• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.436-445
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• 2022

Objective: Deformation of soft tissues around the neck and scapularcan caused by forward head posture(FHP), which has an uncomfortable effect on biomechanical changes in the scapula as well as functional disorders of the shoulder. However, studies related to direct FHP, biomechanical changes in the scapulafunction, and shoulder pain and disorder have not yet been conducted. Therefore, purpose of this study is to effect of decresedthe FHP on the shoulder function of the sacpular biomechanical examine the change in the shoulder painand disorder. Design: A randomized controlled trial Methods: The participants were 32adults(23.03±3.90 years) recruited and redivided randomly into Forward head posture corrective exercise(FHPCE) vs Control. The FHPCE group was proceeded according to the over load principle through 2steps biofeedback exercise and corrective exercise(n=16). The control (n=16) was TENS did not operated and padding 20 minute. This study was conducted 3 times a week for 4a weeks. Results: FHPCE group is improve in the results of craneocervical angle(p<0.05, 95% CI: 0.352, 4.073). In Mechanical changes of scapula in the shoulder flexion more significant improvement in FHPCE than control group[Axis X(p<0.05), Y(p<0.01), Z(p<0.01)], and shoulder abductionmore significant improvement in FHPCE than control group[xis X(p<0.01)], as well FHPCE showed significant increased in the results in the shoulder pain(p<0.05, 95% CI: -13.244, -1.566) Conclusions: This study suggected that FHP affects the biomechanical changes of the shoulder, and a new method for shoulder pain intervention

• The Korean Journal of Pain
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• 제28권2호
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• pp.75-87
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• 2015

Background: Lumbar discogenic pain without pain mediated by a disc herniation, facet joints, or the sacroiliac joints, is common and often results in chronic, persistent pain and disability. After conservative treatment failure, injection therapy, such as an epidural injection, is frequently the next step considered in managing discogenic pain. The objective of this systematic review is to determine the efficacy of lumbar epidural injections in managing discogenic pain without radiculopathy, and compare this approach to lumbar fusion or disc arthroplasty surgery. Methods: A systematic review of randomized trials published from 1966 through October 2014 of all types of epidural injections and lumbar fusion or disc arthroplasty in managing lumbar discogenic pain was performed with methodological quality assessment and grading of evidence. The level of evidence was based on the grading of evidence criteria which, was conducted using 5 levels of evidence ranging from levels I to V. Results: Based on a qualitative assessment of the evidence for both approaches, there is Level II evidence for epidural injections, either caudal or lumbar interlaminar. Conclusions: The available evidence suggests fluoroscopically directed epidural injections provide long-term improvement in back and lower extremity pain for patients with lumbar discogenic pain. There is also limited evidence showing the potential effectiveness of surgical interventions compared to nonsurgical treatments.

• Journal of Korean Neurosurgical Society
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• 제39권3호
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• pp.204-209
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• 2006

Objective : The authors retrospectively evaluate the benefits of the various pain procedures for the treatment of low back pain unresponsive to conservative management. Methods : Over a period of 2 years from May 2002 and June 2004, the authors had performed various pain procedures on 106 patients with low back pain. Epidural block, facet joint block, sacroiliac joint block, and myofascial block were included among various pain procedures. The pain improvement, period of analgesic use, and degree of satisfaction were evaluated 1 day, 4 weeks, and 6 months after injections. The outcome of pain procedures was analyzed by using a modified Macnab criteria. Results : Sixty-four patients had a single procedure with no combination and 42 patients [39.6%] received the combination of the various pain procedure. Regardless of the single or combination cases of procedure, combination of appropriate spinal level on each procedure was conducted in 104 [98.1%]. Mean follow up period was 12.2 months. Eighty-two patients [77.4%] experienced significant pain relief and overall analgesic medication was reduced in 91 patients [85.8%] at 6 months after procedure. Unfavorable results were demonstrated in 10 patients. Permanent procedural complications did not occur. Conclusion : The various pain procedures are the possible therapeutic option for low back pain unresponsive to conservative management including medication or physical therapy.

