• Title/Summary/Keyword: 통증 측정

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Study on Effects of Combined Exercise for Fall-related Physical Fitness and Pain Response (낙상체력과 통증반응을 위한 복합운동의 효과에 관한 연구)

  • Kang, Hyun-Joo
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.389-394
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    • 2013
  • The purpose of this study was to investigate the effects of combined exercise program on fall-related physical fitness and pain response in elderly people. Fall-related physical fitness consisted of the 7 performance test items by Senior Fitness Test Manual. Pain response was measured by visual analog scale (VAS sore: 0=no pain, 10=extremely unsatisfactory). The combined exercise program was performed for about one hour per day, 4 times a week over a period of 10 weeks. As the result of this study, flexibility, agility, and right balance were significantly increased. The various characteristics of pain were considerably improved on pain symptom, leg pain when walking, pain symptom when sitting, and pain symptom in daily living. In conclusion, there has been a substantial improvement in 10 weeks by combined exercise program.

Comparing Persons with Neck Pain Experience to Persons without Neck Pain Experience in Deep Neck Muscle Size Using Ultrasonography Images and Neck Muscle Endurance Time (목통경험 유무에 따른 초음파 영상에서 측정된 심부 목근육 크기와 근지구력 시간에 대한 비교 연구)

  • Kwon, Mi-Seong;Jeon, Hye-Ran;Lee, Hae-Jung
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.326-334
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    • 2011
  • The aim of the study was to investigate the thickness of deep neck muscles during neck endurance tests using ultrasonography images to assess muscle sizes in persons with or without neck pain experience. Sixty-five university students volunteered for the study. The thicknesses of longus colli, longus capitis, semispinalis and cervical multifidus were assessed bilaterally using diagnostic ultrasound equipment during each endurance test. Participants were divided into two groups based on their Neck Pain(NP) experience; 45 subjects of those had no experience of NP (Group1) whereas 20 subjects of those reported NP experience sometime in their lives (Group2). Endurance time of both neck flexion and extension tests in Group1 showed significantly longer than Group's (p<0.01). The thicknesses of deep neck flexors and extensors were observed smallest at the terminal of endurance tests in general. Only left longus colli was found to be significantly smaller at rest in subjects of Group2 than Group 1's (P=0.02). The size difference between at contraction and the terminal of right longus capitis was observed bigger in subjects of group1 than subjects in group2. Future studies are needed to conduct with clinical subjects to assess contraction patterns of neck muscles.

The Effects of Semi-Fowler's position on Post-Operative Recovery and Pain for Patients with Laparoscopic Abdominal Surgery (복강경 수술 후 반좌위가 수술회복성과 통증에 미치는 영향)

  • Choi, Un Jong;Ha, Tae Uk;Kang, Ji Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.412-419
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    • 2017
  • Purpose:This study was conducted to identify the effects of theSemi-Fowler's position on post-operative recovery and pain for patients with laparoscopic abdominal surgery Methods: This study utilized a non-equivalent control group non-synchronized design to validate the effects of theSemi-Fowler's position. After IRB approval, 56 patients took part in this study, 29 in the experimental group and 27 in the control group. Consent was obtained from the participants. The Semi-Folwer's position was applied to experimental group and the supine position was applied to the control group for 24 hours after surgery. All data were reviewed retrospectively from April to June 2016. Collected data, frequency, percentage, average, standard deviation, chi-squared test, independent t-test and repeated measures ANOVA were conducted using SPSS 20.0. Results: There was no significant difference between the experimental and control group with regard to recovery outcomes; however, there was a significance differencebetween groups and among check times with regard to post operational pain. Conclusion:The results of this study provide information that will be usefulto the development of strategies for improving recovery outcomes and pain for laparoscopic operation patients.

The Effect of Stellate Ganglion Block on Breast Cancer-Related Infectious Lymphedema (유방암 감염성 림프부종 환자에서 성상신경절 블록이 미치는 영향)

  • Lee, Youn Young;Park, Hahck Soo;Lee, Yeon Sil;Yoo, Seung Hee;Lee, Heeseung;Kim, Won Joong
    • Journal of Hospice and Palliative Care
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    • v.21 no.4
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    • pp.158-162
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    • 2018
  • Breast cancer related lymphedema (BCRL) is one of the most intractable complications after surgery. Patients suffer from physical impairment, as well as psychological depression. Moreover, a recent study revealed that cellulitis significantly increased the risk of BCRL, and cellulitis has been suggested as a risk factor of BCRL development. We describe a patient treated with stellate ganglion blocks (SGBs) without steroid for relief of symptoms and reduction of the arm circumference of breast cancer-related infectious lymphedema in a month. We measured the arm circumference at four locations; 10 cm and 5 cm above and below the elbow crease, numeric rating scale (NRS) score, lymphedema and breast cancer questionnaire (LBCQ) score on every visit to the pain clinic. A serial decrease of the arm circumference and pain score were observed after second injection. In the middle of the process, cellulitis recurred, we performed successive SGBs to treat infectious lymphedema. The patient was satisfied with the relieved pain and swelling, especially with improved shoulder range of motion as it contributes to better quality of life. This case describes the effects of SGB for infectious BCRL patients. SGB could be an alternative or ancillary treatment for infectious BCRL patients.

