• Journal of Dental Anesthesia and Pain Medicine
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• 제23권6호
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• pp.317-325
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• 2023

Background: Local anesthetic injections may induce pain in children, leading to fear and anxiety during subsequent visits. Among the various approaches recommended to reduce pain, one is the use of a Buzzy Bee^TM device that operates on the concept of gate control theory and distraction. The literature regarding its effectiveness during the deposition of local anesthesia remains limited; hence, the aim of the present study was to determine the efficacy of extraoral cold and vibrating devices in reducing pain perception during the deposition of local anesthesia. Methods: A split-mouth crossover study in which 40 children aged 3-12 years requiring maxillary infiltration or inferior alveolar nerve block for extractions or pulp therapy in the maxillary or mandibular posterior teeth were included. The control intervention involved the application of topical anesthetic gel for one minute (5% lignocaine gel), followed by the administration of local anesthetic (2% lignocaine with 1:80,000 adrenaline) at a rate of 1 ml/ minute. Along with the control protocol, the test intervention involved using the Buzzy Bee^TM device for 2 minutes before and during the deposition of the local anesthetic injection. The heart rate and face, legs, arms, cry, and consolability revised (FLACC-R) scale scores were recorded by the dentist to assess the child's pain perception. Results: The mean age of the participants in Group A and Group B was 7.050 ± 3.12 years and 7.9 ± 2.65 years respectively. A reduction in the mean heart rate and FLACC-R score was observed during the deposition of local anesthetic solution in the tissues when the Buzzy Bee^TM was used in both groups at different visits in the same subjects (P < 0.05) The Buzzy Bee^TM device was effective in reducing the heart rate and FLACC-R scores when used during maxillary infiltration and inferior alveolar nerve block local anesthesia techniques (P < 0.05). Conclusion: The use of extraoral cold and vibrating devices significantly reduces pain perception during local anesthetic deposition in pediatric patients. Considering the results of this study, the device may be incorporated as an adjunct in routine dental practice while administering local anesthesia in children.

• 대한감각통합치료학회지
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• 제9권2호
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• pp.51-60
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• 2011

목적 : ADHD아동의 감각자극에 대한 생리학적 반응특성은 감각자극의 종류, 측정도구, 그리고 반응으로 알아보고, 행동학적 특성은 측정도구, 빈도, 측정도구별로 공통된 문제 항목을 분석하여 ADHD아동의 감각자극에 대한 특성을 알아보고자 하였다. 연구방법 : 체계적 고찰방법을 사용하였다. 1990년 1월부터 2011년 12월 31일까지 학회지에 게재된 논문을 Riss4U, MEDLINE/PubMed, CINAH을 통해 검색하였다. 주요 검색어는 "ADHD, Children, Sensory processing, sensory integration, SP, SSP, SOR, TIE, CSP, SEP, EDR"으로 하였으며, 최종적으로 15개의 논문을 분석하였다. 결과 : 1. ADHD아동을 대상으로 감각자극에 대한 생리학적 반응에 관한 연구는 5개(33.33%)이고, 행동학적 반응에 관한 연구는 10개(66.67%)이며, 두 가지를 병행한 연구는 2개(13.33%)로 전체 15개(100%)논문을 분석하였다. 2. 생리학적 반응에 관한 연구 5개 중, 촉각과 고유 감각 자극을 사용한 연구는 3개, 후각, 청각, 시각, 촉각, 전정감각을 모두 사용한 연구는 2개였다. 3. 행동학적 특성에 관한 연구 10 중, SP는 5개, SSP는 3개, SOR은 2개, TIE는 1개, CSP는 1개이다. 4. ADHD아동의 감각자극에 대한 생리학적 반응특성은 일차감각피질의 손 영역에 있는 신경원세포의 활동전위에서 큰 반응을 보였다. 반응 시 초기에 큰 반응을 보였고 뒤로 갈수록 빠른 습관화를 보이는 것으로 나타났고, 회복 시에 많은 비 특이적 반응을 보였다. 5. 행동학적 반응특성은 부주의/산만, 전정감각처리, 지구력/근 긴장도 조절, 감정반응에 대한 감각입력 조절, 활력이 부족하고 허약함을 보이는 특성이 있었다. 결론 : ADHD아동의 감각자극에 대한 생리학적 반응 특성과 행동학적 특성을 아는 것은 ADHD아동의 감각조절 문제를 이해하는데 중요한 근거가 된다.

