• Title/Summary/Keyword: Muscle spasm

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Back and Chest Pain Related to Scalenus Medius Muscle (중사각근과 관련된 배부통과 흉통에 관한 연구)

  • Choe, Joong-Rieb
    • The Korean Journal of Pain
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    • v.5 no.1
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    • pp.63-68
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    • 1992
  • One hundred and four patients who complained of chest pain or back pain in the region between scapular were studied. In most cases, anatomical location of pain was in the rhomboid or serratus anterior muscle. Hyperactivity of dorsal scapular nerve or long thoracic nerve which innervate those muscles was thought to be responsible for the pain. The hyperactivity of the nerves may be due to the spasm of the scalenus medius muscle which the nerves meet during their course to the rhomboid or serratus anterior muscles. Therefore, spasmolytic treatment including trigger point injection, physical therapy, laser therapy, or NSAIDs may be effective for the treatment of chest pain or back pain.

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Pain and Muscle Elasticity for Deficiency-Excessiveness Discussed by the View of Oriental and Western Medicine (경근(頸筋)의 동통(疼痛) 및 근(筋) 탄력상태(彈力狀態)에 대한 허실(虛實)의 동서의학적 고찰)

  • Lee Dong-Kyu;Seo Hyung-Joo;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.17 no.1
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    • pp.141-156
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    • 2000
  • Prognosis in oriental medicine gathers information by four examination methods. It provides important information to understand the degree of deficiency - excessiveness of a patient to treat properly. To generalize the degree of deficiency - excessiveness can be found by seeing the patient's muscle response and pain perception to the palpitations.The theoretical basis to generalize deficiency - excessiveness, oriental and western medical understanding of pain perception and the elasticity of muscle were discussed.The usual symptoms for the excessiveness could include Pain (dislikeness to the palpitation), Stiffness of nape and limbs, Contracture of the limbs, Clonic convulsion and Fast pain. The symptoms for the deficiency could include Pain (likeness to the palpitation, Gastrocnemius muscle spasm, Flaccid paralysis of limbs and Slow pain. More theoretical bases for generalization of deficiency - excessiveness are needed along with the simplifying the complex clinical symptoms. In this way, we can discuss about deficiency - excessiveness with the regard to western medicine to help its generalization.

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Surgical Treatment of Thoracic Outlet Syndrome -A Case Report- (흉곽출구(경륵) 증후군 수술치험 1례)

  • Kim, Hong-Gyu;O, Bong-Seok;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.28 no.2
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    • pp.206-208
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    • 1995
  • Thoracic outlet syndrome presents with symptoms resulting from pressure on either the subclavian vessels or the lower trunk of the brachial plexus. It may be caused by a number of abnormalities, including degenerative or bony disorders, trauma to the cervical spine, fibromuscular bands, vascular abnormalities, and spasm of the anterior scalene muscle. We experienced a case of thoracic outlet syndrome [ caused by cervical rib .We report a case with review of literatures.

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Practical Issue of Botulinum Toxin use Liquid Type, Storage and Reuse (액상형 보툴리눔 독소와 임상적 활용)

  • Son, Hee Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.9-11
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    • 2019
  • Botulinum toxin (BTX) has been widely used to treat muscle spasms in many voice disorders. Most commercially available forms of BTX require reconstitution before use, which may increase the risk of contamination and requires careful titration. Recently, a liquid-type BTX type A (BTX-A) has been developed, which should simplify the procedure and enhance its efficacy. In this session, I will discuss about the differences of BTX-A from existing types and the practical issues associated with it.

Diagnostic Significance of Brainstem Auditory Evoked Potentials in Microvascular Decompression of Patients with Hemifacial Spasm or Trigeminal Neuralgia

  • Park, Sang-Koo;Lim, Sung-Hyuk;Park, Chan-Woo;Park, Jin-Woo;Chang, Sung-Ho;Park, Keun-Hye;Park, Hae-Ja;Song, Ji-Hye;Uhm, Dong-Ok;Kim, Ki-Bong
    • Korean Journal of Clinical Laboratory Science
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    • v.43 no.1
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    • pp.19-25
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    • 2011
  • The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V' was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.

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A Review Study of Researches on Jakyakgamcho-tang (작약감초탕(芍藥甘草湯)의 연구동향(硏究動向) 분석(分析))

