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Comparing the Effects of Drug Therapy, Physical Therapy, and Exercise on Pain, Disability, and Depression in Patients with Chronic Low Back Pain
Ja Kyung Ko
Journal of Korean Academy of Nursing 2007;37(5):645-654.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.645
AbstractAbstract PDF
Purpose

This research was conducted to compare the effects of drug therapy, physical therapy, and exercise on pain, disability, and depression in patients with chronic low back pain.

Methods

The research design of this study was a nonequivalent control group pretest-posttest design. The subjects of this study were 28 patients for the drug therapy & physical therapy, 24 patients for the drug therapy & exercise, and 22 patients for the physical therapy & exercise. Data was collected by MVAS, Oswestry disability questionnaires, and questionnaires of depression. It was analyzed by paired t-test for effectiveness, ANOVA, and Scheffe for comparison of the effects of the 3 experimental treatments, using SPSS/WIN 12.0.

Results

There were no effects of drug therapy & physical therapy on pain, disability, and depression. However, there were effects of drug therapy & exercise and the physical therapy & exercise on pain, disability, and depression. The effects of physical therapy & exercise on pain, disability, and depression were the greatest, but there was no statistically significant differences between the drug therapy & exercise and the physical therapy & exercise.

Conclusions

Exercise is regarded as a more effective and easily accessible nursing intervention to apply alone than drug therapy or physical therapy simultaneously in reducing pain, disability and depression.

Citations

Citations to this article as recorded by  
  • The Effect of Stretching on Lumbar Muscle Flexibility, Isokinetic Parameters and Lower Extremity Function
    Ye-Won Lee, Jun-Ho Yoo, Dong Yeop Lee, Jae Ho Yu, Jin Seop Kim, Seung Gil Kim, Yeon-Gyo Nam, Jihoen Hong
    The Journal of Korean Physical Therapy.2024; 36(4): 145.     CrossRef
  • Analysis of Recent Research Trends in Thread Embedding Acupuncture for Low Back Pain
    Yae Gi Min, Hyang Gi Lim, Hyun Jong Lee, Jung Hee Lee, Sung Chul Lim, Yun Kyu Lee, Jae Soo Kim
    Journal of Acupuncture Research.2024; 41(2): 96.     CrossRef
  • Effects of Breathing Exercise of Pilates on Dysfunction and Lumbar Flexibility in Patients with Chronic Non-Specific Low Back Pain
    Sooyong Lee, Yusik Choi
    Physical Therapy Rehabilitation Science.2023; 12(3): 268.     CrossRef
  • Effect of Exercise Stage-Matched Intervention for Elderly Women with Chronic Back Pain in the Contemplation and Preparation Stage
    Hyun-Ju Oh, Soon-Rim Suh, Mihan Kim
    Korean Journal of Adult Nursing.2019; 31(4): 414.     CrossRef
  • The effect of abdominal drawing-in exercise and myofascial release on pain, flexibility, and balance of elderly females
    Seong Hun Yu, Yong Hyeon Sim, Myung Hoon Kim, Ju Hee Bang, Kyung Hyun Son, Jae Woong Kim, Hyun Jin Kim
    Journal of Physical Therapy Science.2016; 28(10): 2812.     CrossRef
  • Effect of Spinal Stabilization Exercise and Manual Therapy on Visual Analogue Scale and Oswestry Disability Index in Acute or Subacute Patients with Low Back Pain
    Eun-Young Park, Won-Ho Kim
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(4): 1792.     CrossRef
  • Effects of the Hand Acupressure and Lumbar Strengthening Exercise on Women with Lower Back Pain
    Eun Young Jeon
    journal of east-west nursing research.2013; 19(2): 63.     CrossRef
  • Adaptation Experience to Work of Nurses with Low Back Pain
    Jin-Hyang Yang
    Korean Journal of Adult Nursing.2013; 25(6): 597.     CrossRef
  • A Study of Pain, Depression, and Adjustment to Military Life of Soldiers with Low Back Pain
    Ji-Hyun Lee, Jong-Im Kim
    Journal of muscle and joint health.2010; 17(2): 173.     CrossRef
  • Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain
    Hee-Kyoung Hyoung
    Journal of Korean Academy of Nursing.2008; 38(6): 902.     CrossRef
  • 145 View
  • 1 Download
  • 10 Crossref
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The Effects of Koryo Hand-Acupuncture on the Patients with Chronic Low Back Pain
Nan Young Lim, Yeo Jin Yi
Journal of Korean Academy of Nursing 2003;33(1):79-86.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.1.79
AbstractAbstract
Purpose

The purpose of this study was to identify the effects of Koryo Hand-Acupuncture on health status(pain, trunk flexion, IADL, depression) of patients with chronic low back pain.

Method

This study used a quasi experimental pre-test and post-test design. Data were collected from December 1st, 2000 to December 20th, 2001. 63 chronic low back pain patients(35 experimental group, 28 control group) admitted to the Back-School and consented to this study. The experimental group participated in treatment : Koryo Hand-Acupuncture and AB-Bong. Two groups was homogeneity. After 4 weeks the effects of treatment on the health status was measured between experimental and control group. Data were analyzed using SPSSWIN 10.0 with crosstab, t-test, and paired t-test.

