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Journal of the Korean Academy of Rehabilitation Medicine 1989;13(2):4.
The Effect of Conservative Treatment in Low Back Pain
Cha-Hwan Ko, M.D., Hee-Kyu Kwon, M.D. , Chung-Hie Oh, M.D.
Department of Rehabilitation Medicine, College of Medicine, Korea University
요통의 보존적 치료효과
고차환, 권희규, 오정희
고려대학교 의과대학 재활의학교실
Abstract

The retrospective study was performed to evaluate the effect of conservative treatment in 235 patients (Male:102, Female: 133), aging form 14 to 79, with low back pain.

The effect of conservative treatment was analyzed with use of pain behavior scale, pain self-assessment scale, and functional scale by American Rheumatism Association in according to diagnostic category, cause, and occupation.

The results were as follows:

1) The diagnoses were muscle strain (83 cases, 35.3%), herniated nucleus pulposus (59 cases, 25.1%), postural factor (58cases, 24.7%), spondylosis (20cases, 8.5%), spondylolysis and/or spondylolisthesis (15cases, 6.4%).

2) The causes were abnormal posture (87cases, 37.0%), trauma (43cases, 18.3%), unknown (38cases, 16.2%), heavy lifting (31cases, 13.2%), degenerative change (29cases, 12.3%), and psychologic factor (7cases, 3.0%).

3) The occupations were desking job (86cases, 36.6%), house wife (83cases, 35.3%), standing job (27cases, 11.5%), and labor (19cases, 8.1%).

4) X-ray findings showed straightening in 81.9% of strain, space narrowing in 88.1% of herniated nucleus pulposus, increase L-S angle in 100% of postural factor, and anterior displacement of line of thrust in 67% of postural factor.

5) Electrodiagnostic study was done in 60 cases, showed positive finding in 97.7% and computerized tomography was done in 42 cases, showed positive finding in 89.7% and myelogram was done in 38 cases, showed positive finding in 89.7%.

6) The treatment duration was 14.5 days in postural factor, 29.5 days in herniated nucleus pulposus, and 23.6 days in average.

7) The pain due to abnormal posture (87 cases, 37.0%), classified by cause, was reduced from 1.53 to 2.82 in pain behavior scale, 10 to 4.64 in pain self-assessment scale, and to 1.99 in functional scale.

8) The pain in desking job (86 cases, 36.6%), classified by occupation, was reduced from 1.50 to 2.85 in pain behavior scale, 10 to 4.47 in pain self-assessment scale, and to 2.03 in functional scale.

9) The pain due to strain (83 cases, 35.3%), classified by diagnostic category, was reduced from 0.64 to 2.72 in pain behavior scale, 10 to 4.88 in pain self-assessment scale, and to 1.97 in functional scale.

10) The pain due to herniated nucleus pulposus (59 cases, 25.1%), classified by diagnostic category, was reduced from 1.29 to 2.54 in pain behavior scale, 10 to 5.64 in pain self-assessment scale, and to 2.37 in functional scale.

11) Totally, the pain was reduced from 1.52 to 2.75 in pain behavior scale, 10 to 4.88 in pain self-assessment scale, and to 2.10 in functional scale.

Key Words: Low back pain, Conservative treatment, Pain behavior scale, Pain self assessment scale, Functional scale


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