본문 바로가기
KERD
논문KCI 등재

요부안정화 운동프로그램이 요양보호사의 만성요통에 미치는 영향

The Effect of Lumbar Stabilization Exercise For Caregivers With Chronic Low Back Pain

전혜선|이충휘|권오윤|이재문
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2011.05|한국전문물리치료학회지 (Physical Therapy Korea)|제18권 제2호|pp. 9-17

2

조회

0

다운로드

24

인용

0

참고문헌

주제분류물리치료학

초록

The objective of this research was to examine the effects of lumber stabilization exercise and a general physiotherapy program for caregivers with chronic low back pain. Sixteen people participated in this study and were randomly assigned to two groups for either lumbar stabilization exercise or for general physiotherapy, respectively. The experiment was performed for eight weeks. To examine the general as well as the medical characteristics of the participants, the following measurements were used: Visual Analogue Scale (VAS); Oswestry Disability Index (ODI); Back Performance Scale (BPS); Roland–Morris Disability Questionnaire (RMDQ); and Beck Depression Index (BDI). To compare the general and medical characteristics of the participants in the two groups, an independent t‐test were used. During the experiment, a paired t‐test was conducted to determine whether there was a significant difference in the values of VAS, ODI, BPS, RMDQ, and BDI before and after the experiment. To examine the difference in the VAS, ODI, BPS, RMDQ, and BDI values in the two groups, ANCOVA was used with pre‐test values as a covariate. According to the test results, in the lumbar stabilization exercise group, the VAS, ODI, BPS, RMDQ, and BDI values showed a statistically significant difference before and after the test (p<.05). In comparison, in the general physiotherapy program group, only the ODI and BPS values showed a statistically significant level of improvement. Regarding the degree of improvement, participants in the lumbar stabilization exercise group showed statistically significant progress compared to those in the general physiotherapy group. In summary, lumbar stabilization exercise is regarded as more effective than general physiotherapy for treating caregivers with chronic low back pain. In future studies, it will be useful to expand the research and to examine the long‐term effects of lumbar stabilization exercise on workers.

Abstract

The objective of this research was to examine the effects of lumber stabilization exercise and a general physiotherapy program for caregivers with chronic low back pain. Sixteen people participated in this study and were randomly assigned to two groups for either lumbar stabilization exercise or for general physiotherapy, respectively. The experiment was performed for eight weeks. To examine the general as well as the medical characteristics of the participants, the following measurements were used: Visual Analogue Scale (VAS); Oswestry Disability Index (ODI); Back Performance Scale (BPS); Roland–Morris Disability Questionnaire (RMDQ); and Beck Depression Index (BDI). To compare the general and medical characteristics of the participants in the two groups, an independent t‐test were used. During the experiment, a paired t‐test was conducted to determine whether there was a significant difference in the values of VAS, ODI, BPS, RMDQ, and BDI before and after the experiment. To examine the difference in the VAS, ODI, BPS, RMDQ, and BDI values in the two groups, ANCOVA was used with pre‐test values as a covariate. According to the test results, in the lumbar stabilization exercise group, the VAS, ODI, BPS, RMDQ, and BDI values showed a statistically significant difference before and after the test (p<.05). In comparison, in the general physiotherapy program group, only the ODI and BPS values showed a statistically significant level of improvement. Regarding the degree of improvement, participants in the lumbar stabilization exercise group showed statistically significant progress compared to those in the general physiotherapy group. In summary, lumbar stabilization exercise is regarded as more effective than general physiotherapy for treating caregivers with chronic low back pain. In future studies, it will be useful to expand the research and to examine the long‐term effects of lumbar stabilization exercise on workers.

참고문헌 (49)