Result

In the experimental group, pain(t=4.85, p=.000) and IADL difficulty(t=2.05, p=.045) was significantly lower than those in the control group. It makes no difference trunk flexion(t=-1.60, p=.114) and depression(t=1.50, p=.138) between experimental and control group.

Conclusion

These findings indicate that Koryo-Hand Acupuncture is an effective method for reducing pain and IADL difficulty in patients with chronic low back pain, and is considered as a independent nursing intervention for chronic low back pain.

Citations

Citations to this article as recorded by  
  • Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
    Hyojung Park, Hyejin Lee
    BMC Complementary Medicine and Therapies.2024;[Epub]     CrossRef
  • The State of 21st Century Acupuncture in the United States
    Clasina Smith, Bill Reddy, Charis Wolf, Rosa Schnyer, Korina St John, Lisa Conboy, Jen Stone, Lixing Lao
    Journal of Pain Research.2024; Volume 17: 3329.     CrossRef
  • Effects of Hand Moxibustion and Hand Press Pellet on Low Back Pain, Range of Joint Movement, and Depression
    Yeoun Ok Kim, Soon Ock Choi, Jee Won Kim
    Journal of Korean Academy of Community Health Nursing.2019; 30(3): 336.     CrossRef
  • Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia
    Na Young Ahn, Hye-Ja Park
    Complementary Therapies in Clinical Practice.2017; 28: 101.     CrossRef
  • Effects of the Hand Acupressure and Lumbar Strengthening Exercise on Women with Lower Back Pain
    Eun Young Jeon
    journal of east-west nursing research.2013; 19(2): 63.     CrossRef
  • The Effects of Hand Moxibustion and Hand Press Pellet on Blood Pressure, Blood Lipids and Blood Cell Components in Aged Women with Essential Hypertension
    Yoo-Sun Shin, Eun-Ha Kim
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 100.     CrossRef
  • Effects of Koryo Hand Therapy(KHT) on Woman Elders' Knee Pain
    Hyo-Jung Koh, Mi-Kyung Jung, Yun-Hee Kwon
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(9): 4022.     CrossRef
  • The Effects of Hand Acupuncture · Moxibustion Therapy on Elders' Shoulder Pain, ADL/IADL and Sleep Disorders
    Young-Ock Lee, Chungnam Kim
    Journal of Korean Academy of Community Health Nursing.2010; 21(2): 229.     CrossRef
  • The Effects of Hand Acupuncture Therapy on Pain, ROM, ADL and Depression among Elders with Low Back Pain and Knee Joint Pain
    Jin-Hyang Yang
    Journal of Korean Academy of Nursing.2009; 39(1): 10.     CrossRef
  • Effects of Koryo Hand Therapy on Menopausal Symptoms and FSH, LH, and Estradiol in Climacteric Women
    Young A Song, Hye Sook Shin
    Journal of Korean Academy of Nursing.2009; 39(6): 868.     CrossRef
  • The effectiveness of hand acupuncture and moxibustion in decreasing pain and “coldness” in Korea women who have had hysterectomy: a pilot study
    Kyung Rim Shin, Soon Ae Kwak, Jung Bock Lee, Hye Ryeon Yi
    Applied Nursing Research.2006; 19(1): 22.     CrossRef
  • 211 View
  • 0 Download
  • 11 Crossref
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The Effects of Hand Acupuncture Therapy on Pain, ROM, ADL and Depression among Elders with Low Back Pain and Knee Joint Pain
Jin-Hyang Yang
J Korean Acad Nurs 2009;39(1):10-20.   Published online February 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.10
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of hand acupuncture therapy on pain, ROM, ADL, and depression among older people with low back pain and knee joint pain.

Methods

The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 40 patients, 18 in the experimental group and 22 in the control group. A pretest and 2 posttest were conducted to measure the main variables. For the experimental group, hand acupuncture therapy, consisting of hand acupuncture and press-pellets based on corresponding points, was given.

Results

There were statistically significant differences in pain, ROM in knee joint, and ADL in the experimental group but not in depression compared to the control group over two different times.

Conclusion

The hand acupuncture therapy was effective for low back pain, knee joint pain, ROM in knee joint and ADL among the elders in this study. Therefore, the hand acupuncture therapy can be utilized in the field of geriatric nursing as a nursing intervention for older people with low back pain and knee joint pain.

