일개 의료기관에 입원한 교통사고 후 환자의 경항통 및 특성에 대한 관찰 : 후향적 챠트 리뷰
Observation of Factors on Post-traffic accident Neck Pain in a Medical Center : Retrospective Chart Review
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Many prior studies on neck pain after a traffic accident (TA), but there is a lack of research on risk factors for post-TA neck pain in Korea. The purpose of this study was to examine the relationship between post-traffic neck pain and the demographic characteristics of TA patients and to find any factors affecting the neck pain after TA. In this study, 120 TA patients in a Korean medicine hosipital were analysized. The Korean version of the Neck disability Index (NDI) and Numeral Rating Scale (NRS) were used. Data were summarized by frequency(%) and mean(standard deviation). Pearson correlation test, Independent sample t-test, chi-squre test, one-way ANOVA and two-way ANOVA were performed. The IBM SPSS Advanced Statistics for window, version 20.0 was used for statistical processing. All p-values less than 0.05 were considered statistically significant. NDI and NRS were highly correlated. NRS and NDI showed higher scores for women, those in 30s, BMI≥25, and side collisions, but there were no statistically significant differences. For women, the direction of collision was observed to affect NDI. In this study, it was confirmed that the NDI and NRS had a high correlation. However, it was confirmed that sex, degree of obesity, direction of traffic accident collision are not factors that significantly affect the intensity of neck pain and the functional disorder by neck. It is necessary to conduct an additional study by larger scale.
Abstract
Many prior studies on neck pain after a traffic accident (TA), but there is a lack of research on risk factors for post-TA neck pain in Korea. The purpose of this study was to examine the relationship between post-traffic neck pain and the demographic characteristics of TA patients and to find any factors affecting the neck pain after TA. In this study, 120 TA patients in a Korean medicine hosipital were analysized. The Korean version of the Neck disability Index (NDI) and Numeral Rating Scale (NRS) were used. Data were summarized by frequency(%) and mean(standard deviation). Pearson correlation test, Independent sample t-test, chi-squre test, one-way ANOVA and two-way ANOVA were performed. The IBM SPSS Advanced Statistics for window, version 20.0 was used for statistical processing. All p-values less than 0.05 were considered statistically significant. NDI and NRS were highly correlated. NRS and NDI showed higher scores for women, those in 30s, BMI≥25, and side collisions, but there were no statistically significant differences. For women, the direction of collision was observed to affect NDI. In this study, it was confirmed that the NDI and NRS had a high correlation. However, it was confirmed that sex, degree of obesity, direction of traffic accident collision are not factors that significantly affect the intensity of neck pain and the functional disorder by neck. It is necessary to conduct an additional study by larger scale.
참고문헌 (21)
- Health Insurance Review and Assessment Service, "2017 automobile insurance medical expense statistic", Health Insurance Review and Assessment Service, 5~ (2018)
- Health Insurance Review and Assessment Service, "2019 automobile insurance medical expense statistic", Health Insurance Review and Assessment Service, 5~ (2020)
- Oka H, "Epidemiology and psychological factors of whiplash associated disorders in Japanese population", Journal of Physical Therapy Science, 29, pp.1510~1513 (2017)
- Spitzer WO, "Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders : redefining"whiplash"and its management", Spine, 20(21), pp.2372~ (1995)
- Kim N, "Characteristics and status of Korean medicine use in whiplash-associated disorder patients", BMC Complement Altern Med, 18(1), pp.124~ (2018)
- Kasch H, "Headache, neck pain, and neck mobility after acute whiplash injury : a prospective study", Spine, 26(11), pp.1246~1251 (2001)
- Freeman MD, "Chronic neck pain and whiplash : a case-control study of the relationship between acute whiplash injuries and chronic neck pain", Pain Research & Management, 11(2), pp.79~83 (2006)
- Carter PM, "Comparing the effects of age, BMI and gender on severe injury(AIS 3+)in motor-vehicle crashes", Accident Analysis and Prevention, 72, pp.146~160 (2014)
- Viano DC, "Crash injury risks for obese occupants using a matched-pair analysis", Traffic Injury Prevention, 9(1), pp.59~64 (2008)
- Wiles NJ, "Onset of neck pain after a motor vehicle accident : a case-control study", The Journal of Rheumatology, 32(8), pp.1576~1583 (2005)
- 심성윤, "통증평가도구에 관한 고찰", Korean Journal of Acupuncture, 24(2), pp.77~97 (2007), 경락경혈학회
- Song KJ, "Cross-cultural adaptation and validation of the Korean version of the neck disability index", Spine, 35(20), pp.1045~1049 (2010)
- Korean Obesity Society Care Guidelines Committee, "Care Guidelines for Obesity 2014", Korean Obesity Society Care Guidelines Committee, 24~ (2014)
- MacDermid JC, "Measurement properties of the neck disability index : a systematic review", Journal of Orthopaedic & Sports Physical Therapy, 39(5), pp.400~417 (2009)
- Pool JJ, "Minimal clinically important change of the Neck Disability Index and the Numerical Rating Scale for patients with neck pain", Spine, 32(26), pp.3047~3051 (2007)
- Howell ER, "The association between neck pain, the Neck Disability Index and cervical ranges of motion : a narrative review", Journal of the Canadian Chiropractic Association, 55(3), pp.211~221 (2011)
- Van der Meer S, "Relationship between self-reported disability and functional capacity in patients with whiplash associated disorder", Journal of Occupational Rehabilitation, 24(3), pp.419~424 (2014)
- Young SB, "Psychological factors and domains of neck pain disability", Pain Medicine, 10(2), pp.310~318 (2009)
- Nagai T, "Sex Differences in Ultrasound-Based Muscle Size and Mechanical Properties of the Cervical-Flexor and-Extensor Muscles", The Journal of Athletic Training, 55(3), pp.282~288 (2020)
- Duan Y, "Structural and biomechanical basis of racial and sex differences in vertebral fragility in Chinese and Caucasians", Bone, 36(6), pp.987~998 (2005)
- Franco JL, "A comparative assessment of neck muscle strength and vertebral stability", Journal of Orthopaedic & Sports Physical Therapy, 8(7), pp.351~356 (1987)
