Low back pain (LBP) is the most common reason for seeking physical therapy (PT) care. Recent studies suggest that axial loading can have a positive impact on the intervertebral disc by improving its tensile strength. Further, whole body vibration (WBV) appears to improve spinal muscle relaxation. Therefore, this case study describes the use of axial loading using a minitrampoline in a female with chronic LBP. This case report is a single subject design. This patient is a 29-year-old female with a six-month history of low back pain following a motor vehicle accident. MRI found herniated discs at L4 and L5, clinical tests were positive for pain in the L4 and L5 dermatome and myotome the slump test was positive for neural tension, and LBP was constant at 4-6/10 over the past four months. She received axial loading exercises using a mini-trampoline and performed six sessions that were, scheduled twice a week for three weeks. Her Oswestry Disability Index (ODI) score improved from 40% at the time of her first visit to 22% at her final visit. Pain measure on the Numeric Pain Rating Scale (NPRS) after the first treatment was 7/10, and her pain after the final treatment was 0/10. These changes in the pain scores are clinically significant and exceed the minimal clinically important difference (MCID). This patient had a significant improvement in her pain using the NPRS and the ODI. This case study suggests that axial loading may be an effective treatment for some individuals with discogenic chronic low back pain.

The purpose of this study is to investigate whether there are differences in physique characteristics between the excellent domestic player groups in each sport player's, to prevent epidemiologic damage of musculoskeletal system and to provide fundamental data to improve performances for players. This study has performed for total 60 student players from Y University in Yongin, Gyeonggi-do, consists of 20 Kendo players, 20 Judo players and 20 Taekwondo players. We measured the length and circumference of arm, leg, body using Martin anthropometer to collect the data for 3 groups. There was significant difference in lower left arm length between player groups(p<.01), and Kendo players' right side femoral were longer than other 2 groups for leg length measurement(p<.01). Judo players' circumference for right/left stretched arm/bent upper arm were thicker than other 2 groups(p<.01). Taekwondo players' chest circumference were smaller than other 2 groups(p<.01), and Taekwondo players' right/left femoral circumference were thinner than other 2 groups(p<.05). From this study, it was found that there are physique characteristics differences between the Kendo, Judo and Taekwondo player groups. This indicates that repeated exercise for each sport player causes physique change, and it may cause epidemiologic damage of musculoskeletal system. It is recommended to perform balancing exercise prior to main exercise.

The purpose of this study was to identify the effects of manipulation on the velocity of cerebral blood flow and level of pain in cervicogeinc headache patients. The velocity of cerebral blood flow of 30 cervicogeinc headache patients(male=15, female=15, age=24.00±3.60) and 33 normal subjects(male=15, female=18, age=23.27±3.00) was compared. The 30 cervicogeinc headache patients were divided into suboccipitalis relaxation group, cervical manipulation group, and placebo group, and each were given different interventions. The velocity of cerebral blood flow and pain level was measured before intervention, and 1, 2, 3 weeks after intervention. The velocity of cerebral blood flow was measured with the Transcranial Doppler(TCD), and pain level was measured with visual analog scale(VAS). Blood flow velocity of middle cerebral artery in cervicogeinc headache patients was slower than those in healthy subjects. Physical therapy intervention did not have significant effect on velocity of cerebral blood flow, but slowly decreased at intervention for pain level increased. The suboccipitalis relaxation group and cervical manipulation group showed significant effect in decreasing pain level compared to the placebo group(p＜.05). Directly applied manipulation therapy in the neck area not only has effect on joint of cervical and soft tissue but also on blood vessels and nerves which pass the neck area, and because of those results of manual therapy seems to help recovery.