Journal of the Korean Data and Information Science Society

The Korean Data and Information Science Society (한국데이터정보과학회)
권호 표지

Effect of whole body cryotherapy with spinal decompression on lumbar disc herniation by functional assessment measures

기능적 평가 측정을 통하여 전신냉기치료와 척추 감압기 적용이 요추 추간판 탈출증 환자에게 미치는 효과

  • Ma, Sang-Yeol (Department of Physical Therapy, Sewoori Hospital)
  • 마상렬 (세우리병원 물리치료실)
  • Received : 2010.09.07
  • Accepted : 2010.11.15
  • Published : 2010.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to investigate whether whole body cryotherapy and spinal decompression have effectiveness on the pain, lumbar flexion range of motion, and global perceived effect scale in patients with lumbar disc herniation. Thirty subjects were participated in this study. And they were all randomly divided into whole body cryotherapy and spinal decompression group. To evaluate the effects of whole body cryotherapy and spinal decompression, subjects were evaluated by using visual analogue scale, lumbar flexion range of motion, and global perceived effect scale. The assessment parameters were evaluated before, after 2 weeks treatments. And we received a consent form whole body cryotherapy subjects. The results of paired t-test, independent t-test, and ANCOVA analysis of variance showed that pain, lumbar flexion range of motion, global perceived effect scale were significantly improved after than before therapy in whole body cryotherapy group. So we conclude that whole body cryotherapy has effectiveness on the pain, lumbar flexion range of motion, and global perceived effect scale in patients with lumbar disc herniation.

본 연구는 요추 추간판 탈출증 환자 30명을 대상으로 전신냉기치료와 감압치료를 병행한 그룹과 감압치료를 적용한 그룹으로 나누어 2주간 실시한 후 통증과 요추 굴곡 관절가동범위, 그리고 전반적 인지효과에 미치는 효과에 대해 알아보기 위해 실시하였다. 본 연구의 측정은 시각적 상사 척도 검사와 수정판 쇼버 검사, 그리고 전반적 인지효과척도를 검사하였다. 대응표본 T검사에서 두 그룹 모두 효과적이었다. 그러나 독립표본 T검정과 공분산분석 결과 전신냉기치료와 감압치료를 병행한 그룹에서 더욱 효과적이었다. 요추 추간판 탈출증의 통증과 관절가동범위, 그리고 전반적 인지효과를 개선시키기 위해 전신냉기치료와 감압치료 병용 시 효과적이란 것을 검증하였다.

