• Title/Summary/Keyword: 통증 관리

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Effect of Pressure Taping between Tibia and Fibula on Pain, ROM and Strength in Athletes diagnosed with High Ankle Sprain (원위경비인대결합 손상 선수의 경·비간 압박테이핑 적용이 통증, 관절가동범위, 근력에 미치는 영향)

  • Jang, Won-Bong;Oh, Jae-Keun;Yoon, Jin-Ho
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.303-310
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    • 2021
  • This study was conducted to identify the effects of pressure taping between tibia and fibula of High Ankle Sprain athletes on pain, Range of Motion(ROM), and strength and to provide basic data for rehabilitation programs. The subjects of the study were conducted with a total of 10 athletes except for four who gave up who were diagnosed with high ankle sprain, or who were diagnosed with ankle sprain but their physical examinations proved positive. The results showed no significant differences in pain(Visual Analog Scale, VAS). The ROM was significantly increased in inversion(IV) and eversion(EV) in both groups. The Isometric strength was significantly improved in IV(0°, 7°, 14°) and EV(0°) in Taping Group(TG). When taping was applied to athletes with injury to the High Ankle Sprain, ROM and muscle strength improved at the same pain level.

The Mediating Effect of Depression in the Relationship between Knee Pain and Cognitive Functions in Older Adults: Focusing on Group differences by Gender, Age, and Educational Attainment (노인의 무릎통증과 인지기능 간 영향관계에서 우울의 매개효과 -성별, 연령, 학력에 따른 집단별 차이를 중심으로-)

  • Ju, Mee-Ra;Kang, Chang-Hyun;Youk, Kyoung-Soo
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.207-218
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    • 2022
  • This study, to confirm the mediating effect of knee pain on cognitive functions and depression in older adults, and as an interdisciplinary research between the physical and psychological mechanisms, confirmed the identifying group differences by gender, age, and educational attainment of older adults, and aimed to research the improvement of cognitive functions, which is a main factor of dementia's risk prediction. The analysis data was from the 8th Korean Longitudinal Study of Ageing (KLoSA) in 2020, and the research model was verified using Process macro and model #4. The main analysis results are as follows. First, depression partially mediation effect of knee pain on cognitive functions. Second, the mediation effect of depression by gender was significant, but the direct effect in the male older adults group was twice that in the female older adults; the indirect effect did not vary significantly based on gender. Third, the mediating effect of depression by age was relatively greater in the old-old aged group than in the young-old aged one. Fourth, as for the mediating effect of depression according to the classification of educational attainment, the mediating effect was not significant in the group with a college degree or higher education but was significant in the remaining three sub-groups. Based on the results, this study makes implications for the need for active intervention strategies to improve cognitive functions, focusing on group differences by gender, age, and educational attainment in the management of knee pain and depression.

고혈압환자 운동처방

  • Kim, Yong-Gwon
    • 건강소식
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    • v.31 no.11 s.348
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    • pp.24-27
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    • 2007
  • 고혈압은 증상이 없이 나타나며, 심장질환이나 뇌질환과 같이 인체에 치명적인 손상을 입히기 때문에 '조용한 살인자(silent killer)'라고 불린다. 고혈압을 예방하기 위해서는 체중감소, 알코올 섭취의 감소, 규칙적인 운동, 염분 섭취의 감소가 중요하다. 그리고 혈압을 강하시키기 위해서는 약물치료보다는 행동수정요법과 운동요법이 선행되어야 한다고 하였다. 고혈압을 치료하기 위해서 속보나 조깅, 자전거, 수영과 같은 산소운동이 가장 좋다고 보고되고 있다. 그러나 화자들은 저마다의 생리적 특성이 다르다. 관절이 좋지 않은 사람, 허리에 통증이 있는 사람, 운동 중 혈압의 반응이 비정상적인 사람 등 다양하다. 본고에서는 고혈압 환자에게 권장되는 운동종목을 제시하고, 운동종목별 특성과 주의사항을 제시하고자 한다.