• Korean Journal of Acupuncture
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• 제21권3호
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• pp.59-76
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• 2004

Objectives : The usage of acupuncture has gained popularity for certain chronic pain conditions. However, the efficacy of acupuncture in various diseases has not been fully established and the underlying mechanism is not clearly understood. In the present study, the effect of electroacupuncture (EA) applied to yangno$(SI_6)$ on the neuropathic pain was examined. Methods : A common source of persistent pain in human is a neuropathic pain. Neuropathic pain was induced by tight ligation of L5 spinal nerve. When rats developed pain behaviors, EA was applied for 30 min. under enflurane anesthesia with repeated train stimuli at the intensity of 10X of muscle twitch threshold. The foot withdraw latency of the hind limb was measured for an indicator of pain level after each manipulation. Results : EA increased the mechanical threshold of the foot in the rat model of neuropathic pain significantly for the duration of 1 hr. suggesting a partial alleviation of pain. EA applied to SI6 point produced a significant improvement of mechanical sensitivity of the foot lasting for at least 1 h. However, $ST_{36}$ point did not produce any significant increase of mechanical sensitivity. The improvement of mechanical threshold was interpreted as an analgesic effect. The analgesic effort was specific to the acupuncture point since the analgesic effect on the neuropathic pain model could not be mimicked by EA applied to a point, $ST_{36}$. In addition, this analgesic effect of EA is mediated by a adrenergic mechanism of descending control of spinal cord from the brain. Conclusions : The data suggest that EA produces a potent analgesic effect on the neuropathic pain model in the rat; and 2) that EA-induced analgesia is mediated by a adrenergic mechanism of descending control in a point specific manner.

• 동의신경정신과학회지
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• 제3권1호
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• pp.107-116
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• 1992

In order to study the effect and safety of HPS-A on various digestive symptom, it was taken 3 times a day for 2 weeks on 31 patients. The results were as follows ; 1. The sex distribution was male 42% and female 58% 2. The age distribution was thirties 35% twenties 20%, forties 19% 3. The average improvement rate after 1 week was 85.2% and improvement rate of each symptom was epigastric soreness 89.9%, dyspepsia 85.1%, hunger pain 84.6% 4. The average improvement rate after 2 weeks was 94.5% and improvement rate of each symptom was epigastric soreness 96.6%,hunger pain 96.5%, dyspepsia 96.3% 5. No cases were showen side effects. Aecording to the above results, it is proved that PHS-A can be applied to care gastritis and early peptic ulcer.

• The Korean Journal of Pain
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• 제18권2호
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• pp.151-155
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• 2005

Background: A significant number of patients complain of persistent pain or neurologic symptoms after lower back surgery. It is reported that facet joint pain plays a role in failed back surgery syndrome. To the best of our knowledge, there are few studies that have investigated the outcome of radiofrequency neurotomy in the patients with failed back surgery syndrome. Methods: The study group was composed of thirteen patients who were operated on due to their low back pain, and they displayed no postoperative improvement. All the patients underwent double diagnostic block of the lumbar medial branch of the dorsal rami with using 0.5% bupivacaine. The patients who revealed a positive response to the double diagnostic block were then treated with percutaneous radiofrequency neurotomy. The effect on their pain was evaluated with using a 4 point Likert scale. Results: Eleven patients revealed a positive response to the double diagnostic block. Ten patients were given percutaneous radiofrequency neurotomy. Nine patients showed sustained pain relief for 3 months after the percutaneous radiofrequency neurotomy. Conclusions: We found lumbar facet joint syndrome in the patients with failed back surgery syndrome by performing double diagnostic block and achieving pain relief during the short term follow-up after percutaneous radiofrequency neurotomy of the lumbar zygapophysial joints. This suggested that facet joint pain should be included in failed back surgery syndrome.

