• 제목/요약/키워드: Fibromyalgia Syndrome(FMS)

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복합한방치료로 호전된 섬유근통증후군 환자에 대한 증례보고 (The Clinical Study on a case of Fibromyalgia Syndrome(FMS) Patient Case Report)

  • 이유환;김정희;이창환;김철홍;윤현민
    • 대한약침학회지
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    • 제14권1호
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    • pp.97-104
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    • 2011
  • Objective : This study is to report the effect that taken by using oriental treatment on the patient with Fibromyalgia Syndrome(FMS). Methods : We have observed this case of patient treated by Acupuncture therapy, pharmacopuncture therapy and herbal medication. Results : There was improvement in condition of the patient who had Fibromyalgia Syndrome(FMS) after treated by using oriental treatment. Conclusion : Oriental treatments such as Acupuncture therapy, Pharmacopuncture therapy and herbal medication can be effective for the Fibromyalgia Syndrome(FMS).

섬유근통 증후군의 한의학적 연구에 대한 문헌 조사: 국내 논문을 대상으로 (Literature Review of Korean Medicine Studies for Fibromyalgia Syndrome (FMS))

  • 이정민
    • 한방재활의학과학회지
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    • 제27권2호
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    • pp.55-66
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    • 2017
  • Objectives This study aimed to review studies in Korean medicine for fibromyalgia syndrome (FMS). Methods We conducted search across 3 electronic databases (Korean traditional knowledge portal, RISS, Oasis) to find studies for FMS in Korean medicine. Studies of Korean medicine for FMS were included and analysed. Results 15 studies were included. 2 studies were reviews and 13 studies were case reports. Total numbers of patients in case studies were 15. In case studies, acupuncture (100%), herbal medicine (76.9%), Korean physical therapy (69.2%), pharmacopuncture (53.8%), Chuna (46.1%) and moxibustion (30.7%) etc. were used. BL23 in acupuncture and CV12 in moxibustion were most frequently used. Gamisoyo-san in herbal medicine and visual analogue scale (VAS) in outcome measure were most frequently used. Conclusions This systematic review found encouraging but limited evidence of Korean medicine for FMS. I expect various trials such as randomized clinical trial or animal experimentation and more case reports. And systemic review for FMS in other national journals is needed.

추나와 침술 치료로 호전된 섬유근통증후군 증례 2례 (Two Case Report on the Patient with Fibromyalgia Syndrome(FMS) with Chuna and Acupuncture)

  • 이창훈;이명종
    • 척추신경추나의학회지
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    • 제1권1호
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    • pp.91-103
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    • 2006
  • Objective : The Fibromyaigia Syndrome(FMS) is frequently used to call at clinic. There are not case reports on the treatment of FMS by oriental medicine. We got a effect on three patient with FMS by oriental medicine and this case is observed the clinical symptoms and scaled by VAS with chuna and acupuncture. Methods : We used to take chuna and acupunture, though classifcated by pathologic symptom and classification criteria of American College of Rheumatology. Result : Usually, most patients with FMS on the chronic stage have chronic prognosis. But symptoms of the patient on this report were improved after above treatments. Conclusion : This case showed oriental medicine enough could be applied on diseases like this syndrome as one of conservative therapies. Of course, more accurate diagnosis and research would be needed afterwards.

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섬유조직염 환자의 우울에 미치는 변인 (The Factors Influencing on Depression of Patients for Fibromyalgia Syndrome)

