• Title/Summary/Keyword: Pain theory

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The Oriental Medical Study of Myofascial Pain Syndrome about Shoulder (견부(肩部)의 근막통증증후군(筋膜痛症症候群)에 대(對)한 고찰(考察))

  • Kwon Sun-Chul;Lee Sang-Ryong
    • Korean Journal of Acupuncture
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    • v.20 no.1
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    • pp.71-90
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    • 2003
  • The shoulder is the most flexible joint in human body, so many people suffer from the shoulder pain. In order to improve medical care about shoulder muscle disease, Myofascial Pain Syndrome(M.P.S) is compared with the oriental medical theory. The findings of this study are as follows; 1. Myofascial Pain Syndrome(M.P.S) is the sensory, motor, and autonomic symptoms caused by myofascial trigger points. For the objectivity of the oriental medical theory, practical application is necessary. 2. The meridian and meridian-muscle of the shoulder is su-sam-yang(手三陽), su-sam-um(手三陰). Meridian-muscle theory is similar to anatomical muscle and myofascia. 3. There is similarity in the trigger point and Ashi(阿是)-point, taut band and palpable tender-point(硬結), referred pain and Hangki(行氣). In this study, myofacial pain syndrome is similar to the oriental medical theory. If myofacial pain syndrome is applicated in treatment, the cure of shoulder pain and objectivity of the oriental medical theory is improved.

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Literature consideration on pain theory (통증학설에 대한 문헌적 고찰)

  • Kim, Sung-Won
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.153-158
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    • 2002
  • Pain, which is the most significant issue for the physical therapist, is the cause of various diseases until it disappears, and results in a lot of obstructions to treatment. Pain is very complicated. It is a subjective symptom that informs of a pathologic condition in the body, and one of the unpleasant experiences that people have. It is accompanied with anxiety and fear. Many researchers including Krause(1987) have identified the pain mechanism based on pain perception for many centuries and they have suggested many theories as they believed that pain management was possible. Reviewing the contents of psychoanalysis, uncontrollable pain that can't be explained is described as a defense mechanism to an unconscious psychological conflict. That is, mental pain is transferred to the body and the pain becomes unbearable. What is important is, like Keefe(1992) said, that the pain experience itself is primary stress and one should cope with it, whatever the cause of the pain. This paper investigates the background of the psychological theory of pain. Based on the efforts of previous studies, the next research generation will understand the treatment process for pain more dearly and will contribute to the prevention and protection from pain that humans undergo.

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Prediction of Pain Expression Using the Extended Gate Control Theory of Pain and Fishbein′s Model (관문통제동통이론과 FISHBEIN의 모델을 이용한 동통표현 예견에 대한 연구)

  • 이은옥
    • Journal of Korean Academy of Nursing
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    • v.13 no.2
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    • pp.1-21
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    • 1983
  • The purposes of this study were to(a) develop theoretical modifications of the extended gate control theory of pain using Fishbein's model and(b) test the efficacy of these modifications. Attitude, social subjective norm, personal subjective norm, habit and state anxiety were operationalized to represent internal stimuli for the cognitive-evaluative and motivational-affective dimensions of the theory. Pain expression was operationalized as sensory and affective responses to pain, and pain endurance. Sixty-two female nurses from 20 to 50 years of age participated. A semantic differential scale measured attitude and motivations to comply; a Likerty-type scale measured personal and social norms and habit. Spielberger's STAI measured state anxiety, Pain was produced using a modified submaximum effort tourniquet technique. Pair expression was measured using ratio scales of sensory intensity and unpleasantness developed by Gracely and his associates. Pain endurance was measured by subtracting time of pain threshold from pain tolerance. The first hypothesis examining whether pain endurance would be more significantly related to the affective response than to the sensory response was net rejected. Four remaining hypotheses, testing the ability of the five variables to predict the sensory and affective responses were not rejected. However, the habit of pain expression and the attitude toward pain expression contributed to the prediction of both sensory and affective responses to pain. The interaction between the cognitive-evaluative and the sensory-discriminative dimensions and the interaction between the cognitive-evaluative and motivational-affective dimensions were partially supported by the data from these two variables. The interaction between the motivational-affective and the sensory-discriminative dimensions was also supported by the relationship of sensory to affective responses. The variables which did not significantly predict pain expression appeared to have potential for prediction. Revision and testing of the tools for better reliability, validity, and clinical usuability are needed. The study contributed to theory building. The identification of variables which pre-dict pain behavior must occur before effective nursing interventions can be developed.

