• Title/Summary/Keyword: 통증 척도

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Relationship between Breathing Pattern Disorder and Pain in Patients with Chronic Low Back Pain (만성요통환자의 호흡패턴이상과 통증과의 상관관계)

  • Lim, Chae-Gil
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.4
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    • pp.355-363
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    • 2020
  • To investigate the relationship between breathing pattern disorder and pain in patients with chronic low back pain(CLBP). One hundred four patients were measured the End-tidal CO2(EtCO2) and respiration rate(RR) using capnography. Also, The Breathing-hold time(BHT), Nijmegen Questionnaire(NQ), and Thoracic excursion examinated. There was a significant correlation between EtCO2 and BHT, thoracic excursion(r=.302, r=.281)(p<.01), and a low negative correlation with RR, VAS(r=-.253, -200)(p<.05). There was a significant correlation between NQ and RR(r=.237)(p<.05). There was a low correlation between thoracic excursion and VAS(r=-.370)(p<.01). There was a significant difference in the EtCO2, RR, BHT, thoracic excursion, and VAS between the thoracic and diaphragm breathing pattern(p<.05). There were no significant differences in the NQ(p>.05). There was a correlation between EtCO2 and BHT, thoracic excursion, RR, VAS in patients with CLBP. In addition, There was a correlation between RR and NQ, thoracic excursion, and VAS. As a result, it was found that there is a close relationship between breathing pattern disorder and pain. There was a significant difference in the EtCO2 level, RR, BHT, thoracic excursion and VAS value in the comparison of thoracic breathing pattern and diaphragm breathing pattern. This is a meaningful result of suggesting a breathing pattern treatment approach in the rehabilitation and pain management of chronic low back pain patients in clinical practice.

Objective Evidence for the Effectiveness of Single-session Treatment with a Spinal Thermal Massage Device: A Pilot Study (척추온열마사지기기의 1회 치료의 효과에 대한 객관적 증거: 선행 연구)

  • Na, Yeong-Il;Kim, Si-Yun;Baek, Seung-Min;Lee, Jong-Hoo
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.209-218
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    • 2022
  • Individuals often report significant relief from pain and stress even after a single session of massage therapy; however, no previous studies have provided objective evidence supporting the effectiveness of a solitary massage therapy session. In the present study, we aimed to investigate the effectiveness of one-time treatment with a spinal thermal massage device reported to exert the same therapeutic effects as massage therapy in terms of pain reduction and stress relief. A man with chronic low back pain (LBP) underwent two rounds of experiments involving spinal massage treatment and bed rest, respectively. Pain was assessed using a visual analog scale, and heart rate variability (HRV) was measured in real-time to examine autonomic nervous system (ANS) activity. Blood samples were obtained at five points during each round of the experiment to examine changes in cortisol, epinephrine, and norepinephrine. Spinal massage significantly reduced pain and enhanced parasympathetic activity when compared with the bed rest condition. In addition, both epinephrine and norepinephrine levels were lower following spinal massage than following bed rest. These results are consistent with the reported effects of conventional massage therapy and support the effectiveness of one-time treatment using a spinal thermal massage device.

Effect of Magnetic Field Therapy Applied to Acupuncture Point on Dysmenorrhea Experienced by High School Girls (경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과)

  • Jang, Hyun-Jung;Park, Jeong-Eon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7367-7376
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    • 2015
  • This study was investigate the effects of the magnetic field therapy applied to the acupuncture point on dysmenorrhea experienced by high school girls and to verify the possibility to use this therapy as an effective in-home nursing intervention. Data were collected from Feburary to April, 2006. The research procedure was that female students who visited in public health center had to fill in questionnaires with dysmenorrhea Grapic Rating Scale(GRS) and Adjective Labor Pain Rating Scale(ALPRS), the gauge of pain, before participating the experiment. And then each group was tested for 3 hours. Participants before and after applying magnetic treatment filled each questionnaires with dysmenorrhea GRS and ALPRS. The GRS points and ALPRS points in the experimental group, applied by Magnetic Field therapy on acupuncture point is lower than that in the comparison group. The above result has proved that the magnetic field therapy on acupuncture has an effect on the pain alleviation of dysmenorrhea of female students in high school. Therefore, propose this therapy to dysmenorrhea of female students. In this research, ALPRS indicated validity on dysmenorrhea, so for verifying validity, further research is necessary.

