• Title/Summary/Keyword: 만성통증

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Lumbar Combined Rehabilitation Exercise for Lumbar Reposition Sense, Static Balance and Pain of the Patient's with Chronic Low Back Pain (만성요통환자의 복합재활운동이 통증과 정적균형, 재위치감각인지에 미치는 영향)

  • Kim, Deahun
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.196-201
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    • 2019
  • The purpose of this study is to identify the effects of the apply of lumbar stabilization exercises and lumbar strengthening exercises using Medx machine on back functions such as static balance, lumbar reposition sense, and back pain(VAS) in chronic low back pain. This study divided 30 chronic low back pain patients who experienced only lumbar back pain(male: 5, female: 10) into a lumbar stabilization exercise group and a complex exercise group, and then performed their respective exercise programs for three times a week over a 8-week period. The lumbar static balance, lumbar reposition sense, and lumbar back pain were measured using a pair t-test within each group, and were also compared between two groups using an independent t-test. The results of the present study were as follows: Both groups exhibited statisti cally significant increases after performing their own exercise program in the static balance, lumbar reposition sense, and lumbar back pain(p<.05). However, the comparison of two groups confirmed that the complex exercise group resulted in greater effects than the lumbar stabilization exercise group(p<.05). In conclusion, muscle strengthening and stabilization exercises in chronic low back pain patients are considered to not only relieve back pain, but also improve various back functions.

Postural Aberrations in Female Patients With Chronic Low Back Pain (만성요통 여성 환자들에서 발생되는 자세의 변화)

  • Oh, Duck-Won
    • Physical Therapy Korea
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    • v.7 no.4
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    • pp.1-7
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    • 2000
  • 이 연구의 목적은 만성요통 여성 환자들에서 나타나는 자세 이상을 평가하고 방사선적 변수들과 임상적인 변수들과의 상관성을 알아보는 것이다. 이 연구의 대상자는 만성요통 여성 환자 38명과 대조군 32명이었다. 변수의 측정은 모든 대상자들이 이완된 자세로 기립한 상태에서 방사선 검사를 실시한 후 경추전만각, 흉추후만각, 요추전만각, 그리고 요추경사각을 측정하였다. 대상자들의 연령과 통증기간은 의무기록지를 참고하였다. 자료분석은 요통군과 대조군의 방사선적 변수들 간의 유의한 차이가 있는지를 알아보기 위해 독립된 t-검정을 시행하였고, 방사선적 변수들과 임상적 변수들과의 상관성을 알아보기 위해 피어슨 상관분석을 시행하였다. 연구결과 만성요통 환자군과 대조군사이의 경추전만각(p<.05), 요추전만각(p<.001), 그리고 천추경사각(p<.01)에서 통계학적으로 유의한 차이가 보였다. 통증기간은 요추전만각과 통계적학으로 유의한 상관관계가 있었으며(p<.05), 경추전만각은 흉추후만각과 통계학적으로 유의한 상관관계가 있었다(p<.05). 또한 흉추후만각, 요추전만각, 그리고 천추경사각은 각각 상호간에 상관관계가 있었다(p<.05). 만성요통은 요추만곡의 변화를 초래하여 흉추부 및 경추부의 자세이상을 유발할 수 있다. 그러므로 요통으로 인하여 올 수 있는 신체 전반적인 자세이상을 미리 예측하고 이를 교정하여야만 장기적으로 올 수 있는 합병증들을 예방할 수 있을 것이다.

