한국과 중국 논문에서 사용된 요통 변증에 관한 고찰

김민우 ( Min Woo Kim ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),차윤엽 ( Yun Yeop Cha ),고호연 ( Ho Yeon Go ),선승호 ( Seong Ho Sun ),전찬용 ( Chan Yong Jeon ),장보형 ( B 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2

Objectives :This study aims to contribute to developing new pattern identification based on searches regarding pattern identification of low back pain, which is used in thesis both in Korea and China.Methods :First of all, we searched thesis concerning pattern identification of low back pain from RISS, OASIS, Korean traditional knowledge portal, CNKI.Results : 1. There were overall 34 thesis, consist of 18 Korean thesis(13 clinical papers and 5 analytical papers) and 9 Chinese thesis(7 clinical papers and 9 analytical papers).2. 10 of 11 Korean thesis used more than 9 patterns for pattern identification, 9 of 14 Chinese thesis used less than 4 patterns for pattern identification of low back pain.3. Patterns, which were repeatedly used in Korea, were 腎虛腰痛(Kidney deficiency low back pain), 濕熱腰痛(Dampness-heat low back pain), 寒濕腰痛(Cold-dampness low back pain), 痰飮腰痛(Phlegm-fluid retention low back pain), 風腰痛(Wind low back pain), 食積腰痛(Food accumulation low back pain), 濕腰痛(Dampness low back pain), 挫閃腰痛(Sprain low back pain), 瘀血腰痛(Static blood low back pain), 氣腰痛(Qi low back pain).4. Patterns, which were repeatedly used in China, were 腎虛腰痛(Kidney deficiency low back pain), 濕熱腰痛(Dampness-heat low back pain), 寒濕腰痛(Cold-dampness low back pain), 氣滯血瘀腰痛(Blood stasis due to qi stagnation low back pain).Conclusions :Based on these results, it is considered that an advanced type of pattern identification of low back pain should be made or existing type needs to be practically and objectively improved.

一部 美容業 從事者들의 織責別 腰痛 有病率과 關聯要因

김춘일,박종,류소연,김석산,김기순,하상호,변주남 조선대학교 부설 의학연구소 1999 The Medical Journal of Chosun University Vol.24 No.1

To find the prevalence and related factors of low back pain experienced by some beauticians. a survey was made toward 252 beauticians in Kwangju City from March 1st to April 1st, 1998. The results were as follows; 1. The prevalence rate of low back pain among the respondents for the last week was 59.5%. 2. The aid group and staff group with low back Pain had significantly longer duration of work than those without low back pain. Managers who had bad posture with twisted or too much extended back showed a significantly higher prevalence of low back pain than those with good posture during work(P<05). 3. Aid group with low back pain showed significantly higher points at total stress score, depression score, general health score and vitality score than those without low back Pain. The staff group with low back pain showed significantly higher points for total stress score, sleep disorder and anxiety score, depression score, general well-being and vitality score than those without low back pain. Managers with low back Pain showed significantly higher points of stress at social performance and self confidence (P<05) than those without low back pain. The above results suggest that low back pain is related to different jobs and work environments for beauticians. So effective measures and further studies against risk factors must be made considering their jobs. To prevent or reduce low back pain, appropriate management of stress for beauticians is necessary.