The effect of viewing distance and the speed of motion-in-depth on visual fatigue (시각적 피로도에 영향을 미치는 시청거리와 깊이방향의 운동속도)

  • Kham, Kee-Taek;Li, Hyung-Chul;Lee, Seung-Hyun
    • Science of Emotion and Sensibility
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    • v.12 no.2
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    • pp.169-180
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    • 2009
  • The present study have investigated the effect of the characteristics of stereoscopic images and viewing environment on visual fatigue. We manipulated the speed of stereo images with motion-in-depth and viewing distance, which were used as representative variables of the characteristics of stereo image and viewing environment, respectively. Visual fatigue was evaluated with use of a subjective questionnaire which is consisting of 5 different and independent factors: "Eye pain", "Visual stress," "Nauseousness", "Body stiffness", and "Blurriness". In general, when viewing time increased from 10 minutes to 20 and 40 minutes, observers felt severe visual fatigue. Among other factors, only the factor score of "Nauseousness" was significantly increased as the speed of object moving in depth became faster. When viewing distance was increased, the score of "Blurriness" was decreased. These results suggest that different kind of the visual fatigue might be induced depending on characteristics of the stereo images and viewing environment.

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Factors Influencing Pain Medication Preference for Breakthrough Cancer Patients and Their Application to Treatments: Survey on Physicians (돌발성 암성 통증 약물 선택 요인과 사용 경험: 의사 대상 설문조사)

  • Shin, Jinyoung;Shim, Jae Yong;Seo, Min Seok;Kim, Do Yeun;Lee, Juneyoung;Hwang, In Gyu;Baek, Sun Kyung;Choi, Youn Seon
    • Journal of Hospice and Palliative Care
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    • v.21 no.1
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    • pp.9-13
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    • 2018
  • Purpose: The purpose of this study was to assess the factors influencing the rescue medication decisions for breakthrough cancer patients and evaluate treatments using the factors. Methods: Based on the results of an online survey conducted by the Korean Society of Hospice and Palliative Care from September 2014 through December 2014, we assessed the level of agreement on nine factors influencing rescue medication preference. The same factors were used to evaluate oral transmucosal fentanyl lozenge, oral oxycodone and intravenous morphine. Results: Agreed by 77 physicians, a rapid onset of action was the most important factor for their decision of rescue medication. Other important factors were easy administration, strong efficacy, predictable efficacy and less adverse effects. Participants agreed that intravenous morphine produced a rapid onset of action and strong and predictable efficacy and cited difficulty of administration and adverse effects as negative factors. Oral oxycodone was desirable in terms of easy administration and less adverse effects. However, its onset of action was slower than intravenous morphine. While many agreed to easy administration of oral transmucosal fentanyl lozenge, the level of agreement was low for strength and predictability of its efficacy, long-term durability and sleep improvement. Conclusion: Rapid onset of action is one of the important factors that influence physicians' selection of rescue medication. Physicians' assessment of rescue medication differed by medication.

