• Title/Summary/Keyword: Arthralgia

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Importance of Relative Comparison of Capsular Widths on the Affected and Non-Affected Sides of Temporomandibular Joint Arthralgia Patients: An Ultrasonography Study

  • Hee-Won Kim;Yong-Woo Ahn;Sung-Hee Jeong;Soo-Min Ok;Hye-Mi Jeon;Hye-Min Ju
    • Journal of Oral Medicine and Pain
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    • v.48 no.3
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    • pp.106-111
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    • 2023
  • Purpose: In this study, we evaluate the potential of the relative ratio of capsular width (RCW) between the affected side (Aff) and non-affected side (Non-aff) in patients with temporomandibular joint (TMJ) arthralgia. We assessed whether RCW may hold greater diagnostic significance than the objective capsular width (CW) reported in previous studies when diagnosing arthralgia using ultrasonography (US). Methods: Forty-nine patients were assessed using US, excluding four patients with bilateral arthralgia. The patients were divided into two groups: 40 with unilateral arthralgia (UA), and nine without arthralgia (NA). We measured CW and masseter muscle thickness using US. Moreover, we employed RCW to analyze the variances between the groups. The numerical rating scale (NRS) and RCW were compared before and after dexamethasone injection in 10 patients who underwent follow-up evaluations. Results: Within the UA group, CW on the Aff was found to be significantly larger compared to the Non-aff (p<0.001). Additionally, RCW in the UA group was greater than that in the NA group (p<0.01). Furthermore, after dexamethasone injection, a reduction in the NRS and RCW values was observed in the 10 patients who were followed up. Conclusions: While previous studies have suggested a link between arthralgia and TMJ effusion, making CW a possible indirect diagnostic indicator for arthralgia, our findings propose that RCW could hold more diagnostic value than objective CW. However, additional studies are required to standardize the protocols for interpreting US results and determining the cutoff value of RCW in diagnosing TMJ arthralgia.

The Literatural Study on Arthralgia Syndrome(痺病) (비병(痺病)의 문헌적(文獻的) 연구(硏究))

  • Chung, Seok-Hee
    • The Journal of Korean Medicine
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    • v.16 no.1 s.29
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    • pp.9-20
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    • 1995
  • I would like to state my own opinion on arthralgia syndrome(痺病) through the literatural studies. First of all, arthralgia symdrome(痺病) must be classified into six type basically, which are migratory arthralgia(痺病(行痺)), arthritis of heat type(濕痺), arthritis due to blood stasis(瘀血痺) and deficient rheumatism(虛痺), and then could be considered to try the compound names of arthralgia syndrome. These can come from according to the rise and decline of causes in wind(風), cold(寒), damp(濕), heat(熱), blood stasis(瘀血) and qi-blood(氣血). For example, it would be possible to apply the wind-dampness rheymatism(風濕痺) of damp-heat rheumatism(濕熱痺) in terminology of arthralgia syndrome(痺病). As rheumatoid arthritis(歷節風), rheumatoid arthritis like white tiger bite (白虎歷節風) and gout (痛風) not to mean the gout in western medicine have been announced a kind of arthralgia syndromes(痺病) by many doctors since Ming dynasty(明代) and proved it to be true, it is reasonabie not to try it any longer. And tingling and deficiency of sensation(廢木 不仁) is a symptome showing the decline of muscle power including mainly the abnormal sensation of skin, it would be recommended to be classified into fliaccidity syndrome(?痺). And then the names rheumatism invoiving lendon and ligament(筋痺), rheumatism involving blood vessels(脈痺), rheumatism involving muscle(肌痺), numbness of skin (皮痺) and rheumatism involving bone(骨痺), which have been used as the classification title with the season be received bad-qi(邪氣), must be classlfied to the location appearing aymptomes. Though obstruction of the liver-qi(肝痺), obstruction of the heart-qi(心痺), stagnation of the spleen-qi(脾痺), stagnation of the lung-qi(肺痺), stagnation of the kidney-qi(腎痺) and dysfunction of the bladder(胞痺) that used visceral and bladder name, that stated a kind of arthralgia syndrome(痺病), but it must be classified into a different diseases from arthragia syndrome.

