• Journal of Acupuncture Research
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• 제34권3호
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• pp.121-130
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• 2017

Objectives : The purpose of this study was to report the clinical effects of the Graston Technique and Chuna manual therapy, combined with Korean Medical Treatment for fibromyalgia. Methods : We treated a patient diagnosed with fibromyalgia. We used acupuncture, the Graston Technique, Chuna manual therapy, pharmacopuncture, herbal medicine, moxibustion and physical therapy. Outcomes were evaluated using the American College of Rheumatology Preliminary Diagnostic Criteria (ACR), the Fibromyalgia Impact Questionnaire (FIQ), and the Numeric Rating Scale (NRS). Results : The widespread pain index (WPI) scale score of the ACR decreased from 12 to 9, and the symptom severity scale (SS) score of the ACR decreased from 8 to 6. The FIQ score decreased from 63.69 to 50.15. On the NRS, lower back pain & lower limb pain decreased from 6 to 2; neck pain from 6 to 3; muscle tenderness & morning stiffness from 6 to 4; fatigue from 6 to 3; urticaria from 6 to 2. Conclusion : This case study suggests that the Graston Technique and Chuna manual therapy combined with Korean Medical Treatment may be effective treatments for fibromyalgia. However, further studies are needed.

• 대한한방내과학회지
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• 제36권3호
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• pp.400-409
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• 2015

Objectives The study aimed to evaluate the therapeutic effect of Hyungtonghaeul-tang along with Korean medicine treatment for fibromyalgia syndrome. Methods A patient with fibromyalgia syndrome was treated with Hyungtonghaeul-tang as well as Korean medical treatment including acupuncture, electro-acupuncture, bee venom therapy, chuna, aromatherapy, and physical therapy. The counts of tenderness points, widespread pain index (WPI), symptom severity scale score (SS scale score), digital infrared thermal imaging (DITI), Ryodoraku diagnosis, visual analogue scale (VAS), fibromyalgia impact questionnaire (FIQ), and beck depression inventory (BDI) were measured. Results After treatment, the counts of tenderness point, WPI, SS scale score, VAS, FIQ, and BDI were decreased. The DITI and the Ryodoraku pattern recovered normally. Conclusions Hyungtonghaeul-tang along with Korean medicine treatment can be used in the treatment of fibromyalgia syndrome.

• The Korean Journal of Pain
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• 제32권2호
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• pp.120-128
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• 2019

Background: We aimed to explore the American College of Rheumatology (ACR) 1990 and 2011 fibromyalgia (FM) classification criteria's items and the components of Fibromyalgia Impact Questionnaire (FIQ) to identify features best discriminating FM features. Finally, we developed a combined FM diagnostic (C-FM) model using the FM's key features. Methods: The means and frequency on tender points (TPs), ACR 2011 components and FIQ items were calculated in the FM and non-FM (osteoarthritis [OA] and non-OA) patients. Then, two-step multiple logistic regression analysis was performed to order these variables according to their maximal statistical contribution in predicting group membership. Partial correlations assessed their unique contribution, and two-group discriminant analysis provided a classification table. Using receiver operator characteristic analyses, we determined the sensitivity and specificity of the final model. Results: A total of 172 patients with FM, 75 with OA and 21 with periarthritis or regional pain syndromes were enrolled. Two steps multiple logistic regression analysis identified 8 key features of FM which accounted for 64.8% of variance associated with FM group membership: lateral epicondyle TP with variance percentages (36.9%), neck pain (14.5%), fatigue (4.7%), insomnia (3%), upper back pain (2.2%), shoulder pain (1.5%), gluteal TP (1.2%), and FIQ fatigue (0.9%). The C-FM model demonstrated a 91.4% correct classification rate, 91.9% for sensitivity and 91.7% for specificity. Conclusions: The C-FM model can accurately detect FM patients among other pain disorders. Re-inclusion of TPs along with saving of FM main symptoms in the C-FM model is a unique feature of this model.

• 디지털융복합연구
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• 제16권3호
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• pp.457-468
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• 2018

본 연구는 섬유근통증후군환자를 대상으로 요가자조관리프로그램을 실시하여 대상자의 건강상태와 우울에 미치는 효과를 규명하고자 시도하였다. 연구에 참여한 대상자는 G시에 소재한 일개 대학병원에서 섬유근통증후군으로 진단받은 환자이다. 참여자 수는 총 43명으로, 실험군 21명과 대조군 22명이다. 실험군에게는 8주간 주 2회 총 16회의 요가자조관리프로그램을 요가센터에서 실시하였고, 가정에서도 시행 할 수 있도록 개발한 요가DVD와 사진자료, 교육용 책자를 제공하였다. 대조군에게는 중재 없이 사전검사와 사후검사를 실시하였다. 자료의 분석은 SPSS 18.0 Program을 이용하였다. 연구의 결과, 실험군이 대조군보다 유의미하게 건강 상태(압통점, 섬유근통증후군영향척도)가 향상되었고, 우울은 감소하여 섬유근통증후군 환자의 중재전략에 효과가 있음을 확인하였다.