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호스피스 환자의 통증관리에 대한 평가

  • Lee, Chang-Geol;Lee, Won-Hui;Lee, Mi-Ra;Kim, Yeong-Jin;Lee, Gyeong-Ok;Kim, Ok-Gyeom;Kim, Yeong-Sun;Kim, In-Hye;Won, Yeong-Hui;Kim, Mi-Jeong;Nam, Jeong-Mo
    • 한국호스피스완화의료학회:학술대회논문집
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    • 2003.07a
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    • pp.96-97
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    • 2003
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지혜 깊어지는 건강: 40대를 지켜라 -아주 작은 부상도 골병 부르는 교통사고

  • Park, Seong-Chan
    • 건강소식
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    • v.35 no.5
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    • pp.18-20
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    • 2011
  • 5월은 일 년 중 교통사고가 가장 많은 달이다. 나들이하기 좋은 날씨로 야외활동이 많아지면서 교통량이 증가하고 음주운전, 졸음운전 등도 늘어나기 때문이다. 교통사고가 무서운 것은 후유증 때문이다. 사고 당시엔 별다른 부상이 없는데 시간이 지나면서 생각지 못한 통증에 고통을 호소하는 경우가 많다. '교통사고 후유증은 평생 간다'라는 말이 과정은 아니다. 때문에 교통사고는 미연에 방지하는 것이 가장 좋다. 그리고 만약 교통사고를 당했다면, 아무리 작은 부상이라도 반드시 병원을 찾아 정확한 검사를 받고 꾸준히 치료를 받아야지 교통사고 후유증을 예방할 수 있다.

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Analysis of 1,590 Patients of IV-PCA for Postoperative Pain Management (정맥내 통증 자가조절법에 의한 술후통증관리 1,590예에 대한 분석)

  • Song, Sun-Ok;Jee, Dae-Lim;Koo, Bon-Up
    • The Korean Journal of Pain
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    • v.9 no.2
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    • pp.354-362
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    • 1996
  • Background: We started postoperative pain management service using an intravenous patient-controlled analgesia (IV-PCA, PCA), which is known as convenient and effective analgesic method. In this report, we describe the efficacy and safety of PCA and the experience of developing an acute pain service to treat postoperative pain using a PCA. Methods: Practices of an acute pain service were started at a ward for general surgery after preparation of the standardized protocols for PCA. In each patient, PCA was connected following administration of initial loading doses of analgesics at recovery room after operation. All patients were checked by acute pain service team once or twice daily. The scope of acute pain service was gradually spread to other departments such as orthopedic, thoracic, obstetric and gynecologic departments by requests of patients or surgeons. We managed 1,590 patients during first 22 months. among them, nine hundred seventy two cases were prospectively evaluated for their analgesis efficacy and side effects of PCA. Results: The number of patients was increased day by day. the most common type of operation was gastrectomy (21.6%). Commonly used analgesics were nalbuphine (59%) and morphine (37%). The mean duration of PCA attachment was 3.3 days. The degree of analgesia on operation day was good in 44.8% and tolerable in 52.6% of patients. Only 3.9% of patients complained severe pain during their postoperative periods. One elderly patient experienced respiratory depression (0.06%) owing to accidental misuse of PCA by his relatives. Overall patient's satisfaction was over 93%. Conclusion: According to our experiences, we conclude that PCA is an effective, relatively safe and highly satisfactory method for postoperative pain management. Because of these advantages of PCA, the creation of our acute pain service using a PCA was successful and expanded rapidly.

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Pain and Its Major Influencing Factors in the Management of Terminal Cancer Patients (말기암 환자의 통증 양상과 통증관리에 영향을 미치는 요소들)

