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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.8 no.1, 2013년, pp.29 - 39
이상진 (오창중앙병원 물리치료실) , 김영민 (한국교통대학교 물리치료학과)
PURPOSE: The purpose of this study was to determine if the program focusing on gluteal muscle exercise combined lumbar stabilization had an effects on pain, functional disability and lumbar instability in chronic low back pain patients who had lumbar instability. METHODS: Thirty four patients were r...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
요통은 어떻게 분류되나? | 요통은 전체 인구의 60-90%가 일생에 한 번은 경험하게 되는 질환으로(Kim 등, 2005a), 대부분의 요통은 2-3개월이면 회복되지만 재발하는 경우가 흔하다(Hides 등, 1996). 요통은 통증 지속기간에 따라 6주 이하이면 급성, 6주에서 12주면 아급성, 그리고 12주 이상이면 만성으로 분류되는데, 재발률이 높은 만성요통환자의 대부분은 약물 및 보존적 치료에 별다른 호전 없이 요통을 호소하며 통증감소를 위해 신체활동을 회피한다. 신체활동의 감소는 척추 주위근육의 조직학적, 구조적 변화가 발생하여 등 근육들의 크기는 작아지고 지방함유량이 더 높아질 뿐만 아니라 선택적으로 근섬유의 위축이 나타나며 통증도 증가하게 된다(Parkkola 등, 1993). | |
요통장애지수가 높다는 것은 무엇을 의미하는가? | KODI의 범위는 최소 0점에서 최대 5점이며 환자의 평가 점수는 총점이 45점이다. KODI 점수가 높을수록 요통으로 인한 기능장애 정도가 더 심한 것으로 판단할 수 있다(Kim 등, 2009). Kim 등(2005b)은 KODI의 검사-재검사 신뢰도가 . | |
요통에 있어서 규칙적인 운동의 효과는? | 요통에 있어서 규칙적인 운동은 인대, 뼈, 건 그리고 근육을 강화시키고 척추 디스크를 포함한 여러 관절과연골에 충분한 영양을 공급하며 운동조절(motor control)능력을 향상시켜 준다. 또한 운동은 우울증, 스트레스, 불면증, 만성근육통 등의 감소 및 심리적 안정을 주며 척수 내 통증을 경감시켜주어 환자의 기능을 향상시키는 효과가 있다(Toilson과 Kriegel. |
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