Abnormal Treatment of Lateral Flexion and Rotation of Cervical Spine (목뼈의 바깥쪽 굽힘과 회전에 대한 이상 치료)

  • Lee, Hyun-Chang;Shin, Seong-Yoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2018.01a
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    • pp.67-68
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    • 2018
  • 본 논문에서는 중요한 목뼈 부문의 움직임을 다루도록 한다. 특히, 목뼈의 가쪽 굽힘과 돌림에 대한 각도를 측정하고 고통을 수반하는지를 파악한다. 측정한 각도가 정상수치를 크게 벗어나거나 통증을 동반하면 이상이 있는 것으로 간주하여 치료법을 제시한다.

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The Assessment Tools in Palliative Medicine (완화 의학에서의 평가도구)

  • Gwak, Jung-Im;Suh, Sang-Yeon
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.177-193
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    • 2009
  • The assessment of patient status in palliative medicine is essential for determining treatments and for clinical outcomes. The objective of assessment tools is to raise the quality of care for individual patients and their families. There are a number of tools available to assess pain, non-pain symptoms and quality of life. The tools are either uni-dimensional or multi-dimensional measures. Unfortunately, however, no single tool is recommended to be a superior to others in symptoms or quality of life assessment. Therefore, to select an appropriate assessment tool, one should consider the time frame and unique characteristics of tools depending on purpose and setting. The combination of prognostic index is highly recommended in prognostication, and web-based prognostic tools are available. Recently, a new objective prognostic score has been constructed through multicenter study in Korea. It does not include clinicalestimates of survival, but includes new objective prognostic factors, therefore, anyone can easily use it. For beginners in palliative medicine, relatively easy-to-use tools would be convenient. We recommend Eastern Cooperative Oncology Group performance status to assess functional status, numeric rating scale for pain assessment and the Korean version of brief pain inventory for initial pain assessment. Asking directly with numeric rating scale or the Korean version of MD Anderson Symptom Inventory would be desirable to assess various symptoms together. We think that European Organization Research and Treatment Quality of Life Questionnaire Core 15 for Palliative Care is good to assess the quality of life, while Objective Prognostic Score is convenient as prognostic index for beginners.

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Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer (진통제와 병용한 손 마사지가 말기 암환자의 암성통증 조절에 미치는 효과)

  • Lee, Yunmi;Yoon, Hosoon;Lee, Sungwoon;Kim, Young Mi
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.296-302
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    • 2016
  • Purpose: This study examined the effectiveness of a hand massage combined with analgesics on pain control in hospice patients with terminal cancer. Methods: This study is a quasi-experimental study with a single group time series design. The study included 25 terminal cancer patients who were admitted to a hospice ward. Each patient's pain level was measured after analgesics use only (control group). When patients complained of pain again, the pain level was assessed after administering a combination of hand massage and analgesics (experimental group). As for the experimental treatment, the participants were provided with oil hand massage on each hand for 5 minutes. Results: The experimental group and the control group showed no significant differences in the changes of pain score (F=0.74, P=0.3939). Conclusion: Although the pain level of the experimental group did not significantly improve compared with the control group, their pain levels tended to be low to begin with. Thus, a complementary utility value of hand massage cannot be completely excluded in terminal cancer patients. Since the pain level significantly changed according to the dosage of analgesic, nurses need more education and research on analgesic drug therapy for terminal cancer patients.

Brown-Sequard Syndrome Produced by Cervical Disc Herniation : Manual and Exercise Therapy after Operation-Case Studies (경추 추간판탈출증에 의한 브라운-시쿼드 증후군 : 수술 후 도수치료와 운동치료 효과-사례연구)

