• Title/Summary/Keyword: 통증역치

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Associations Among Different Types of Quantitative Pain Measures in TMD Patients (측두하악장애환자에서 다양한 종류의 정량적 통각검사들의 연관성에 관한 연구)

  • Park, Ji-Woon;Kim, Yong-Woo;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.413-419
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    • 2007
  • The aims of this study were to investigate the relationships among several types of thermal pain thresholds, and pressure pain thresholds. This study was designed to examine whether there were associations among different types of pain thresholds, and among different recording sites for each pain threshold measurement. Pain sensitivity thresholds including cold pain threshold (CPT), heat pain threshold (HPT), heat pain tolerance threshold (PTT), and pressure pain threshold (PPT) of 56 subjects with symptoms of temporomandibular disorders were measured on temporal muscle, masseter muscle, TMJ, and tibial areas. Thermal pain thresholds including CPT, HPT, and PTT did not show any gender differences. However, women showed significantly lower PPTs than men on all recording sites. Three thermal pain thresholds including CPT, HPT, and PTT showed weak to high correlations on all the recording sites (r= 0.324 to 0.754, p<0.05). PPTs did not show any significant correlations between each thermal pain threshold. The pain threshold of each recording site showed weak to high correlations in all pain threshold measures (r= 0.284 to 0.878, p<0.05). Our study demonstrated that thermal pain thresholds, and pain tolerance thresholds were significantly correlated, but did not show any correlation between thermal pain thresholds and pressure pain thresholds. There were relatively high correlations among the pain thresholds of different recording sites.

Analysis of Current Perception Threshold(CPT) Change after Dental Surgery using Neurometer (치과 수술 후 뉴로미터를 이용한 전류인지역치의 변화의 분석)

  • Park, Jin-Hyung;Ryu, Ji-Won;Ahn, Jong-Mo;Ok, Soo-Min;Yoon, Chang-Lyuk
    • Journal of Oral Medicine and Pain
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    • v.35 no.4
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    • pp.293-298
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    • 2010
  • The goal of this study is to contribute to the clinical application by making a quantitative nerve current perception threshold(CPT) examination for the evaluation of numbness that could be occurred after dental surgery, Measurement of CPTs at each different frequencies(2000 Hz, 250 Hz, and 5 Hz) were performed to trigeminal nerve main branch(mandibular division) of 29 patients with dental surgery on mandibular area and 25 normal subjects. There were significant differences in CPTs between patient group and control group.(p<0.05) But, there were no significant between patient male and female in both patient and control group except 2000 Hz was significantly high in the control female.

Convergence Study of Wearing Head-Mounted Display on Cervical Range of Motion, Neck Muscles Thickness, and Pain (헤드 마운티드 디스플레이 착용이 목 관절가동범위와 목 근육 두께 및 통증에 미치는 융합연구)

  • Oh, So-Hyun;Choung, Sung-Dae;Shim, Jae-Hoon;Yang, No-yul
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.277-285
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    • 2020
  • The purpose of this study was to evaluate the effects of wearing Head-Mounted Display (HMD) on the cervical range of motion (CROM), neck muscle thickness, and pain in healthy young adults. The HMD group(male=16, female=7) was asked to perform sitting comfortably in a backless chair with hands on their knees with the HMD was worn on their heads to watch the video for 30 minutes. The control group(male=15, female=8) was asked to sit in the same posture as the HMD group for 30 minutes. CROM, neck muscle thickness, and pressure pain threshold (PPT) of both the upper trapezius and levator scapulae were measured before and after intervention. CROM and PPT of the upper trapezius and levator scapulae in the HMD group were significantly decreased and the thickness of the muscles in the HMD group were significantly increased more than in the pre-test (p<.05). There was no significant difference in CROM, muscle thickness, and PPT in the control group. Wearing HMD for a long time can cause a decrease in CROM and PPT and an increase in muscle thickness, and there is a risk of developing musculoskeletal disorders in the neck and shoulder. Therefore, this study recommends maintaining the correct posture of the neck and shoulder and using HMD only for an appropriate time.

