• 제목/요약/키워드: Pain Rating Scale

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요추 추간판 탈출증 환자의 일류성 요실금에 대한 한의 진료의 경과: 증례 보고 (Overflow Urinary Incontinence with Herniated Lumbar Disc Managed by Korean Medicine Therapy: A Case Report)

  • 구지은;이희원;권용수;유재은;배준효;박지원;윤주영;최성원;김가현
    • 한방재활의학과학회지
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    • 제31권3호
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    • pp.125-131
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    • 2021
  • This study reports the effectiveness of Korean medicine therapy by improving symptoms in patients with herniated lumbar disc (HLD) diagnosed with chronic overflow urinary incontinence (OUI). The patient was treated with two types of herbal medicine and electroacupuncture for 10 days. We used diary of voiding and incontinence, Overactive Bladder Symptom Score (OABSS), Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTS) and numeral rating scale (NRS) to assess the symptoms. After treatment, the number of nocturia decreased from 5 to 2.5. OABSS decreased from 9 to 2 and BFLUTS decreased from 95 to 87. The NRS of back pain decreased from 7 to 3. This study may suggest that Korean medicine therapy can be effective therapy for OUI with HLD.

Sauve-Kapandji 수술 후 한방재활치료에 대한 증례보고 (A Case Report of Korean Medicine Rehabilitation Treatment after Sauve-Kapandji Procedure)

  • 조은별;금지혜;백동기;이정한
    • 척추신경추나의학회지
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    • 제14권1호
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    • pp.49-59
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    • 2019
  • 본 증례에서는 넘어진 후 상완골 골절 진단 하에 수술하였으나 뒤늦게 원위 요척관절 탈구로 진단되어 1차 수술 후 정복 소실되어 Sauve-Kapandji 수술받은 환자를 대상으로 한방재활치료를 약 3주간 시행하였다. 관절가동추나, 침 치료, 한약물 치료 등 한방재활치료 결과 우측 팔꿈치, 손목, 손가락 관절 가동범위, 수술부위 통증, 근력, 상지 기능 등에서 의미 있는 호전을 보였다. 본 연구는 단일 증례 보고라는 한계가 있으나, 한방재활치료가 수술 후 환자의 전반적인 경과에 효과적으로 작용하였기에 보고하는 바이다.

근육 수축/이완 강화 기법과 Instrument Assisted Soft Tissue Mobilization 및 침 치료를 병행하여 치료한 주관절 외상과염 환자 치험 12예 (The Case Report on Twelve Patients of Lateral Epicondylitis Treated with Muscle Contraction/Relaxation Strengthen Technique, Instrument Assisted Soft Tissue Mobilization Treatment and Acupuncture)

  • 정승현;김창곤;윤영웅;류원형;전용현;최영준;정재현
    • 한방재활의학과학회지
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    • 제29권2호
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    • pp.195-201
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    • 2019
  • The purpose of this study is to report the treatment effects of Korean medicine for patients with lateral epicondylitis. This study was done on 12 cases of patients with lateral epicondylitis who visited in Korean Medicine Clinic of Ganghwa-gun Public Health Care Center. We used muscle contraction/relaxation strengthen technique, Instrument assisted soft tissue mobilization (IASTM), acupuncture on patients and mesured numerical rating scale (NRS), pain disability index (PDI), and grip strength test to evaluate treatment effects. Among twelve patients, eleven cases showed decreasing in NRS and all cases showed decreasing in PDI. Ten cases showed increasing in grip strength test. Korean medical treatments including muscle contraction/relaxation strengthen technique and IASTM are thought to be one of the effective treatment for patients with lateral epicondylitis.

산업재해로 발생한 외상성 허리손상에 대한 새로운 재활치료프로그램의 효과 비교 (Comparison of Rehabilitation Programs in Traumatic Low Back Injuries with Industrial Accident)

