Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.
In order to evaluate thelong-term results of conservative treatment on TMJ closed lock, a follow-up study of thirst-two patients was performed 2 to 7 year after treatment. Evaluating method included the questionnaire, clinical examination, transcranial radiograph and mandibular kinesiography. The results were as follows : Seventy-eight percents of patients reported that symptoms were reduced completely or considerably. Recurrent headache was improved after treatment (72 percents of success rate). There was a significant decrease in VAS after treatment and at follow-up comparing with that of before treatment(p<0.01). Most common variable of Helkimo's clinical dysfunction index at follow-up was impared TMJ function. There was a significant decrease in Fricton's craniomandibular index and dysfunction index(p<0.01) Mean interincisal distance was increased by 14.07mm after treatment and was also increased at follow-up by 2.80mm comparing with that of after treatment(p<0.01). Before treatment, condylar translation measurements of affected and non-affected sides on the transcranial radiograph were 4.89±3.20mm and 9.09±3.73mm respectively and at follow- up examination, those were 14.98±4.77 and 17.05±4.35mm respectively. At follow-up, condylar translation were increased significantly comparing with those of before treatment(p<0.01). In 93.1% of patients, the condylar position of affected side at maximum mouth opening was behind the articular eminence before treatment but the percentage was decreased to 13.8% at follow-up(p<0.01). The pattern and range of mandibular movements at follow-up examination were similar to the typical normal movements. And in 16 cases showing lateral deviation of opening path, the deviation was directed to the affected and non-affected sides with the same frequency.
Kreich, Eliane Maria;Chibinski, Ana Claudia;Coelho, Ulisses;Wambier, Leticia Stadler;Zedebski, Rosario de Arruda Moura;de Moraes, Mari Eli Leonelli;de Moraes, Luiz Cesar
Imaging Science in Dentistry
/
제46권1호
/
pp.17-24
/
2016
Purposes: This study employed a posteriori registration and subtraction of radiographic images to quantify the apical root resorption in maxillary permanent central incisors after orthodontic treatment, and assessed whether the external apical root resorption (EARR) was related to a range of parameters involved in the treatment. Materials and Methods: A sample of 79 patients (mean age, $13.5{\pm}2.2years$) with no history of trauma or endodontic treatment of the maxillary permanent central incisors was selected. Periapical radiographs taken before and after orthodontic treatment were digitized and imported to the Regeemy software. Based on an analysis of the post-treatment radiographs, the length of the incisors was measured using Image J software. The mean EARR was described in pixels and relative root resorption (%). The patient's age and gender, tooth extraction, use of elastics, and treatment duration were evaluated to identify possible correlations with EARR. Results: The mean EARR observed was $15.44{\pm}12.1pixels$ (5.1% resorption). No differences in the mean EARR were observed according to patient characteristics (gender, age) or treatment parameters (use of elastics, treatment duration). The only parameter that influenced the mean EARR of a patient was the need for tooth extraction. Conclusion: A posteriori registration and subtraction of periapical radiographs was a suitable method to quantify EARR after orthodontic treatment, and the need for tooth extraction increased the extent of root resorption after orthodontic treatment.
Objectives: This study is to assess the correlation of the changes in dental health-related quality of life before, during, and after orthodontic treatments in the patients. Methods: The self-administered survey was conducted in the patients who completed orthodontic treatments living in Seoul and metropolitan areas using Oral Impact on Daily Performances (OIDP) to identify the relevant factors. Data were analyzed with descriptive statistics of variables, independent t-test, one way ANOVA, and multiple regression analysis. Results: From observations of OIDP before, during, and after orthodontic treatment, discomfort associated with three factors including physical, psychological and social ones showed the statistically significant increases during orthodontic treatment than before the treatment; whereas, it was dramatically dropped afterward. Multiple regression analysis to find the influential factors of satisfaction level on orthodontic treatment by setting before, during, and after OIDP as independent variables and satisfaction on orthodontic treatment as a dependent variable revealed that OIDP before orthodontic treatment and after orthodontic treatment significantly affected satisfaction on orthodontic treatment. Conclusions: The above analysis on the change in patients' dental health-related quality of life showed that the quality of life improved after the orthodontic treatment. Accordingly, patients' quality of life and satisfaction level on orthodontic treatment are expected to improve if they strive to maintain healthy dental health through orthodontic treatment.
Background: Although neuropathic pain is a severe and common pain, its pathophysiology has not been elucidated yet. Studies in recent years have focused on the immune system's role in the pathogenesis of neuropathic pain. The aim of this study was to investigate the role of immunological mechanisms in neuropathic pain and the effect of pregabalin by measuring immunological marker levels in peripheral blood before and after pregabalin treatment in postherpetic neuralgia (PHN) patients with neuropathic pain. Methods: Forty patients diagnosed with PHN were included in the study. CD4, T follicular cells (Tfh: CD4+CXCR5+PD1+), Th17 (CD4+CCR6+ and CD4+IL17A+), regulatory T cells (Treg: CD4+ CD25+foxp3+), Th1 (CD4+ CXCR3+ and CD4+ IFN-γ+) and Th2 (CD4+ IL-4+) cell ratios were measured in peripheral blood samples before treatment and after 3 months of treatment. Results: When immunological marker and inflammation parameter levels were compared before and after treatment, the helper T cell ratio (CD3+, CD4+) was 30.28 ± 12.27% before treatment and 34.93 ± 11.70% after treatment, so there was a statistically significant increase (P = 0.028). Th17 was 4.75 ± 5.02% before treatment and 5.80 ± 3.13% after treatment, and there was a statistically significant increase (P = 0.036). Conclusions: Immunological mechanisms play an essential role in the pathogenesis of neuropathic pain, immunologically based treatment approach will be the critical point of treatment.
