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Quantitative Research Using Modified Digital Algometer according to Digestive Condition and Discomfort in Healthy Adults

건강한 성인의 소화 상태 및 소화 불편에 따른 복진용 압통장치를 활용한 정량적 연구

  • Dae-Hyeok Kim (Digital Health Research Division, Korea Institute of Oriental Medicine) ;
  • Young-Eun Kim (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Sanghun Lee (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Jeong Hwan Park (KM Data Division, Korea Institute of Oriental Medicine)
  • 김대혁 (한국한의학연구원 디지털임상연구부) ;
  • 김영은 (한국한의학연구원 한의약데이터부) ;
  • 이상훈 (한국한의학연구원 한의약데이터부) ;
  • 박정환 (한국한의학연구원 한의약데이터부)
  • Received : 2023.07.23
  • Accepted : 2023.08.30
  • Published : 2023.09.27

Abstract

Objectives : The aim of this study was to assess the quantitative characteristics of pressure pain threshold (PPT) and pressure depth (PD) at the abdominal conception vessel (CV) acupoints according to subjective digestive status and digestive discomfort levels, accomplished by comparing a large group of healthy men and women, using the modified digital algometer. Methods : A total of 1,504 healthy adults aged 19 years or older participated in this study. A questionnaire was administered to evaluate participants' digestive status and discomfort. PPT (kgf/cm2/s) and PD (mm) measurements were obtained at CV14, CV12, and CV4 acupoints using a modified digital algometer. General characteristics were analyzed using the chi-square test, and differences in PPT and PD were assessed using two-sample t-tests and ANCOVA. Results : Significant difference in PPT was found based on digestive status at CV14 and CV12 for both sexes, and in PD at CV14 for women. Women exhibited significant difference in PPT based on digestive discomfort at CV14, CV12, and CV4, while men showed significant difference at CV14 and CV12. Significant difference in PD was observed at CV14 and CV4 among women. Even after adjusting for age and body mass index, significant difference persisted in PPT based on digestive discomfort at CV14 and CV12 for both sexes. PD exhibited significant differences at CV14, CV12, and CV4 among women. Conclusions : Using the modified digital algometer, this study showed the significant difference of pressure pain threshold at the CV14 and CV12 acupoints for subjective digestive discomfort levels in healthy men and women.

Keywords

Acknowledgement

This research was supported by the Korea Institute of Oriental Medicine (KSN1922110).