  • 김영범;김승원
    • 한국산업보건학회지
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    • 제29권2호
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    • pp.236-250
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    • 2019
  • Objectives: The purpose of this study was to investigate the effect of intensive rehabilitation programs on pain, range of motion (ROM), lumbar muscle strength, core muscle endurance, disability, and depression in patients with traumatic low back injuries and to compare the efficacy of this therapy with that of conventional rehabilitation therapy. Methods: The study was performed with a retrospective medical chart review of patients with traumatic low back injury referred to the rehabilitation center at the Daegu Hospital of the Korean Workers Compensation and Welfare Service. Forty-four patients were allocated to either the conventional rehabilitation group (CRG; n = 22) or the intensive rehabilitation group (IRG; n = 22). The CRG group patients, who received 30-min therapist-supervised physical therapy and modality therapy five times per week for four weeks, were compared with the IRG group patients, who received 60-min therapist-supervised physical therapy, 30-min therapist-patient 1:1 matching rehabilitation therapy, and modality therapy five times per week for four weeks. Outcome measures were a numerical rating scale, ROM, lumbar muscle strength, lumbar core muscle endurance, thickness of lumbar deep focal core muscle (transverse abdominis and lumbar multifidus), Oswestry disability index (ODI), and depression (Korean version patient health questionnaire-9). Results: There were statistically significant improvements after treatment in all outcome measures in both groups (p < 0.05). In the intergroup comparison, NRS scores on the activity and thickness of lumbar deep focal core muscles increased significantly more in the IRG than in the CRG (p < 0.05). There were no statistically significant intergroup differences in NRS scores on resting, ROM except left lateral bending, lumbar muscle strength, core muscle endurance, ODI, and depression. Conclusions: We could confirm the superior effectiveness of an intensive rehabilitation program compared to conventional rehabilitation therapy in patients with traumatic low back injuries.

섬유근육통의 한방치료 증례보고 1례 (A Case Report of Fibromyalgia Improved by Korean Medical Treatment)

  • 문연주;추홍민;신혜령;이준영;권소현;김철현;송봉근;원진희;백동기
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.192-200
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    • 2019
  • Introduction: The aim of this study is to report the effect of traditional Korean medical treatment on fibromyalgia. Case presentation: A patient with fibromyalgia was treated with acupuncture, pharmacopuncture (Bee venom, Hwangryunhaedok-tang), cupping therapy, moxibustion therapy and herbal medicine for 37 days. To reduce the patient's symptoms, we provided herbal medicine three times a day, as well as acupuncture, pharmacopuncture, cupping therapy and moxibustion therapy once a day for 37 days. To evaluate the results of this treatment, we used the Numeral Rating Scale (NRS), Score of Sleeping Quality (SSQ) and Fibromyalgia Impact Questionnaire (FIQ). After treatment, the patient showed that pain was reduced, the score of NRS was improved, FIQ improved from 91 to 69 and SSQ improved from 3 to 1. No adverse reaction was noted. Conclusion: According to the result, traditional Korean medical treatment can be effective and safe for the treatment of fibromyalgia.

Prospective Clinical Research of the Efficacy of Platelet-rich Plasma in the Outpatient-based Treatment of Rotator Cuff Tendinopathy

  • Lee, Ho-Won;Choi, Kyung-Ho;Kim, Jung-Youn;Yang, Ik;Noh, Kyu-Cheol
    • Clinics in Shoulder and Elbow
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    • 제22권2호
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    • pp.61-69
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    • 2019
  • Background: The purpose of this study is to compare the clinical outcomes of the control group and platelet-rich plasma (PRP) group among the patients who failed to respond to conservative treatment as outpatient-based therapy for rotator cuff tendinopathy, and to compare the clinical results of leukocyte-poor (LP) PRP and leukocyte-rich (LR) PRP. Methods: Inclusion criteria are (1) over 18-year-old, (2) patients with rotator cuff tendinopathy, no rotator cuff tear by radiologic diagnosis (ultrasonography or magnetic resonance imaging) within the last 3 months, and (3) not effective to conservative treatment for more than 1 month. Of the final 60 subjects, 33 patients in the exercise treatment group and 27 patients in the PRP injection group (LP-PRP, 13; LR-PRP, 14) were included. Clinical evaluation was carried out by assessing the outcomes of treatment using the Numeric Rating Scale pain score, the American Shoulder and Elbow Society (ASES) score, and the Constant score at baseline and at 3 and 6 months after the procedure. Results: There was a statistically significant difference in ${\Delta}ASES_{3months}$ ($ASES_{3months}-ASES_{first}$) score between the control and PRP groups (p=0.006). However, there was no statistical significance between LP-PRP and LR-PRP groups (p>0.05). Conclusions: This study showed that PRP injection was more effective than exercise therapy for the first 3 months. However, there was no difference between the LP-PRP group and the LR-PRP group. Regardless of the type of PRP, clinical application of PRP injection in patients with rotator cuff tendinopathy seems to be effective in early treatment.

