• Title/Summary/Keyword: Pain scales

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A Case Study of Chronic Plantar Pompholyx Including Steroids Side Effects (스테로이드제제 부작용을 동반한 만성 족부 한포진 치험 1례)

  • Kang, Da-Hae;Kim, Jung-Hyun;Lim, Hae-Won;Kim, Jee-Young;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.1
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    • pp.181-191
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    • 2011
  • Backgrounds : Pompholyx is a distinctive reaction pattern presenting as symmetric vesicular hand and foot dermatitis. Other than acute symptoms like itching and vesicles, chronic changes with scaling, fissure and pain may follow. As patients are treated by steroid for a long period, it tends to present side effects after quitting steroid treatment. Objectives : This study was carried out to investigate the effect of carbon arc lamp therapy and oriental medical therapy that venesection therapy, ointments and herbal medicine on chronic plantar pompholyx including steroids side effects. Methods : We treated one case of chronic plantar pompholyx which had continued about 10 years, including steroids side effects with venesection therapy, carbon arc lamp therapy, ointments and herbal medicine. To evaluate the results of this treatment, we categorized symptoms into six items which are vesicles, itching, fissures, pain, erosions and scales. Results : Except mild itching, vesicles and scales in a small area, all the symptoms were subsided. Conclusions : It is considered that various kinds of oriental medical therapy including carbon arc lamp therapy could replace steroid therapy which has many side effects.

Symptoms of Oral Mucosal Diseases and Vocational Preference Inventory

  • Park, Hye Sook
    • Journal of Oral Medicine and Pain
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    • v.43 no.1
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    • pp.8-15
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    • 2018
  • Purpose: The purpose of this study was to assess the association of vocational interest and personality with oral mucosal diseases. Methods: Three hundred and fifty eight college students in Gyeonggi-do completed Vocational Preference Inventory L form and a questionnaire and collected data were analyzed by R program. Results: The prevalence of symptoms of oral mucosal diseases showed no significant difference among six vocational personality types. Compared to subjects with good or fair general health status, a significantly increased percentage of subjects with bad general health status showed herpetic stomatitis (p<0.01), oral malodor (p<0.01), and glossodynia (p<0.0001). Prevalence of taste disturbance increased significantly as the score of emotional instability (${\beta}=0.0438$, p=0.0082), anxiety (${\beta}=0.038$, p=0.0174), angry hostility (${\beta}=0.0398$, p=0.0061), depression (${\beta}=0.0443$, p=0.0035), and impulsiveness (${\beta}=0.0358$, p=0.0186) increased. Subjects who strongly felt oral malodor revealed significantly higher mean scales of scores of anxiety and angry hostility than subjects who did not feel oral malodor (p<0.05). Subjects who strongly felt oral malodor manifested significantly higher mean scales of scores of anxiety than subjects who slightly felt oral malodor (p<0.05). Conclusions: Taste disturbance was affected by emotional instability, anxiety, angry hostility, depression, and impulsiveness. Oral malodor was related to anxiety and angry hostility. Therefore, psychological aspects of taste disturbance and oral malodor could be evaluated by Vocational Preference Inventory L form.

The Effect Analysis of Conservative Treatment In Lumbar Intervertebral Disc (요추간판 탈출증의 보존적 치료효과 분석)

  • Kang, Jeom-Deok;Park, Hong-Duok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.2
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    • pp.41-49
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    • 2001
  • This study was undertaken to find out the effect analysis of conservative treatment in of lumbar intervertebral disc. The data was performed to evaluate the effect of conservative treatment in 50 patients aging from 20 to 67 with lumbar intervertebral disc patients. Changes in low back pain score were evaluated by age, occupation, duration of symptoms, marital status, education period, self assessment. Duration of symptoms in over 7 months was 62.0%. 8.6 scores of complete recovery was changes in low back pain score of self assessment patients. In the multiple regression of risk factors to changes in low back pain score were correlated with age, education period, marital status, duration of symptoms(p<0.05). All patients were assessed by the low back pain protocol which was composed of symptom, clinical sign and activities of daily living scales before and after the treatment. Poor result could be predicted after the nonoperative treatment in the patient groups of changes low back pain score decreased with aging, duration of symptom over 7 months.

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The Effects of the Extracorporeal Shock Wave Therapy on Complex Pain Scales of Neck-Shoulder in 20s Adults with VDT Syndrome due to prolonged Smartphone Use (장시간 스마트폰 사용으로 VDT증후군을 가진 20대 성인의 체외충격파적용이 목-어깨의 복합적 통증지수에 대한 효과)