Keywords

References

  1. 권원안, 마상렬, 황윤태 (2009). 간헐적 견인과 도수 견인이 요추 추간판 탈출에 미치는 효과. <대한물리치료학회>, 21, 9-16.
  2. 김희상, 윤동환, 허기은 (2008). 요추간판 탈출증에서 간헐적 견인치료와 척추 감압치료의 효과. <대한재활의학회지>, 32, 319-323.
  3. 대한정형외과학회 (2006). <정형외과학>, 최신의학사, 서울.
  4. 박종건 (2006). 전신냉기치료의 근골격계 만성통증 경감 효과. <석사학위논문>, 동아대학교 대학원.
  5. 이상호 (1998). <허리디스크>, 얼음사, 서울.
  6. Buranapanitkit, B., Tautakul, K., Lim, A., Geater, A. and Chomchan, U. (2003). Clinical predictors for outcome of treatment of lumbar herniated nucleus pulposus. Journal of Musculoskeletal Research, 7, 61-69. https://doi.org/10.1142/S0218957703000971
  7. Cholewka, A. and Drzazga, Z. (2005). Whole body cryotherapy in two-stepped cryogenic chamber and in chamber with lingering cold. Acta Bio-Optica et Informatica Medica, 11, 49-54.
  8. Cholewka, A., Drzazga, Z. and Sieron, A. (2006). Monitoring of whole body cryotherapy effects by thermal imaging: Perliminary report. Physica Medica, 22, 57-62. https://doi.org/10.1016/S1120-1797(06)80054-2
  9. Cholewka, A., Drzazga, Z., Kajewski, B., Bogucki, R. and Wisniowska, B. (2004). Thermal imaging of skin body surface due to whole body cryotherapy-preliminary report. Physica Medica, 20, 81-83.
  10. Gionis, T. A. and Groteke, E. (2003). Spinal decompression. Orthopedic Technology Review, 5, 36-39.
  11. Gong, W. T., Ma, S. Y. and Kim, T. H. (2009). The effects of ankle joint mobilization technique within supination foot on equilibrium. Journal of the Korean Data & Information Science Society, 20, 527-539.
  12. Guehring, T., Omlor, G. W., Lorenz, H., Engelleiter, K., Richter, W., Carstens, C. and Kroeber, M. (2006). Disc distraction shows evidence of regenerative potential in degenerated intervertebral discs as evaluated by protein expression, magnetic resonance imaging, and messenger ribonucleic acid expression analysis. Spine, 31, 1658-1665. https://doi.org/10.1097/01.brs.0000224558.81765.56
  13. Halar, E. M., DeLisa, J. A. and Brozovich, F. V. (1980). Nerve conduction velocity: Relationship of skin, subcutaneous and intramuscular temperatures. Archives of Physical Medicine and Rehabilitation, 61, 199-203.
  14. Kamper, S. J., Ostelo, R., Knol, D. L., Maher, C. G., Vet, H. and Hancock, M. J. (2010). Global perceived effect scales provided reliable assessments of health transition in people with musculoskeletal disorders, but ratings are strongly influenced by current status. Journal of Clinical Epidemiology, 63, 760-766. https://doi.org/10.1016/j.jclinepi.2009.09.009
  15. Kernler, M. A., Barendse, G. A. M., Kleef, M. V., DeVet, H., Rijks, C., Furnee, C. A. and Wildenberg, F. (2000). Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy. The New England Journal of Medicine, 343, 618-624. https://doi.org/10.1056/NEJM200008313430904
  16. Lee, S. Y., Ma, S. Y. and Cho, G. Y. (2009). The effects of mat and field exercise on the balance and gait in older adults. Journal of the Korean Data & Information Science Society, 20, 661-672.
  17. Lehmann, JF. and de Lateur, BJ. (1982). Cryotherapy. In Lehmann JF (ed), Therapeutic Heat and Cold. Ed 3., Williams & Wilkins, Baltimore.
  18. Ma, S. Y. (2010). The effects of mulligan manual therapy on pain and muscle assessment questionnaire in female elders with osteoarthritis of the knee. Journal of the Korean Data & Information Science Society, 21, 641-650.
  19. Ma, S. Y., Gong, W. T. and Kang, Y. S. (2009). Effects of remedial massage therapy on the pain, grip strength and functional status scale in carpal tunnel syndrome. Journal of the Korean Data & Information Science Society, 20, 97-107.
  20. Macario, A. and Pergolizzi, J. V. (2006). Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Practice, 6, 171-178 https://doi.org/10.1111/j.1533-2500.2006.00082.x
  21. Metzger, D., Zwingmann, C., Protz, W. and Jackel, W. H. (2000). Die bedeutung der ganzkorperkaltetherapie im rahmen der rehabilitation bei patienten mit rheumatischen erkrankungen. Rehabilitation, 39, 93-100. https://doi.org/10.1055/s-2000-14442
  22. Mraz, M., Skrzek, A., Gruszka, E., Chamela-Bilifiska, D., Drak-Wojakiewicz, M. and Dutkiewicz, A. (2001). The influence of physiotherapy and whole body cryotherapy on stability and balance of standard position for patients with slerosis multiplex. Physiotherapy, 9, 26-29.
  23. Park, I. S., Byun, H., Jung, C. Y., Lee, S. D., Kim, E. J. and Kim, K. S. (2007). Comparison of modifiedmodified schober test with range of motion in evaluating visual analog scale of patients with low back pain. The Journal of Korean Acupuncture & Moxibustion Society, 24, 97-104.
  24. Tarja, W., Juha, O., Juhani, S. and Marja, M. (2003). Thermal responses during and after whole-body cryotherapy (-110C). Journal of Thermal Biology, 28, 601-608. https://doi.org/10.1016/j.jtherbio.2003.08.006
  25. Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Hanscom, B., Skinner, J. S., Abdu, W. A., Hilibrand, A. S., Boden, S. D. and Deyo, R. A. (2006). Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): A randomized trial. The Journal of the American Medical Association, 296, 2441-2450. https://doi.org/10.1001/jama.296.20.2441
  26. Westerlund, T., Oksa, J., Smolander, J. and Mikkelsson, M. (2009). Neuromuscular adaptation after repeated exposure to whole-body cryotherapy $(-110^{\circ}C)$ Journal of Thermal Biology, 34, 226-231. https://doi.org/10.1016/j.jtherbio.2009.02.004
  27. Zaproudina, N., Ming, Z. and Hanninen, O. O. P. (2006). Plantar infrared thermography measurements and low back pain intensity. Journal of Manipulative and Physiological Therapeutics, 29, 219-223. https://doi.org/10.1016/j.jmpt.2006.01.003