컴퓨터 단말기 업무자의 요통의 위험요인에 관한 연구

이철호,박정래,차애리,고광욱,김영욱,이수일 大韓産業醫學會 1999 대한직업환경의학회지 Vol.11 No.2

Low back pain in computer terminal operators is a very common but important symptom. While the occupational risk factors of low back pain were approved obscurely, there have been few studies on analysis or understanding of occupational risk factors. Therefore, we studied occupational risk factors of low back pain, especially for ergonomic factors as well as general characteristics of workers. We selected 98 subjects for this study, computer terminal operators ordinary using computers in Pusan. We calculated the subjective severity of low back pain of each operator by the Low Back Pain Scoring System. The relation of low back pain score to general characteristics of worker was also analyzed. We analyzed the relationship between low back pain score and individual efforts to prevent low back pain. We measured the ergonomic factors of each computer terminal operator-Trunk Inclination(TI), Arm Flexion(AF), Elbow Angle(EA), Head Tilting(HT), Knee Angle(KA), using of foot plate and gap between the popliteum and chair. The correlations between these ergonomic factors and low back pain score were then analyzed. And the results are as follows: 1. The prevalence rate of low back pain in computer terminal operators was 39.8% in this study, when low back pain score was converted by the low back pain scoring system. 2. According to general characteristics of workers related to low back pain, the scores were higher in the older age group, the married and the longer work carriers.(p<0.05) 3. In the analysis of the relationship between low back pain score and individual effort to prevent low back pain, regular exercise, history of schooling for prevention of low back pain, and declaration of intention to participate in low back pain education or exercise were stastistically significant(p<0.05). And the more severe the low back pain, the higher the intention to participate in low back pain education they had in this study. 4. In the analyses of relationships or correlations between low back pain score and each of the 7 categories of ergonomic factors, only head tilting had a weak reverse correlation with low back pain(r=0.2999, p<0.01). From now on, cohort studies for the risk factors of low back pain of workers, who have been forced to work in non-ergonomical positioning at the work site, will be necessary. On the background of these ergonomic studies, the occupational health profession should be required to manage ergonomic working conditions.

一部 美容業 從事者들의 職責別 腰痛 有病率과 關聯要因

김춘일,박종,류소연,김석산,김기순,하상호,변주남 조선의대 1999 The Medical Journal of Chosun University Vol.24 No.1

고전에 나타난 요통 및 관련 전신 증상에 관한 문헌적 고찰 -한의학적 분류 및 진단 체계의 표준화를 위한 기초 자료 수집을 중심으로-

곽현영,남동우,강중원,김은정,김갑성,최도영,이재동 대한침구의학회 2010 대한침구의학회지 Vol.27 No.1

Objectives : The purpose of this study is to set up the standard for Classification and Diagnosis of Low Back Pain by through collecting bibliographic study on Low Back Pain and related general symptoms in classical literatures Methods : We investigated the contents of classical literatures about chronic low back pain and related general symptoms. With this contents, we established a systemic classification and diagnostic standard for Low back pain. Results : There are many different opinions on classification of low back pain and general symptoms in oriental medicine classical literature. Every opinion is reasonable, so it is difficult to establish a diagnosis of Low back pain. But it is necessary to set up the one-systemic classification and diagnostic technique of Low back pain. Conclusions : We conclude that the Ten type Low back pain classification of in Dong-Eui-Bo-Gam is a reasonable standard for diagnostic classification.

운동생리학 : 요통체조운동과 등속성운동이 요통환자의 근기능과 근통증에 미치는 영향

문용각(MoonYong-Gark),김문희(KimMun-Hee) 한국체육학회 2003 한국체육학회지 Vol.42 No.4

The purpose of this study is to investigate the effect of 8week's combined exercise (isokinetic and low back stretching) on the improvement of functional strength and subjective pain degree in low back pain patients. The subjects were the chronic low back pain patients who have not had any operation and constrained the range of motion despite of their low lack pain. They were divided into two group (isokinetic exercise and low back stretching, low back stretching) for 8weeks. The result shows us that:1. At the peak torque on 60˚/sec, 180˚/sec, isokinetic exercise and low back stretching group was higher than low back stretching group on flexion and extension2. At the total work on 60˚/sec, isokinetic exercise and low back stretching group was higher than low back stretching group on flexion and extension. But, At the total work on 180˚/sec, low back stretching were higher than isokinetic exercise and low back stretching group on flexion and extension3. At the mean average power on 60˚/sec, 180˚/sec, isokinetic exercise and low back stretching group was higher than low back stretching group on flexion and extension.4. At the ratio of extension/flexion on 60˚/sec, 180˚/sec, there was statistically significant difference between flexion and extension. But, Isokinetic exercise and low back stretching group were higher than low back stretching group on flexion and extension5. At the subjective pain degree, there was statistically significant difference on pain scale 1 and pain scale 6 (p<.05), but there was no difference on the rest.In summary, these data suggest that isokinetic exercise and low back stretching was improved the functional strength and subjective pain degree in low back pain patients.

