• Title/Summary/Keyword: Myofascial

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Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report (근치적 전립선 절제술 후 발생한 하부요로증상의 근막 트리거 포인트 침치료를 병행한 한의치료 1례)

  • Lee Jin Kwang
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.240-250
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    • 2024
  • Objectives: The purpose of this study is to report a case of Korean medicine treatment accompaning myofascial trigger-point accupuncture for severe & persistent lower urinary tract symptoms after radical prostatectomy. Materials and Methods: A prostate cancer patient with severe & persistent lower urinary tract symptoms after radical prostatectomy conducted 26 months ago, was treated with Korean medicine accompaning myofascial trigger-point accupuncture. The International Prostate Symptom Score(IPSS), the IPSS Quality of Life(IPSS-QoL) and the Overactive Bladder Symptom Score(OABSS) questionaires were administered to evaluate the effect of treatment for lower urinary tract symptoms. Results: After 5 month treatment with Korean medicine accompaning myofascial trigger-point accupuncture, IPSS, IPSS-QoL and OABSS progressed from 28 to 8, from 5 to 2 and from 12 to 4 respectively. Conclusion: This case study suggests that Korean medicine accompaning myofascial trigger-point accupuncture may contribute to treat severe & persistent lower urinary tract symptoms after radical prostatectomy.

The Comparative Study on the Myofascial Pain Syndrome vs. Twelve-Meridian Muscle System and the Interpretation through Yook Kyoung Theory (근막통증후군(筋膜痛症侯群)과 십이경근(十二經筋)의 비교(比較) 고찰(考察) 및 육경이론(六經理論)에 따른 해석(解釋))

  • Lee, Bong-Hyo;Lee, Yoon-Kyoung;Lee, Kyung-Min;Lim, Seong-Chul;Jung, Tae-Young;Seo, Jung-Chul;Yang, Chae-Ha;Choi, Seong-Hun
    • Journal of Acupuncture Research
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    • v.24 no.5
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    • pp.33-41
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    • 2007
  • Objectives : In oriental medicine, many researchers have studied Myofascial Pain Syndrome and Twelve-Meridian Muscle system in correlation with the orthodox form of muscular anatomy. In this study, the authors compared Myofascial Pain Syndrome with Twelve-Meridian Muscle system and interpreted Myofascial Pain Syndrome through Yook Kyoung theory to reveal the similarity between Myofascial Pain Syndrome and Twelve-Meridian Muscle system, as well as to suggest another useful therapeutics. Methods : The authors investigated several literatures related with Myofascial Pain Syndrome, Twelve-Meridian Muscle system and Yook Kyoung theory. Conclusions : 1. Myofascial Pain Syndrome and Twelve-Meridian Muscle system have many similar features in their theory, concept, physiological function, pathological symptom, therapeutic principal, etc., also have some different features. 2. Myofascial Pain Syndrome is thought to be induced by the unbalance between the upregulated-Kwelum energy and the downregulated-Soyang energy in a viewpoint of Yook Kyoung theory, therefore, it is requisite to control the unbalanced energy between Kwelum and Soyang.

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Muscle Function Path Analysis through Muscle Activity Analysis of Human Myofascial Meridians

  • Park, Young Hyun;Hong, Aa Reum;So, Jea Moo
    • Korean Journal of Applied Biomechanics
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    • v.27 no.4
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    • pp.279-285
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    • 2017
  • Objective: The purpose of this study was to perform a muscle function path analysis of muscle function on myofascial meridians. Method: Seven male students (mean age: $22{\pm}3.46years$; mean mass: $72.71{\pm}8.19kg$; mean height: $174{\pm}4.39cm$) without a history of musculoskeletal system symptoms or injuries were recruited for this study. The measurement muscle of the myofascial line was selected along with the muscle presented in "anatomy trains (Thomas W. Myers. 2014)", and the attachment of the surface EMG (Telemyo 2400T G2, USA) pad was determined according to "EMG analysis (Kim Tae Wan et al., 2013)". The subjects underwent maximum volumetric contraction of their fascia line end muscles three times in lying and standing postures and were subjected to the maximum number of contractions of the myofascial line muscle three times in the lying and standing postures. The sampling rate of the EMG signal was set to 1,000 Hz, and the bandwidth was 20 to 350 Hz. The activity of each muscle was quantitated using the Pearson correlation coefficient, and SPSS 22.0 was used for data analysis. Results: In myofascial meridians, a positive correlation in the myofascial connection and a negative correlation in the mechanical connection were observed. Conclusion: Muscles that show significant contract correlations with one another may be expected to be used as an effective clinical marker in muscle strengthening or relaxation therapy, and rehabilitative training. In this study, the correlation of total myofascial meridians may differ without consideration of functional posture. Future studies need to consider these points.

