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Effects of Thermo-spinal massage treatment in a Patient with Rheumatism patient with Autonomic nervous system Dysfunction: A Case Report

자율신경 기능 이상이 동반된 류마티즘 환자에 대한 온열-척추 마사지 치료 효과 : 증례 연구

  • Choi, Jun Hyun (Department of Rehabilitation Medicine, Presbyterian (Jesus) Medical Center) ;
  • Lee, Jong-Hoo (Department of Rehabilitation Medicine, Presbyterian (Jesus) Medical Center) ;
  • Yoon, Yong-Soon (Department of Rehabilitation Medicine, Presbyterian (Jesus) Medical Center)
  • 최준현 (전주 예수병원 재활의학과) ;
  • 이정후 (전주 예수병원 재활의학과) ;
  • 윤용순 (전주 예수병원 재활의학과)
  • Received : 2020.07.02
  • Accepted : 2020.08.20
  • Published : 2020.08.28

Abstract

Rheumatoid arthritis ("RA"), whose characteristics are chronic inflammation and chronic pain, accompanies autonomic nervous system(ANS) dysfunction. In particular, ANS dysfunction in patients with chronic musculoskeletal pain was found to have increased the local pain intensity while lowering the pain threshold, thereby negatively influencing pain. It is reported that thermo-spinal massage affects relief of chronic pain and recovery of ANS in patients with chronic musculoskeletal pain. Therefore, we report a case of rheumatoid patients with chronic pain and ANS dysfunction, who experienced recovery of ANS dysfunction and pain reduction by applying thermo-spinal massage treatment.

만성통증을 동반한 류마티즘 환자에서 자율신경계 이상(autonomic nervous system dysfunction)이 동반되기도 한다. 특히 만성통증 환자에서 자율신경계 이상은 국소 통증 강도 증가 및 통증 역치 감소를 발생하여 만성 근골격계 통증에 악영향을 미친다고 확인되었다. 이런 만성 근골격계 통증 환자에 온열-척추 마사지 치료를 실시한 실험에서 통증경감과 자율신경계 회복이 되었다고 보고되고 있다. 그래서 우리는 만성 통증과 자율신경계 이상이 동반된 류마티즘 환자에 온열-척추 마사지 치료를 적용하였고 자율신경기능의 회복과 통증의 감소를 경험한 사례가 있어 보고하고자 한다.

Keywords

References

  1. A. M. Adlan, G. Y. Lip, J. F. Paton, G. D. Kitas & J. P. Fisher. (2014). Autonomic function and rheumatoid arthritis-A systematic review. Seminars in Arthritis and Rheumatism, 44(3), 283-304. DOI : 10.1016/j.semarthrit.2014.06.003
  2. D. Hallman & E. Lyskov. (2012). Autonomic regulation in musculoskeletal pain. IntechOpen. 35-62. DOI :10.5772/51086
  3. S. Inoue & M. Kabaya (1989). Biological activities caused by far-infrared radiation. International Journal of Biometeorology, 33(3), 145-150. DOI : 10.1007/BF01084598
  4. C. A. Moyer, J. Rounds & J. W. Hannum (2004). A meta-analysis of massage therapy research. Psychological bulletin, 130(1), 3-18. DOI : 10.1037/0033-2909.130.1.3
  5. Y. D. Kim, Y. S. Chang, D. H. Choi, H. J. Lee & K. S. Tae. (2010). Evaluation of immediate effects of an electrical massager on stress relaxation using the heart rate variability (HRV). Journal of the Korean Society for Precision Engineering, 27(6), 75-81.
  6. D. W. Lee, J. H. Park, S. N. Eom, D. W. Kim, S. H. Cho, C. Y. Ko & H. S. Kim. (2012). Effects of Combined Stimulus on Stress Relief. Journal of Biomedical Engineering Research, 33(4), 194-201. https://doi.org/10.9718/JBER.2012.33.4.194
  7. Electrophysiology, T. F. O. T. E. S. O. C. T. N. A. S. O. P. (1996). Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation, 93(5), 1043-1065. DOI : 10.1161/01.CIR.93.5.1043
  8. K. E. Speer, S. Semple, N. Naumovski & A. J. McKune. (2020). Measuring Heart Rate Variability Using Commercially Available Devices in Healthy Children: A Validity and Reliability Study. European Journal of Investigation in Health, Psychology and Education, 10(1), 390-404. DOI : 10.3390/ejihpe10010029
  9. M. V. Kamath & E. L. Fallen, (1993). Power spectral analysis of heart rate variability: a noninvasive signature of cardiac autonomic function. Critical reviews in biomedical engineering, 21(3), 245-311.
  10. L. A. De Luca Jr, J. V. Menani & A. K. Johnson. (2014). Circumventricular Organs: Integrators of Circulating Signals Controlling Hydration, Energy Balance, and Immune Function. Neurobiology of Body Fluid Homeostasis: Transduction and Integration. Boca Raton : CRC Press/Taylor & Francis.
  11. A. M. Adlan, J. J. V. van Zanten, G. Y. Lip, J. F. Paton, G. D. Kitas & J. P. Fisher. (2017). Cardiovascular autonomic regulation, inflammation and pain in rheumatoid arthritis. Autonomic Neuroscience, 208, 137-145. DOI : 10.1016/j.autneu.2017.09.003
  12. K. J. Tracey. (2002). The inflammatory reflex. Nature, 420(6917), 853-859. DOI : 10.1038/nature01321
  13. T. Schlereth & F. Birklein. (2008). The sympathetic nervous system and pain. Neuromolecular medicine, 10(3), 141-147. DOI :10.1007/s12017-007-8018-6
  14. W. Janig. (2003). Relationship between pain and autonomic phenomena in headache and other pain conditions. Cephalalgia, 23(1 suppl), 43-48. DOI : 10.1046/j.1468-2982.2003.00573.x
  15. T. A. Lovick (1991). Interactions between descending pathways from the dorsal and ventrolateral periaqueductal gray matter in the rat. In The midbrain periaqueductal gray matter. pp. 101-120. Boston : Springer.
  16. M. N. Murphy, M. Mizuno, J. H. Mitchell & S. A. Smith. (2011). Cardiovascular regulation by skeletal muscle reflexes in health and disease. American Journal of Physiology-Heart and Circulatory Physiology, 301(4), H1191-H1204. DOI : 10.1152/ajpheart.00208.2011