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The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis (발반사 마사지가 골관절염 재가 여성노인의 관절통증, 관절강직, 우울 및 수면에 미치는 효과)

  • Kim, Chung Soon;Yoo, Kwang Soo;Hong, Se Hwa
    • Research in Community and Public Health Nursing
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    • v.25 no.3
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    • pp.207-216
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    • 2014
  • Purpose: This study was conducted to examine the effects of foot reflexology on arthralgia, ankylosis, depression and sleep in community-dwelling elderly women with osteoarthritis. Methods: The research adopted a non-equivalent control group pretest-posttest design. Participants were 47 elderly women: 22 in the experimental group and 25 in the control group. The experimental group received foot reflexology twice a week for 4 weeks. The results were analyzed using $x^2$-test, t-test, and ANCOVA with the SPSS/WIN 21.0 program. Results: The results showed that foot reflexology was statistically significantly effective in reducing arthralgia, ankylosis, and depression and in improving the quality of sleep as evidenced by differences between two groups. Conclusion: The results of this study indicated that foot reflexology is an effective nursing intervention in reducing arthralgia, ankylosis, and depression, and improving the quality of sleep. Therefore, it is necessary to develop foot reflexology as an independent nursing intervention for elderly women with osteoarthritis in community.

The Effect of Laughter Therapy on Arthralgia, Ankylosis, Depression, and Sleep of Elderly Housebound Women with Osteoarthritis (웃음치료가 골관절염 재가여성노인의 관절통증, 관절강직, 우울 및 수면에 미치는 효과)

  • Kim, Chung Soon;Jang, Sook Hi;Cho, You Young
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.123-131
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    • 2015
  • Purpose: The purpose of this study was to examine the effect of laughter therapy on arthralgia, ankylosis, depression and sleep of elderly housebound women suffering from osteoarthritis. Methods: The study used a nonequivalent control group pretest-posttest design. The participants were 48 elderly women: 23 in the experimental group and 25 in the control group. The experimental group received laughter therapy twice a week for 4 weeks. The results were analyzed by using $X^2$-test, ANCOVA, and t-test with the SPSS/WIN 21.0 program. Results: The results showed that laughter therapy had a significant statistical effective in reducing arthralgia, ankylosis, and depression and improving the quality of sleep as evidenced by the differences between the two groups. Conclusion: The results of this study indicated that laughter therapy is an effective nursing intervention reducing arthralgia, ankylosis, and depression and improving the quality of sleep in these women. Therefore, it is necessary to develop laughter therapy as an independent nursing intervention for elderly women with osteoarthritis who are housebound.

THE IMPLEMENTATION OF THE MOXA-PAD CAUTERIZER FOR KNEE ARTHRALGIA

  • Bae, Jong-Il;Kwon, Sung-Yeol;Jo, Bong-Kwan
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1892-1894
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    • 2004
  • We have suggested the moxa-pad cauterizer especially for knee arthralgia. We have researched the variation on knee heat generating by the moxa-pad moxibustion cauterizer. The experimental demonstrations have been made by the stimulating the spots which are G-34(Gall-bladder Meridian 34), Sp-9(Spleen Meridian 9), and Liv-3(Liver Meridian 3) acupuncture points. And stimulating time was one hour with moxa-pad cauterizer.

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A Case Study of Erythema Nodosum on lower extremities (양하지에 발생한 결절홍반(結節紅斑) 치험 1례)

  • Cho, Ah-Reum;Kim, Hyun-Jung;Kim, Chang-Hwan
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.2
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    • pp.104-110
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    • 2011
  • Objectives : We report a case of Erythema Nodosum on lower extremities which was by acupuncture and herbal medicine treatment. Methods : We treated a female patient who has erythema nodosom, edema at lower extremities and arthralgia with acupuncture and Moktongdaean-tang.. To evaluate the results of this treatment, we observed shape and number of Erythema Nodosum. We measured circumference of left ankle. We used visual analogue scale(VAS) of arthralgia. Results : Erythema Nodosum on lower extremities, Edema of both ankle were subsided. Arthralgia was gradually disappered. Conclusions : Acupuncture and Moktongdaean-tang have improved the signs and symptoms of Erythema Nodosum case. It is concluded that acupuncture, herbal medicine treatment is considerably effective on Erythema Nodosum.

