• 제목/요약/키워드: Myofascial

검색결과 264건 처리시간 0.02초

이상근(梨狀筋) 증후군(症候群)의 치험(治驗) (Treatment of the Piriformis Syndrome)

  • 최중립
    • The Korean Journal of Pain
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    • 제2권1호
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    • pp.72-77
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    • 1989
  • Sciatic neuralgia has been considered as the symptom of herniated lumbar disk. but disk disease is not the only causes of sciatic neuralgia. Sciatic neuralgia uncombined with disk disease in thought to be a sign of myofascial syndrome of the piriform is muscle. Local anesthetic injection into piriform is muscle is recommended for the therapeutic treatment of sciatica without lumbago.

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A Patient with Kikuchi's Disease: What Should Pain Clinicians Do?

  • Park, Kyeong-Eon;Kang, Se-Bin;Ok, Seong-Ho;Shin, Il-Woo;Sohn, Ju-Tae;Chung, Young-Kyun;Lee, Heon-Keun
    • The Korean Journal of Pain
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    • 제25권3호
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    • pp.188-190
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    • 2012
  • Kikuchi's disease (KD) is an idiopathic and self-limiting necrotizing lymphadenitis that predominantly occurs in young females. It is common in Asia, and the cervical lymph nodes are commonly involved. Generally, KD has symptoms and signs of lymph node tenderness, fever, and leukocytopenia, but there are no reports on treatment for the associated myofacial pain. We herein report a young female patient who visited a pain clinic and received a trigger point injection 2 weeks before the diagnosis of KD. When young female patients with myofascial pain visit a pain clinic, doctors should be concerned about the possibility of KD, which is rare but can cause severe complications.

근막통증증후군의 통증유발점 치료를 위한 멀티어레이 전극과 프로그램 가능한 다채널 전기자극기 개발 (Development of Multi-Array Electrode and Programmable Multi-channel Electrical Stimulator for Firing Trigger Point of Myofascial Pain Syndrome)

  • 김수홍;김수성;전계록
    • 대한의용생체공학회:의공학회지
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    • 제36권5호
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    • pp.221-227
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    • 2015
  • In this study, Multi-Array Electrodes (MAE) and Programmable Multi-channel Electrical Stimulator (PMES) were implemented for firing Trigger Points (TPs) of the patient with Myofascial Pain Syndrome (MPS). MAE has 25 Ag/AgCl electrodes arranged in the form of array ($5{\times}5$) fabricated with flexible pad, which are applicable to be easy-attached to curved specific region of the human body. PMES consisted of 25 channels. Each channel was to generate various electric stimulus patterns (ESPs) by changing the mono-phasic or bi-phasic of ESP, On/Off duration of ESP, the interval between ESP, and amplitude of ESP. PMES hardware was composed of Host PC, Stimulation Pattern Editing Program (SPEP), and Multi-channel Electrical Stimulator (MES). Experiments were performed using MAE and PMES as the following. First experiment was performed to evaluate the function for each channel of Sub- Micro Controller Unit (SMCU) in MES. Second experiment was conducted on whether ESP applied from each channel of SMCU in PMES was focused to the electrode set to the ground, after applying ESP being output from each channel of SMCU in PMES to MAE.

늑골과 두개골막피판을 이용한 두개성형술: 증례보고 (Cranioplasty Using Pericranial flap and Split-Rib Graft: Case Report)

  • 서효석;서상원;장충현;강민구
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.81-84
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    • 2008
  • Purpose: The goals of cranioplasty are to protect the brain from trauma and restore normal cranial contour with as few complication as possible. In patient who suffered from cranial defect, the most satisfactory form of cranioplasty may be archived with autogenous bone grafts. We report on the treatment of large frontal bone defect using pericranial flap and split-rib graft. Methods: A 29-year-old male was referred to our department. He was involved in an automobile accident resulting in large frontal bone and sinus defect and skull basal defect. The reconstruction was undertaken using galeal frontalis myofascial flap and split-rib cranioplasty using bicoronal incision. Results: The postoperative course was successful. For 9 months follow up period, there was no complication about hematoma, infection, CSF leakage and washboard deformity. He was pleased with the results even when absolute symmetry was not achieved. Conclusion: We experienced large frontal bone and sinus defect and skull basal defect patient and successfully treated with split-rib graft and galeal frontalis myofascial flap.

근막이완술과 Mulligan 기법이 경부성 두통환자의 통증과 기능회복에 미치는 영향 (Effects of Myofacial Release and Mulligan Technique on Pain and Disability for Cervicogenic Headache Patients)

  • 전재국;김명준
    • 대한정형도수물리치료학회지
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    • 제18권2호
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    • pp.87-93
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    • 2012
  • Background: Headaches arising from cervical musculoskeletal disorders are common. Conservative therapies are recommended as the choice of first treatment. Evidence to the effects of manual therapy is inconclusive and available only during the short term. There is no evidence to exercise, and no study has investigated the effect of combined therapies for cervicogenic headache. Methods: In this study, 30 participants who met the diagnostic criteria for cervicogenic headache were randomized into two groups: experimental group and control group. The experimental group was performed myofascial release (MFR), Mulligan technique and self stretching exercises. The control group was performed electrical therapy and self stretching exercises. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were headache intensity(HI), headcahe duration (HD), neck pain (NP) and neck disability index (NDI). Results: After 4 weeks therapy, HI, HD, neck pain and NDI were significantly reduced in both groups (p<.01). The HI, HD, neck pain and NDI were significantly reduced in experimental group more than in the control group (p<.01). Conclusions: Manual therapy could reduce the symptoms of cervicogenic headache.

