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만성 요통 환자에서 찜질방 치료와 적외선 치료의 효과 비교
임승윤(Seung-Yoon Rhim),김영진(Young-Gene Kim),김태곤(Tai-Kon Kim),김재덕(Jae-Deok Kim),최정화(Jeong-Wha Choi),김미정(Mi Jung Kim) 대한임상노인의학회 2007 대한임상노인의학회지 Vol.8 No.4
연구배경: 흔한 근골격계 질환인 요통에 대한 물리치료로는 온습포, 초음파, 적외선 등이 있다. 최근 국내에는 전신열의 한 형태라고 할 수 있는 찜질방이 유행하고 있으나, 이에 대한 과학적 연구 없이 경험적으로만 사용되고 있는 실정이다. 이에 본 연구에서는 만성 요통 환자를 대상으로 찜질방과 기존의 국소 온열 치료 중 하나인 적외선 치료를 시행하여 그 효과를 비교하고자 하였다. 방법: 본원 재활의학과에 3개월 이상 지속되는 요통을 주소로 내원한 환자 36명을 대상으로 하여 이들을 무작위로 18명(적외선), 18명(찜질방)씩 두 군으로 나누었다. 찜질방 치료군은 온도가 72±2, 습도가 45±2%로 유지되는 찜질방에 10분간 입실 후, 상온(25±1oC)에서 10분간 휴식하는 것을 연속으로 3회 반복 시행하였고, 적외선 치료군은 250W의 적외선 치료기(원효 메디칼, 한국)를 통증 부위로부터 30cm 떨어진 거리에서 30분 동안 조사하였다. 이를 3주간 지속한 후에 치료 전후의 통증시각상사척도(VAS), Oswestry low back pain scale, Pain Disability Index (PDI), Pain Rating Score (PRS), Beck Depression Inventory (BDI)를 측정, 비교하여 두 치료법의 효과를 비교하였다. 결과: 3주간의 치료가 끝난 후 VAS, Oswestry scale, PDI, PRS, BDI는 찜질방 치료군과 적외선 치료군에서 모두 의미 있게 감소하였다. BDI는 찜질방 치료군에서 적외선 치료군에 비해 유의한 감소를 보였다. 결론: 찜질방이 만성 요통 환자의 통증과 기능향상에 유용한 전신열 치료의 하나가 될 수 있음을 확인하였다. 향후 많은 환자를 대상으로 전신적인 신체 반응, 노출 방법 및 부작용에 대한 다양한 연구가 이루어진다면 대중적인 온열 치료의 한 가지 방법으로 사용될 수 있으리라 생각된다. Background: To compare the short-term effects of Jjimjilbang (Korean-type dry sauna) therapy and infrared therapy on pain scale and depression scale of patients with chronic low back pain. Methods: 36 women older than 40 years were included in the study. All have suffered from continuous low back pain during more than 3 months, none had contraindications to Jjimjilbang therapy. They were allocated into two groups of 18 patients each. The first group underwent a Jjimjilbang therapy for 15 days. The second group underwent infrared therapy on low back. The results were evaluated with Visual Analogue Scale (VAS), Oswestry low back pain scale, Pain Disability Index (PDI), Pain Rating Score (PRS) and Beck Depression Inventory (BDI). Results: Visual analogue scale, Oswestry low back pain scale, Pain Disability Index (PDI), Pain Rating Score (PRS) showed that pain was significantly reduced by both Jjimjilbang therapy and infrared therapy (P<0.05). And there was no significant difference between two therapies except for Beck Depression Inventory (BDI). Beck Depression Inventory (BDI) was significantly reduced by Jjimjilbang therapy group. Conclusion: Jjimjilbang therapy can reduce the pain of patients and improve depressive mood of patients suffering from chronic low back pain.
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급성기(急性期) 요통(腰痛)의 치료(治療)에 자락요법(刺絡療法)의 병행(竝行)이 미치는 영향(影響)
송형근,송민식,김정호,강재희,김영화,김영일,홍권의,이현,이환동,Song, Hyong-gun,Song, Min-sik,Kim, Jeong-ho,Kang, Jae-hui,Kim, Young-hwa,Kim, Young-il,Hong, Kwon-eui,Lee, Hyeon,Lee, Hwan-dong 대한침구의학회 2004 대한침구의학회지 Vol.21 No.5
Objective : This study is designed in order to evaluate the therapeutic effect of venesection on acute low back pain. Methods : From Nov. 1st 2003 to Apr. 30th 2004, 40 cases of low back pain patients at acute stage were divided into 2 groups; one group(control group) took only acupuncture therapy, and the other group(test group) took acupuncture and venesection therapy. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. And visual analog scale(VAS) was used, too. PRS and VAS was checked twice, before the treatment and after the treatment. Treatment was done twice a day. Results : Both acupuncture therapy and acupuncture with venesection therapy showed good effect on low back pain of acute stage. And the latter group showed better effect on decreasing pain than former. It was proved by the difference between PRS and VAS checked before treatment and what checked after treatment. But it was not proved statistically. Conclusion : Only acupuncture and acupuncture with venesection can be recommended as a useful therapy to treat low back pain of acute stage.
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송형근,송민식,김정호,강재희,김영화,김영일,홍권의,이현,이환동 대한침구의학회 2004 대한침구의학회지 Vol.24 No.6
Objective : This study is designed in order to evaluate the therapeutic effect of venesection on acute low back pain. Methods : From Nov. 1st 2003 to Apr. 30th 2004, 40 cases of low back pain patients at acute stage were divided into 2 groups; one group(control group) took only acupuncture therapy, and the other group(test group) took acupuncture and venesection therapy. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. And visual analog scale(VAS) was used, too. PRS and VAS was checked twice, before the treatment and after the treatment. Treatment was done twice a day. Rusults : Both acupuncture therapy and acupuncture with venesection therapy showed good effect on low back pain of acute stage. And the latter group showed better effect on decreasing pain than former. It was proved by the difference between PRS and VAS checked before treatment and what checked after treatment. But it was not proved statistically. Conclusion : Only acupuncture and acupuncture with venesection can be recommended as a useful therapy to treat low back pain of acute stage.
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