Pattern of Pain on Temporomandibular Joint-Muscle Area in Tension-type Headache Patients (긴장성 두통 환자에서의 측두하악부 관절-근육통의 양상)

  • Oh, Byung-Sub;Auh, Q-Schick;Hong, Jung-Pyo;Chun, Yang-Hyun
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.113-120
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    • 2007
  • Although most cases of tension-type headache(TTH) are myogenic headache, in some cases, arthralgia appears, such as the disorder of the temporamandibular joint. This study is designed to compare the clinical patterns of arthralgia to those of myalgia, when both symptoms are co-existing. Among 167 patients who visit our clinic during a certain period, whose chief complaint was TTH, 18 patients were the arthralgia group, 50 patients were the myalgia group, and 99 patients who have both arthralgia and myalgia were the arthromyalgia group. Three groups were asked to answer the questionnaires about their age, gender, and oral parafunction such as bruxism or clenching. Then we gathered statistics on the data from the accomplished questionnaires. 1. There was statistical significance in age among the three groups(p=0.02). 2. There was no statistical significance in sex and oral parafunction among the three groups. 3. There was statistical significance the myalgia group was older than the arthromyalgia group(p<0.03). The results of the study show that as patients become older, TTH with myalgia happens more frequently than TTH with arthralgia and myalgia does.

Diagnosis and treatment of Acute temporomandibular disorders (급성 턱관절 및 저작근 통증의 진단 및 치료)

  • Shim, Young Joo
    • The Journal of the Korean dental association
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    • v.58 no.6
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    • pp.354-363
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    • 2020
  • Patients often seek consultation with dentists for their temporomandibular disorders (TMD), especially for pain. Acute pains refer to pains that are of short duration. Common acute TMD are arthralgia and local myalgia. Diagnosis should be made based on careful history taking and clinical examination. Most acute TMD are well controlled by education, cognitive awareness training, and conservative treatment. The aggressive and irreversible treatments should not be applied. Acute TMD should be controlled in the early phase so as not to be proceed to chronic pain.

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The Effects of Intensive Management Program of Home Visiting Health Service for community dwelling Clients with Arthralgia (방문건강관리사업을 통한 재가 관절통증환자 집중관리 프로그램의 효과)

  • Park, Kum Sook;Jeong, Heon Young;Kim, Young Hee;Lee, Gyoung
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.2
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    • pp.69-80
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    • 2014
  • Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher's exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p < .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p < .031), (t=2.166, p < .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.

A Case of Child with Poststreptococcal Reactive Arthritis (베타 용혈성 연구균 감염 후 발생한 반응성 관절염 1례)

  • Park, Dong-Kyun;Kim, Young-Min;Chung, Sa Jun;Cha, Sung-Ho
    • Pediatric Infection and Vaccine
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    • v.11 no.2
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    • pp.208-211
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    • 2004
  • The patient with group A beta-hemolytic streptococcal infection and articular disease who does not fulfill the modified Jones criteria for a diagnosis of acute rheumatic fever(ARF) have been classified as poststreptococcal reactive arthritis/arthralgia. A 10-year-old girl had presented with fever and arthralgia. She had pain in her left knee for 7 days but no swelling. A throat culture showed no growth but antistreptolysin O titer and C-reactive protein were elevated. A clinical follow up one month later showed neither arthralia nor sequelae as acute rheumatic fever. Poststreptococcal reactive arthritis/arthralgia seems to be part of the disease spectrum of ARF and to prevent subsequent development of ARF and carditis in these patient, it is recommended that antistreptococcal prophylaxis should be administered for 1 year and then could be discontinued if there is no evidence of cardiac involvement.

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