  • Seo, Kyo-Chul;Park, Seung-Hwan;Cho, Mi-Suk
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.135-142
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    • 2021
  • The purpose of this study was to determine the effect of extracorporeal shock wave therapy for the neck-shouler muscles of complex pain scales of the 20s adults with VDT Syndrome to prolonged smartphone use. Twenty subjects with neck pain due to VDT syndrome participated in the experiment. They were randomly divided into 10 experimental groups and 10 control groups. Experimental subjects were conducted for 4 weeks, 5 days a week. The experimental group was subjected to extracorporeal shock wave therapy 2000 times at an intensity of 5 Hz and 2.0 bar once, and the control group performed self-stretching exercise for 30 minutes once. Subjects measured and compared neck-shoulder pain with VAS and PPT before and after the experiment. Data analysis was performed with SPSS win 18.0, and correspondence comparison was performed to analyze the results of the experimental group and the control group before and after the experiment. After the experiment, the experimental group decreased more in VAS and PPT of the neck-shoulder muscle. but the control group was no difference. Though these results, extracorporeal shock wave therapy was showed a reduction in pain after treatment than before treatment but there are no difference in the pain reduction after self-stretching exercise. Thus, extracorporeal shock wave therapy is expected to be used as a variety of treatments to reduce neck-shoulder pain as a cause of VDT syndrome.

The Short Term Effects of the Decompression (KNX $7000^{(R)}$) and Traction Device on Pain in Patients with Chronic Low Back Pain with or without Radicular Pain (만성 요통 및 하지방사통 환자에서 감압치료(KNX $7000^{(R)}$)와 견인치료의 단기 치료 효과)

  • Park, So-Hyun;Kim, Chul-Seoung;Lee, Dong-Gyu;Ahn, Sang-Ho
    • The Journal of Korean Physical Therapy
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    • v.23 no.5
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    • pp.29-34
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    • 2011
  • Purpose: The purpose of this study is to evaluate the short term effects of the traction and decompression device, which is a newly developed domestic medical device, on pain and functional activity in patients with chronic low back pain with or without radicular pain. Methods: Forty patients with chronic low back pain were included and allocated to decompression (n=20) and traction groups (n=20). They received decompression or traction therapy for 20 minutes a day, 3 days per week for two weeks. For evaluating pain and functional activity, a visual analogue scale (VAS) for low back pain and the Oswestry back pain disability index (ODI) were obtained on pre-treatment, and at 6, 12 and 15 days after treatment. Patients'satisfaction levels were measured 15 days after treatment. Results: VAS was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in both groups (p<0.05). ODI was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in the decompression group (p<0.05). However, there was no significant difference between the two groups in the VAS and ODI scales (p>0.05). Patients' satisfaction levels were significantly higher in the decompression group than in the traction group (p<0.05). Conclusion: These findings suggest that decompression therapy might be effective for increasing functional activity in patients with low back pain and could provide patients with higher satisfaction than traction therapy. This study provided validity data for the therapeutic effects of the decompression device in patients with low back pain and it will be useful for medical cost development and patient education of this device.

Cognitive Assessment in Complex Regional Pain Syndrome Patients (복합부위통증증후군 환자의 인지기능 평가)

  • Moon, Jee Youn;Kim, Yong Chul;Park, Mi Jung;Lee, Pyung Bok;Lee, Sang Chul;Kang, Do Hyung;Shin, Min Sup;Kwon, Tae Myung
    • The Korean Journal of Pain
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    • v.22 no.1
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    • pp.28-32
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    • 2009
  • Background: Complex regional pain syndrome (CRPS) is characterized by severe neuropathic pain and disability, which can result in psychological and behavioral dysfunction. The goal of the present study was to evaluate neurocognitive disability, and to assess the relationship between clinical variables and neuropsychological features in CRPS patients. Methods: We investigated the neuropsychological features of 15 CRPS I patients. The neuropsychological tests that we made comprised of a full intelligence quotient, memory quotient, trail-making test A, trail-making test B (TMT-B), and MMPI (Minnesota multiphasic personality inventory). Results: The results showed severe disability in performance on TMT-B. There was no significant correlation between specific cognitive variables and MMPI scales. Conclusions: Decreased performance on TMT-B which shows mental flexibility in the prefrontal lobe exists independently from depressive disorders in CRPS patients.

Clinical Study on Pain Index, Radiological Evaluation and MMPI of Traffic Accident Patient (교통사고 환자의 MMPI 및 통증, 영상평가에 대한 임상연구)

  • Kim, Seong-Tae;Song, Min-Young;Kim, Dae-Hun;Lee, Eun-Ji;Kwon, Min-Goo;Sul, Jae-Uk;Kim, Sunjong;Bae, Giljun;Choi, Jin-Bong
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.1
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    • pp.77-85
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    • 2015
  • This study analyzed the MMPI (Minnesota Multiphashic Personality Inventory), VAS (Visual Analogue Scale), cervical and lumbar curvature (Cervical angle, Ishihara Index, Lumbar angle, Ferguson angle) and satisfaction score of patient of traffic accident. About 59 cases of patients admitted to the Korean Medicine hospital, MMPI and pain levels (VAS) cervical and lumbar curvature (Cervical angle, Ishihara Index, lumbar angle, Ferguson angle) and satisfaction score were measured and statistically analyzed. Depending on the type of accident divided into two groups of In car TA and Out car TA. After hospitalization, patient's pain index was improved as a whole. Pain index and evaluation of the cervical and lumbar curvature, according to the accident types, the difference was not statistically significant. In the analysis of the MMPI validity scales, In car TA group was analyzed by 'V-shaped', Out car TA group was analyzed by umbrella- shaped, 'inverted V-shaped'. Clinical scales of out car TA group were analyzed by 3-1 profile compared to the In car TA group. Results of multiple regression analysis showed no association between factors and MMPI scales. In the case of a traffic accident patients, damage to the body, as well as emotional and psychological factors are thought to affect the condition or prognosis of patients. In the future, for the management and treatment of these parts will be needed to complement the academic or institutional.

