• Title/Summary/Keyword: Interferential therapy

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Effects of Electrical Stimulation on Patients with Non-Specific Low Back Pain : A Meta-Analysis of Domestic Database (비특이적 만성 허리통증 환자에 대한 전기자극의 효과 : 국내 데이터베이스의 메타분석)

  • Lee, Jeong-Woo;Cho, Sung-Hyoun
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.37-52
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    • 2022
  • Purpose : The purpose of this meta-analysis was to evaluate the effects of electrical stimulation on patients with non-specific low back pain. Methods : Domestic databases were gathered from studies that conducted clinical trials associated with electrical stimulation and its impact on pain of non-specific low back patients. A total of 681 studies were identified, with 12 studies satisfying the inclusion data. The studies consisted of patient, intervention, comparison, outcome, and study design (PICO-SD). The search outcomes were items associated with low back pain. Cochrane risk of bias 2 (RoB 2) was used to evaluate the quality of 12 randomized controlled trials. Effect sizes (Hedges's g) in this study were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Egger's regression and 'trim-and-fill' tests were carried out to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were conducted to analyze the effect according to the sample size and the consistency of the effect size. Results : The following factors had a large overall effect size (Hedges's g=1.28, 95 % CI=.20~2.36) involving electrical stimulation on non-specific low back pain. The subgroup analysis all showed a statistical difference in the types of study design, electrical stimulation, and assessment tool. No statistically significant difference was found in the meta-regression analysis. Publican bias was found in the data. Conclusion : The findings in this study indicate that electrical stimulation interventions have a positive effect on patients with non-specific low back pain. However, due to the low quality of studies and publication bias, the results of our study should be interpreted cautiously.

Effects of Korean Medicine on 20 Post-TKR Inpatients: A Retrospective Observational Study (슬관절 전치환술 후 한방병원에 입원한 환자 20명에 대한 후향적 분석)

  • Im, Ji-Sung;Kim, Ji-Eun;Jeong, Yeong-jin;Kang, Do-Young;Park, Eun-Sang;Kim, Jong-gyu;Song, Yung-sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.4
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    • pp.138-142
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    • 2022
  • This study aimed to evaluate the effectiveness of Korean rehabilitation treatement for patients with post-TKR. The medical records of inpatients undergoing Korean rehabilitation treatment after TKR from 2016.01.01. to 2021.12.31. during the admission, were analyzed retrospectively. The effect of treatment was evaluated by using a numeric rating scale(NRS) and range of motion(ROM) of knee. Statistical analysis was done using the IBM SPSS statistics 26 program. If the period of hospitalization was within 7 days or change of NRS and ROM was not recorded properly, the case was excluded. All inpatients received acupuncture treatment, Electro-acupuncture. Soyeom pharmaco-acupuncture were used at a high rate. Blood letting cupping therapy, dry cupping therapy, Interferential Current Therapy(ICT) continuous passive motion(CPM), cryotherapy were used at a high rate. A significant improvement was noted when comparing the NRS and knee ROM results at the time of admission and discharge. Korean medical rehabilitation can be effectively used for patients who have undergone TKR, to relieve pain and enable returning to daily activities. It is expected to be helpful in future studies of post-TKR in Korean Medicine. Also It can be used for medical treatment of post-TKR in Korean Medicine Hospital and clinic. However, further research with a high level of evidence is necessary to support this finding.

The Effects of MET and ICT in Patients with Lumbago by Meridian Muscle Electrography (근에너지기법과 경근간섭파요법이 요통환자의 요방형근 경근전도에 미치는 영향)

  • Cho, Dong-In;Park, Dong-Su;Jeong, Su-Hyeon;Kim, Soon-Joong
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.3
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    • pp.121-130
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    • 2014
  • Objectives The purpose of this study is to compare the effects of MET (muscle energy technique) and ICT (interferential current therapy) on lumbago by meridian muscle electrography (MMEG). We performed MET and ICT on quadratus lumborum muscle. Methods This study was carried out on 30 lumbago patients. 30 patients were randomly divided into MET group and ICT group. MET group take treatment 10 minutes. ICT group take treatment 15 minutes. After performing MET and ICT twice, we compared both in terms of root mean square (RMS), special edge frequency (SEF), VAS and ODI. Results 1. Both MET group and ICT group showed significant improvement in VAS and ODI after treatment. 2. Both MET group and ICT group showed significant improvement in special edge frequency (SEF) of the left side after treatment. But SEF of the right side showed insignificant improvement. 3. Both MET group and ICT group showed insignificant improvement in root mean square (RMS) for both sides. 4. There are no significant differences between both groups. Conclusions According to above results, we found out that performing MET or ICT on quadratus lumborum muscle has effect in terms of VAS and ODI. But, in terms of SEF, we found out different result for both side. And we can't found out effect in terms of RMS.