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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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A medical historical study of Dan-kyei's congestion theory mentioned in 『DongEuiBoGam』 (『동의보감(東醫寶鑑)』에 보이는 단계담음론(丹溪痰飮論)의 의사학적(醫史學的) 고찰(考察))

  • Soh, Jin-Baik
    • The Journal of Korean Medical History
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    • v.15 no.1
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    • pp.147-182
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    • 2002
  • By studing the congestion theory of Choo Dan-kyei mentioned in "DongEuiBoGam", I have reached following conclusions. 1. Dan-kyei's congestion theory influenced greatly on "DongEuiBoGam". The congestion theory of "DongEuiBoGam" is built up with several theories centering round on Dan-kyei's theory and Huh-Jun's own opinion in addition. 2. Dan-kyei's congestion theory has given theoretical foundation to the classification and diagnosis of congestion reported in "DongEuiBoGam"-Congestion Chapter. 3. Dan-kyei's congestion theory offers many examples of symptoms reported in "DongEuiBoGam"-Congestion Chapter. It's shown well through outer symptoms, several congestion disease, congestion mass, and "congestion never sudden death", etc. 4. Dan-kyei's congestion theory has influenced greatly on treatment of congestion reported in "DongEuiBoGam"-Congestion Chapter, and it's well shown through spewing method, grand method in congestion treatment and common medicine of congestion, etc. 5. Dan-kyei's congestion theory offers variety of treating methods to symptoms caused by congestion reported in "DongEuiBoGam". It's shown variously through upper stomachache, stomachache, back pain, side pain, "San", joint pain, Summer disease, internal injury, cough and morning sickness, etc.. 6. Dan-kyei's congestion theory has factors that could be operated to common diseases of mordern people. They can be classified as food congestion, alcohol congestion, obstruction congestion and Qi congestion, and they are clinically very efficient.

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The Effect of LI4, ST36 & LI4+ST36 acupuncture on Rat Jaw Opening Reflex by Upper Incisor Pulp Stimulation (족삼리(足三里), 합곡(合谷) 단일(單一) 및 배혈(配穴) 침자(鍼刺)가 상치통(上齒痛) 유발(誘發) 백서(白鼠)의 dEMG에 미치는 영향(影響))

  • Oh Chang-Rock;Cho Myung-Rae;Chae Woo-Seok;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.20 no.1
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    • pp.21-30
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    • 2003
  • Objectives : The pain was induced on upper and lower incisor of the rat based on the theory of 'connections of upper incisor pain with stomach meridian and lower incisor pain with large intestine meridian'. Such acupoints as LI4 and ST36 were used for alleviation of upper and lower incisor pain. Methods : The digastric myogram (dEMG) was utilized for the pain measurement. Results : The ST36 acupuncture after induction of upper incisor pain was gradually decreased or increased the dEMG. The LI4 acupuncture after induction of upper incisor pain was gradually decreased the dEMG. The ST36+LI4 acupuncture after induction of upper incisor pain was gradually decreased the dEMG. We knew this thing which the ST36+LI4 acupuncture decreased the dEMG most greatly and kept long compared to ST36 acupuncture, LI4 acupuncture. Conclusions : Acupuncture treatment at the loci of not only ST36 acupuncture but LI4 acupuncture were relieved the upper incisor pain. It was well suitable to the theory 'connections of upper incisor pain with stomach meridian' that ST36 acupuncture decreased the upper incisor pain. But there was not to decrease the dEMG for the ST36 acupuncture. We are considered as tracing study continuously about ST36 acupuncture. It was not suitable to the theory 'connections of upper incisor pain with stomach meridian' that LI4 acupuncture decreased the upper incisor pain. These results was considered as the function by the characteristic of the LI4 acupoint.