  • Shin, Young Sub;Lee, Soong In
    • Herbal Formula Science
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    • v.25 no.2
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    • pp.271-302
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    • 2017
  • Objectives : Jakyakgamcho-tang has been used to treat muscular tension, spasm and pain. On this study, new clinical uses of Jakyakgamcho-tang were confirmed and the other pharmacological results were summarized by analysing trends of modern experimental studies and clinical studies. Methods : Papers related to Jakyakgamcho-tang were searched on PUBMED, RISS, and National Assembly Library, and classified by categories and effects of clinical application and a variety of experiment around abstract. Also, figures were used for sketching out a timeline of expressing when these papers were read and core research content was described as a digest for identifying research trends. Results : Until today, there are 104 researches about the antispasmodic, analgesic, anti-inflammatory effects of Jakyakgamcho-tang. In total, 91 papers were analyzed in this study. In matter of subject, researches on the antispasmodic effects were 17 cases, researches on the analgesic effects were 14 cases, researches on gynecological therapeutics were 14 cases, researches on pharmacokinetics were 12 cases, researches on the constituent identification were 7 cases, studies about constituents efficacy were 6 cases, studies about interactions with drugs were 6 cases. Conclusion : The traditional use of Jakyakgamcho-tang on muscle tension, spasm and pain has proven to have effects through the experimental evidences. Other effects of Jakyakgamcho-tang such as gynecological therapeutics, anti-inflammatory effects, are now emerging as a new area in clinical use. Futhermore as an auxiliary treatment, Jakyakgamcho-tang is a good alternative for muscle cramps during maintenance of hemodialysis, myalgia or arthralgia induced by anticancer drugs, amenorrhea induced by neuroleptics.

An Analysis of the Correlation between He-Ne Laser Therapy in Literature and Clinical Application (He-Ne 레이저에 대한 문헌과 이를 근거로 한 임상 활용 예의 비교 고찰)

  • Youn, In-Hwan;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.192-201
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    • 2006
  • Objectives : Recently, He-Ne laser has been used for clinical purpose. We study the medical basis of He-Ne laser therapy and We make a proposal concerning the clinical application of using He-Ne laser in Medicine. Methods : We have selected data related to He-Ne laser therapy and study how to use He-Ne laser in clinic. Results : In biology, He-Ne laser therapy has been effects of an improve in skin regeneration an improve in peripheral and central nerve regeneration an improve in muscle regeneration, an anti-inflammation an alleviation of pain and a bone repair. In oriental medicine, He-Ne laser has been used to laser acupuncture and laser oriental physical treatment. In clinic, He-Ne laser have been used to care several parts like as facial palsy, facial spasm, trigeminal neuropathy, rhinitis and tinnitus. Recently, there is argument that He-Ne laser therapy is suitable to medical insurance. Conclusions : Laser therapy in oriental medicine is widespread and We can apply He-Ne laser to facial palsy, facial spasm, trigeminal neuropathy, rhinitis, tinnitus by using laser acupuncture or laser oriental physical treatment. Till now the whole mechanisms are not fully understood, so we hope to study these mechanisms actively and make suitable to medical insurance device in the near future.

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Facial asymmetry: a case report of localized linear scleroderma patient with muscular strain and spasm

  • Kim, Jae-Hyung;Lee, Suck-Chul;Kim, Chul-Hoon;Kim, Bok-Joo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.37
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    • pp.29.1-29.7
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    • 2015
  • Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.

A Case of Cricopharyngeal Dysphagia Treated by Botulinum Toxin Injection (보톡스 주입술로 치료된 윤상인두 연하장애 1예)

  • Choi, Kyu-Young;Rho, Young-Soo;Lee, Dong-Jin;Chung, Eun-Jae
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.22 no.1
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    • pp.52-55
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    • 2011
  • Hyperfunction of the upper esophageal sphincter (UES) can cause severe dysphagia. This condition referred as cricopharyngeal dysphagia may occur after head and neck surgery due to altered muscle spasm and stenosis of the pharyngo-esophageal segment. Among various treatment options available, Botulinum toxin A (Botox) injection offers a nonsurgical treatment which is useful especially for debilitated patients, and there has been a recent increase in the clinical use of Botox by otolaryngologists for managing such conditions. A 55-year-old male with base of tongue (BOT) cancer suffered from severe dysphagia after total glossectomy and neck dissection treatment. Videofluoroscopic swallow study (VFSS) and flexible endoscopic evaluation of swallowing (FEES) showed inability to pass food through the UES due to cricopharyngeal spasm. After injection of 10 U of Bot ox into each cricopharyngeus muscles (total 20 U) via EMG-guided percutaneous injection, swallowing function had improved and oral nutrition was possible, with food passing through the UES visualized on VFSS and FEES.

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A Research for Facilities of HAN ZEONG MAG and Actual Condition of It's Use (한증막(汗蒸幕)의 시설 및 이용 실태 조사)

  • Lee, Kyung-Hee;Park, Hung-Ki
    • Journal of Korean Physical Therapy Science
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    • v.1 no.1
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    • pp.187-194
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    • 1994
  • The Han Zeong Mag was the typical hydro-therapy of Korea. It looks like hot air bath of western physical therapy. It developed out of the CHO-SEON, King SE JONG(1422). It is warmed fire of pine wood in the room. At first, it runs a temperature about a few hundred and drop to $80^{\circ}C$ through 12 hours then the room air is exceeding dry. After 12h. reheated in the room. Women makes use of that place with bare body. Because for use salt rub of skin. They have low back pain, pain of muscle, muscle spasm, swelling of arthritis, stiffness of joint and it takes effect on the cosmetic of skin. The treatment effect was excellent to pain(28%), next arthritis(25%). But they have not order for treatment of a doctor. It's dangers of heat stroke and heart disease. Imtortant, must educated method of it's use and danger when it's bad use.

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