권4호
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    • pp.763-770
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    • 1995
  • The primary purpose of this study was to determine the reliability of lumbar flexion and extension range-of -motion measurements obtained with the modified -modified $Sch{\ddot{o}}ber$ methods on normal and subjects with low back pain. Sixty two, aged 20 to 30 years(x = 22.0, SD = 2.07), with normal and twenty two, aged 14 to 66 years(x = 35.6, SD = 15.88) with chronic low back pain were measured by two physical therapist with 3 to 10 years (x = 6.5) of clinical experience. The therapist used the modified-modified $Sch{\ddot{o}}ber$(MMS) techniques to measure, in random order and on two occasions, the subjects' lumbar flexion and extension. For therapist 1, Intraclass correlation coefficients(ICC) for test-retest reliability for normal varied .9923, .8802(flexion, extension). and low back pain pateint varied .9950, .9313(flexion, extension). For therapist 2. ICC. for test-retest reliability for normal varied .9903, .8921(flexion, extension). and low back pain pateint varied .9843, .9551(flexion, extension). Interrater reliability for normal varied .9477, .6960(flexion, extension) and low back pain pateint varied. 9776, .7576(flexion, extension). Thus the MMS. method appears to be a reliable method for normal and patient with low back pain.

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요추간판 탈출증의 보존적 치료효과 분석 (The Effect Analysis of Conservative Treatment In Lumbar Intervertebral Disc)

  • 강점덕;박흥덕
    • 대한정형도수물리치료학회지
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    • 제7권2호
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    • pp.41-49
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    • 2001
  • This study was undertaken to find out the effect analysis of conservative treatment in of lumbar intervertebral disc. The data was performed to evaluate the effect of conservative treatment in 50 patients aging from 20 to 67 with lumbar intervertebral disc patients. Changes in low back pain score were evaluated by age, occupation, duration of symptoms, marital status, education period, self assessment. Duration of symptoms in over 7 months was 62.0%. 8.6 scores of complete recovery was changes in low back pain score of self assessment patients. In the multiple regression of risk factors to changes in low back pain score were correlated with age, education period, marital status, duration of symptoms(p<0.05). All patients were assessed by the low back pain protocol which was composed of symptom, clinical sign and activities of daily living scales before and after the treatment. Poor result could be predicted after the nonoperative treatment in the patient groups of changes low back pain score decreased with aging, duration of symptom over 7 months.

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요통을 가진 대상자에 있어 전방으로 굴곡된 자세 및 갑작스런 부하가 균형 수행력에 미치는 영향 (The Effects of Balance Performance to Forward Bending Posture and Sudden Load in Subjects with Low Back Pain)

  • 채윤원;이해정;박지원
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.413-420
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    • 2005
  • The purpose of this study was to determine differences of balance performance to upright standing, forward bending posture, and sudden load during forward bending posture in subjects with and without a history of low back pain. A study was conducted on 8 subjects with low back pain and 13 healthy subjects. Dynamic Balance System was used to measure the postural sway index, left-right sway index, and anterior-posterior sway index on balance performance. There were no differences between subject groups on balance performance during upright standing. Balance performance was increased in forward bending posture and decreased in sudden load during forward bending posture in subjects with low back pain. These results suggest that subjects with low back pain demonstrated increased activity and decreased reaction times of trunk muscles.

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