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좌골신경가동화기법이 만성 요통 환자의 통증과 슬관절 신전근력에 미치는 영향

Effects of Sciatic Nerve Mobilization Technique on Perceived Pain and Knee Strength in Patient With Chronic Low Back Pain

오덕원|차현규
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2010.09|한국전문물리치료학회지 (Physical Therapy Korea)|제17권 제3호|pp. 31-39

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주제분류물리치료학

초록

The purpose of this study was to determine the effect of sciatic nerve mobilization technique on perceived pain, straight leg raise test (SLR), and strength of knee extensor, location of symptoms (LOS) in patients with chronic low back pain. 22 patients with chronic low back pain were recruited for this study. The subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with 11 patients in each group. All patients received a routine physical therapy (hot pack and transcutaneous electrical nerve stimulation). The mobilization technique of the sciatic nerve was performed for 10 min in the case of the EG subjects. Outcome measurements included the level of the perceived pain, SLR, and strength of the knee extensor, LOS. The measurements were recorded 3 times: before the intervention, after the intervention, and at 1 hour of follow up. The two groups did not significantly differ with regard to the level of perceived pain, SLR, and strength of the knee extensor, LOS before the test (p>.05). In the case of the EG subjects, all the variables measured after the intervention significantly differed from those measured before the intervention (p<.05). However, in the case of the CG subjects, a significant difference was noted only with regard to the level of perceived pain (p<.05). The findings indicate that sciatic nerve mobilization technique exerts a positive effect on the control of subjective symptoms and knee strength in patients with chronic low back pain. Further studies are required to generalize the result of this study.

Abstract

The purpose of this study was to determine the effect of sciatic nerve mobilization technique on perceived pain, straight leg raise test (SLR), and strength of knee extensor, location of symptoms (LOS) in patients with chronic low back pain. 22 patients with chronic low back pain were recruited for this study. The subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with 11 patients in each group. All patients received a routine physical therapy (hot pack and transcutaneous electrical nerve stimulation). The mobilization technique of the sciatic nerve was performed for 10 min in the case of the EG subjects. Outcome measurements included the level of the perceived pain, SLR, and strength of the knee extensor, LOS. The measurements were recorded 3 times: before the intervention, after the intervention, and at 1 hour of follow up. The two groups did not significantly differ with regard to the level of perceived pain, SLR, and strength of the knee extensor, LOS before the test (p>.05). In the case of the EG subjects, all the variables measured after the intervention significantly differed from those measured before the intervention (p<.05). However, in the case of the CG subjects, a significant difference was noted only with regard to the level of perceived pain (p<.05). The findings indicate that sciatic nerve mobilization technique exerts a positive effect on the control of subjective symptoms and knee strength in patients with chronic low back pain. Further studies are required to generalize the result of this study.

참고문헌 (35)

