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KMID : 1021220230140032931
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국제물리치료학회지
2023 Volume.14 No. 3 p.2931 ~ p.2937
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Effect of Mechanical Diagnosis and Therapy and Pain Neuroscience Education on Pain and Function in Chronic Low Back Pain
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Choi Jung-Hyun
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Abstract
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Background : Pain neuroscience education (PNE) combined with exercise and mobilisation with cognitive goals presented decreases in pain and disability and an increase in spinal function compared to physiotherapy intervention in patients with chronic low back pain (CLBP).
Objectives : To investigated the effect of forward head posture (FHP) with chronic neck pain on the PNE combined with cervical and thoracic mobilization.
Design : A randomized controlled trial.
Methods : The subjects were randomly allocated to the MDT with PNE group (MPNEG, n=15) and the PNE group (PNEG, n=15). Pain neuroscience education was provided to both groups, and MDT exercise was additionally performed in the experimental group. Training was conducted 3 times a week for 8 weeks, and the Oswestry Disability Index (ODI) and numeric rating scale (NRS) were used to measure the level of back pain dysfunction, and each was evaluated before and after the experiment.
Results : Results from the study indicated that statistically significant decrease in NRS and ODI in MPNEG. In PNEG, there was statistically significant decrease in NRS. And in MPMES, there was a statistically significant decrease in ODI than in PNEG.
Conclusion : The MDT combined with PNE is more effective than PNE alone as a treatment method for improving lumbar dysfunction and reducing pain in chronic low back pain.
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KEYWORD
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Pain neuroscience education, Mechanical Diagnosis and Therapy, NRS, ODI, Chronic low back pain
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