  • 성기월;신임희;이경희
    • 대한간호학회지
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    • 제33권5호
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    • pp.609-617
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    • 2003
  • Purpose: The purpose of this study is to understand the depression of patients for Fibromyalgia Syndrome(FMS) and to identify the factors influencing depression. Method: The instruments used here are Beck Depression Inventory in depression, the Korean Rheumatology Health Association' instruments in Self-Efficacy. Also, Pain and Fatigue was measured by Visual Graphic Rating Scale. The subject of study is 76 outpatients diagnosing FMS from rheumatism specialists at C hospital in D city. The data has been collected from Sep. 1st to Sep. 30th in 2001. For the analysis of collected data, frequency analysis, independent t-test, analysis of variance, Pearson's correlation and multiple regression analysis were used for statistical analysis with SAS statistical program. Result: General characteristics showing statistically significant difference in depression were age, education, occupation, gender, exercise and sleep in the patients with FMS. Depression for the patients with FMS has negative correlation coefficients with Self-efficacy and ADL, and positive correlation coefficients with Pain and Fatigue. The suitable regression form resulting from the multiple regression analysis to investigate the influencing factors of depression for the partients with FMS was expressed by y =50.067 - 0.278x$_1$ + 1.320x$_2$ (x$_1$: Self-Efficacy x$_2$: Fatigue) and $R^2$ =0.427. Conclusion: The factors influencing on depression of patients for FMS was Self-Efficacy, ADL, Pain, and Fatigue. Further study needs to be done identify methods of overcoming and presentation of depression in FMS.

한방 복합치료로 호전된 섬유근통 증후군 치료 1례 (One Case Report of Fibromyalgia Syndrome(FMS) Patient Improved by Korean Medical Combined Treatment)

  • 김민철;김성호
    • 대한한의학방제학회지
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    • 제20권1호
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    • pp.149-158
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    • 2012
  • Objectives : The purpose of this study is to evaluate the effect of oriental medical combined treatment on the fibromyalgia syndrome patient. Methods : Oriental medical combined treatment was administered during 3 weeks at 2 times admissions. The improvement of clinical symptom was evaluated by VAS(visual analogue scale), SF-MPQ(short form-McGill pain questionnarie) and PRS(pain rating scale), change of tender points. Results : After treatment, the patient's VAS score was reduced to 3-5, 4-5 point. First admission, there is no observable change in the SF-MPQ. But, Second admission, SF-MPQ score was reduced from 16 to 6. The PRS score was reduced from 72 to 24, from 75 to 48 respectively. Tender points was reduced generally. Conclusions : Oriental medical combined treatment for the fibromyalgia syndrome patient was effective. Although this case presented valuable result, further research is encouraged to confirm the effectiveness of this treatment with large number of patient.

장기간의 스트레스 이후 전신 다한증 및 광범위한 통증을 호소하는 섬유근통증후군 환자에 대한 복합 한의치험 1례 (Excessive Sweating and Widespread Pain in Fibromyalgia Syndrome after Long-term Stress Improved by Complex Korean Medical Treatment)

  • 이은경;이주영;박민정;이장훈;김영철
    • 대한한방내과학회지
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    • 제45권2호
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    • pp.323-333
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    • 2024
  • Objectives: This case report describes the effect of complex Korean medical treatment on the clinical symptoms of a patient with fibromyalgia syndrome (FMS). Methods: A 60-year-old female woman diagnosed with FMS in 2015 was prescribed Youngsunjaetong-em-hap-Sopunghwalhyeol-tang from 2 May 2023 to 20 June 2023 to reduce excessive sweating and widespread pain. With the same objective, acupuncture, moxibustion, and cupping treatment were administered from 23 May 2023 to 11 June 2023. Changes in excessive sweating and widespread pain were recorded 2 months post-treatment. Results: Treatment with Youngsunjaetong-em-hap-Sopunghwalhyeol-tang led to a considerable improvement in clinical symptoms after 2 months, especially excessive sweating and widespread pain compared to the baseline parameters of the first visit. In addition, no adverse effects, such as liver injury or decreased kidney function, were recorded during the herbal medicine treatment. Conclusion: This case report points to the use of complex Korean medical treatment as a therapeutic option for the management of FMS.