  1. 고대식, "요부안정화운동에 따른 산업체 만성요통환자의 운동능력 및 통증의 변화", 석사, pp.2008
  2. 곽명숙, "노인요양시설 요양보호사의 직무불안정에 영향을 미치는 요인에 관한 연구", 석사, pp.2009
  3. 김동욱, "요양보호사의 직무스트레스와 직무만족도의 관계", 석사, pp.2009
  4. 김명준, "안정화운동이 퇴행성디스크 환자의 요부 위치감각 인지력과 불안정 및 근피로도에 미치는 영향", 박사, pp.2005
  5. 김선진, "요양보호사의 직무만족도 영향요인: 노인장기요양보험 시범사업지역 중심", 석사, pp.2008
  6. 김정룡, "3차원 동작분석에 의한 요통환자의 정량적 진단기법 개발에 관한 연구", 대한인간공학회지, 17(2), pp.11~23 (1998)
  7. 남건우, "개방형 현미경적 요추간판제거술 후 동적 요부안정화 운동에 따른 체간 안정성의 개선과 유지", 대한정형도수치료학회지, 11(1), pp.37~48 (2005)
  8. 박미애, "요부안정화운동이 요통환자에게 미치는 영향", 한국 스포츠 리서치, 16(6), pp.329~340 (2005), 한국스포츠리서치
  9. 박정율, "만성요통의 진단과 치료", 가정의학회지, 22(9), pp.1349~1358 (2001)
  10. 오영필, "요양보호사 직무만족이 요양서비스 태도에 미치는 영향", 석사, pp.2009
  11. 유재응, "만성요통 환자의 우울수준과 통증감소에 미치는 전통적 물리치료의 효과", 대한물리치료학회지, 13(3), pp.677~683 (2001), 대한물리치료학회
  12. 이민규, "한국판 Beck 우울척도의 표준화 연구Ⅰ: 신뢰도 및 요인 분석", 정신병리학, pp.77~95 (1995)
  13. 이영호, "귀인양식, 생활사건, 사건 귀인 및 무망감과 우울의 관계: 공변량 구조 모형을 통한 분석", 박사, pp.1993
  14. 허진강, "만성 요통근로자의 능동적 운동프로그램 효과", 대한직업환경의학회지, 17(1), pp.44~57 (2005), 대한직업환경의학회
  15. 형희경, "만성요통 여성 노인에 대한 요부강화 프로그램의 효과", 박사, pp.2006
  16. Andersson GB, "The intensity of work recovery in low back pain", Spine, 8, pp.880~884 (1983)
  17. Beck AT, "Depression: Clinical, experimental, and theoretical Aspects" (1967), Harper and Row
  18. Beurskens A, "Measuring the functional status of patients with low back pain: Assessment of the quality of four disease‐specific questionnaires", Spine, 209, pp.1017~1028 (1995)
  19. Brodie DJ, "Evaluation of low back pain by patient questionnaires and therapist assessment", J Orthop Sports Phys Ther, 11, pp.519~529 (1990)
  20. Cooper RG, "Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain", Br J Rheumatol, 31, pp.389~394 (1992)
  21. Deyo RA, "Descriptive epidemiology of low back pain and its medical care in the United States", Spine, 12(3), pp.264~268 (1987)
  22. Fairbank JC, "The Oswestry low back pain disability questionnaire", Physiotherapy, 66(8), pp.271~273 (1980)
  23. Hides JA, "Multifidus recovery is not automatic following resolution of acute, first-episode of low back pain", Spine, 21(23), pp.2763~2769 (1996)
  24. Jensen MP, "Interpretation of visual analogue scale rating and change score: A reanalysis of two clinical trials of postoperative pain", J Pain, 4(7), pp.407~414 (2003)
  25. Kisner C, "Therapeutic Exercise Foundations and Techniques", pp.429~471 (1989), FA, Davis
  26. Koumantakis GA, "Trunk muscle stabilization training plus general exercise versus general exercise only: Randomized controlled trial of patients with recurrent low back pain", Phys Ther, 85(3), pp.209~225 (2005)
  27. Kuukkanen T, "Musclar performance after a 3month progressive physical exercise program and 9 month follow‐up in subjects with low back pain: A controlled study", Scand J Med Sci Sports, 6(2), pp.112~121 (1996)
  28. Long DM, "Persistent back pain and sciatic in the United States: Patient characteristics", 9(1), pp.40~58 (1996)
  29. Luoto S, "One‐footed and externally disturbed two‐footed postural control in patients with chronic low back pain and healthy control subjects: A controlled study follow up", Spine, 23, pp.2089~2090 (1998)
  30. Mayer TG, "Comparison of CT scan muscle measurements and jsokinetic trunk strength in postoperative patients", Spine, pp.1433~1436 (1989)
  31. McDowell I, "Measuring Health: A guide to rating scale the questionnaires", pp.239~241 (1987), Oxford University Press Inc
  32. McGill S, "Quantitative intramuscular myoelectric activity of quadratus lumborum during a wide variety of task", Clin Biomech, 11(3), pp.170~172 (1996)
  33. McGill SM, "Low back exercise: Evidence for improving exercise regimens", Phys Ther, 78(7), pp.754~765 (1998)
  34. Nadler SF, "Relationship between hip muscle imbalance and occurrence of low back pain in collegiate athletes: A prospective stud", Am J Phys Med Rehabil, 80(8), pp.572~577 (2001)
  35. Ogon M, "A dynamic approach to spinal instability: Part Ⅰ. Sensitization of intersegmental motion profiles to motion direction and load condition by instability", Spine, 22(24), pp.2841~2858 (1997)
  36. O’Sullivan PB, "Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis", Spine, 22(24), pp.2959~2967 (1997)
  37. Panjabi MM, "Clinical spinal instability and low back pain", J Electromyogr Kinesiol, 13(4), pp.371~379 (2003)
  38. Panjabi MM, "The stabilizing system of the spine: Part Ⅰ. Function, dysfunction, adaptation, and enhancement", J Spinal Disorders, 5(4), pp.383~399 (1992)
  39. Panjabi MM, "The stabilizing system of the spine: Part Ⅱ. Neutral zone and instability hypothesis", J Spinal Disord, 5(4), pp.390~396 (1992)
  40. Richardson C, "Therapeutic Exercise for Lumbopelvic Stabilization: A motor control approach for the treatment and prevention of low back pain. 2nd ed. London, Churchill Livingstone" (2004), Harcourt Brace and Company Limited
  41. Risch SV, "Lumbar strengthening in chronic low back pain patients: Physiologic and psychological benefits", Spine, 18, pp.232~238 (1993)
  42. Roland M, "A study of the natural history of back pain. PartⅠ. The development of a reliable and sensitive measure of disability in low back pain", Spine, 8, pp.141~144 (1983)
  43. Shumway‐Cook A, "Motot Control: Theory and practical Application, 3rd ed", pp.119~206 (1995), Williams & Wilkins
  44. Stevens VK, "Electromyographic activity of trunk and hip muscles during stabilization exercise in four‐point kneeling in healthy volunteers", Eur Spine J, 16(5), pp.711~718 (2007)
  45. Strand LI, "Back performance scale for the assessment of mobility‐related activities in people with back pain", Phys Ther, 82(12), pp.1213~1223 (2002)
  46. Stratford PW, "Applying the results of self‐report measures to individual patients: An example using the Roland‐ Morris questionnaire", J Orthop Sports Phys Ther, 29(4), pp.232~239 (1999)
  47. Sung PS, "Multifidi muscles median frequency before and after spinal stabilization exercises", Arch Phys Med Rehabil, 84(9), pp.1313~1318 (2003)
  48. Troup JD, "Causes, prediction and prevention of back pain at work", Scand J Work Environ Health, 10, pp.419~428 (1984)
  49. Waddell G, "A new clinical model for treatment of low back pain", Spine, 12(7), pp.632~644 (1987)