Citations

Citations to this article as recorded by  
  • The State of 21st Century Acupuncture in the United States
    Clasina Smith, Bill Reddy, Charis Wolf, Rosa Schnyer, Korina St John, Lisa Conboy, Jen Stone, Lixing Lao
    Journal of Pain Research.2024; Volume 17: 3329.     CrossRef
  • Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
    Hyojung Park, Hyejin Lee
    BMC Complementary Medicine and Therapies.2024;[Epub]     CrossRef
  • The Effect of Hand Press Pellet Therapy on Arthralgia, Ankylosis, and Depression in Elderly Women with Knee Osteoarthritis
    Hyojung Park, Hyeri Yang
    The Korean Journal of Rehabilitation Nursing.2020; 23(1): 27.     CrossRef
  • Effect of adding acupuncture to postoperative rehabilitation treatment for muscle injury pain in patients with anterior cruciate ligament reconstruction: Controlled clinical trial
    José Geraldo G. Barbosa, Alberto de C. Pochini, Daniel C. de Oliveira, Renan V.R. Martinelli, Gabriel F. Margato, Tiago M. Zogbi, Márgara Zanotele, Ysao Yamamura
    Revista Internacional de Acupuntura.2020; 14(3): 87.     CrossRef
  • Acute effect of Korean hand acupuncture on neck pain: A randomized controlled preliminary study
    Eva Belinha Teixeira, Maria João Santos, Bruno Ramos, Jorge Machado, Maria Begoña Criado
    European Journal of Integrative Medicine.2019; 31: 100954.     CrossRef
  • Effects of Hand Moxibustion and Hand Press Pellet on Low Back Pain, Range of Joint Movement, and Depression
    Yeoun Ok Kim, Soon Ock Choi, Jee Won Kim
    Journal of Korean Academy of Community Health Nursing.2019; 30(3): 336.     CrossRef
  • Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia
    Na Young Ahn, Hye-Ja Park
    Complementary Therapies in Clinical Practice.2017; 28: 101.     CrossRef
  • Factors Influencing Health Behavior in Elderly Patients with Chronic Low Back Pain
    Sukhee Park
    Journal of Korean Gerontological Nursing.2015; 17(1): 20.     CrossRef
  • The Effect of Transcutaneous Electrical Nerve Stimulation on Acute Pain and Beta-Endorphins of Needle Biopsy
    Ji-Min Lee, Hae-Sook Hong
    Journal of Korean Biological Nursing Science.2013; 15(3): 99.     CrossRef
  • Effects of the Hand Acupressure and Lumbar Strengthening Exercise on Women with Lower Back Pain
    Eun Young Jeon
    journal of east-west nursing research.2013; 19(2): 63.     CrossRef
  • The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis
    Soon-Ok Yang, Myung Soon Kwon, Yong-Jun Choi, Seung-Hee Lee
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 151.     CrossRef
  • 232 View
  • 4 Download
  • 11 Crossref
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A Study on Health Perception and Health Promoting Behavior in Chronic Back Pain Patients
Hyoung Sook Park, Young Sook Kang, Kyung Yeon Park
Journal of Korean Academy of Nursing 2006;36(3):439-448.   Published online June 30, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.3.439
AbstractAbstract PDF
Purpose

The purpose of this study was to show a relationship between health perception and health promoting behaviors in chronic low back pain patients.

Method

The subjects for this study were 213 persons who the visited hospital with low back pain-related problems.

Results

The higher the levelof the health perception in chronic back pain patients was the higher the rate of the practice of health promoting behaviors (r=0.393, p<.001). The health perception T score was 50.00±10.00. As for health promoting behaviors, the T score was 49.99±10.00. The subscale of the highest mean score was interpersonal support (2.96±0.64) and the subscale of the lowest mean score was exercise (2.13±0.99).

Conclusion

This study showed that chronic low back pain patients had a lower level of perception of their health, and their practice to improve their health was not enough. Therefore, nurses should educate and encourage chronic low back pain patients in proper exercises and correct posture to strengthen and maintain lumbar extension muscle power.

Citations

Citations to this article as recorded by  
  • Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study
    Suin Lee, Eun-Ju Lee
    Journal of Korean Gerontological Nursing.2023; 25(3): 248.     CrossRef
  • A Study on Health Knowledge, Health Promoting Behavior and Needs for Healthcare Service in the Elderly in a Rural Area

    Journal of East-West Nursing Research.2015; 21(1): 18.     CrossRef
  • Relationships among Self Efficacy, Social Support, and Health Promoting Behaviors in Correctional Officers
    Yeongmi Ha, Hyunkyung Choi
    Korean Journal of Occupational Health Nursing.2014; 23(3): 163.     CrossRef
  • Knowledge of hepatitis A, Health Perception and Health Promoting Behavior among young and middle-age adults
    Kyeong-Sook Cha, Yang-Sook Yoo, Ok-Hee Cho
    Journal of Korean Public Health Nursing.2014; 28(2): 298.     CrossRef
  • The Factors Affecting Health Promotion Behavior among Stomach Cancer Patients
    Hye-Min Yun, Keon-Yeop Kim, Tae-Yong Lee, Hyun-Jee Kim, Kwang-Hwan Kim, Dae-Kyung Kim
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(10): 4513.     CrossRef
  • Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain
    Hee-Kyoung Hyoung
    Journal of Korean Academy of Nursing.2008; 38(6): 902.     CrossRef
  • 121 View
  • 0 Download
  • 6 Crossref
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