Nerve Growth Factor and Sensory Neuropeptide Levels in Plasma and Saliva of Various Orofacial Pain Patients (다양한 구강안면통증환자의 혈장 및 타액에서의 신경성장인자와 감각성 신경펩티드 농도에 관한 연구)

  • Jang, Min-Uk;Chung, Sung-Chang;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.387-395
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    • 2009
  • Nerve growth factor (NGF) and sensory neuropeptides are involved in the process of nociception at peripheral nerve fibers and wide spread in central nervous system. The aims of this study were to investigate NGF and sensory neuropeptides (substance P [SP] and calcitonin gene-related peptide [CGRP]) levels in human plasma and saliva, and the associations between these sensory neuropeptides levels and chronic orofacial pain symptoms. NGF, SP, and CGRP levels in plasma and resting whole saliva samples collected from 67 orofacial pain patients (joint pain, dental or periodontal pain, mucosal pain) and 36 pain free control subjects were measured by enzyme immunoassay. The characteristic pain intensity of each subject was measured using the Graded Chronic Pain Scale and the flow rate of resting whole saliva was measured. Joint pain patients group showed significantly higher plasma NGF level compared to each of dental pain patients (p<0.01), mucosal pain patients (p<0.01), and control group (p<0.01). Plasma NGF level of dental pain patients group was significantly higher than that of control group (p<0.01). Saliva SP level of dental pain patients group (p<0.05) and saliva CGRP level of mucosal pain group (p<0.05) were significantly higher than that of control group. Plasma and saliva SP levels of joint pain patients was significantly associated with pain intensity (plasma: standardized coefficient=0.599, p<0.01, saliva: standardized coefficient=0.504, p=0.05). In dental pain patients group, plasma SP (standardized coefficient=0.559, p<0.01), saliva SP (standardized coefficient=0.520, p<0.01) and saliva CGRP (standardized coefficient=0.599, p<0.01) levels were significantly associated with age. In mucosal pain patients group, plasma SP (standardized coefficient=0.495, p<0.05), saliva SP (standardized coefficient=0.500, p<0.05), and saliva CGRP (standardized coefficient=0.717, p<0.01) levels were significantly associated with age. NGF and neuropeptides may play a role in the maintenance of various orofacial pain symptoms. The examination of those levels in plasma and saliva helps understanding the mechanism of orofacial pain, and furthermore, can be applied to the diagnosis and therapy of orofacial pain.

Study on Life Changes of Recurred TMD Patients Through SRRS (SRRS를 이용한 측두하악장애 재발환자의 생활 변화에 관한 연구)

  • Noh, Kon-Hyun;Ahn, Yong-Woo;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.81-90
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    • 2007
  • The life changes of TMJ patients were evaluated through the Social Readjustment Rating Scale (SRRS) questionnaire. 33 recurred TMD patients and 32 new TMD patients were studied at the TMJ clinics, Department of Oral Medicine, PNUH from September 2005 to August 2006. The obtained results were as follows: 1. The life change unit(LCU) totals in the recurred TMD patients were significantly higher than those in the control subjects, during the $7{\sim}12$ months before presentation for the hospital. 2. The life change unit(LCU) totals in the recurred TMD patients were higher a little than those in the control subjects during a year before presentation for the hospital. 3. There was no significant difference in LCU totals and life events between the recurred TMD patients and the control subjects by age. 4. There was no significant difference in LCU totals and life events between the married group and unmarried group in the subjects.

Validity Test of Korean Pain Measurement Tool Using Normal Adult Individuals (정상성인에서의 한국어휘를 이용한 통증척도의 타당도 조사)