Pressure Pain Threshold and the Resting EMG Activity in Patients with Craniomandibular Disorders Before and After Conservative Therapy (보존적 치료에 따른 두개하악장애환자의 압력통각역치와 휴식시 근전도의 변화)

  • Kyung-A Cho;Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.125-135
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    • 1994
  • 저자는 두 개하악장애환자의 보존적 치료에 따른 압력통각역치오 휴식시 근전도의 변화를 평가하기 위하여 여성 환자 21명을 대상으로 치료전후에 각각 동통의 정도를 유추척도로 나타내었고 편이개구량을 측정하였으며 교근과 전측두근의 압력통각역치와 휴식시 근전도를 조사하였다. 두 개하악장애의 병력이나 증상이 없는 21명의 정상 여학생을 대조군으로 교근과 전측두근의 압력통각역치와 휴식시 근전도를 측정하여 환자군과 비교한 결과 다음과 같은 결론을 얻었다. 1. 보존적 치교이후 동통과 최대편이개구량은 개선되었다. 2. 보존적 치료이후 압력통각역치는 증가하였고 휴식시 근전도는 감소하였다. 3. 압력통각역치나 휴식시 근전도의 좌우차이는 없었다. 4. 압력통각역치와 휴식시 근전도사이에는 약한 음의 상관관계가 있었다.

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Effect of Transcutaneous Electrical Nerve Stimulation on Muscle Activity of Upper Trapezius in Subjects With Myofascial Pain Syndrome (상부 승모근 근막 통증 환자에게 경피신경자극이 근 활성도에 미치는 영향)

  • Koh, Eun-Kyung;Kwon, Oh-Yun;Kim, Young;Jung, Do-Young;Seo, Hyoun-Soon
    • Physical Therapy Korea
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    • v.9 no.4
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    • pp.69-76
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    • 2002
  • 본 연구에서는 상부 승모근의 근막통증(myofascial pain syndrome; MPS)를 대상으로 이완상태에서 근 활성도를 측정해보고, 통증을 감소시키는 데 주로 이용되는 경피신경자극 치료 후 근 활성도에 어떠한 영향을 미치는지 알아보기 위해 실시하였다. 본 연구의 대상자는 근막 통증으로 진단을 받은 총 10명을 대상으로 실시하였다. 주관적 시각 척도(visual analogue scale; VAS)와 압통 역치 측정계(pressure threshold meter)를 이용하여 경피신경자극 전, 후 통증의 정도를 평가하였고, 표면 근전도를 이용하여 이완시 근 활성도를 측정하였다. 치료 기구는 경피신경자극기(TENS: HAT-2000)를 이용하였다. 치료 전과 비교하여 VAS는 통증이 심한 쪽과 약한 쪽 모두에서 유의하게 감소하였으며(p<.05), 압통 역치는 통증이 심한 쪽과 약한 쪽 모두에서 유의한 차이가 없었고(p>.05), 근 활성도는 통증이 심한 쪽에서 유의하게 감소하였다(p<.05).

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Convergence of Acupoint and Electrical Stimulation Therapy for Blood Flow and Pain Threshold (혈류량과 통증역치에 대한 경혈과 전기자극치료의 융합연구)

  • Yi, Dong-Hyun;Kim, Beom-Ryong;Hur, Yoon-Jung;Kim, Dong-Hoon;Shim, Su-Young;Yim, Jong-Eun
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.79-87
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    • 2019
  • This study examined how the application of silver spike point (SSP) and acupuncture-like transcutaneous electrical nerve stimulation (A-TENS) on acupoints affects blood flow and pain threshold, using laser Doppler blood fluxes and the Commander algometer. Our study included 32 healthy men and women who were randomly divided into the SSP group (n=18) and the A-TENS group (n=14). The pain threshold and blood flow were measured at the Neiguan (PC6) of the Jueyin Pericardium Meridian of the hand. SSP was performed with a 2.8cm electrode at a fixed frequency of 3 Hz for 15 minutes. The change in blood flow and pain threshold after the intervention significantly differed between the two groups (p<0.05). We found that the application of SSP and A-TENS on an acupoint altered their blood flow and pressure pain threshold, with SSP resulting in significantly greater change than A-TENS. Based on these results, the convergence of acupoint and electrical stimulation therapy can be usefully applied as a method for various patients. Continued development of convergence interventions is necessary.

The Effects of Electroacupuncture Stimulation Therapy on The Pain Threshold of Mandibular Posterior Teeth Using LI4(HAP GOK) Points (합곡에 대한 전기침술자극요법시 하악구치의 동통역치에 미치는 효과에 관한 연구)

  • Ai-Ree Chung;Ki-Suk Kim
    • Journal of Oral Medicine and Pain
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    • v.20 no.1
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    • pp.105-115
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    • 1995
  • 합곡에 전기침술자극요법이 하악구치에 미치는 동통역치에 관한 효과를 알아보고자 본연구를 시행하였다. 전기침술자극요법시행전에 시행중 10분, 시행후 하악구치의 감각과 통통역치를 측정하였으며 2일후 같은 검사자들을 대상으로 위전기침술자극요법시행전, 위전기침술자극요법시행중 10분, 위전기침술자극요법시행후에 하악구치의 감각과 동통역치를 측정하여 다음과 같은 결과를 얻었다. 합곡에 전기침술자극요법을 시행시 하악구치의 감각역치와 동통역치가 유의성있게 증가하였다. 따라서 합곡에 대한 전기침술자극요법이 하악구치의 동통완화에 효과적이라 사료된다.