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이상근 증후군 치험 4예 (Four Cases of the Piriformis Syndrome Treated by Trigger Point Injection on the Piriformis Muscle)

  • 박장수;송찬우;김정원;신동엽;홍기혁
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.341-346
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    • 1995
  • Piriformis Syndrome is characterized by pain of the low back, groin, perineum, buttock, hip, posterior thigh, leg and foot. Symptoms are aggravated by sitting, prolonged combination of hip flexion, adduction, the medial rotation, or by activity. In addition, patient may complain of painful swelling of the limb and sexual dysfunction-dyspareunia in female, and impotence in male. It currently appears that three specific conditions may contribute to the piriformis syndrome: (a) myofascial pain; (b) nerve and vascular entrapment; (c) dysfunction of the sacroiliac joint. The important keys of diagnosis are history and physical examination. There is no known objective diagnostic method. We described the clinical features of four cases of piriformis syndrome and reviewed foreign literature.

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근막통증후군에 대한 경피신경전기자극과 간섭전류치료의 효과 비교 (Effects of Transcutaneous Electrical Nerve Stimulation and Interferential Current on Myofacial Pain Syndrome)

  • 김명종;이준희;최원호
    • 대한임상전기생리학회지
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    • 제2권1호
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    • pp.1-8
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    • 2004
  • This study was conducted to assess the effect of transcutaneous electrical nerve stimulation(TENS) and interferential current(IFC) in the patients with myofascial pain syndrome(MPS) on upper trapezius. Twenty patients with MPS on upper trapezius was assigned randomly to TENS group(n=10), IFC group(n=10). In TENS group, TENS was applied to the trigger point. In IFC group, IFC was applied to the trigger point. Duration of treatment was 2 weeks. Effects were assessed before treatment, post treatment by visual analogue scale(VAS), and pain rating score(PRS). Significant change of VAS was noticed in TENS group and IFC group. Significant change of PRS was noticed in TENS group and IFC group. IFC groups were significantly higher than TENS group that of the VAS and PRS. These result showed that IFC is effective treatment method for pain control in patients with MPS.

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다학문적 임상 접근으로 치료된 건선 측두하악골관절염 증례 (Psoriatic Temporomandibular Joint Arthritis Treated with Multidisciplinary Clinical Treatment : A case study)

  • 조은애;안형준;박주현;김성택
    • 구강회복응용과학지
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    • 제29권2호
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    • pp.203-207
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    • 2013
  • 건선 관절염은 건선과 관련된 만성 염증성 골관절염이다. 만성 건선 측두하악골관절염과 근막통증에 이환된 54세 남환이 메토트렉세이트와 근막통증 치료 프로토콜에 준한 치료를 적용했다. 3주후, 턱의 통증은 완화 되었으나 턱의 근육 촉진시 불편감은 잔존 하였다. 건선 측두하악골관절염의 경우, 종합적인 평가 및 다학문적 임상 치료가 필요하다.

상부 승모근 근막 통증 환자에게 경피신경자극이 근 활성도에 미치는 영향 (Effect of Transcutaneous Electrical Nerve Stimulation on Muscle Activity of Upper Trapezius in Subjects With Myofascial Pain Syndrome)

  • 고은경;권오윤;김영;정도영;서현순
    • 한국전문물리치료학회지
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    • 제9권4호
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    • pp.69-76
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    • 2002
  • 본 연구에서는 상부 승모근의 근막통증(myofascial pain syndrome; MPS)를 대상으로 이완상태에서 근 활성도를 측정해보고, 통증을 감소시키는 데 주로 이용되는 경피신경자극 치료 후 근 활성도에 어떠한 영향을 미치는지 알아보기 위해 실시하였다. 본 연구의 대상자는 근막 통증으로 진단을 받은 총 10명을 대상으로 실시하였다. 주관적 시각 척도(visual analogue scale; VAS)와 압통 역치 측정계(pressure threshold meter)를 이용하여 경피신경자극 전, 후 통증의 정도를 평가하였고, 표면 근전도를 이용하여 이완시 근 활성도를 측정하였다. 치료 기구는 경피신경자극기(TENS: HAT-2000)를 이용하였다. 치료 전과 비교하여 VAS는 통증이 심한 쪽과 약한 쪽 모두에서 유의하게 감소하였으며(p<.05), 압통 역치는 통증이 심한 쪽과 약한 쪽 모두에서 유의한 차이가 없었고(p>.05), 근 활성도는 통증이 심한 쪽에서 유의하게 감소하였다(p<.05).

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