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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.15 no.2, 2020년, pp.83 - 91
정승화 (건양대학교 물리치료학과 일반대학원) , 박대성 (건양대학교 물리치료학과)
PURPOSE: Postural and structural asymmetry due to muscle imbalances around the lower back and pelvis are the causes of back pain. Muscle imbalances in patients with chronic low back pain affect the pelvic tilt and movement, and it is necessary to assess the pelvic movement ability using the appropri...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
허리통증의 주요 원인 중 하나는? | 허리통증의 주요 원인 중 하나는 중심 근육(Core muscle)의 약화이다. 중심 근육이 약화되면 척추의 분절적 움직임이 감소하며 통증 부위 쪽의 뭇갈래근 (Multifidus) 두께가 감소한다[9]. | |
요통 환자의 구조적 비대 칭으로 대표적인 것은? | 요통 환자는 허리와 골반 주변 근육 불균형으로 자세 및 구조적 비대칭이 흔하게 발생한다[5]. 구조적 비대 칭으로는 수직축을 기준으로 엉덩뼈의 회전, 엉치엉덩 관절의 기능장애, 좌⋅우 볼기뼈의 부정렬이 대표적이다[6]. 이러한 골반 비대칭을 보상하기 위해 다양한 신체 부위의 역학을 변형시켜 자연스러운 몸통의 움직임에 영향을 주며 근골격계 통증을 일으키게 되므로 요통을 치료하는 과정에서 골반 비대칭을 포함해야 한다[7,8]. | |
STC가 평가할 수 있는 요소는? | 골반 가동성 및 고유수용감각을 평가하기 위해 STC를 사용하였다(Sensbalance Therapy Cushion, Sensamove Inc, Netherlands). 이 장비는 균형 검사, 균형 훈련, 균형 제어 메커니즘의 요소를 평가 할 수 있는 쿠션형태의 장비이다(Fig. 3). |
O'Sullivan PB. Lumbar segmental 'instability': clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12
Punnett L, Pruss-Utun A, Nelson DI, et al. Estimating the global burden of low back pain attributable to combined occupational exposures. Am J Ind Med. 2005;48(6):459-69.
Ferreira PH, Ferreira ML., Maher CG, et al. Specific stabilisation exercise for spinal and pelvic pain: A systematic review. Aust J Physiother. 2006;52(2):79-88.
Kim DA. The effect of hip joint angle and height of cushion on the pressure distribution over buttock during sitting. Master's Degree. Yonsei University. 2004
Al-Eisa E, Egan D, Fenety A. Association between lateral pelvic tilt and asymmetry in sitting pressure distribution. Journal of Manual & Manipulative Therapy. 2004;12(3):133-42.
Egan D, Cole J, Twomey L. The standing forward flexion test: an inaccurate determinant of sacroiliac joint dysfunction. Physiotherapy. 1996;82(4):236-42.
Egan DA, Al-Eisa E. Pelvic skeletal asymmetry, postural control, and the association with low back pain: a review of the evidence. Critical $Reviews^{TM}$ in Physical and Rehabilitation Medicine. 1999;11(3&4).
Al-Eisa E, Egan D, Deluzio K, et al. Effects of pelvic asymmetry and low back pain on trunk kinematics during sitting: a comparison with standing. Spine. 2006;31(1):E135-43.
Hides J, Stanton W, McMahon S, et al. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of Orthopaedic & Sports Physical Therapy. 2008;38(3):101-8.
Imai A, Kaneoka K, Okubo Y, et al. Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface. J Orthop Sports Phys Ther. 2010;40(6):369-75.
Reeves NP, Cholewicki J, Milner TE. Muscle reflex classification of low-back pain. J Electromyogr Kinesiol. 2005;15(1):53-60.
Arab AM, Nourbakhsh MR. The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain. Chiropr Osteopat. 2010;18(1):1.
Comerford MJ, Mottram SL. Movement and stability dysfunction-contemporary develop ments. Man Ther. 2001;6(1):15-26.
Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Physical Rehabilitation. St Louis-Mosby. Elsevier. 2002.
Holmes JD, Jenkins ME, Johnson AM, et al. Validity of the Nintendo Wii(R) balance board for the assessment of standing balance in parkinson's disease. Clinical Rehabilitation. 2013;27(4):361-6.
Yang JH. A study of pain, depression and self-efficacy according to the classifications of pain among chronic pain patients. J Korean Acad Adult Nurs. 2004;16(2):202.
Boonstra MC, Malefijt MDW, Verdonschot N. How to quantify knee function after total knee arthroplasty?. The Knee. 2008;15(5):390-5.
Joo MK, Kim TY, Kim JT, et al. Reliability and validity of the Korean version of the fear-avoidance beliefs questionnaire. Physical Therapy Korea. 2009;16(2):24-30.
Kim DY, Lee SH, Lee HY, et al. Validation of the Korean version of the oswestry disability index. Spine. 2005;30(5):E123-7.
Lesimple C, Fureix C, Biquand V, et al. Comparison of clinical examinations of back disorders and humans' evaluation of back pain in riding school horses. BMC Veterinary Research. 2013;9(1):209.
Richman J, Makrides L, Prince B. Research methodology and applied statistics, part 3: measurement procedures in research. Phys. 1980;32(4):253-7.
Laessoe U, Svendsen AW, Christensen MN, et al. Evaluation of functional ankle instability assessed by an instrumented wobble board. Physical Therapy in Sport. 2019;35:133-8.
Clark RA, Bryant AL, Pua Y, et al. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait & Posture. 2010;31(3):307-10.
Palmieri RM, Ingersoll CD, Stone MB, et al. Centerof-pressure parameters used in the assessment of postural control. Journal of Sport Rehabilitation. 2002;11(1):51-66.
Yeong JW, Yun LG, Hwan PK. Study of sequale of low back pain in traffic accident patients. Journal of Korean Acupuncture & Moxibustion Society. 2003;20(6): 36-44.
Kim K. Effect of diaphragmatic breathing exercise on activation of lumbar paraspinal muscles of healthy people. Journal of the Korean Society of Physical Medicine. 2006;1(1):59-66.
Shin HJ, Kim JY. The cumulative trunk muscle fatigue depending on the length of recovery time. Journal of Korean Institute of Industrial Engineers. 2007;33(1):44-51.
Kim TH. The changes of range of motion of lumbar region and muscle activities of lumbar extensor during trunk motions between subjects with low back pain and healthy subjects. Physical Therapy Korea. 2006;13(2):61-9.
Ko TS, Jung HB, Kim JA. The effects of thoracic mobilization on pain, disability index and spinal mobility in chronic low back pain patients. J Special Edu Rehabil Sci. 2009;48(2):115-37.
Shih CH, Shih CT, Chiang MS. A new standing posture detector to enable people with multiple disabilities to control environmental stimulation by changing their standing posture through a commercial Wii Balance Board. Research in Developmental Disabilities. 2010;31(1):281-6.
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