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The Effect of Diathermy Treatment through Physiotherapist's Hand on the Pain and Disability Index in Chronic Lumbar Pain Patients (물리치료사 손을 통한 고주파치료가 만성요통 환자의 통증과 장애지수에 미치는 영향)

  • Kwon, Kung;Kim, Chan Mun;Park, Shin-Jun
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.289-294
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    • 2018
  • A test study was conducted to identify the effects of diathermy through therapist's hand on patients with chronic lumbar pain. The study assessed the effectiveness of Winback High Frequency TECAR Therapy on 21 patients suffering from chronic lumbar pain and the testing was held at H Hospital and began in April 2016 and concluded in September 2016. Assessment of pain relief was through a Visual Analogue Scale (VAS) and the Oswestry Disability Questionnaire (ODQ). The results showed a VAS score decrease from $6.67{\pm}1.76$ to $5.52{\pm}2.03$ (p<0.05) and the ODQ results also showed an decrease from $41.19{\pm}2.56$ to $35.14{\pm}5.11$ (p<0.05). Both of these results are indicative of the positive effects that diathermy through therapist's hand has in the treatment of chronic pain, and the necessity for further studies in this field.

Diagnosis and Treatment of Temporomandibular Disorders (측두하악장애의 진단 및 치료)

  • Choi, Young-Chan;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.319-328
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    • 2009
  • Temporomandibular disorders(TMD) have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory muscles, and associated structures. Since Dr. Costen, an otolaryngologist, published his article in 1934 claiming that pain in and around the jaw and "related ear symptoms" improved with alteration of the bite, diagnosis and treatment of temporomandibular disorders(TMD) have been within the concept of occlusion. However most of the modern descriptions for TMD no longer include occlusal disorders within their domain. Despite this trend toward the exclusion of occlusal disorders from TMD domain, the historical linkages between TMD and occlusal therapy are still strong. Currently the most popular theories regarding TMD etiology are based on the biopsychosocial model. In the future, treatment modalities should be directed at the pathophysiological processes of joint and muscle pain as well as the psychosocial aspects of chronic pain.

The Effect of Pelvic Stability Exercise Program on Pain and Hip Joint of Patients with Chronic Low Back Pain involving Sacroiliac Joint Pain (골반안정화 운동프로그램이 엉치엉덩관절 통증을 동반한 만성요통환자의 통증과 엉덩관절에 미치는 영향)

  • Kang, Jeong-Il;Choi, Hyun
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.331-338
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    • 2013
  • For this research, 27 out of 52 patients with chronic low back pain involving sacroiliac joint pain were classified into the experimental group to conduct pelvic exercise program and traditional physical therapies in parallel, and the remaining 25 ones were classified into the control group to only apply traditional physical therapies for 6 weeks. After that, their clinical samples were randomly extracted. Before the experiment, both of the experimental group and the control group had the Oswestry disability index test to see how big their pain was and their hip joint angles were analyzed during walking. After the post-test, finally, the results of the Oswestry disability index test and hip joint angles while walking before and after the experiment were compared between two groups to know the effect of pelvic stability exercise program. Within-group results and between-group results both displayed significantly reduced low back pain, and when comparing hip joint angles of the experimental group, there were differences between mid stance phase, terminal stance phase, pre swing phase and early swing phase of the right hip joint, and mid stance phase, terminal stance phase, pre swing phase and early swing phase of the left hip joint. In the control group, there were significant differences between mid stance phase, terminal stance phase and early swing phase of the right hip joint, and loading response phase, mid stance phase, terminal stance phase and pre swing phase of the left hip joint. as a result, pelvic stability exercise program is helpful to gait rhythm on stance phase and swing phase although effective to decrease Oswestry disability index including pain.

The effects of Upper Thoracic Joint Mobilization Technique using Kaltenborn-Evjenth concept on Cervicothoracic ROM and Pain in patients with Chronic Neck Pain (Kaltenborn-Evjenth concept을 이용한 상부흉추 관절가동술이 만성 경부통증 환자의 경흉추 관절 가동범위의 변화와 통증에 미치는 영향)

  • Jun, Young Wook;So, Hyun Jeong;Jeong, Youn Do;Um, Sung Heum
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.479-486
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    • 2015
  • This study was conducted to investigate the effects of upper thoracic joint mobilization technique using Kaltenborn-Evjenth concept on the range of cervical and thoracic motion and pain in patients with chronic neck pain. The subjects were divided into a thoracic joint mobilization group(n=7) and a conservative physical therapy group(n=7). Each of the groups received thoracic joint mobilization or conservative physical therapy three times a week lasted for four weeks. The measurements were performed for the range of thoracic segmental motion(SpinalMouse), the pain(visual analogue scale) and the range of cervical joint motion(Inclinometer, Dualer IQ). They were made four times: before experiment, at 2weeks, 4weeks, and 4weeks after experiment.