A comparative study of effects using physical treatmental apparatus and diagnosis of shoulder pain on cerebrovascular attack patients (뇌졸중환자중(腦卒中患者中) 견관절동통(肩關節疼痛)에 관(關)한 진단(診斷) 및 치료기기효과(治療器機效果)에 대(對)한 비교(比較) 연구(硏究))

  • Kang, Jae-Chun;Baik, Tai-Hyun
    • The Journal of Internal Korean Medicine
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    • v.20 no.1
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    • pp.244-260
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    • 1999
  • This study was to investigate diagnosis of shoulder pain on cerebrovascular attack patients and treatment effects by using physical treatment and orienatal diagnosis aparatus, as oriental diagnosis equipments, these were used thermography, maegzin and yangdorag machine. as physical treatment equipments, these were used Hot pack, TENS (Transcutaneous electrical nerve stimulation), ICT(Interferential current therapy) the results were followed 1. In Sex and Age distribution on cerebrovascular attack patients with shoulder pain, male(51.7%)had many than female(48.3%) and 60s were the top, next 70s 50s 40s. 2. In the reason of cerebrovascular attack and the type of motor paresis, cerebrovascular infarction(73.3%) had many than hemorrhage(26.7%) 3. In hospitalizied period of cerebrovascular attack patients with shoulder pain, the period from 11 to 60 days had almost occupied. 4. Oriental medical diagnositic propriety of shoulder pain by using maegzin and yangdorag machine were not recognized. 5. In measuring passive range of motion of pre and post treatment, improvement effect on Hot pack was not showed, but effects on TENS, ICT were showed. 6. In measuring temperature of painful shouler joint of pre and post treatment by using thermography, the effect of Hot pack was not recognized but the effects of TENS, ICT were recognized.

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The Effects of Appling Acupressure to Acupuncture Points against Headache Reduction and the Vertebral Artery Blood Flow of Tension-type Headache Patients (경혈지압치료가 긴장성 두통환자의 추골동맥 혈류속도와 통증감소에 미치는 효과)

  • Lee, Yun-Ho;Eom, Ki-Mae;Seo, Hyo-Seok;Yun, Young-Dae
    • Korean Journal of Acupuncture
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    • v.28 no.2
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    • pp.49-58
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    • 2011
  • Objectives : The purpose of this study is examining the effects of appling acupressure to acupuncture points (study group) and Interferential current therapy (ICT) to cervical region (control group) on the cerebral blood flow of 20 tension-type headache patients and the reduction of their headaches. For approaching this examination, clinical research was conducted for three weeks those two groups, each contains 10 patients. Methods : We stimulated 7 acupuncture points for headache with the acupressure (for three weeks) and applied ICT to cervical region. Also we measured VAS (visual analogue scale) and the blood flow of the vertebral arteries with TCD (transcranial doppler ultrasonography). Results : (1) When the left and right vertebral artery of study group was compared each time, significant differences were found after the 1st treatment (p<.001). Also the significant differences were found after 2, 3weeks treatment (p<.05). (2) When the Visual Analog Scale of study group were compared periodically, the significant reductions were found after the 1 week treatments (p<.05). Also the significant differences were found after 2, 3 weeks treatments (p<.001). In the case of the control group, the significant reduction were found after the 2 and 3 weeks treatments (p<.001). Conclusions : The acupressure applied to acupuncture points reduced the headache and increased the ratio of cerebral blood flow.

The Clinical Studies for Non Surgical Spinal Decompression Treatment on Cervical Disc Herniation (경추추간판 탈출증환자의 감압치료 병행효과에 대한 임상적 연구)

  • Seo, Sang-Kyoung;Kim, Byoung-Jung;Park, Kuk-Ji;Kang, Jun-Hyuk;Kim, Seong-Ki;Seo, Deok-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.131-143
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    • 2011
  • Objectives: The purpose of this study is to make a survey of the effectiveness of the non surgical spinal decompression treatment in patients with cervical disc herniation documented on magnetic resonance imaging(MRI). Methods: We studied about 27 cases of cervical disc herniation which were treated with non surgical spinal decompression and other medical treatment (acupuncture, interferential current therapy and ice poultice). Each patient has been treated with spine decompression and other medical treatment. And degree of improvement has been evaluated by short form-McGill pain questionnaire(SF-MPQ), visual analogue scale(VAS) and neck disability index(NDI) before treatment and 5th, 10th times after treatments. Results: 1. The VAS SF-MPQ and NDI scores showed statistically significant improvement after 5th and 10th treatment. 2. The VAS, SF-MPQ and NDI scores after 5th treatment showed better improvement than those of after 10th treatment. 3. The VAS, SF-MPQ and NDI scores in Subacute stage showed more statistically significant improvement among the other stages. Conclusions: As a result, non surgical spinal decompression treatment has clinical effects of pain reduction on patient with cervical disc herniation.