• Journal of Acupuncture Research
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• 제19권3호
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• pp.107-114
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• 2002

Objective : This study was designed to find the most effective and safest way to overcome Lumbago due to blood stasis and sprain involved in a few Meridian Tendino-musculatures by evaluating the effect of two kinds of Dong-gi(Dong-qi) Acupuncture(DGA) and by reporting their side effects. Material : 97 patients of out and admission patients were selected, who were diagnosed with lumbar sprain caused by repetitive bending, heavy weight lifting, unsuitable posture, concussion and falling down and whose Lumbago due to blood stasis and sprain in the concept of oriental medicine. Methods : 97 patients were divided into three groups. One is exclusive DGA group to which DGA and the method retaining needles on the acupoints for about 20 minutes were applied, the other is DGA combined active exercise group in which patients stretched their Meridian Tendino-muscuIatures with their hips moving up and downward repeatedly during DGA, the third is DGA combined passive exercise group in which patients were made to flex or extend their bodies on the auto flexion-distraction table in a prone position, from 10 to 20 degree, during DGA. In each group, bed rest, physical therapy and herbal medicine were used according to symptoms, in addition to DGA. In DGA method, "Su(Shu)" points of the meridian related to the involved Meridian Tendino-musculature were mainly chosen, that is, Sokkol(Shugu, B65), Hugye(Houxi, SI3), ChungJo(Zhongzhu, TE3) were used, for most LBP belonged to Bladder and Gallbladder Meridian Tendino-musculature disorders. Pyong-Bo-Pyong-Sa(Ping-Bu-Ping-Xie) such as Dong-Gi and Yeom-Jeon(Nian-Zhuan) was applied as Bo-Sa method. For evaluation of effectiveness, new score system was devised by severity of pain and range of movement. the score was given twice at patients' first and last visit and the difference between first and last score was regarded as a evaluation scale, the effectiveness was classified into four grade by evaluation scale.(scale : 12-15; excellent, 8-11; good, 4-7; fair, 0-3; bad) Results : 1. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed 97, 87 and 89% in effectiveness. 2. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed no aggravation of pain, range of movement. 3. In blood test of 34 patients, only one patient showed abnormal rise of sGOT, sGPT and $\gamma$-GTP at his first visit and the others didn't show any detrimental change. DGA had no bad influence upon BUN and creatinine of patients. Conclusion : For complex theraphy combining DGA, exercise, physical therapy and Herbal medicine proved to be highly effective on treating lumbago due to blood stasis and sprain, this is expected to be available for clinical use.

• 대한관절경학회지
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• 제10권2호
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• pp.178-183
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• 2006

목적: 주관절의 퇴행성관절염에 대해 측와위에서 견인 후 관절경을 이용한 수술적 치료를 시행하고 그 결과와 술식의 유용성을 보고하고자 한다. 대상 및 방법: 12개월 이상 추시가 가능하였던 주관절의 퇴행성관절염 21례를 대상으로 하였다. 남자가 15례 여자가 6례였으며 평균 연령은 47세, 우세지가 14례였다. 모든 례에서 수술은 전신 마취하에 측와위에서 10파운드의 견인 상태로 관절내 활액막염, 골성 유리체, 관절의 전방 및 후방의 골극을 제거 하였다. 수술 후 최대 신전 상태에서 고정을 하였으며 2일부터 CPM을 이용한 운동을 시행하였다. 결과: 수술전 관절 운동 범위는 평균 $30{\sim}115$도였으며 수술 후 평균 $5{\sim}130$도로, 신전과 굴곡 각각 25도 16도, 전체적으로 41도 증가하였다. 통증에 대한 VAS상 7.5점에서 2.3점으로 감소, 기능 만족도는 1.8에서 9.0으로 증가하였다. 합병증은 2례로 1례는 척골 신경의 이상 감각증상이 있었으나 보존적 치료에 소실되었고, 1례는 수포가 형성되었으나 치유되었다. 결론: 주관절 관절경 수술시 측와위에서의 견인은 넓은 시야 확보에 도움을 주었다. 간단한 견인 방법으로 주관절의 퇴행성 관절염에 대해 관절경 수술을 시행한 바 통증의 의 해결과 관절 운동 범위 회복에 있어 우수한 결과를 얻을 수 있었다.