A Patient with Guillain-Barre Syndrome Treated with Combined Korean Medicine Treatments

  • Cha, Hyun Ji;Kim, Beom Seok;Lee, Ye Ji;Kim, Hyo Bin;Sung, Ki Jung;Lee, Young Rok;Kim, Jin Youp;Kim, Eun Seok;Jeon, Ju Hyun;Kim, Young Il
    • Journal of Acupuncture Research
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    • 제38권2호
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    • pp.170-174
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    • 2021
  • A patient diagnosed with Guillain-Barre syndrome (GBS) suffering from numbness in the toes and fingers, paralysis in the face, and back pain received intravenous immunoglobulin on December 28, 2019. Without an improvement in symptoms the patient was admitted to a Korean medicine hospital on January 1, 2020 to receive combined Korean medicine treatment including herbal medicine (Sipjeondaebo-tanggami and Hyangbujasunkipalmul-tang), acupuncture treatment, moxibustion, cupping treatment, and physical therapy. Treatment was administered over 51 days, of which 17 days were during hospitalization. Paralysis of facial muscle, and numbness in fingers and toes were evaluated using the Yanagihara score and numeric rating scale (NRS) score, respectively. Facial paralysis improved (21 to 40 based on Yanagihara score) and paresthesia of the hands and feet disappeared (NRS score 6-7 to NRS score 0). There were no side effects or sequela. This study suggested combined Korean medicine treatment may be effective for the treatment of GBS.

한방 치료로 호전된 만성 설염 치험 1례 (A Case of Chronic Glossitis Improved by Korean Medical Treatments)

  • 김태준;곽병문;이유정;김희택
    • 한방안이비인후피부과학회지
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    • 제34권3호
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    • pp.112-126
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    • 2021
  • Objectives : The purpose of this study is to report the effectiveness of Korean medical treatments on chronic glossitis using Yanggyeok-sangagam based on tutakbeop(透托法), and Ikgibohyeol-tanggagam based on botakbeop(補托法) and bobeop(補法). Methods : We treated a 83-year-old female patient who had glossitis by Korean medicine and acupuncture treatment. These treatments were performed from 2020.8.4. to 2021.3.4. We have confirmed the improvement of white plaque like a pseudomembranous pattern lesion and pain. We recorded images that include change of symptoms. Results : After the treatments were done, the scores of numeric rating scale(NRS), oral assessment guide(OAG) and oral health impact profile-14(OHIP-14) were decreased. The NRS score was decreased from 7 to 1. The OAG score was decreased from 20 to 9. The OHIP-14 score was decreased from 34 to 5. Conclusions : According to the result, Korean medical treatments such as Korean medicine and acupuncture treatment, followed by the cure rules- tutakbeop(透托法), botakbeop(補托法) and bobeop(補法) can be effective for the treatment of chronic glossitis.

후방 요추체간 유합술을 시행한 척추 전위증 환자의 한방 재활치료 프로토콜을 적용한 임상 치료 효과: 증례 보고 (Clinical Case Report: Postoperative Rehabilitation Protocol for Spondylolisthesis in Korean Medicine Treatment)

  • 이은별;박나리;이윤진;강석범;우창훈;안희덕;양두화
    • 한방재활의학과학회지
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    • 제31권1호
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    • pp.165-173
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    • 2021
  • Objectives The objective of this study is to propose postoperative rehabilitation for spondylolisthesis after posterior lumbar interbody fusion (PLIF) in Korean medicine and to report its effectiveness. Methods There were two patients who were received Korean medicine with acupuncture, herbal medicine, cupping and exercise treatment after PLIF. Patients were evaluated numeric rating scale (NRS), Oswestry disability index (ODI), pain free walking distance (PFWD), Korean modified index (K-MBI), EuroQol-5 dimension (EQ-5D) index. Results Case 1 was improved NRS from 7 to 3, Case 2 was improved NRS from 7 to 2. Also, ODI, PFWD, K-MBI, EQ-5D score were improved in both cases. Conclusions This study suggests that Korean medicine rehabilitation could be effective for spondylolisthesis after PLIF.

양혈거풍탕(養血祛風湯)을 포함한 한의치료로 호전된 긴장형 두통 환자의 치험 1례 (A Case Report of Tension Headache Treated with Yanghyeolgeopung-tang)

  • 진소리;박무진;오은제;오주희;김경훈;송우섭;안상민;김은송;장동진
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.303-310
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    • 2022
  • Objectives: This study reports the effects of Korean medical treatment, including the administration of Yanghyeolgeopung-tang, on tension headache. Case presentation: A 48-year-old man with headache and neck pain caused by tension-type headache was managed with Yanghyeolgeopung-tang, acupuncture, and pharmacopuncture for 15 days. To evaluate the improvements, a numeric rating scale (NRS), the Korean Headache Impact Test-6 (KHIT-6), and Neck Disability Index (NDI) were used. After treatment, the symptoms were relieved, and there were no particular side effects. The NRS scores reduced from 6 to 3, KHIT-6 from 64 to 48, and NDI from 46 to 22. Conclusion: These results suggest that Korean medicine may be effective for treating tension-type headache.