A Clinical Study on the Lumbar Stability of the Patients with Degenerative Lumbar Intervertebral Disc

이진호; Beomyong Song; 이효석

Journal of Korean Medicine Rehabilitation

Abbr : JKMR
2007, 17(2), pp.151-167
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Korean Medicine

이진호 ¹, Beomyong Song ², 이효석 ³

¹자생한방병원
²우석대학교
³공군사관학교

ABSTRACT

Objectives : A Structural factor of the lumbar spine determines stability of lumbar spine, and instability of lumbar spine makes degenerative changes on lumbar spine. The purpose of this study is to analyze structure alignment in the patients with Lumbar Intervertebral Disc(IVD) degeneration(Deg.). Also, I would like to make materials for prognosis judgement by observing clinical procedure. Methods : We analyzed the lateral view of lumbar spine checked at erect position on 212 patients who had been diagnosed as IVD Deg. by Magnetic Resonance Imaging. We investigated the Ferguson's angle, Lumbar lordotic angle, L4-5 IVD angle, L5-S1 IVD angle on X-ray film. We applied conservative Korean medicine treatment to 87 among 212 patients, and examined clinical procedure by Visual Analogue Scale(VAS). Results and Conclusions : 1. Ferguson's angle of 212 patients with IVD Deg. was smaller than normal range. Patients with L5-S1 IVD Deg. or herniation of nucleus pulposus(HNP) showed smaller Ferguson's angle than those without L5-S1 IVD Deg. or HNP. Angle of male was smaller than that of female. 2. Lumbar lordotic angle of female was bigger than that of male. Patients with L5-S1 IVD Deg. or HNP showed smaller Lumbar lordortic angle than those without L5-S1 IVD Deg. or HNP. 3. Patients with L4-5 IVD Deg. or HNP showed smaller L4-5 IVD angle than those without L4-5 IVD Deg. or HNP. 4. Patients with L5-S1 IVD Deg. or HNP showed a little smaller L5-S1 IVD angle than those without L5-S1 IVD Deg. or HNP. 5. Patients with angles beyond normal range indicated more effective result than those with normal range of angles. And patients with more effective result for the low back pain showed smaller Ferguson's angle and Lumbar lordotic angle. Ferguson's angle and Lumbar lordotic angle exert negative influence on the VAS of low back pain decrement(by regression analysis).
KEYWORDS

Degenerative Lumbar Intervertebral Disc, Ferguson's angle, Lumbar lordotic angle, Intervertebral Disc angle
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