Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis (한방병원에 입원한 요통 환자의 요추 전만각, 요천각 변화의 심각도에 따른 예후 분석 연구)

Su-Bin Han (한수빈); Eun-San Kim (김은산); Hyo-jun Kim (김효준); Hoo-In Jo (조후인); Mi-hye Kim (김미혜); Nam-Woo Lee (이남우); Jeong-Hun Han (한정훈); Byung-Hak Park (박병학); Jae-Min Son (손재민); Do-Hyeon Kang (강도현); Tae-Woon Min (민태운); Hyun-Jun Lee (이현준); Jae-Seo Ahn (안재서); Han-Sol Lee (이한솔)

doi:10.18325/jkmr.2020.30.4.143

Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis

Journal of Korean Medicine Rehabilitation
Abbr : JKMR
2020, 30(4), pp.143-154
DOI : 10.18325/jkmr.2020.30.4.143
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Medicine and Pharmacy > Korean Medicine
Received : September 17, 2020
Accepted : October 7, 2020
Published : October 31, 2020

Su-Bin Han ¹, Eun-San Kim ², Hyo-jun Kim ³, Hoo-In Jo ⁴, Mi-hye Kim ¹, Nam-Woo Lee ¹, Jeong-Hun Han ¹, Byung-Hak Park ¹, Jae-Min Son ¹, Do-Hyeon Kang ¹, Tae-Woon Min ¹, Hyun-Jun Lee ¹, Jae-Seo Ahn ¹, Han-Sol Lee ¹

¹자생한방병원 한방재활의학과
²자생의료재단 척추관절연구소
³대전자생한방병원 한방재활의학과
⁴자생한방병원 침구과

Accredited

ABSTRACT

Objectives To analyze the prognosis of patients with low back pain according to the severity of abnormal lumbar lordotic angle and Ferguson's angle. Methods Data from electronic medical record of a total of 199 patients hospitalized in Korean medicine hospital were analyzed. With the sagittal view of lumbar spine X-ray, lumbar lordotic angle was defined as the angle between the superior endplate of L1 with the inferior endplate of L5. Ferguson’s angle was defined as the angle between the superior surfaces of the sacral with a horizontal line. ‘Measure Cobb’s Angle Tool’ of ‘INFINITT PACS’ was used to measure both angles. Lumbar lordotic angle and Ferguson's angle were subdivided into five sections. The number of days from onset and the duration of hospitalization were analyzed in each section. Results Severe hypolordotic lumbar lordotic angle group were found to have longer medical history and hospitalization duration than the control group. The ratio of long-term hospitalization (over 15 days) and chronic medical history (over 180 days) of patients with severe hypolordotic Ferguson’s angle were significantly higher than the control group. The ratio of patients with chronic medical history (over 180 days) was significantly higher in severe hyperlordotic Ferguson's angle group than the control group. Conclusions Severe hypolordotic lumbar lordotic angle was related to patient’s prognosis. Both severe hyperlordotic and severe hypolordotic Ferguson’s angle were found to be related to patient’s prognosis. However, a moderate loss of lumbar lordotic angle and Ferguson’s angle was not related to prognosis of low back pain patients. (J Korean Med Rehabil 2020;30(4):143-154)

KEYWORDS

Low back pain, Lordosis, Kyphosis, Prognosis, Spinal curvatures

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Journal of Korean Medicine Rehabilitation 2023 KCI Impact Factor : 0.6

Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis

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Journal of Korean Medicine Rehabilitation 2023 KCI Impact Factor : 0.6

Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis

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