• 제목/요약/키워드: Pain improvement

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키네시오 테이핑이 퇴행성관절염 환자의 통증 및 기능회복에 미치는 효과 (The Effects of Kinesio Taping on the Pain and Functional Improvement in Patients With Degenerative Arthritis)

  • 손길수;이문환;이창렬;남형천
    • 한국운동역학회지
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    • 제18권1호
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    • pp.45-52
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    • 2008
  • 이번 연구는 퇴행성 슬관절염이 있는 여성환자 40명을 대상으로 키네시오 테이핑이 통증감소와 기능증진에 효과가 있는지 알아보고자 실시하였다. 테이핑치료의 효과에 대한 측정은 통증, 관절가동범위, 그리고 일어나 걸어가기 검사를 실시하였다. 그 결과 통증은 대조군에 비해 실험군이 더 유의하게 감소하였으며, 관절가동범위 역시 대조군에 비해 실험군이 더 유의하게 증가하였다. 일어나 걸어가기 검사의 시간은 두 군간에 유의한 차이가 없었지만, 보폭수는 실험군이 더 유의하게 감소하였다. 따라서 이번 연구결과를 통해 알 수 있는 것은 퇴행성 슬관절염 환자에게 키네시오 테이핑을 실시하게 되면 통증감소 및 기능증진에 효과적이라는 것을 알 수 있다.

요추간판탈출증 환자 22례에 대한 봉독약침 치료의 요통 평가지수를 이용한 임상보고 (Assesment of Bee-venom Acupuncture Effect on Herniated Disc Patients by Rating Scale)

  • 김지훈;이재동
    • 대한한의학회지
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    • 제20권2호
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    • pp.200-207
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    • 1999
  • Herniation of intervertevral disc(HIVD) is the most common disease causing low back pain. Acupuncture, electroacupuncture and moxibustion has been used for treatment of HIVD. Bee venom (BV) also has been traditionally applied to relieve pain. Recently, it has been reported that BV is effective in treating HIVD. But more objective methods were required to assess the efficacy of BV on HlVD. So we assessed of BV-acupuncture effect on herniated disc patients by use of rating scale for low back pain. We researched 22 patients who were treated at Department of Acupuncture & Moxibustion, Kyung Hee Medical Center from January 1999 to June 1999. The patients were diagnosed by MRI as having a herniated disc. The results of treatment using rating scale for low back pain in HIVD showed that $43.77{\pm}14.39$ point of pre-treatment score and $84.5{\pm}3.97$ point post-treatment score. The improvement index showed $0.43{\pm}0.15$. Especially, clinical score of neurologic deficits showed most highest improvement index of $0.7{\pm}0.45$. Assessment of BV-acupuncture Effect by MRI finding were showed that protruded disc and extruded disc got more higher improvement index than bulging disc. Among 22 patients, satisfactory assessment of BV-acupuncture effect showed that 15(68.2%) were excellent, and 7(31.8%) were good. The result suggest that BV-acupuncture is good method for treatment of HIVD.

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척추 전이암 및 골수종 환자를 대상으로 시행한 경피적 척추체 성형술 (Percutaneous Vertebroplasty in Spinal Metastasis and Myeloma : 25 Cases Experience)

  • 박우민;장지수;이창훈;곽호신;이승훈
    • Journal of Korean Neurosurgical Society
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    • 제29권11호
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    • pp.1484-1490
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    • 2000
  • Objectives : In spinal metastasis and myeloma, percutaneous vertebroplasty could be an effective treatment method to provide spinal stabilization and to relief pain for early rehabilitation. The authors report twenty-five cases the clinical results of percutaneous vertebroplasty for twenty-five cases of spinal metastasis and myeloma. Materials and Methods : From September 1998 to December 1999, seventy percutaneous vertebroplasties(PVP) were performed for spinal metastases and myeloma in 25 patients, sixteen women and nine men ranging in age from 34 to 74. The primary malignancies were 6 multiple myelomas, and in metastatic tumore from various origin. All patients complained of severe pain and had osteolytic vertebral body destructions without spinal cord compression. To evaluate clinical improvement, suObjective verbal analogue pain score(VAS) and Karnofsky performance scale(KPS) were used. Thin sliced(2mm-thickness) sectional computed tomography(CT) was performed before and after PVP. Plain X-ray film was followed up every 1 month to assess the vertebral column stability. Results : In 25 patients, a total of seventy PVPS were performed successfully : 6 cervical, 33 thoracic and 31 lumbar vertebrae. Most patients had clear improvement of pain after PVP ; mean as score was 8.1 and 2.9 before and after PVP, respectively. Improvement was maintained in most patients. No further collapse of treated vertebrae was observed(mean follow-up, 7 months). Leakage of PMMA was notod in the spinal canal(13 levels), neural foramen (2 levels), adjacent disk(15 levels), paravertebral soft tissue(14 levels) and vein(8 levels). Pulmonary embolism was detected in three patients after the procedure, but was not associated with clinical symptoms. Conclusion : These results indicate that percutaneous vertebroplasty can be valuable treatment method in osteolytic spinal metastasis and myeloma, providing immediate pain relief and spinal stabilization and contributing to early rehabilitation.