섬유근통 증후군에 대한 문헌고찰 (The Literature Review of FibroMyalgia Syndrome)

  • 김명철;김진상
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.23-37
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    • 2004
  • Fibromyalgia syndrome(FMS) is a chronic pain disorder of unknown etiology characterized by widespread musculoskeletal aches and pains, stiffness, and general fatigue, disturbed sleep and sleepiness. Frequently misdiagnosed, FMS is often confused with myofascial pain syndrome, polymyalgia rheumatica, polymyositis, hypothyroidism, metastatic carcinoma, rheumatoid arthritis (RA), juvenile rheumatoid arthritis, chronic fatigue syndrome, or systemic lupus erythematosus, any of which may occur concomitantly with FMS. The management of FMS often begins with a thorough examination and a diagnosis from a physician who is formally trained in tender-point/trigger-point recognition. An initial diagnosis provides reassurance to the patient and often reduces the anxiety and depression patterns associated with FMS. The most common goals in the management of FMS are (1) to break the pain cycle, (2) to restore sleep patterns, and (3) to increase functional activity levels. Because FMS is a multifactorial syndrome, it is likely that the best treatment will encompass multiple strategies. Medication with analgesics and antidepressants and also physiotherapy, are often prescribed and give some relief. The other most effective intervention for long-term management of FS to date is physical exercise. Physical therapists can instruct patients in the use of heat at home (moist hot packs, heating pads, whirlpools, warm showers or baths, and hot pads) to increase local blood flow and to decrease muscle spasm and tension. Also instruct patients in the proper use of cold modalities (ice packs, ice massage, and cool baths) to anesthetize localized areas of pain (tender points) and break the pain cycle. Massage and tender-point massage also may promote muscle relaxation. To date, the two most important interventions for the long-term management of FS are patient education and physical exercise. Lately, is handling FMS and Chronic Fatigue syndrome(CFS) together, becuase FMS and CFS are poorly understood disorders that share similar demographic and clinical characteristics. Because of the clinical similarities between both disorders it was suggested that they share a common pathophysiological mechanism, namely, central nervous system dysfunction.

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섬유근통증후군 환자의 질병 적응경험에 관한 근거이론 연구 (A Grounded Theory Approach on Peoples' Adaptation Experience with Fibromyalgia Syndrome)

  • 정추영;김명희
    • 한국산학기술학회논문지
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    • 제17권12호
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    • pp.381-393
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    • 2016
  • 본 연구는 근거이론 연구방법을 통해 섬유근통증후군 환자의 질병경험과 적응과정을 파악하고 이해하여 실체이론을 도출하고자 하였다. 본 연구의 참여자는 1개의 종합병원 류마티스 내과 외래에서 섬유근통증후군를 치료 중인 13명(여성 12명과 남성 1명)이다. 자료 수집은 2014년 1월부터 5월까지 개별 심층면담을 통해 이루어졌다. 이론적 표본추출법은 이론적 포화의 시점을 적용하였다. 필사된 면담의 내용은 Corbin과 Strauss (2008)의 근거이론방법으로 분석하였다. 연구결과 개방코딩을 통해 총 98개 개념과 26개 하위범주, 10개 범주가 도출되었다. 섬유근통증후군 환자의 질병 적응과정은 '불확실성과 한계상황인식'과 '자기통제 가능성 평가와 기대수준 결정', '적응전략 개발과 시도', '자기조절'의 4단계로 나타났다. 섬유근통증후군환자의 질병적응 유형은 확장형과 안정형, 표출형, 위축형의 4가지 유형으로 파악되었다. 또한 핵심범주인 '자기조절법 터득하기'로부터 '보호적 자기조절' 이론이 도출되었다. 본 연구결과 섬유근통증후군 환자들은 질병으로 인해 불확실한 상황에서 안정상태를 찾기 위해 자기조절을 반복적으로 활용하여 적응해가고 있음을 알 수 있었다. 따라서 본 연구결과를 근거로 대상자들의 질병 적응 유형에 따른 적합한 간호중재 및 가족을 포함하는 교육 프로그램의 개발이 필요할 것으로 사료된다.