Plasma Concentrations of Morphine during Postoperative Pain Control

  • Park, Hahck-Soo;Kim, Jong-Hak;Kim, Yi-Jeong;Kim, Dong-Yeon
    • The Korean Journal of Pain
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    • v.24 no.3
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    • pp.146-153
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    • 2011
  • Background: Morphine has been commonly used for postoperative pain control. We measured plasma concentrations of morphine and compared the efficacy and safety of continuous epidural analgesia (CEA) using morphinebupivacaine with intravenous patient controlled analgesia (IV-PCA) with morphine for 48 hrs after the end of the operation. Methods: Nineteen patients undergoing Mile's operation were assigned to receive a morphine loading dose of 5 mg followed by IV-PCA with 0.1% morphine (IV-PCA group, n = 9) or a morphine loading dose of 2 mg and 0.125% bupivacaine 10 ml, followed by CEA with 0.004% morphine and 0.075% bupivacaine at a rate of 5 ml/hr (CEA group, n = 10). The plasma concentrations of morphine were measured and visual analog scales (VAS) for pain were recorded at 1, 6, 12, 24, and 48 hr postoperatively and the effects on respiration and any other side effects were noted. Results: The mean maximal and minimal levels of plasma morphine were $40.2{\pm}21.2\;ng/ml$ and $23.4{\pm}9.7\;ng/ml$ for the IV-PCA group and $11.8{\pm}3.5\;ng/ml$ and $8.2{\pm}1.9\;ng/ml$ for the CEA group, respectively. Resting and dynamic pain scores were significantly lower in the CEA group than in the IV-PCA group. There were no significant differences for the effects on respiration and for any side effects between the two groups. Conclusions: We evaluated plasma concentrations of morphine with CEA using morphine-bupivacaine and IV-PCA using morphine for the postoperative pain control. The CEA group had better postoperative analgesia than that of the IV-PCA group and the incidence of side effects were not significantly different between the two groups.

Feasibility and Validity of the Daily Physical Pain Intensity (DPPI) Scale for Pain Assessment

  • Nam, Yeon-Gyo;Lee, Dong-Yeop;Yu, Jae-Ho;Kim, Jin-Seop;Hong, Ji-heon
    • The Journal of Korean Physical Therapy
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    • v.28 no.6
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    • pp.369-375
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    • 2016
  • Purpose: The purpose of this study was the examination of the correlations between the daily physical pain intensity (DPPI) scale and the numeric rating scale (NRS), and between the DPPI scale and the quality of life (QOL) of short form health survey (SF-36) and beck depression inventory (BDI) questionnaires. The focus of the DPPI scale was the daily-living activities of the individual, and the scale contains three items regarding the pain per movement range, the pain per day, and the pain when touching the pain area. Methods: A total of 241 adults answered the DPPI, NRS, SF-36, and BDI questionnaires. Pearson's correlation coefficients were calculated for the various relations of the DPPI to the other scales. Results: High correlations were shown between the NRS and the DPPI (r=0.809, p<0.05). The DPPI scale (r=0.437, p<0.05) showed "moderate" significant correlations with the SF-36 and the NRS (r=0.370, p<0.05), and it showed "weak" significant correlations with the SF-36. There are no statistically significant correlations between the DPPI, the NRS score, and the BDI score (p>0.05). Conclusion: This study was the first attempt to establish the concurrent validity of a new focus on daily-living activities for the assessment of pain. This study showed promise for the development of activities of daily living focused tool for an assessment of the subjective pain in patients that was more objective.

Psychological Analysis of TMD Patients through the SCL-90-R (SCL-90-R을 이용한 TMD환자의 심리학적 분석)

  • Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.24 no.1
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    • pp.59-67
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    • 1999
  • Personality characteristics of TMD patients was studied through the SCL-90-R. III patients were subjected at the Orofacial Pain Clinic, Dept. of Oral Medicine, PNUH, from 1991 to 1996. All the TMD patients were divided and analyzied comparatively by the ways of duration of present illness, severity of symptoms, associated symptoms, traumatic contributing factor, history of treatment, treatment modality, response to therapy and treatment outcomes. The obtained results were as follows; 1. Mean value of T-scores on 9 basic scales in all the groups was within normal range. 2. There showed higher levels of T-scores in the chronic group, the unimproved group and the discontinued group. 3. T-scores in the patients with severe symptom, associated symptoms, and history of treatment revealed higher.

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