관련 논문AI추천

체간 안정화 운동과 고관절 운동이 만성 요통 환자의 허리가동범위, 통증, 장애정도에 미치는 영향박찬호, 양영식, 정용식대한정형도수물리치료학회 · 대한정형도수물리치료학회지2022 · 제28권 제2호The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability고대식, 정대인한국디지털정책학회 · 디지털융복합연구2017 · 제15권 제5호만성 요통 환자에서 척추 안정화 운동과 요추부 신전근 강화 운동의 효과구혜경, 김대환, 김주섭, 박준성, 이영정, 이재환, 이태임대한재활의학회 · Annals of Rehabilitation Medicine2008 · 제32권 제5호다중운동 프로그램이 만성 요통 환자의 통증 강도, 몸통 근력 및 오스웨스트리 장애지수에 미치는 영향김재철, 박찬호, 양영식대한정형도수물리치료학회 · 대한정형도수물리치료학회지2020 · 제26권 제2호기구 필라테스 운동이 만성 요통 환자의 통증 정도, 장애 지수, 복부근 두께에 미치는 영향최현, 권오국, 박찬호, 양영식, 유달영대한정형도수물리치료학회 · 대한정형도수물리치료학회지2023 · 제29권 제1호요부안정화 운동이 산업장 남성 요통환자에게 미치는 영향강태우, 김영전특수교육재활과학연구소 · 특수교육재활과학연구2015 · 제54권 제4호

이 간행물의 다른 논문 (9건)

높은 굽 신발 보행 시 전면 접촉인솔이 보행 변수에 미치는 영향문곤성, 김택훈pp. 1-8과제지향적 접근법이 만성 뇌졸중 환자의 일어서기 동작 시 환측다리의 체중지지비율과 근활성도에 미치는 영향김원호pp. 18-26동작관찰훈련이 뇌졸중 환자의 상지 기능에 미치는 영향이문규, 김종만pp. 27-34요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석이충휘, 김경모, 박소연pp. 35-42뇌졸중 환자에 대한 기능적 보행평가, 버그 균형척도, 일어나 걸어가기 검사의 동시 타당도김기송, 원종임pp. 43-51
원문 보기