요통완화프로그램이 만성 요통호소 여교사의 배근력, 통증정도, 기능장애에 미치는 효과

최순영 대한간호학회 여성건강간호학회 2000 여성건강간호학회지 Vol.6 No.1

Transdermal Fentanyl for Chronic Low Back Pain

Seiji Ohtori,Gen Inoue,Sumihisa Orita,Yawara Eguchi,Nobuyasu Ochiai,Shunji Kishida,Masashi Takaso,Yasuchika Aoki,Kazuki Kuniyoshi,Junichi Nakamura,Tetsuhiro Ishikawa,Gen Arai,Masayuki Miyagi,Hiroto Ka 연세대학교의과대학 2012 Yonsei medical journal Vol.53 No.4

Purpose: Chronic low back pain is a common clinical problem. As medication, non-steroidal anti-inflammatory drugs are generally used; however, they are sometimes non-effective. Recently, opioids have been used for the treatment of chronic low back pain, and since 2010, transdermal fentanyl has been used to treat chronic non-cancer pain in Japan. The purpose of the current study was to examine the efficacy of transdermal fentanyl in the treatment of chronic low back pain. Materials and Methods: This study included patients (n=62) that suffered from chronic low back pain and were non-responsive to non-steroidal anti-inflammatory drugs. Their conditions consisted of non-specific low back pain, multiple back operations, and specific low back pain awaiting surgery. Patients were given transdermal fentanyl for chronic low back pain. Scores of the visual analogue scale and the Oswestry Disability Index, as well as adverse events were evaluated before and after therapy. Results: Overall, visual analogue scale scores and Oswestry Disability Index scores improved significantly after treatment. Transdermal fentanyl (12.5 to 50 μg/h) was effective in reducing low back pain in 45 of 62 patients; however, it was not effective in 17 patients. Patients who experienced the most improvement were those with specific low back pain awaiting surgery. Adverse events were seen in 40% of patients (constipation, 29%; nausea, 24%; itching, 24%). Conclusion: Transdermal fentanyl significantly improved visual analog scale scores and Oswestry Disability Index scores in 73% of patients, especially those with specific low back pain awaiting surgery; however, it did not decrease pain in 27% of patients, including patients with non-specific low back pain or multiple back operations.

