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관절가동술과 TENS가 만성요통환자의 통증역치 및 호르몬 변화에 미치는 영향

The Effects of Joint Mobilization and TENS on Pain Threshold and Hormonal Changes in Patients with Chronic Low Back Pain

대한정형도수치료학회지 2020년 26권 1호 p.65 ~ 72
이승병, 정성관, 이호준,
소속 상세정보
이승병 ( Lee Seung-Byung ) - Davinchi Hospital Department of Physical Therapy
정성관 ( Jeong Seong-Gwan ) - Seoul Orthopedic Clinic Department of Physical Therapy
이호준 ( Lee Ho-Jun ) - Siwonhan Rehabilitation Clinic Department of Physical Therapy

Abstract


Background: The purpose of this research is to investigate the effects of joint mobilization and transcutaneous electrical nerve stimulation (TENS) on pain threshold and hormonal changes in patients with chronic LBP.

Methods: 14 patients with chronic LBP were divided into the experimental group and the control group with 7 patients each, and both groups of patients were evaluated on pain duration, blood tests, and pressure pain threshold (PPT) on their first visit. On their second visit, joint mobilization was applied to the experimental group for 10 min and TENS to the control group for 20 min.

Results: Pain threshold and duration of analgesia increased from after treatment in the experimental group. Serotonin and Cortisol decreased after treatment in the experimental group.

Conclusion: Joint mobilization in patients with chronic LBP caused an increase in pain duration and pain thresholds and a decrease in serotonin, whereas there was little difference in cortisol.

키워드

Cortisol; Joint Mobilization; Serotonin; Pressure Pain Threshold

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