  • Kim, Myung-Joon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.79-85
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    • 2009
  • 목적 : 브라운시쿼드는 대부분 척추손상과 수질외 척추 종양에서 주로 나타난다. 드물게 경추 디스크가 브라운시쿼드의 원인이 된다. 경추디스크에 의한 브라운시쿼드 증세의 수술후 물리치료 및 도수치료 결과를 보고하기 위함이다. 방법 : 50세 남자로써 브라운시쿼드 증세로 진단을 받고 수술후 좌측 팔과 다리에 운동신경에 의한 마비증세가 있었으며(팔>다리), 우측으로 감각과 온도감각이 저하된 경우이다(팔>다리). 측정방법은 통증지수(VAS), 근력(Distal PowerTracII$^{TM}$ test), 지구력(Ergometer) 측정과 심리상태(설문)를 치료전과 후를 비교하였다. 물리치료에서는 기능적 전기자극 치료와 도수치료 및 운동치료 방법을 실시하였다. 도수치료는 통증완화와 근력강화를 위한 MET, MFR, Mobilization 등을 실시하였으며, 운동은 슬링시스템 등을 이용한 운동과 견관절의 불안정을 위해 안정화운동을 실시하였다. 결과 : 이 케이스는 수술후 이상 징후가 척수압박으로 인하여 보다 넓게 통증이 나타났으며, 운동 및 감각신경이 둔해지고 온도에 대한 감각이 반대편 결손으로 나타났으며, 좌측 어깨, 팔 견갑부의 근육 마비와 우측의 감각이 떨어진 현상이 나타났다. 물리치료 후 단기목표와 장기목표에 있어서 통증과 운동 및 감각 기능이 회복되어 각각 팔 통증에서는 VAS 8 ${\rightarrow}$ 1, 상지 하지의 운동기능은 Trace ${\rightarrow}$ Good 로 평가 회복되었으며, 근력측정에서 모두 유의한 차이를 보였다. 모든 치료과정 결과에서 심리적 상태의 설문에서도 높은 점수를 얻어 긍정적 신뢰가 높아 진 것으로 나타났다. 검사결과 다리의 근력이 증가는 걷기 운동 및 에르고메터의 지구력 및 균형이 레벨1의 10분 수행능력이 레벨 20에서 30분 수행능력으로 향상되어 일상적인 활동이 가능해졌다. 결론 : 예상하지 못했던 수술 후유증(side effects)에 대한 치료과정이 환자의 심리에 심각한 부정적인 생각이 신체의 기능과 감정의 손상에 영향을 미치기 때문에 체계적이고 장기적인 치료 과정에서 기능적 향상과 더불어 정신적인 심리의 정서 안정이 매우 필요하다고 사료된다.

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The Changes of the Pain Care Awareness and Health Related Quality of Life of the People with the Chronic Low Back Pain through the Participation in the Kinesio-Taping Self Application Education Program (키네시오 테이핑 자가 적용 교육 프로그램의 참여를 통한 만성요통환자들의 통증관리 인식과 건강관련 삶의 질의 변화)

  • Son, Sung-Min;Kwag, Sung-Won
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.167-177
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    • 2020
  • This study purposes to analyze the changes of the pain care awareness and health related quality of life of the people with the chronic low back pain through the participation in the kinesio-taping self application education program. A total of 30 people with chronic LBP participated and they divided into experimental(n=15) and control group(n=15). An experimental group participated in the Kinesio-taping education program for 4 weeks and a control group was treated by a therapist. Through these, the pain care awareness and health related quality of life were analyzed. In the care of the health care awareness, the canadian Occupational Performance Measure was used to assess the subjects' performance and satisfaction. The short form-8 health survey was used to the health related quality of life. The results of the health care awareness and health related quality of life were increased in the experimental group and the statistically significant difference showed between group. This education program is a meaningful method to improve the health related quality of life from the pain care in the daily life by itself. Thus, the kinesio-taping self application education program should be considered for the people with the chronic low back pain.

Effect of Stabilizing Reversal Technique of Proprioceptive Neuromuscular Facilitation and Taping Convergence on Wrist Pain and Grip Strength (고유수용성신경근촉진법의 안정적 반전기법과 테이핑 융합이 손목통증과 악력에 미치는 영향)

  • Kim, Beom-Ryong;Yi, Dong-Hyun;Yim, JongEun
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.117-124
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    • 2018
  • This study investigated the effect of wrist taping (WT) after application of stabilizing reversal technique (SRT) of proprioceptive neuromuscular facilitation (PNF) on pain and grip strength (GS) in patients with wrist pain (WP). Twenty patients with WP were randomly assigned to an experimental group (n=10) that received WT after application of SRT, and a control group (n=10) that received WT after application of stretching. The total intervention time consisted of a maximum of 10 minutes including breaks, and was performed 5 times a week for 2 weeks. Pain reduction was measured using a visual analogue scale. GS was measured using a dynamometer. Within group changes in pain and GS were significant in both experimental and control groups (p<0.01). Between group changes in pain and GS were greater in the experimental group than in the control group (p<0.01). This findings indicate that SRT of PNF and WT convergence can be an effective intervention for patients with WP. Continued development of convergence interventions for patients with WP various conditions in practice, is suggested.