물리치료사들의 직업적 요통 발생의 위험요인 조사

이준철 국제문화기술진흥원 2020 The Journal of the Convergence on Culture Technolo Vol.6 No.2

The purpose of this study was to investigate the prevalence of back pain and the variables related to back pain in physiotherapists. In order to investigate the variables related to the incidence of back pain, The results were as follows : 1. Physical therapists’ low back pain occurrence possibility appeared by whole 55.0% by male 11.0% and female 44.0%. 2. A day by people’s work environmental special quality with low back pain treat morbidity to 31~40 people 40.0%, office hours per week by 45~49 hours 49.1%, a day stand-up tome be less than 5~7 hours 36.4% and appeared the highest. 3. Case that respond ”Do dissatisfaction” to profession which is physical therapists’ special psychological quality examined by people’s 67.0% which low back pain. 4. Cause of low back pain in special active quality to get low back pain is the highest by case 38.2% that respond is ”Special cause does not know, it is because for a long time worked to physical-therapy, and the reason that play waist softness gymnastics examined the highest by case 45.4% that respond is ”Because present low back pain serves to be or prevents flare-up.” According to result of this research, we could Know physical therapists are professionally endanger of getting low back pain. Specially, we could say physical therapists’ low back pain occurrence possibility is high because of their having an experience or regarding work environmental special quality such as a day treatment morbidity, office hours per week, stand-up time for a day. There, educational programs need to improve of work environment and prevent the recurrence of low back pain. In this research, we recognized various variables of physical therapists’ low back pain occurrence possibility are related to direct causal connection of low back pain occurrence, but we think continuous research should be tired forward in reply. 본 연구의 목적은 물리치료사의 요통 유병률 및 요통 발생과 관련된 변수를 조사하기 위하여 경남지역에서 임상에 근무하고 있는 물리치료사 100명을 대상으로 설문지를 조사 분석하여 다음과 같이 결과를 얻었다. 1. 물리치료사의 요통 유병률은 남자 11.0%, 여자 44.0%, 전체 55.0%로 나타났고, 요통군의 연령별 분포는 20~24세 이하가 50.9%로 가장 높게 조사되었다. 2. 요통군의 근무 환경적 특성 중에서 1일 치료 환자 수는 31~40명 이하군이 40.0%, 주당 근무시간은 45~49시간 이하가 49.1%를 차지하였으며, 1일 서 있는 시간은 요통군에서는 5~7시 미만이 36.4%로 가장 높게 조사되었다. 3. 요통군의 심리적특성에 있어서 물리치료사 직업에 “불만족한다”라고 응답한 경우 요통군이 67.0%로 조사되었다. 4. 요통의 원인은 “원인은 모르겠지만 오랫동안 물리치료사직에 근무하였기 때문이다”라고 응답한 경우가 38.2%로 가장 높게 조사되었고, 요통군의 행동적 특성에 있어서 허리 유연성 체조를 하는 이유는 “현재 요통이 있거나 재발 방지를 위해서이다”라고 응답한 경우가 45.5%로 가장 높게 조사되었다. 이같은 연구결과를 보았을 때 물리치료사가 직업 관련성 요통발생의 위험이 높은 직종에 종사하고 있다는 것을 알 수 있었다. 특히 요통의 경험이 있거나, 1일 치료 환자 수, 주당 근무시간, 1일 서있는 시간 등 근무환경적 특성과 심리적 특성에 관련되어 요통발생의 가능성이 높은 것으로 사료된다. 따라서 물리치료사의 요통발생을 줄이기 위해서는 근무환경의 개선과 요통예방 혹은 요통재발방지를 위한 교육 프로그램이 병행되어져야 할 것이다.

Original Article : The effects of active release technique on the gluteus medius for pain relief in persons with chronic low back pain

( Sa Jin Tak ),( Yong Woo Lee ),( Won Jae Choi ),( Gyu Chang Lee ) 물리치료재활과학회 2013 Physical therapy rehabilitation science Vol.2 No.1

Objective: Low back pain is a primary of source of dysfunction and economic costs. Gluteus medius muscle co activation and activity pattern change caused the low back pain. Active release technique (ART) is a patented, non-invasive, soft tissue treatment process that both locates and breaks down the scar tissue and adhesions. The purpose of this study was to assess the effects on chronic low back pain using ART on gluteus medius so that suggest usable treatment method for treating chronic low back pain. Design: One group pretest-posttest design. Methods: Twelve patients with chronic low back pain were participated in this study. Subjects in ART group were received 2 times a week for 3 weeks treatments with either ART on gluteus medius muscle trigger points. Outcome measures were conducted by pain intensity with a pain visual analogue scale and pressure pain threshold on gluteus medius. Results: Completion of the intervention, the visual analogue scale was decreased in ART group (p<0.05). Also pressure pain threshold was decreased in ART group (p<0.05). Conclusions: Our results suggest that the response to ART may be usable to treat low back pain. ART was presented to reduce pain level of low back in people with chronic low back pain. Further study is required to management for low back pain due to gluteus medius and more ART study.