  • Lee, Soo-Ryun;Kil, Ho-Yeong;Han, Tae-Hyung
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.221-226
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    • 1999
  • Background : Validity of WHO guideline of cancer pain management has been proven and many trials have been done to derive solutions for inadequate cancer pain management. We assessed the severity of pain of terminal cancer patients in a few different ways and patients' characteristics influencing inadequate pain management. Methods : This study was based on 100 adult oncological patients who were confirmed as terminal stage in our institution from 3/1998 to 11/1998. Medical records were reviewed and individual patients were interviewed to obtain demographic information and medical characteristics such as: daily activity performance, metastasis, and drug-adjusted pain severity. Adequacy of prescribed analgesics in accordance with WHO guidelines of pain management and patients' characteristics influencing adequacy of pain management were assessed. Results : Among those cancer patients diagnosed as terminal stage, 85% complained of pain, and 68% of those patients reported pain above moderate severity. 38% of those patients received inadequate pain management resulting in greater severity of pain; the less adequate pain relief was(p<0.01). Sex, age, primary cancer site metastasis, symptoms such as depression and anxiety, and daily activity performance were not significantly related. Conclusions : Despite WHO guidelines for pain management, majority of the terminal cancer patients received inadequate pain management. There is a necessity for education on proper pain evaluation and strict implimentation for WHO guidelines of pain management.

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Related Factors of Musculoskelectal Symptoms in University Hospital Workers (대학병원 보건의료인의 근골격계 증상 관련요인)

  • Han, Kyoung-A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1928-1936
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    • 2015
  • This study is to identify the related factors of musculoskeletal symptoms in university hospital workers. The subjects were 313 workers who were working at a university hospital. The data was analyzed by descriptive statistics, logistic regretion using the SPSS/PC 21.0 program. The results showed that 201 respondents(64.2%) had musculoskelectal pain. According to a survey of musculoskeletal pain in body parts, the shoulder was the most common region; 37% of the health-workers(116 respondents). Musculoskeletal pain are more common in health-workers under 35 years old or work more than 6 years, or have more physical burden. In conclusion, health-workers need more active health care such as planning a preventive activity and stretching during work in order to prevent the deterioration of musculoskeletal symptoms into diseases.

Perioperative Pain Management in the Patient with Complex Regional Pain Syndrome -A case report- (복합부위통증증후군 환자의 이환 부위 수술 전후의 통증관리 -증례보고-)

  • Jo, Ji Yon;Lee, Mi Geum;Lee, Hyo Min;Choi, Yun Suk;Yun, Hey Jeong;Lee, Chul Joong;Lee, Sang Chul;Kim, Yong Chul
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.218-222
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    • 2006
  • Complex regional pain syndrome (CRPS) is a syndrome of pain and sudomotor or vasomotor instabilities. The perioperative pain management in CRPS patients is very important, as surgery can aggravate preexisting symptoms, especially when performed around the lesion site. Despite the increasing interest in CRPS research, little is known about the optimal perioperative treatment strategy for CRPS patients. Herein, the case of a female CRPS patient, who underwent elective surgery at the lesion site, is reported. As a preemptive analgesia, the patient was satisfactorily managed with two weeks of patient-controlled epidural analgesia, initiated 2 days prior to surgery. The techniques for the prevention of perioperative pain, including preemptive analgesia, as well as its importance, are discussed.

Pain Management via a Subcutaneous Infusion of Ketamine in a Patient with Complex Regional Pain Syndrome - A case report - (케타민 피하 주입을 이용한 복합부위통증증후군 환자의 통증 관리 - 증례보고 -)

  • Suh, Jeong Hun;Koo, Mi Suk;Nahm, Francis Sahngun;Shin, Hwa Yong;Choi, Yong Min;Jo, Ji Yon;Lee, Sang Chul;Kim, Yong Chul
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.190-194
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    • 2007
  • Complex regional pain syndrome (CRPS), which is a syndrome that is defined by pain and sudomotor and/or vasomotor instability, is usually resistant to conventional treatment. Here, a case involving a 30-year-old male patient with CRPS type I who showed severe intractable right shoulder pain with allodynia and hyperalgesia despite being treated with oral medications, nerve blocks including thoracic sympathetic neurolysis, and spinal cord stimulation is described. The patient frequently visited the emergency room due to severe uncontrollable breakthrough pain. Although a favorable effect was observed in response to intermittent ketamine infusion therapies that were performed on an outpatient basis, acute exacerbation of pain occurred frequently during the night and could not be controlled. Therefore, subcutaneous ketamine infusion therapy using a patient-controlled analgesic system was attempted and found to effectively control acute exacerbation of pain during 6 weeks of infusion without serious complications.