Pedopractic 마사지와 Chiropractic 수기요법의 치료효과에 대한 비교 연구

Abstract

본 연구는 정상보행이나 활동하는데 불편함이 없는 만성요통환자 20명을 대상으로 실시하였다. 카이로프랙틱 10명과 패도프랙틱 10명으로 실험집단을 나누어 카이로프랙틱과 패도프랙틱을 각각 시술 전의 경우와 10회 실시하였을 경우에 요통의 통증변화에 대한 설문지를 통계 분석한 결과, 다음과 같은 결론을 얻을 수 있었다. 1. 통증관련목록은 패도프랙틱시술 실시 전 7.90±4.62에서 10회 실시 후 1.60±1.26로 6.30 감소하였으며, 통계적으로도 유의하게(p< .001) 감소하였다. 카이로프랙틱시술은 실시 전 8.70±2.90에서 10회 실시 후 1.40±1.34로 7.30감소하였으며, 통계적으로 유의하게(p< .001) 감소하였다. 집단 간의 차이검정은 유의한 차가 없었다. 2. 현재통증정도는 패도프랙틱시술 실시 전 4.00±1.24에서 10회 실시 후 1.90±0.31로 2.10 감소하였으며, 통계적으로도 유의하게(p< .001) 감소하였다. 카이로프랙틱시술은 실시 전 4.30±0.82에서 10회 실시 후 1.50±0.52로 2.80 감소하였으며, 통계적으로도 유의하게(p< .001) 감소하였다. 집단 간의 차이검정은 유의한 차가 없었다. 3. 허리통증급간은 패도프랙틱시술 실시 전 9.60±6.70에서 10회 실시 후 2.30±1.94로 7.40 감소하였으며, 통계적으로도 유의하게(p< .01)감소하였다. 카이로프랙틱시술은 실시 전 13.90±3.51에서 10회 실시 후 1.40±1.42로 12.50 감소하였으며, 통계적으로도 유의하게(p< .001) 감소하였다. 집단 간의 차이검정은 유의한 차가 없었다. 4. 요통자각도기록표는 패도프랙틱시술 실시 전 5.60±1.07에서 10회 실시 후 2.70±1.05로 2.90 감소하였으며, 통계적으로도 유의하게(p< .001)감소하였다. 카이로프랙틱시술 실시 전 6.00±0.47에서 10회 실시 후 1.80±0.63으로 4.20 감소하였으며, 통계적으로도 유의하게(p< .001) 감소하였다. 집단 간의 차이검정은 패도프랙틱군과 카이로프랙틱군의 요통자각도기록표의 시술 전 집단 간 변화는 유의한 차이가 없었으나, 시술 후 집단 간 변화는 유의한 차이(p< .05)를 나타내었다.

This research is to see the effects between pedopractic massage and chiropractic manipulation through 20 patients of the Korea with low back Pain with the help of pedopracter and chiropracter in the K-laboratory in Pusan. They were separated two parts randomly. One group(10 people) was treated by just pedopracter and the other group(10 people) was placed under chiropracter. This research choose 3 questionnaires as a measuring apparatus to see the subjective symptoms and to see the change of the reduction degree of low back pain patients. They were recorded by patients before and after treatment of therapist to avoid statistical prejudice and to consider the most objectivity. 1) Short-Form McGill Pain Questionnaire(Melzack, 1987) 2) Roland-Morris Questionnaire(Roland, Fairbank, 2000) 3) Lumbago Visual Analogue Scale(Mark, 1986) Treatment of therapist was carried out after low back pain patients drew up the consent forms. The total time required for a task was 30 minutes each treatment and the frequency was 10 times which consist of two times every one week, which was separated a transition period of 2 times, an adaptation period of 3 times, a tender adaptation period of 3 times and a recovery period of 2 times. The statistics analysis result of questionnaires about the change of low back pain is as follows. 1. The List about Pain showed a decrease by 6.30 before pedopratic massage from 7.90±4.62 after 10 times' massage to 1.60±1.26 and it decreased statistically significant (p<. 001). In case of chiro manipulation, it showed a decrease by 7.30 before chiro manipulation from 8.70±2.90 after 10 times' manipulation to 1.40±1.34 and it decreased statistically significant (p< .001). There was no significant difference between two groups. 2. The Present Pain Degree showed a decrease by 2.10 before pedopratic massage from 4.00±1.24 after 10 times' massage to 1.90±0.31 and it decreased statistically significant (p<. 001). In case of chiro manipulation, it showed a decrease by 2.80 before chiro manipulation from 4.30±0.82 after 10 times' manipulation to 1.50±0.52 and it decreased statistically significant (p< .001). There was no significant difference between two groups. 3. The Low Back Pain Levels showed a decrease by 7.40 before pedopratic massage from 9.60±6.70 after 10 times' massage to 2.30±1.94 and it decreased statistically significant (p<. 001). In case of chiro manipulation, it showed a decrease by 12.50 before chiro manipulation from 13.90±3.51 after 10 times' manipulation to 1.40±1.42 and it decreased statistically significant (p< .001). There was no significant difference between two groups. 4. The Lumbago Visual Analogue Scale showed a decrease by 2.90 before pedopratic massage from 6.00±0.47 after 10 times' massage to 1.80±0.63 and it decreased statistically significant (p<. 001). In case of chiro manipulation, it showed a decrease by 4.20 before chiro manipulation from 13.90±3.51 after 10 times' manipulation to 1.40±1.42 and it decreased statistically significant (p< .001). There was no significant difference between two groups before treatment but There was significant difference (p< .05) between two groups after treatment.