The Effect of Meridian Massage on the Reduction of Pain and Subjective Symptoms of Myofascial Pain Syndrome (경락마사지가 근막동통 증후군의 동통과 자각증상 감소에 미치는 효과)

  • Sung, Kyung-Suk;Jung, Hyang-Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.2
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    • pp.248-256
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    • 2003
  • Purpose: This research was for checking the effect of meridian massage on the reduction of pain and subjective symptoms of myofascial pain syndrome. Method: The method of the research was interruptive time series design. The research objects are 25 hospital workers with myofascial pain syndrome at B hospital in Busan from July 22, 2002 to August 18, 2002. SPSS Win 10.0 was used for data analysis, paired t-test and repeated measures ANOVA for hypothesis test. Result: The recipients of meridian massage felt less pain than before(F=12.587, p=.000). The recipients of meridian massage felt less often than before (F=6.705, p=.001). The recipients of meridian massage got lower score on subjective symptoms of myofascial pain than before(F=12.857, p=.000). The recipients of meridian massage had lower blood pressure than before(systolic blood pressure; t=4.697, p=.000, diastolic blood pressure; t=3.426, p=.002). The recipients of meridian massage did not get the lower number of pulse than before(t=0.33, p=.744). Conclusion: The above results show that meridian massage is effective on the reduction of pain and subjective symptoms of myofascial pain syndrome and makes stable the blood pressure. Therefore meridian massage can be apply as the effective intervention for the reduction of pain and subjective symptoms of myofascial pain syndrome.

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Comparison of Effects of Different Myofascial Meridians Methods on Pain and Postural Control of College Students with Forward Head Posture

  • Song, Byeong-Hoon;Choi, Yoon-Hee;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.15-23
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    • 2019
  • PURPOSE: This study was conducted to investigate the effects of the myofascial meridians release technique on pain and postural control of college students with forward head posture and to compare the intervention effects of the Grastone massage and the Rollfing massage. METHODS: Thirty subjects with forward head posture were randomly and equally allocated to experimental group I (myofascial meridians release technique using Grastone massage, n=15) or experimental group II (myofascial meridians release using Rollfing massage, n=15). All subjects underwent 30 minutes of different myofascial meridians release techniques in addition to general physical therapy (hot pack: 15 min, interferential current therapy: 15 min, ultra sound: 5 min) three times a week for a total of 6 weeks. Outcome was measured before and after 4 weeks of intervention. RESULTS: In both groups, the numerical rating scale of pain was significantly decreased after intervention, with experimental group I showing a greater decrease than experimental group II. The neck disability index decreased significantly after intervention in both groups, with experimental group I showing a significantly greater decrease than the controls. The distance of the head forward displacement did not differ significantly between the two groups (p>.05). CONCLUSION: This study suggests that the Grastone method combined with the myofascial meridians release technique is a more effective intervention for improvement of pain and postural control in adults with moderate forward head posture.

A CLINICAL STUDY ON TEMPORALIS MYOFASCIAL FLAP FOR ADULT TEMPOROMANDIBULAR JOINT ANKYLOSIS (측두근 근막 피판을 이용한 성인 악관절 강직증의 외과적 재건에 관한 임상적 연구)

  • Park, Bong-Wook;Kim, Jong-Ryoul;Byun, June-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.2
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    • pp.143-153
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    • 2006
  • Temporomandibular joint(TMJ) ankylosis is characterized by the formation of bony or fibrous mass, which replaces the normal articulation. Ankylotic block formation causes reduction of mandibular mobility, particularly hindering mouth opening, due to a mechanical block of the condylar head in its roto-transfatory motion. Surgery in TMJ ankylosis treatment entails complete ankylotic block removal and subsequent arthroplasty, possibly with autologous tissue between articular surfaces or heterologous material to restore the anatomic structure and normal function. Temporalis myofascial flap holds great promise for the reconstruction of various maxillofacial defects. In more recent years, a pedicled temporalis myofascial flap has been advocated in TMJ ankylosis surgery. Advantages of the temporalis myofascial flap in TMJ reconstruction include close proximity to the TMJ, adequate blood supply from the internal maxillary artery, and its attachment to the coronoid process, which provides movement of the flap during function, simulating physiologic action of the disc. This study evaluated 8 patients(11 TMJs) affected by TMJ ankylosis. All patients underwent surgical treatment of the removal of the ankylotic block and subsequent interpositional arthroplasty with temporalis myofascial flap. Bilateral TMJ ankylosis was observed in 3 patients(6 TMJs), right-sides in 3 patients, left-sided in 2 patients. Epipathogenesis was traumatic in 6 patients(8 TMJs), ankylosing spondylitis in 2 patients(3 TMJs). In 3 patients coronoidotomy was underwent. Average follow-up was 16.8 months after surgery, with a range of 7 to 28 months. No patients underwent additional TMJ procedures after the temporalis myofascial flap. All patients showed a distinctive improvement both in articular functionality and symptoms. We found that temporalis myofascial flap is very valuable in reconstruction of TMJ ankylosis.