• 대한한방내과학회지
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• 제40권2호
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• pp.192-200
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• 2019

Introduction: The aim of this study is to report the effect of traditional Korean medical treatment on fibromyalgia. Case presentation: A patient with fibromyalgia was treated with acupuncture, pharmacopuncture (Bee venom, Hwangryunhaedok-tang), cupping therapy, moxibustion therapy and herbal medicine for 37 days. To reduce the patient's symptoms, we provided herbal medicine three times a day, as well as acupuncture, pharmacopuncture, cupping therapy and moxibustion therapy once a day for 37 days. To evaluate the results of this treatment, we used the Numeral Rating Scale (NRS), Score of Sleeping Quality (SSQ) and Fibromyalgia Impact Questionnaire (FIQ). After treatment, the patient showed that pain was reduced, the score of NRS was improved, FIQ improved from 91 to 69 and SSQ improved from 3 to 1. No adverse reaction was noted. Conclusion: According to the result, traditional Korean medical treatment can be effective and safe for the treatment of fibromyalgia.

• The Korean Journal of Pain
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• 제25권3호
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• pp.173-182
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• 2012

Background: Fibromyalgia (FM) is characterized by chronic widespread pain with a low pain threshold. The aim of this study was to compare two criteria for the diagnosis and assessment of FM and to analyze the correlation and agreement between the 1990 and 2010 American College of Rheumatology (ACR) preliminary diagnostic criteria for FM. Methods: We studied 98 patients who had already been diagnosed as having FM using the 1990 criteria or 2010 preliminary criteria. Tender point examination, FM impact questionnaire (FIQ) and pain visual analog scale (VAS) were obtained. According to the preliminary criteria, FM was quantified as WPI (widespread pain index) and the SS scale (symptom severity) and the two criteria were compared. Results: Among 98 patients, 78.6% of the patients were diagnosed with the 1990 ACR criteria and 93.9% of the patients were diagnosed with the ACR preliminary diagnostic criteria, and there was also significant agreement between the two criteria (P < 0.01). There was a correlation with the WPI and the tender point, with the SS and the FIQ, and with the sum of the WPI and SS and the FIQ. Conclusions: The ACR preliminary diagnostic criteria for FM were in agreement with the 1990 ACR criteria during the disease course. The preliminary criteria were the more sensitive method than the 1990 criteria. In addition, the 2010 criteria might have advantages since it is easy to assess the physical and psychological symptoms and can be quantified. Therefore, the ACR preliminary diagnostic criteria for FM could be used more conveniently for clinical diagnosis and follow up evaluation after starting management of FM.

• 정신신체의학
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• 제15권1호
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• pp.44-50
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• 2007

연구목적 : 기존 연구에서 만성적인 경과를 갖는 신체 질환과 인격간의 상호 관련성이 지속적으로 제시되어 왔다. 본 연구에서는 기질성격검사를 이용하여 섬유근육통 환자의 인격 성향을 평가하고 섬유근육통 증상의 강도에 영향을 미치는 인격 성향을 알아보고자 한다. 방법: 40명의 여성 섬유근육통 환자와 40명의 건강한 정상 여성 대조군이 본 연구에 참여하였다. 모든 대상군에게 인격을 평가하는 기질성격검사와 우울 상태를 평가하는 해밀턴 우울 평가 척도가 시행되었으며, 섬유근육통 환자의 증상 평가를 위해 섬유근육통 영향 척도를 시행하였다. 결과: 섬유근육통 환자군은 연령과 우울 상태를 공변으로 보정하였을 때, 정상 대조군에 비해 유의하게 높은 위험회피 점수(F=2.187, p=0.047)와 낮은 자율성 점수(F=4.551, p=0.036)를 나타내었다. 섬유근육통 환자군에서 연령과 우울을 보정하였을 때, 섬유근육통 영향 척도 점수와 위험 회피 점수가 양의 상관관계를 나타내었으며(R=0.399, p=0.013), 다중선형 회귀 분석에서 위험 회피 점수가 섬유근육통 영향 척도 점수에 영향을 미치는 인자로 밝혀졌다(95% CI=0.004-1.942, p=0.049). 결론: 본 연구를 통해 여성 섬유근육통 환자는 건강한 정상 여성에 비해 특징적인 인격 성향이 있음을 확인하였다 또한, 위험 회피 성향이 섬유근육통 환자에서 증상의 강도에 영향을 미치는 인자로 나타났다.