A Literature Review of Management for Opioid-Induced Constipation in Cancer Patients (암 환자의 마약성 진통제로 인한 변비 치료법에 대한 문헌고찰)

  • Yoon, Jee-Hyun;Kim, Eun Hye;Lee, Jee Young;Yoon, Seong Woo
    • Journal of Korean Traditional Oncology
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    • v.25 no.2
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    • pp.37-49
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    • 2020
  • Objective: Constipation is the most common adverse effect of opioid analgesic therapy in cancer patients. This can be associated with physical and emotional distress to cancer patients. The purpose of this study is to review the standard and alternative interventions of the management for opioid-induced constipation (OIC). Methods: The studies were searched from databases, including Pubmed, Google scholar, KISS, NDSL, and OASIS. The main search terms included such as constipation, opioid, opioid-induced constipation, cancer, management, herb, and acupuncture. Results: The prevention and usual care of constipation is a key tool for the management of OIC. Also, prophylactic laxatives starting concurrently with opiates helped to prevent developing constipation. Peripherally acting μ-opioid receptor antagonists (PAMORAs) significantly reduced OIC and well-tolerated. In addition, acupuncture, herb medicines, and interferential current or transcutaneous electrical nerve stimulation to acupoints had effectiveness in reducing constipation. Conclusion: Preliminary data indicate that PAMORAs and Traditional Korean Medicine may be considered as the management of unresolved OIC. However, due to the limited articles, more systematic and rigorous clinical trials are needed.

A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Neck Pain and Cervical Intervertebral Disc Displacement (경항통 및 경추 추간판 탈출증의 한의진료 임상현황조사를 위한 웹기반 설문조사)

  • Suh, Chang Yong;Lee, Yoon Jae;Kim, Me-riong;Bae, Young Hyeon;Kim, Ho Sun;Kim, No Hyeon;Yang, Kyu Jin;Lee, Gi Bum;Ha, In Hyuk
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.65-72
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    • 2016
  • Objectives : While neck pain is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for neck pain. Methods : A preliminary questionnaire was developed to investigate current practice patterns of neck pain and cervical intervertebral disc displacement (IDD) treatment, and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results : The response rate was 3.34 %. Most participants replied that they received multiple Korean medicine interventions for neck pain treatment consisting of such methods as acupuncture, wet cupping, interferential current therapy and electroacupuncture. A total of 378 respondents acknowledged that diagnostic testing was needed for neck pain treatment. The most commonly used Korean Standard Classification of Diseases (KCD) principal diagnosis code for neck pain was M542, and for cervical IDD was M501. Conclusion : This survey study helps determine current practice patterns of neck pain, and recognizes the need for use of diagnostic devices in neck pain treatment. These results are further anticipated to provide basic data for clinical practice guidelines (CPGs) and future studies using Korean National Health Insurance and Health Insurance Review & Assessment Service data.

A Case of a Soyangin Patient with Aggravated Voiding Dysfunction after Pontine Infarction (교뇌경색 이후 배뇨장애가 악화된 소양인 환자의 한의 치료 1례 보고)

  • Hye-Jin, Lee;Ye-Chae, Hwang;Tae-Bin, Yim;Kyung-Hwa, Lee;Seung-Yeon, Cho;Seong-Uk, Park;Jung-Mi, Park;Chang-Nam, Ko
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.23 no.1
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    • pp.73-84
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    • 2022
  • ■Objective The purpose of this case report is to report the effect of Korean medicine treatment on a patient with pontine infarction complaining of discomfort due to aggravated voiding dysfunction after the onset of the stroke. ■Methods The patient was hospitalized for 44 days and treated with herbal medicine, acupuncture, electroacupuncture, moxibustion, and interferential current therapy(ICT). We checked the amount of self-voided volume and postvoid residual urine volume(PVR), and asked the patient to subjectively evaluate the degree of discomfort due to voiding dysfunction. ■Results After 44 days of hospitalization, the patient responded that the subjective discomfort due to residual urine remained 30% and delayed urine remained 50% compared to the day of admission. The maximum amount of PVR was 234 ml on the 3rd day, and the minimum amount of PVR was checked on 25th and 35th day as 0 ml. ■Conclusions This study suggests that Korean medicine treatment may be effective in the treatment of voiding dysfunction after stroke.