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멀리건 테이핑과 다이아몬드 테이핑이 외측상과염 환자의 통증, 악력, 기능수행능력에 미치는 영향 (The Effects of MWM Taping and Diamond Taping on the Pain, Grip Strength and Functional Activity in Patients with Lateral Epicondylitis)

  • 양성화;박현식;신영일
    • 대한정형도수물리치료학회지
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    • 제19권2호
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    • pp.47-54
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    • 2013
  • Background: Lateral epicondylitis is the most common complaint with complex etiological and pathophysiological factors on the lateral side of elbow. Taping techniques commonly used for lateral epicondylitis. The purpose of this study was to investigate the effects of mobilization with movement taping and diamond taping on the pain, grip strength and functional activity in patients with lateral epicondylitis Methods: Twenty patients with lateral epicondylitis (mobilization with movement taping group: n=10, diamond taping group: n=10) were recruited. They were evaluated pre-treatment, after 1weeks, and after 3weeks, using visual analog scale, pain free grip strength test, patient-rated tennis elbow evaluation. Results: Analysis showed statistcally significant improvement in all time in both groups. and The mean improvement in pre-1weeks visual analog scale was significantly greater in the Diamond taping group than that in the mobilization with movement taping group. and the mean improvement in pre-1weeks pain free grip strength test was significantly greater in the mobilization with movement taping than that in the diamond taping group. Conclusion: Taping technique to patients with lateral epicondylitis can help improve pain, grip strength, functional activity and initial taping technique can be selected depending on the patient's condition and the desired goal.

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교통사고로 유발된 급성 경항통 환자에 대한 고방 치료와 후세방 치료의 효과 비교: 후향적 연구 (A Comparative Study on the Effect of Herb Medication Based on Go-bang Treatment, Huse-bang Treatment for Patients with Acute Neck Pain Caused by Traffic Accidents: A Retrospective Study)

  • 김상우;구지향;하현주;오민석
    • 한방재활의학과학회지
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    • 제30권3호
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    • pp.117-127
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    • 2020
  • Objectives The purpose of this study was to compare the effect of herb medication based on 'Go-bang' treatment, 'Huse-bang' treatment for patients with acute neck pain caused by traffic accidents. Methods We studied 40 patients with acute neck pain after traffic accidents who had admitted to Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University from November 25, 2018 to November 25, 2019. 20 patients had received Herb Medication Based on 'Go-bang' and 20 patients had received herb medication based on 'Huse-bang' three times a day. The study was conducted as a retrospective observation study which analyze the patient's medical records. We used visual analogue scale (VAS) to evaluate pain reduction and neck disability index (NDI) to evaluate function improvement twice (hospitalization day and 5 days later). Statistical analysis was performed using the IBM SPSS statistics 25 program. Result The VAS scores, NDI scores decreased statistically significantly after treatment in all patients. Both 'Go-bang' and 'Huse-bang'groups showed a statistically significant VAS reduction and improvement of NDI on the fifth day of hospitalization. In the 'Huse-bang' group, there was a statistically significant improvement of NDI than in the 'Go-bang' group. Conclusion We found that both types of herbal-medication were significantly effective on acute neck pain and neck disability after traffic accident. Further study is needed about the comparison of effectiveness between Go-bang' and 'Huse-bang'groups.

류마치스 관절염을 위한 포괄적 건강증진 프로그램이 (Comprehensive Health Promotion Program for Rheumatoid Arthritis) 건강증진 전략, 질환에 대한 지식과 건강상태에 미치는 효과 분석 (The Analysis of the Effects of Comprehensive Health Promotion Program for RA on Changes in Health Promotion Strategies, Knowledge, and Health Status)

  • 오현수
    • 대한간호학회지
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    • 제30권3호
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    • pp.619-631
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    • 2000
  • This study was conducted to test whether a comprehensive health promotion program for promotion strategies and knowledge about the disease, thus leading to the improvement of health status by using repeated measure of quasi- experiment design. Eighteen RA patients who visited the RA clinic of an university hospital located in Inchon were invited to participate in the CHPPRA. According to the study results, it was shown that the CHPPRA had significant effects on the patients' health status such as pain, depression, and functional disability. Also, that the improvement of health status was achieved by a positive change in the four health promotion strategies, which consisted of goal setting, positive thinking, exercise, and knowledge about the disease. Goal setting, positive thinking, and knowledge about the disease could also affect the patients' depression. Thus it can be interpreted that the improvement of these strategies may result in a remarkable decrease of depression. In addition, alleviation of functional disability may be due to increase of exercise. However although the strategies which were directly associated with pain management were not significantly improved, pain was significantly reduced. On the other hand, the study result showed that the other health promotion strategies included in CHPPRA such as pain management, positive thinking, stress management, asking for assistance and communication were not significantly increased. although the health status such as pain, depression, and functional disability, which are final goals of the program, were significantly improved through the exposition of patients to those health promotion strategies.