• 근관절건강학회지
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• 제17권2호
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• pp.173-182
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• 2010

Purpose: The purpose of this study was to examine levels of pain, depression, and adjustment to military life in soldier who experienced low back pain, in order to produce fundamental data for the development of health improvement programs to prevent and manage low back pain in soldiers with low back pain. Methods: Subjects of this study consisted of 317 soldiers who had low back pain. Study instruments were Visual analog scale (VAS), the Center for Epidemiological Studies-Depression Scale (CES-D), and adjustment to military life scale. Collected data were analyzed by the SPSS Win 14.0 program. Results: Mean score of pain was 4.16 points, depression was 8.58 points, and adjustment to military life was 69.15 points. The level of pain was negatively related to adjustment to military life (r=-.241, p<.001) and positively related to depression (r=.262, p<.001). There was a negative relationship between depression and adjustment to military life (r=-.442, p<.001). Conclusion: Soldiers who had low back pain experienced higher levels of pain and depression and lower level of adjustment to military life. Therefore, further study is needed to develop and examine a nursing intervention to manage low back pain for them.

• The Korean Journal of Pain
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• 제20권2호
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• pp.199-202
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• 2007

Failed back surgery syndrome (FBSS) is a condition characterized by extreme pain after spinal surgery. Treatment of FBSS is aimed at improving function, using interdisciplinary approaches that encompass rehabilitation, psychological therapy, and pain management. If no response to conventional treatment is noted, a more interventional technique such as spinal cord stimulation (SCS) should be used. SCS is a well-established method of managing a variety of chronic neuropathic pain conditions. A 32 year-old male patient afflicted by FBSS that was irresponsive to both medication and several repeated nerve blocks showed improvement of symptoms after cervical and thoracic SCS with a single electrode. Centered on the midline of the spinal cord, single-electrode SCS can be an effective method for relieving pain and improving function.

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.165-171
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• 2022

Objective: Nonspecific low back pain (NSLBP) is experienced worldwide by many age groups. Yoga is recommended as an exercise to reduce back pain and stress because it is a breathing exercise, posture, and meditation as key elements. The aim of this study is to compare the effects of yoga and stabilization exercise on pain intensity, function, and depression. Design: An open-label, parallel arm, randomized controlled trial Methods: Twenty-four participants were allocated to the experimental and the control group in a ratio of 1:1. Yoga (experimental group) and stabilization exercise (control group) were received twice a week for 6 weeks Participants were assessed at baseline and post-intervention for pain intensity (numeric pain rating scale), function (Aberdeen low back pain scale, flexibility,and strength), and depression (Beck depression inventory). Results: When the experimental group (Yoga) and control group (stabilization exercise) were performed twice a week for 6 weeks, numeric pain rating scale, Aberdeen low back pain scale, and flexibility in post-intervention showed significant improvement in both groups (P<0.05), However, in all variables, the experimental group showed a positive benefit compared to the control group (P<0.05). Conclusions: The results of this study show that yoga has more positive benefits compared to stabilization exercise in pain intensity, function, and depression in individuals with NSLBP.

• Korean Journal of Acupuncture
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• 제21권4호
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• pp.83-99
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• 2004

Objectives : Daeganghwal-Tang(DGHT) is one of the prescriptions used for the treatment of rheumatoid arthritis(RA) in oriental medicine. The present study aimed to examine the analgesic effect of DGHT on a rat model of CFA-induced arthritis, and the relations between DGHT-induced analgesia and endogenous nitric oxide(NO) and inducible NO synthase(iNOS)/neuronal NOS. Methods : CFA-induced arthritis model used to test the effect of DGHT was chronic pain model. After the induction of arthritis, rats subsequently showed a reduced stepping force of the affected limb for at least the next 18 days. the reduced stepping force of the limb was presumably due to a painful knee. DGHT dissolved in water was orally administrated. After the treatment, behavioral tests measuring stepping force were periodically conducted during the next 4 hours. Results : DGHT produced significant improvement of stepping force of the hindlimb affected by the arthritis lasting at least 2 hours. DGHT produced the improvement of stepping force of the affected hindlimb in a dose-dependent manner. Both NO production and nNOS/iNOS protein expression which is increased by arthritis were suppressed by DGHT administration. Conclusions : The data suggest 1) that DGHT produces a potent analgesic effect on the chronic knee arthritis pain model in the rat and 2) that DGHT-induced analgesia modulate endogenous NO through the suppression of nNOS/iNOS protein expression.