운동 프로그램이 요추유합술 환자의 통증과 일상생활활동장애에 미치는 효과
Effectiveness of a Post-operative Exercise Program on Pain and Disability Activities in Patients with Lumbar Spinal Fusion
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study was to develop a post-operative exercise program, apply it to patients undergone lumbar spinal fusion surgery, and evaluate the effectiveness of the program on pain and disability activities of daily living. Methods: Fifty six patients who had lumbar spinal fusion were enrolled in this study. The patients were divided into two groups; 28 patients in the intervention group completed post-operative lumbar exercise program including walking for four weeks and 28 patients in the control group only did walking exercises. The degrees of pain on low back and leg were evaluated using visual analog scale (VAS) and the functional outcome was evaluated using the Korean version of Oswestry Disability Index (KODI) before surgery and 5 weeks after surgery. The data were analyzed using descriptive statistics, Chi-square test, t-test with SPSS 18.0 program. Results: Low back and leg pain of the participants in both experimental and control groups were improved after surgery compared to pre-surgery pain. However, there was no statistically significant difference between the groups. KODI score in the intervention group was significantly lower than that of the control group (p=.014). Conclusion:The developed post-operative exercise program in patients with lumbar spinal fusion surgery seems to be a useful intervention to reduce disability in activities of daily living.
Abstract
Purpose: This study was to develop a post-operative exercise program, apply it to patients undergone lumbar spinal fusion surgery, and evaluate the effectiveness of the program on pain and disability activities of daily living. Methods: Fifty six patients who had lumbar spinal fusion were enrolled in this study. The patients were divided into two groups; 28 patients in the intervention group completed post-operative lumbar exercise program including walking for four weeks and 28 patients in the control group only did walking exercises. The degrees of pain on low back and leg were evaluated using visual analog scale (VAS) and the functional outcome was evaluated using the Korean version of Oswestry Disability Index (KODI) before surgery and 5 weeks after surgery. The data were analyzed using descriptive statistics, Chi-square test, t-test with SPSS 18.0 program. Results: Low back and leg pain of the participants in both experimental and control groups were improved after surgery compared to pre-surgery pain. However, there was no statistically significant difference between the groups. KODI score in the intervention group was significantly lower than that of the control group (p=.014). Conclusion:The developed post-operative exercise program in patients with lumbar spinal fusion surgery seems to be a useful intervention to reduce disability in activities of daily living.
참고문헌 (32)
- 강임옥, "우리나라 척추수술의 현황 및 추이", 건강보험포럼, 5(2), pp.116~139 (2006)
- 권휘련, "요부 자가 운동프로그램이 만성 요통환자들의 체력,통증 및 활동 장애 감소에 미치는 영향", 석사, pp.2005
- 김성수, "요부재활운동이 요추추간판탈출증 환자의 요부신전근력 및 수술부위 심부근육과 반흔조직에 미치는 영향", 박사, pp.2008
- 김일현, "수핵 탈출 수술 후 조기 자가 운동프로그램이 요추부기능에 미치는 영향", 석사, pp.2009
- 남건우, "요추간반탈출증 환자에 대한 미세수술후 요부 신전운동 프로그램에 따른 체간 안정성의 개선과 유지", 박사, pp.2005
- 문훈기, "후방 요추체간유합(PLIF) 수술을 시행한 노인 요통환자들의 운동프로그램 효과", 대한스포츠의학회지, 26(1), pp.19~26 (2008), 대한스포츠의학회
- 문훈기, "후방 요추체간 유합(PLIF)수술 후 환자들의 요부 운동프로그램이 등척성 근 기능 변화에 미치는 영향", 코칭능력개발지, 9(1), pp.219~228 (2007), 한국코칭능력개발원
- 민경수, "요추간판 탈출증 환자에서 수술후운동요법이 기능적 회복에 미치는 영향에 관한 연구", 충북의대 학술지, 6(1), pp.121~133 (1996)
- 박형란, "지시적 심상요법을 이용한 요통완화운동에 대한 자기효능감 중재가 만성요통환자의 통증감소에 미치는 효과", 석사, pp.2002
- 석세일, "척추외과학" (2004), 최신의학사
- 이규열, "요추부 후외방 유합술 후 발생하는 인접분절 질환에 관여하는 위험인자", 대한척추외과학회지, 15(3), pp.174~182 (2008), 대한척추외과학회
- 이동훈, "요추 추간판 절제술 후 요추근육 강화 운동요법 실시 여부에 따른 결과 분석", 대한척추외과학회지, 9(1), pp.41~47 (2002)
- 이대택, "요추환자의 척추 수술후 저항성운동이 근육관련 호르몬, 염증반응, 근력 및 가동범위에 미치는 영향", 한국체육학회지, 46(3), pp.443~452 (2007), 한국체육학회
- 이수진, "수술 후 운동요법이 척추수술환자의 자기효능감과 일상생활기능에 미치는 효과", 석사, pp.2004
- 이영섭, "요통환자의 재활 운동프로그램을 통한 근력과 통증의 변화", 박사, pp.2002
- 배정이, "간호연구와 통계분석" (2009), 수문사
- 이춘성, "상식을 뛰어넘는 허리병,허리 디스크 이야기" (2000), 한국학술정보
- 장영준, "척추수술 환자의 수술 후 통증 변화와 통증 조절 중재에 대한 만족도", 석사, pp.2005
- 의 문화적 개작, "대한척추외과학회지", 2005, 146~152
- 형희경, "만성요통 여성노인에 대한 요부강화 프로그램의 효과", Journal of Korean Academy of Nursing, 38(6), pp.902~913 (2008), 한국간호과학회
- Cohen,J, "Statistical power analysis for the behavioralsciences (2nd ed.)" (1988), Academic Press
- Danielsen, J. M., "Early aggressive exercise for postoperative rehabilitationafter discectomy", Spine, 25(8), pp.1015~1020 (2000)
- Fairbank, J. C., "The Oswestry DisabilityIndex", Spine, 25(22), pp.2940~2953 (2000)
- Filiz, M., "The effectiveness ofexercise programmes after lumbar disc surgery: A randomizedcontrolled study", Clinical Rehabilitation, 19(1), pp.4~11 (2005)
- Hall, C. M., "기능증진을 위한 운동치료학(김태윤, 권혜정, 김기열, 김명진, 김상수, 김선엽 등 역)" (2003), 영문출판사
- Kahanovitz, N, "Long-termstrength assessment of postoperative diskectomy patients", Spine, 14(4), pp.402~403 (1989)
- Mannion, A. F., "A randomised controlled trial of post-operativerehabilitation after surgical decompression of thelumbar spine", European Spine Journal, 16(8), pp.1101~1117 (2007)
- Mayer, T. G., "Quantifying postoperative deficitsof physical function following spinal surgery", ClinicalOrthopaedics and Related Research, 244, pp.147~157 (1989)
- McGregor, A. H, "The development of an evidence-based patient bookletfor patients undergoing lumbar discectomy and uninstrumenteddecompression", European Spine Journal, 16(3), pp.339~346 (2007)
- Ostelo, R. W., "Rehabilitation followingfirst-time lumbar disc surgery: A systematic reviewwithin the frame work of the cochrane collaboration", Spine, 28(3), pp.209~218 (2003)
- Verbrugge, L. M., "Levels of disability among U.S. adults with arthritis", Journal of Gerontology, 46(2), pp.71~83 (1991)
- Wheeler, A. H., "Spine update nonoperativetreatment for low back pain: Rest to restoration", Spine, 20(3), pp.375~378 (1995)