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Visual Analog Scale을 사용하여 분석한 특발성 동결견 환자의 견부 통증 감소에 대한 전침의 효과 연구 (The Effect of Electroacupuncture Therapy with the Shoulder Pain of Frozen Shoulder Patients Analyzed by Visual Analogue Scale)

  • 손지형;임호제;이원희;정병주;한승혜;성수민;문성일
    • Journal of Acupuncture Research
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    • 제22권4호
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    • pp.27-34
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    • 2005
  • Objectives : To evaluate the pain improvement of the frozen shoulder patients taken the electro-acupuncture therapy using Visual Analogue Scale. Methods : The 38 frozen shoulder patients visited department of Acupuncture & Moxibustion in National Medical Center from 1st September 2004 to 28th February 2005 had taken the electroacupuncture therapy or body-acupuncture therapy more than 3 times.(Electroacupuncture group was 24 persons and body-acupuncture group was 14 persons.) We evaluated their improvement of shoulder pain using Visual Analog Scale(VAS) at each visit. Then we analyzed the pain improvement comparing with two groups. Results : Both VAS scores of electroacupuncture group and body-acupuncture group have significantly improved. VAS score at third visit of electroacupuncture group and body-acupuncture group have significantly improved. VAS score at third visit of electroacupuncture group was significantly lower than that of body-acupuncture group (p=0.0057). The decreased VAS score after first visit of electroacupuncture group was also significantly higher than that of body-acupuncture group(p=0.0225). Conclusion : The pain of electroacupuncture group decreased more than body-acupuncture group at early visit. But the total decreased VAS scores of two groups was not significantly different.

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요천추 및 골반 지표와 요통 치료 호전도에 대한 후향적 고찰 (A Retrospective Study about the Relationship of Improvement of Low Back Pain and Lumbosacral-Pelvic Parameters)

  • 조성우
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.139-148
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    • 2014
  • Objectives The aim of this study was to investigate the relationship between the improvement of low back pain and lumbosacral-pelvic parameters. Methods Fifty one patients were classified into the normal group and the abnormal group, based on X-ray. In each group, lumbosacral-pelvic parameters were measured. The data were analysed by independent t-test. Results The significant difference of the parameters of Femur Height was found in the normal group and the abnormal group. Conclusions These results show that we can predict effect of LBP treatment by investigating the parameters of and Femur Height.

경막외 스테로이드 주입에 의한 경부 신경근증의 치료 (Management of Cervical Radiculopathy with Epidural Steroid Injection)

  • 신근만;홍순용;최영룡
    • The Korean Journal of Pain
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    • 제4권2호
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    • pp.147-151
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    • 1991
  • Cervical epidural steroid injection, although not as familiar to many anesthesiologists, can be useful in the management of patients with acute and chronic neck, shoulder and arm pain. My clinic personally contacted and interviewed thirty patients with cervical radiculopathy who received cervical epidural steroid injection. Twenty seven percent of the patients had a excellent response(greater than 75% improvement) and fifty percent of the patients had a good response (greater than 50% improvement) to an injection of steroid into the cervical epidural space. We have concluded that cervical epidural steroid injection was very effective in the management of cervical radiculopathy and represented a possible alternative to surgery. Many anesthesiologists should add to their armamentarium the use of such techniques in the management of cervical radiculopathy.

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임상가를 위한 특집3 - 치과 영역에서의 저출력레이저요법 (Low-Level Laser Therapy in Dentistry)

  • 임영관;김지연;김병국
    • 대한치과의사협회지
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    • 제49권11호
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    • pp.679-687
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    • 2011
  • Low-level laser therapy (LLLT) is the application of light to pathology to promote tissue regeneration, reduce inflammation, and relieve pain. LLLT has a photochemical effect whereby the light is absorbed and exerts a chemical change. The clinical applications of LLLT include improvement in wound and bone healing processes, control of pain and tooth hypersensitivity, modulation of periodontal inflammation, the prevention and treatment of cancer therapy-induced oral mucositis, management of burning mouth syndrome, and improvement in temporomandibular disorder symptoms. Further research is needed to better elucidate the cellular mechanisms of LLLT and provide a solid scientific basis for the clinical application of LLLT in dentistry.