Purpose : This study was aimed to investigate the effect of knowledge and competence of first aid treatment among middle school students after the education on the injury treatment. Methods : The study design was randomized pretest and post-test control group nonsynchronized design. Study subjects were 32 3rd-grade students of Y middle school in P city and 34 3rd-grade students of M middle school in P city in this research. Among two 3rd-grade classes, one classes were randomly assigned to experimental group (32 students) and two were control group (34 students). The intervention for experimental group was providing five-time 45-minute injury treatment education. Results : 1. The First hypothesis : After intervention on the injury treatment education, knowledge of injury treatment in the experimental group was significantly higher than that of the control group(t=-6.480, p<.001). 2. The Second hypothesis : After intervention on the injury treatment education, competence of injury treatment in the experimental group was significantly higher than that of the control group(t=-15.121, p<.001). Conclusion : These findings suggest that the injury treatment education can facilitate knowledge of injury treatment, competence of injury treatment in the middle school student. Therefore, it is considered that the injury treatment education can be utilized as a effective way to implement the 7th nation curriculum.
Objective : We suggested the clinical effect of Rainbow therapy on Bell's palsy. Methods : 20 Bell's palsy patients were divided into two groups. One group(A group) was treated by acupunture and the other group(B group) was treated by acupunture and Rainbow therapy. The effect of these treatments was evaluated by Yanagihara's unweighted grading system and House-Brackmann grading system. Results and Conclusions : In Yanagihara's unweighted grading system After 1 week and 2weeks treatment, group B marked more higher than group A in treatment outcome. We discovered that it is significant differences between two groups. After 3 weeks treatment, group B marked more higher than group A in treatment outcome but it is not significant differences between two groups. In House-Brackmann's facial nerve grading system, After 1 week treatment, group B marked more higher than group A in treatment outcome. We discovered that it is significant differences between two groups. After 2 weeks and 3 weeks treatment, group A marked more higher than group A in treatment outcome but it is not significant differences between two groups.
Objective: To determine the changes in dental anxiety, state anxiety, and trait anxiety levels of patients and their parents after 3 months of active orthodontic treatment. Methods: We evaluated 120 patients and one parent of each patient. State Anxiety (STAI-S), Trait Anxiety (STAI-T), and Corah's Dental Anxiety Scale (DAS) were administered before orthodontic treatment (T1) and after 3 months of treatment (T2). Differences in scores between T1 and T2 were compared using paired-sample t-tests and the relationship between the scores of the DAS and the STAI were analyzed using a bivariate two-tailed Pearson correlation test. Results: Dental anxiety and state anxiety levels decreased among the patients after adjustment to orthodontic treatment (p < 0.001). However, 3 months of treatment was not sufficient to decrease the anxiety levels of parents (p > 0.05). Patient trait anxiety affected patient state anxiety and dental anxiety (p < 0.01). Additionally, a significant correlation was found between patient dental anxiety and parent dental anxiety (p < 0.05). Conclusions: Dental anxiety and state anxiety levels decrease after patients become familiar with their orthodontist and they became accustomed to orthodontic treatment. However, 3 months is not a sufficient length of time to decrease parental anxiety levels.
Objectives : This study was to evaluate the effect of electroacupuncture on symptoms of peripheral facial paralysis. Methods : We investigated 34 cases of patients with Peripheral Facial Paralysis. We flip a coin and divide into two groups. Electroacupuncture was performed at one group, and the other group didn't do it. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System. Results : 1. In Pain back of the ear, we found that two groups have no significant differences. 2. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 2weeks was marked higher than that before treatment and treatment score after 4weeks treatment was higher than treatment score after 2weeks within each group. 3. After 4weeks treatment, electroacupuncture group showed significant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with acupuncture group. Conclusion : These results suggested that electroacupuncture treatment should be more effective in the patient with peripheral facial paralysis.
In this study, the reusability of the Fenton oxidation solution was evaluated to reduce the cost of the pretreatment process. Biomass was sequential subjected to Fenton oxidation-hydrothermal treatment and enzymatic hydrolysis to produce monosaccharides. The liquid solution recovered after Fenton oxidation contained OH radicals with a concentration of 0.11 mol/L. This liquid solution was reused for a new Fenton oxidation reaction. After Fenton oxidation, hydrothermal treatment was performed under the same conditions as before, and 9.34-13.63 g/L of xylose was detected. This concentration was slightly lower than that of a fresh Fenton oxidation solution (16.51 g/L) but was higher than that obtained by hydrothermal treatment without Fenton oxidation (2.72 g/L). The degradation rate during hydrothermal pretreatment involving Fenton oxidation was 36.02%, which decreased (29.24-31.05%) slightly when the liquid solution recovered after Fenton oxidation was reused. However, the degradation rate increased compared to that measured from hydrothermal treatment without Fenton oxidation (15.21%). Moreover, the yield after enzyme hydrolysis decreased in the following order: fresh Fenton oxidation-hydrothermal treatment (89.64%) > Fenton oxidation with reused solution-hydrothermal treatment (74.84%) > hydrothermal treatment without Fenton oxidation (32.05%).
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