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THEORY AND APPLICATION OF CHROMATOGRAPHY -1. An Introduction and theory of separation of matters - (크로마토그라피의 이론(理論)과 응용(應用) - 1. 서론(序論)과 물질분리(物質分離)의 이론(理論) -)

  • Han, Song
    • Journal of Oral Medicine and Pain
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    • v.25 no.1
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    • pp.9-28
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    • 2000
  • The purpose of this article, the first part of series, is to describe the general theory applicable to various chromatographic procedures. History of chromatography, separation of matters, classification of chromatography, underlying principles of separation in chromatography, covering resolution, column efficiency, column selectivity, and capacity factor, movement of solute in chromatographic phase, including elution development, displacement development, and frontal analysis, were discussed. Mathematical description of plate theory and thermodynamic viewpoint of retention were emphasized.

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An Integrative Literature Review on Pain Alleviation Interventions for Hospitalized Children (입원 아동 대상 통증 완화 중재에 대한 통합적 고찰)

  • Cho, Haeryun;Lee, Jungmin;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.254-266
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    • 2020
  • Purpose: The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba's Theory of Comfort. Methods: Whittemore and Knafl's integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. Results: Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child's response to pain, effective strategies for pain relief, and nurses' competence in pain management. Conclusion: The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

Pain and Physical Therapy (통증과 물리치료)

  • Hwang, Seong-Soo;Kwon, Hei-Jeoung
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.215-228
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    • 1996
  • Pain is a protective mechanism for the body in that it occurs when tissues are damaged. Patients who need physical therapy intervention has various pain. Thus, pain is one of aim for physical therpay. The purposes of this review are to give information and basic data for pain control which is related physical therapy. We discuss about pain pathways, pain theory, type of pain, variance which is affected pain, assessment tools, and managing pain.

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A Neuroanatomical and Neurophsiolgical basic Study on the Mechanism of Acupuncture in central nervous system (침자기전(鍼刺機轉)의 중추신경계(中樞神經系)에서의 신경해부(神經解剖).생리학적(生理學的) 기초연구(基礎硏究))

  • Kim, Jeong-Heon
    • Korean Journal of Oriental Medicine
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    • v.2 no.1
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    • pp.514-550
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    • 1996
  • There are many theory in acupuncture mechanism, so we must know the detail contents. and then we can use the acupuncture as we know. the follow article will be helpful in this part. 1. Spinal cord are role in intermediate part in somatosensorypathway also in acupuncture stumulating tract 2. Acute pain pathway started in laminae I, V of gray colmn, next are the spinothalamic tract(trigeminal spinothalamic tract in above neck part) and then go to the specific thalamic nucleus. but chronic pain in laminae II, III, VI, VII, next are spinoreticular tract(trigeminal spinoreticular tract in the neck part) and finally to the nonspecific thalamic nucleus. 3. Thalamus is very important area in somatosensory stimuation including acupuncture stumulating sensory also as a pain control center. but except this, there are Hypothalamus, Limbic system Cerebral cortex and Cerebellum as intermediator. as we Know hypothalamus is related to the emotional analgesic system with a limbic system. 4. A ${\delta$ fiber has relationship in Acute, sharp and initial pain, contrary this C fiber is related with Chronic, dull and last pain. 5. In Acupuncture mechanism of pain analgesia, there are two theory, one is gate control theory as large fiber another is stimuation produced analgesia as small diameter fier. 6. In DNIC, the stimulation sources are mechanical, thermal, heating, pain and acupuncture stimulation etc. we call these as a Heterotopic Noxious Stimulation. 7. In DNIC, SRD(Subnucleus reticularis dorsalis)is core nucleus in pain imtermediated analgesic mechanism. 8. Takeshige insisted nonacupuncture point dependent analgesic mechanism and acupuncture point dependent analgesic mechanism. and protested that Stimulation acupuncture piing evoke blocking nomacupuncture point analgesic pathway.

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