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The Effect of Low Level Laser Therapy on Pressure Pain Threshold in Patients with Temporomandibular Disorders : A Double-blind Study (저출력레이저 조사가 측두하악장애환자의 압력통각역치에 미치는 영향)

  • Cho, Kyung-Ah;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.281-300
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    • 1999
  • 측두하악장애환자와 정상대조군의 두경부 근육에 있어서 실제 또는 위약 치료에 따른 저출력 레이저의 효과와 측두하악장애환자에서 저출력 레이저의 효과적인 치료기간을 평가하기 위하여, 측두하악장애를 가진 부산대학교 치과대학생 19명과 측두하악장애의 병력이나 증상이 없는 부산대학교 치과대학생 20명을 대상으로 치료전, 치료 2주 및 치료 4주에 구외촉진이 가능한 32 근골격 촉진점의 압력통각역치와 각각의 동통정도와 두개하악지수를 측정하여 다음과 갈은 결론을 얻었다, 1. 치료전 환자군의 압력통각역치는 정상대조군 압력통각역치보다 낮았다(p<0.05), 2. 환자군의 압력통각역치는 유의하게 증가하였으며 (p<0.05) 레이저 조사 환자군의 증가된 압력통각역치는 레이저 모의조사-환자군의 증가된 압력통각역치보다 더 크게 나타났다. 3. 대조군에서는 레이저 조사나 모의 조사에 의해 압력통각역치와 변화가 없었다. 4. 레이저 조사-환자군의 압력통각역치가 안면근육에서는 치료2주부터 유의하게 증가하였고 경부근육에서는 치료4주부터 유의하게 증가하였다(p<0.05) 5. 레이저 조사-환자군에서 동통의 정도와 두개하악지수는 유의하게 감소하였다(p<0.05).

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Anxiety, Depression and Pressure Pain Threshold in Patients with Posttraumatic Stress Disorder (외상후 스트레스장애 환자의 불안 및 우울 증상과 압통역치 간의 비교 연구)

  • Kim, Eun-Young;Na, Chul;Nam, Bum-Woo;Cho, Ju-Youn
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.51-60
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    • 1999
  • This study was designed to evaluate anxiety & depression symptoms and pressure pain threshold in patients with posttraumatic stress disorder(n=23) and to find out the relationship between the affective symptoms and the pressure pain threshold scores. And this was compared with healthy control subjects(n=18). The scores of pressure pain threshold were checked with algometer. The results were as follows : PTSD patients showed higher scores of anxiety & depression symptoms than that of the control group. In contrast with our hypothesis, pressure pain threshold in PTSD patients presented statistically significant higher scores than that of the control group. These results may be derived from following factors. First, chronic depression has influenced the pain perception of patients with PTSD rather than anxiety symptoms, second, abnormal state of the opiate system in PTSD patients, third, the sick role of the PTSD patients, fourth, the socio-environmental factor of the PTSD patients. In conclusion, affective symptoms, especially depression, were related to the chronic pain in patients with PTSD, however, the causality of elevated pressure pain threshold was uncertain in this study. To understand more clearly the relation between affective symptoms and chronic pain, it will be necessary to control the other specific factors.

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A Convergence Study of Effects of Usage Time of Computer Game on Thickness of Trunk Muscles and Pressure Pain Threshold (컴퓨터 게임 사용 시간이 몸통 근육의 근 두께와 압력 통증 역치에 미치는 영향에 관한 융합연구)

  • Lee, Seol-A;Yang, No-yul;Choung, Sung-Dae
    • Journal of the Korea Convergence Society
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    • v.10 no.3
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    • pp.67-72
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    • 2019
  • The purpose of this study was to analyze the effects of computer game usage time on trunk muscle thickness and pressure pain threshold. The 33 study participants were divided into Group A, which spent less than 10 hours per week playing computer games; Group B, which spent between 10 and 20 hours per week playing computer games; and Group C, which spent more than 20 hours per a week playing computer games. The thickness of the participants' upper trapezius (UT), pectoralis minor (PM), anterior scalene (AS), and middle scalene (MS) muscles as well as the pressure pain threshold of their UT, PM, AS, MS, and levator scapular (LS) were measured. The study found that the PM, AS, and MS muscle thickness in group C was significantly greater than in the other groups (p<.05), and the UT, AS, PM, and LS pressure pain threshold in group C was significantly lower than in other groups (p<.05). Therefore, those who use computers for a long period of time during the week should recognize that their computer usage may cause musculoskeletal disorders.