Effects of Kinesio Taping and Upper Coordination Exercises on Pain and Function of Shoulder Myofascial Pain Syndrome (키네시오 테이핑 요법과 상지 협응 운동이 견관절 근막동통증후군의 통증과 기능에 미치는 효과)

  • Song, Hyun-seung;Kim, Tae-won;Park, Sung-doo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.26 no.2
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    • pp.45-53
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    • 2020
  • Purpose: The purpose of this study was conducted to investigate the effects of kinesio taping and coordination exercise on the myofascial pain syndrome and shoulder function. Methods: The patients with myofascial pain syndrome were participated in this study and divided randomly 2 groups. Control group (n=22) was taken only physical therapy program. Experimental group (n=22) was taken physical therapy with Kinesio taping and coordination exercise. The Kinesio taping in experimental group applied on levator scapulae and supraspinatus. The coordination exercise performed in supine position and sitting position on 15 times during 10 seconds each positions. We measured the pain degree using visual analog scale (VAS), pain rating score (PRS), pressure pain threshold (PPT), myofascial pain subjects symptoms index and shoulder motor function using constant shoulder assessment scale; CSA before and after experiment. Results: The significant test of CSA, myofascial pain subjects symptoms index, VAS, PRS according to applying the Kinesio taping and coordination exercise between groups used ANCOVA. In the result following analysis, there was significance on VAS (F=13.071, p=.031), PRS (F=12.130, p=.014), PPT (F=7.378, p=.016), CSA (F=5.302, p=.026) between control group and experimental group. Conclusion: Then, Kinesio taping and coordination exercise has benefit on the VAS, PRS, PPT, CSA in patients with myofascial pain syndrome. So, it may suggest that Kinesio taping combined with coordination exercise will be helpful of the pain and shoulder function improvement the patients with myofascial pain syndrome.

The Pressure Pain Threshold's Comparison Following Time Progress After IMS to the Trigger Point (동통 유발점에 대한 Intramuscular Stimulation(IMS) 후 시간 경과에 따른 압통 역치에 대한 비교)

  • Hong, Soon-Il;Lee, Hae-Deok
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.181-187
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    • 1996
  • The purpose of this study is to help understand the pressure pain threshold's comparison following time progress after IMS to the trigger point and recognize this methode' effect for treating these kind of myofascial pain syndrome in clinic. Resently, myofascial pain syndrome is a disease that keeps the highest rate of patients visiting the Department of Rehabilitation Medicine. and so one should understand the change of IMS'effect following time progress for patients to be dealt rightly in clinic. In addition, the theory and treatment of myofascial pain syndrome needs to be understood or to be dealt rightly for therapists to treat and to approach to the right moment in right mode for the patients with myofascial pain syndrome. Therefore, one should know where to stimulate and why one stimulate trigger point and what effect one obtain after IMS.

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A Study on the PAS Release Therapy used by Myofascial Release (근막 이완술을 이용한 파스 이완술에 관한 고찰)

  • Park Ji-Whan
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.107-113
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    • 1999
  • The purpose of study on the PAS release therapy used by myofascial release was to Introduce for clinical therapists whose want to relict pain on myofascia or soft tissue lesion patients by pas. According to review the earlier studies for a myofascial pain syndrome, myofascial release is not only to decrease muscle tone but also the effect of pas therapy has to facilitate a circulation of the human energy called Ki, so PAS release which was combined therapy pattern would be Possible relief Pain in the musculoskeletal lesion's Patients. Therefore I would be suggested to physical therapists in domestic the PAS release therapy used by myofascial release.

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Treatment Experience of Pulsed Radiofrequency Under Ultrasound Guided to the Trapezius Muscle at Myofascial Pain Syndrome -A Case Report-

  • Park, Chung-Hoon;Lee, Yoon-Woo;Kim, Yong-Chan;Moon, Joo-Hwa;Choi, Jong-Bum
    • The Korean Journal of Pain
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    • v.25 no.1
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    • pp.52-54
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    • 2012
  • Trigger point injection treatment is an effective and widely applied treatment for myofascial pain syndrome. The trapezius muscle frequently causes myofascial pain in neck area. We herein report a case in which direct pulsed radiofrequency (RF) treatment was applied to the trapezius muscle. We observed that the RF treatment produced continuous pain relief when the effective duration of trigger point injection was temporary in myofascial pain.