References

  1. Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987 ; 30(1) : 115-26. https://doi.org/10.1016/0304-3959(87)90089-3
  2. Kinser AM, Sands WA, Stone MH. Reliability and validity of a pressure algometer. J Strength Cond Res. 2009 ; 23(1) : 312-4. https://doi.org/10.1519/jsc.0b013e31818f051c
  3. Harden RN, Revivo G, Song S, Nampiaparampil D, Golden G, Kirincic M, et al. A Critical analysis of the tender points in fibromyalgia. Pain Med. 2007 ; 8(2) : 147-56. https://doi.org/10.1111/j.1526-4637.2006.00203.x
  4. Giesbrecht RJ, Battie MC. A comparison of pressure pain detection thresholds in people with chronic low back pain and volunteers without pain. Phys Ther. 2005 ; 85(10) : 1085-92. https://doi.org/10.1093/ptj/85.10.1085
  5. Duarte MA, Penna FJ, Andrade EM, Cancela CS, Neto JC, Barbosa TF. Treatment of nonorganic recurrent abdominal pain: cognitive-behavioral family intervention. J Pediatr Gastroenterol Nutr. 2006 ; 43(1) : 59-64. https://doi.org/10.1097/01.mpg.0000226373.10871.76
  6. Joh KH, Kita T, Terasawa K, Moon SK, Ko CN, Kim YS, et al. An introduction of abdominal palpation signs in Japanese oriental medicine-A new approach to the practice of abdominal palpation in Korean oriental medicine. Korean. J. Orient. Int. Med. 1997 ; 18(1) : 86-96.
  7. Kim KJ, Jeon HJ, Ko SJ, Park JW. Clinical abdominal examinations in korean medicine based on expert opinions. Korean. J. Orient. Int. Med. 2021 ; 42(6) : 1211-22. https://doi.org/10.22246/jikm.2021.42.6.1211
  8. Ko SJ, Lee H, Kim SK, Kim M, Kim J, Lee BJ, et al. Development of the quantitative indicator of abdominal examination for clinical application: a pilot study. J Altern Complement Med. 2015 ; 21(6) : 358-63. https://doi.org/10.1089/acm.2014.0185
  9. Ko SJ, Kim JS, Ryu BH, Park JW. Clinical study on application of algometer to irritable bowel syndrome -In the view of quantification of the oriental abdominal diagnostics-. Korean. J. Orient. Int. Med. 2011 ; 173-81.
  10. Rho GH, Choi GH, Lee SH, Noh HM, Choi SH. A Clinical study on the diagnosis and observation of functional dyspepsia-focused on algometer. JKM. 2022 ; 43(4) : 1-7. https://doi.org/10.13048/jkm.22042
  11. Rho GH, Choi GH, Choi SH. Clinical Study for objectification of abdominal examination with functional dyspepsia-epigastric diagnosis using algometer. JKM. 2022 ; 43(1) : 1-5. https://doi.org/10.13048/jkm.22001
  12. Ko SJ, Kim JS, Ryu BH, Han GJ, Kim SK, Park JW. Clinical study on association between abdominal symptoms and pressure pain threshold in the treatment for irritable bowel syndrome with diarrhea -In the view of quantification of the oriental abdominal diagnostics-. Korean. J. Orient. Int. Med. 2012 ; 93-102.
  13. Lee JH, Kim SJ, Ko SJ, Park JW. An exploratory study on the possibility of quantitative measurement during abdominal examinations - a preliminary study on the development of a diagnostic device for abdominal examinations. Korean. J. Orient. Int. Med. 2016 ; 37(6) : 940-8. https://doi.org/10.22246/jikm.2016.37.6.940
  14. Kim J, Park JH, Kim KH. Review of research topics on abdominal examination. JKM. 2016 ; 37(3) : 1-12. https:/.doi.org/10.13048/jkm.16030
  15. Riley JL 3rd, Robinson ME, Wise EA, Myers CD, Fillingim RB. Sex differences in the perception of noxious experimental stimuli: a meta-analysis. Pain. 1998 ; 74(2-3) : 181-7. https://doi.org/10.1016/s0304-3959(97)00199-1
  16. Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013 ; 111(1) : 52-8. https://doi.org/10.1093/bja/aet127
  17. Chesterton LS, Barlas P, Foster NE, Baxter DG, Wright CC. Gender differences in pressure pain threshold in healthy humans. Pain. 2003 ; 101(3) : 259-66. https://doi.org/10.1016/S0304-3959(02)00330-5
  18. Tashani OA, Astita R, Sharp D, Johnson MI. Body mass index and distribution of body fat can influence sensory detection and pain sensitivity. Eur J Pain. 2017 ; 21(7) : 1186-96. https://doi.org/10.1002/ejp.1019
  19. Woodrow KM, Friedman GD, Siegelaub AB, Collen MF. Pain tolerance: differences according to age, sex and race. Psychosom Med. 1972 ; 34(6) : 548-56. https://doi.org/10.1097/00006842-197211000-00007
  20. Petrini L, Matthiesen ST, Arendt-Nielsen L. The effect of age and gender on pressure pain thresholds and suprathreshold stimuli. Perception. 2015 ; 44(5) : 587-96. https://doi.org/10.1068/p7847
  21. Meridians & Acupoints Compilation Committee of Korean Medical Colleges. Principles of Meridians & Acupoints; A Guidebook for College Students. Vol 2. 6th ed. Daejeon: JongRyeoNaMu; 2012 : 998-1002, 1006-08.
  22. Ko SJ, Kim KH, Lee SH, Yim MH, Park JW. Development of a patient-report pressure algometer for the quantification of abdominal examination. Integr Med Res. 2021 ; 10(4) : 100742. https://doi.org/10.1016/j.imr.2021.100742
  23. Kang HY, Shin D, Kang EK. Correlation of Pressure Pain Threshold with Segmental Water Content among Female Farmers. Tohoku J Exp Med. 2019 Jul ; 248(3) : 217-23. https://doi.org/10.1620/tjem.248.217
  24. Kim Y, Kim K. Abdominal examination using pressure pain threshold algometer reflecting clinical characteristics of complementary and alternative medicine in Korea: a systematic review and a brief proposal. Medicine (Baltimore). 2022 ; 101(46) : e31417. https://doi.org/10.1097/MD.0000000000031417
  25. Go HI, Cho E, Jung HJ, Lee S, Kim JH, Kwon OS. What is the source of pressure pain during abdominal examination in Korean medicine? Integr Med Res. 2020 ; 9(2) : 100406. https://doi.org/10.1016/j.imr.2020.100406
  26. Jang JS, Kim J, Lee SH, Kim KH. A study on the development of the abdomen diagnosis devices based on traditional Korean medicine. JKICS. 2017 ; 42(7) : 1493-501. https://doi.org/10.7840/kics.2017.42.7.1493