  1. Baysal O, "Comparison of three conservative treatment protocols in carpal tunnel syndrome", Int J Clin Pract., 60(7), pp.820~828 (2006)
  2. Bjerket T, "Surgical treatment of degenerative lumbar diseases", Tidsskr Nor Laegeforen., 125(13), pp.1817~1819 (2005)
  3. Borenstein DG, "Epidemiology, etiology, diagnostic evaluation and treatment of low back pain", Curr Opin Rheumatol., 13(2), pp.128~134 (2001)
  4. Butler DS, "The Sensitive Nervous System." (2000), Noigroup Publications
  5. Chesterton LS, "Transcutaneous electrical nerve stimulation for the management of tennis elbow: A pragmatic randomised controlled trial: The TATE trial(ISRCTN 87141084)", BMC Musculoskelet Disord., 10, pp.156~ (2009)
  6. Cleland JA, "Slump stretching in the management of non radicular low back pain: A pilot clinical trial", Man Ther., 11(4), pp.279~286 (2006)
  7. Coutinho EL, "Bouts of passive stretching after immobilization of the rat soleus muscle increase collagen macromolecular organization and muscle fiber area", Connect Tissue Res., 47(5), pp.278~286 (2006)
  8. Cowell IM, "Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: A single case study experimental design", Man Ther., 7(1), pp.31~38 (2002)
  9. Denner A, "The trainability of the trunk and neck musculature of deconditioned back pain patients", Manuelle Med., 37, pp.34~39 (1999)
  10. Ewert T, "The comparative effectiveness of a multimodal program versus exercise alone for the secondary prevention of chronic low back pain and disability", PM R., 1(9), pp.798~808 (2009)
  11. Fritz JM, "Physical therapy for acute low back pain: Associations with subsequent healthcare costs", Spine, 33(16), pp.1800~1805 (2008)
  12. Fuh JL, "The Kinmen women-health investigation(KIWI): A menopausal study of a population aged 40-54", Maturitas, 39(2), pp.117~124 (2001)
  13. George SZ, "Characteristics of patients with lower extremity symptoms treated with slump stretching: A case series", J Orthop Sports Phys Ther., 32(8), pp.391~398 (2002)
  14. Kankaanpaa M, "The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability and lumbar fatigability", Spine, 24(10), pp.1034~1042 (1999)
  15. Kendall FP, "Muscles Testing and Function" (1993), Williams and Wilkins
  16. Kisner C, "Therapeutic Exercise. 4th ed" (2002), PA, F.A. Davis Co
  17. Kornberg C, "The effect of stretching neural structures on grade one hamstring injuries", J Orthop Sports Phys Ther., 10(12), pp.481~487 (1989)
  18. Maitland GD, "The slump test: Examination and treatment", Aust J Physiother, 31(6), pp.215~219 (1985)
  19. Marras WS, "Occupational low back disorders causation and control", Ergonomics, 43(7), pp.880~902 (2000)
  20. Marshall PW, "The eccentric, concentric strength relationship of the hamstring muscles in chronic low back pain", J Electromyogr Kinesiol., 20(1), pp.39~45 (2010)
  21. Matthew F, "Effect on hamstring flexibility of hamstring stretching compared to hamstring stretching and sacroiliac joint manipulation", Clinical Chiropractic, 9(1), pp.21~32 (2006)
  22. Mayer TG, "Quanitification of lumbar funcition. part2: Sagittal plane trunk strength in chronic low back pain patients", Spine, 10(8), pp.765~772 (1985)
  23. Palmar M, "Fundamentals of Musculoskeletal Assesment Techniques. 2nd ed" (1998), Lippincott Williams and Wilkins
  24. Pinar L, "Can we use nerve gliding exercises in women with carpal tunnel syndrome?", Adv Ther., 22(5), pp.467~475 (2005)
  25. Portney LG, "Foundations of Clinical Research: Applications to practice. 2nd ed", pp.486~490 (2000), Prentice-Hall
  26. Rainville J, "Effective conservative treatment for chronic low back pain", Semin Spine Surg, 21(4), pp.257~263 (2009)
  27. Scrimshaw SV, "Randomized controlled trial of neural mobilization after spinal surgery", Spine, 26(24), pp.2647~2652 (2001)
  28. Slade SC, "Trunk strengthening exercises for chronic low back pain: A systematic review", J Manipulative Physiol Ther., 29(2), pp.163~173 (2006)
  29. Symons TB, "Reliability of a single session isokinetic and isometric strength measurement protocol in older men", J Gerontol A Biol Sci Med Sci., 60(1), pp.114~119 (2005)
  30. Turl SE, "Adverse neural tension: A factor in repetitive hamstring strain?", J Orthop Sports Phys Ther., 27(1), pp.16~21 (1998)
  31. Wagner DR, "Reliability and utility of a visual analog scale for the assessment of acute mountain sickness", High Alt Med Biol., 8(1), pp.27~31 (2007)
  32. Webright WG, "Comparison of nonballistic active knee extension in neural slump position and static stretch techniques on hamstring flexibility", J Orthop Sports Phys Ther., 26(1), pp.7~13 (1997)
  33. Werneke M, "A descriptive study of the centralization phenomenon: A prospective analysis", Spine, 24(7), pp.676~683 (1999)
  34. Wilkie D, "Cancer pain intensity measurement: Concurrent validity of three tools finger dynamometer, pain intensity number scale, visual analogue scale", Hosp J., 6(1), pp.1~13 (1990)
  35. Wilson GJ, "Stretch shorten cycle performance enhancement through flexibility training", Med Sci Sports Exerc., 24(1), pp.116~123 (1992)

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