신경차단술을 동반한 근막이완기법이 성인 요추부 추간판 탈출증 환자의 통증과 삶의 질에 미치는 영향
Effects of Myofascial Release Technique with Nerve Block on Function, Pain and Quality of Life in Adults with Lumbar HNP
This study evaluated the effects of myofascial release combined with nerve block on pain and quality of life in adults with lumbar disc herniation. Twenty-four patients who met the inclusion criteria were randomly assigned to either the myofascial release combined with nerve block group or the nerve block-only group. The level of lower back pain was assessed using a numeric rating scale (NRS), while the Korean version of the 36-item Short Form Health Survey (SF-36) was used to evaluate quality of life. The modified-modified Schober test (MMST) was employed to assess the subjects’ range of lumbar flexion motion. The intervention was applied twice a week for two weeks, with each session lasting 60 minutes. The experimental group received a combination of nerve block, myofascial release, and general pain treatment, whereas the control group received only nerve block and general pain treatment. The results demonstrated significant differences between the experimental and control groups in the two domains of the SF-36, with the experimental group showing greater improvement in physical activity after the intervention. Both the NRS and MMST showed significant changes, but the experimental group exhibited a more substantial decrease of the measurement compared to the control group. This study concluded that applying myofascial release techniques in combination with physical agent therapy, rather than relying on physical treatment alone, is an effective intervention for reducing pain and improving the quality of life of subjects diagnosed with herniated intervertebral discs and who receive nerve block.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상자 2. 연구 설계 3. 중재방법 4. 평가 도구 5. 분석 방법 Ⅲ. 결과 1. 대상자의 일반적 특성 2. 숫자 통증 등급 검사의 두 군의 중재 전·후 비교 3. Shortform 36 검사의 두 군의 중재 전·후 비교 4. 재수정된 쇼버검사의 두 군의 중재 전·후 비교 5. 한국판 오스웨스트리 기능장애지수 검사의 두 군의 중재 전·후 비교 Ⅳ. 고찰 Ⅴ. 결론 인용문헌
키워드
Chronic low back pain; Functional disability; Pain; Psychosocial factor