  • 이은옥;이숙희
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.13-28
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    • 1986
  • The main purpose of th study was to evaluate he validity of Korean Pain Measurement Tool composed of pain terms. The specific purposes of this study were 1. to examine whether pain intensities of pain terms are congruent with those classified in three previous studies. 2. to evaluate the relative intensity of each term by panel of judges. 3. to explore the difference of ranks of pain terms according to the sex, education, and ages. One hundred and sixty normal individuals were selected by 2$\times$2$\times$4 sampling design. Sex (male, female), education (high school, college), and age (20s, 30s, 40s, 50s) were matched. Each individual was asked to rate the ranks of 3~8 pain terms in each subclass. The data measured by ordinal scale were transformed to the interval scale to compare with the pain intensities gained from the previous study. The pain ranks different from previous results were finally rearranged or cancelled through the consultation of 4 panel of judges and sunmed up to 91 pain terms in the scale. As a result, the ranks of pain terms within each of eleven subclasses among the twenty subclasses completely were congruent with the Previous pain ranks, while the ranks of nine subclasses were different from the previous pain ranks. In addition, there was significant relation between sex and pain ranks in skin punctuate pressure pain and cavity pressure. (sp : $\chi$$^2$=5.18 ø=0.26; cp : $\chi$$^2$=5.83 ø=0.24) In conclusion, seven terms from subclasses of inflammatory repeated pain, traction pressure pain, fatigue-related pain, fear-related pain, dull pain, and pulsation. related pain were cancelled. The ranks of four terms in subclasses of incisive Pressure pain and constrictive pressure pain were tentatively rearranged. Ranks of two terms in the tract pain were left as shown in the third study. As a result, six terms must be studied repeatedly for obtaining exact scores from ratio scale.

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A Study on EMS Protective Gear Design and Its Effects for Elite Badminton Players with Knee Pain (무릎 통증이 있는 엘리트 배드민턴 선수를 위한 건식 E-textile 전극의 EMS(Electirc muscle stimulation) 보호대 설계 및 효과)

  • JuIl Lee;Jinhee Park;Jooyong Kim
    • Journal of Fashion Business
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    • v.27 no.5
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    • pp.93-107
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    • 2023
  • This study aimed to design a knee brace with dry electrode EMS (Electrical Muscle Stimulation) for elite badminton players suffering from knee pain and assess its effectiveness in relieving pain and improving mobility. The assessment measured knee joint range of motion (ROM), Sargent jump height, and pain perception using a visual analog scale (VAS). Four experimental groups were established: stability, pain induction after 100 squats, muscle soreness induction with a regular knee brace, and muscle soreness induction with the EMS knee brace. The most suitable knee brace was selected from four samples to design the EMS knee brace. The conductive fabric was integrated into the inner surface of the knee brace to enhance EMS conductivity for the quadriceps muscles. Tensile strength tests showed that the dry electrode did not significantly affect the physical functionality of the knee brace.Regarding knee joint ROM and Sargent jump height, the EMS knee brace outperformed muscle soreness induction with a regular knee brace and wearing a standard knee brace. VAS measurements demonstrated that the EMS braces effectively alleviated pain perception in most cases. The results indicate the potential for developing EMS braces to alleviate pain and prevent injuries for athletes across various sports.

The Effects of Stretching Exercise to Musculoskeletal pain in the Community-Dwelling Farmers (일개 지역 농부에서 근골격계 통증에 대한 스트레칭 운동의 효과)

  • Chong, Bok-Hee;Kim, Jeong-Ja;Yang, Chung-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.10
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    • pp.4523-4530
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    • 2011
  • This study aimed to evaluate the effects of stretching management on musculoskeletal joint pain in community indwelling elderly farmers. The study included 28 residents who lived in a rural community. All participants were assigned randomly to either the stretching group (n=13, $59.67{\pm}4.77$ year-old) or the control group (n=15, $61.44{\pm}10.41$ year-old). Respondents were interviewed by means of a structured questionnaire. Pain severity of 6 body areas caused by symptoms of work-related musculoskeletal disorders and pain severity on day time variations were measured by the visual analogue scale on a self-assessed questionnaire. The stretching group was administered stretching therapy (45 min, 2 sets, warming up and cool down, main exercise; total 19 stretching kinds of subset 5 fields) for 12 times for 4 weeks. There were no significant difference between the two groups in general social and pain characteristics. After 4 weeks of stretching, the stretching group showed significant improvements at almost all joint pain scores except arm/elbow, and day time variation scores of pain compared to both baseline scores, and with control group scores. These results showed that stretching therapy is one of the most useful modalities to manage musculoskeletal pain in community-based elderly farmers.