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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(3):536-541.
Back Exercise Program with Lumbar Extension Resisting Exercise in Patients with Chronic Low Back Pain.
Lee, Kang Woo , Kwon, Jeong Yi , Kim, Hyeon Sook , Lee, Byung Sub , Kang, Jey Young , Park, Won Hah
1Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine.
2Department of Sports Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine.
만성 요통 환자들에서 요추부 저항 운동을 포함한 요통 운동의 효과
이강우, 권정이, 김현숙, 이병섭, 강재영, 박원하
성균관대학교 의과대학 재활의학교실 삼성서울병원 스포츠의학과
Abstract

Objective
This study was performed to evaluate the prevalence of new neuromuscular symptoms and disabilities and the psychological characteristics-depressioin, anxiety, type A behavior, loneliness, and also to determine any relationships between physical and neuropsychological characteristics in a group of post-polio syndrome (PPS).


Method
By 70 answered questionnaire, the polio survivors were grouped into PPS and Non- PPS. This questionnaire consisted of questions about acute polio problems; new health problems, fatigue severity scale, visual analog scale, weakness scale, Frenchay activity index, ambulation disability index; socio-economic problems; neuro-psychological inventories, Beck depression index, Spielberger state-trait anxiety inventory, revised UCLA loneliness scale, type A personality score.


Results
The median time from polio to the onset of new health problems was 27.6 years. Fatigue, muscle and/or joint pain, weakness in previously affected and unaffected muscles were most common newly appearing problems. The symptoms of PPS was consistent with the distribution of the anterior horn cell; spinal cord, brain stem, cerebral hemisphere, Reticular Activating System (RAS). Neuro-psychological evaluations revealed that fatigue scale was correlated with depression, type A personality.


Conclusion
In PPS group, pain, weakness, fatigue, autonomous symptoms, decreased concentration were more serious than in Non-PPS group. The fatigue in PPS group was correlated with type A personality, depression, sleep disturbance and concentration problem.

Key Words: Low back pain, Exercise, Resisting exercise, Lumbar extension strength


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