The effect of Horse riding exercise, McKenzie Exercise on back pain and muscle activity in patients with low back pain (승마 운동과 McKenzie 운동이 만성허리통증환자의 허리통증과 근활성도에 미치는 영향)

  • Jung, Nam-Jin;Kim, Ki-Hyun;Kim, Hyun-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.502-509
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    • 2020
  • The aim of this study was to compare the effects of a horseback riding simulator, McKenzie, and gym ball exercises on the Korean-Oswestry Disability Index (K-ODI) and muscle activation in people suffering from chronic low back pain. The study was conducted on 30 adults with a K-ODI of 5 or more and chronic low back pain. This experiment was conducted from May to June 2020. They were randomly divided into the horse-riding exercise group (HEG), McKenzie exercise group (MEG), and the gym ball exercise group (GEG). Each group performed the relevant exercises for six weeks, three times a week. The low back pain was measured with K-ODI, and muscle activation was measured with surface electromyography (SEMG). A paired t-test was conducted to verify the change before and after the experiment in the groups, and a one-way ANOVA was conducted to verify the difference between the three groups. The results of the study showed significant differences before and after the experiment. K-ODI and muscle activity improved (p>.05), and significant differences were also found between the groups (p<.05). This study concluded that horse riding and McKenzie exercises could be effective methods for the treatment of pain and to stabilize the lumbar region in patients with chronic low back pain.

Factors Influencing Quality of Life in the Community Dwelling Vulnerable Older women with Chronic Joint Pain (만성 관절통증이 있는 취약계층 재가 여성노인의 삶의 질에 영향을 미치는 요인)

  • Yoo, Jae-Soon;Ham, In-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.355-367
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    • 2018
  • The purpose of this study was to identify the predictors of the quality of life in community dwelling vulnerable older women with chronic joint pain. A cross-sectional study was conducted on 234 participants registered at a visiting health care service in the public health center of C-city. The structured questionnaire were used to collect data on the general characteristics, pain rating index, pain intensity, perceived health status, functional independence, sleep pattern, depression, and quality of life from February 16 to March 13, 2017. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis. The significant factors of the quality of life including general characteristics were depression (${\beta}=-.60$, p<.001), pain intensity scale (${\beta}=-.15$, p=.007), health insurance type (${\beta}=.15$, p=.001), perceived health status (${\beta}=.14$, p=.007), duration of pain (${\beta}=-.10$, p=.019), marital status (${\beta}=.10$, p=.024), and functional independence (${\beta}=.09$, p=.036). These factors accounted for 63.1% of the total variance in the quality of life. The findings suggest that a public healthcare program on managing depression is effective in improving the quality of life in community dwelling older women with chronic joint pain. Public health nurses should intervene in nursing care for economically vulnerable aged and pain management based on a precise assessment from the beginning of pain.

The Study For Clinical Measurement of Pain (통증(痛症)의 임상적평가법(臨床的評價法)에 관한 고찰(考察))

  • Shin, Seung-Uoo;Chung, Seok-Hee;Lee, Jong-Soo;Shin, Hyun-Dae;Kim, Sung-Soo
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.25-46
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    • 2000
  • Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient's self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidimensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient's linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

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NEWS&TOPICS 해외

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
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    • no.7 s.410
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    • pp.8-9
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    • 2003
  • 16만년 전 인류 두개골화석 발견 호모사피엔스 모습 복원에 성공/ 온난화 덕분에 지구 더 푸르러졌다/ 아들 임신하면 더 많이 먹는다(?)/ 만성통증, 암 발생예고 신호/ 화성도 한때 물로 뒤덮여 있었다/ 운동 안하면 내장의 지방 급속 증가/ 비디오게임, 시각능력 향상 효과

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