요통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구 = Physical Therapy Session Duration in patients with Low Back Pain: Descriptive Research

다국어 초록 (Multilingual Abstract)

Objective: The purpose of study was to compare physical therapy duration in relation tohealth care organization system in patients with low back pain. Subjects: Subjects of this study were 759 patients who are receiving physical therapy at 56 health care organization. Methods: Data were collected by questionnaire that had been completed by patients and physical therapist for two months. Physical therapy procedures consisted of modality application, manual therapy, active therapeutic exercise, and patient education. Physical therapy session duration was investigated for each physical therapy procedure. Data were analyzed in relation to the university hospital, hospital, and clinic. Results: The mean age of subjects was 42.84±15.46. There were no significant differences in age among three groups. The number of patients diagnosed with herniated disc were 244(32.15%) and with mechanical low back pain was 187(24.64%). the mean treatment duration per day was 53.22 minutes, and the longest treatment duration was 61.28 minutes at the university hospitals(p＜0.001). The mean modality application duration was 42.17 minutes, and the longest application duration was 46.26 minutes at the university hospitals(p＜0.001). The mean duration for manual therapy was 5.11 minutes, and the longest treatment duration was 5.97 minutes at clinics. The mean duration for active therapeutic exercise was 4.16 minutes. It was 7.60 minutes at the university hospitals, and 2.48 minutes at clinics. There was a significant difference in active therapeutic exercise duration between university hospitals and clinics(p＜0.001). For modalities, hot packs(89.33%) and interferential current therapy(60.87%) were mostly applied. For manual therapy, Soft tissue mobilization(32.93%) and manipulation(14.10%) were mostly applied. In general, treatment application duration was longer at University hospital (p＜0.05). For therapeutic exercise, exercise without equipment(18.84%) and muscle strengthening(16.73%) were mostly performed. The longest treatment duration for therapeutic exercise was 7.60 minutes at the university hospital(p＜0.05). Conclusion: physical therapy session duration for low back pain was 53.22 minutes. Modality application constitutes 79%, manual therapy 10%, active therapeutic exercise 8% of total treatment duration. It is concluded that patients do not participate actively in treatment procedures.

목차 (Table of Contents)

• 서론
• 연구 방법
• 1. 연구 대상
• 2. 연구 방법
• 3. 분석 방법
• 연구 결과
• 1. 연구 대상자의 특성
• 2. 요통 환자의 진단명 비교
• 3. 병원 규모별 요통 환자의 물리치료방법 적용시간 비교
• 4. 요통 환자에 대한 물리치료방법 중 Modality 사용 실태
• 5. 요통 환자의 물리치료방법 중 능동적 운동치료법의 적용 시간
• 6. 요통 환자의 물리치료방법 중 수동적 도수 치료법의 적용 시간
• 7. 요통 환자의 통증 강도와 일상생활동작에 지장정도
• 8. 요통 환자에게 가장 효과적인 물리치료방법에 대한 환자와 물리치료사의 생각
• 고찰
• 결과