• Title/Summary/Keyword: Post-treatment pain

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Effects of Joint Mobilization on The Range of Motion and Pain of Patient with Chronic Low Back Pain (관절가동술이 만성요통 환자의 기동범위와 통증에 미치는 영향)

  • Lee, Young-Hwa;Kwon, Won-An;Kim, Han-Soo;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.113-124
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    • 2007
  • Purpose : The purpose of this study was to investigate the effects of joint mobilization on the rang of motion and pain of patient with chronic low back pain. Methods : The subjects were consisted of thirty patients with chronic low back pain(19 females, 11 males ; mean aged 59.93) from 50 to 71. All subjects randomly assigned to the modalities treatment group, joint mobilization group. Modalities treatment group received hot pack used thermal therapy for 20minutes and ICT used electrical therapy for 15minutes, joint mobilization group received modalities treatment with sustained natural apophyseal glides(SNAGS) techniques of Mulligan for 10minutes per day and three times a week during 2 weeks period. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure range of motion of lumbar spine. All measurements of each patients were measured at pre-treatment and 2 weeks post-treatment. Results : The results of this study were summarized as follows : 1. VAS was joint mobilization group showed significantly decreased more than modalities treatment group (p<.05). 2. The lumbar flexion range of motion was joint mobilization group showed significantly decreased more than modalities treatment group(p<.05). 3. The lumbar extension range of motion was joint mobilization group showed significantly decreased more than modalities treatment group(p<.05). 4. The lumbar left lateral flexion range of motion was joint mobilization group showed significantly decreased more than modalities treatment group(p<.05). 5. The lumbar right lateral flexion range of motion was joint mobilization group showed significantly decreased more than modalities treatment group(p<.05). Conclusion : These data suggests that SNAGS of Mulligan is beneficial treatment for chronic low back pain.

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A Study on Overall Status and Statistical Analysis of Hospitalized Patients after Gynecological Surgery (부인과영역 질환 수술 후 한방입원치료를 받은 환자에 대한 전반적 현황분석 및 통계적 고찰)

  • Lee, Jin-Wook;Kang, Na-Hoon;Yoo, Eun-Sil;Park, Nam-Chun;Park, Kyoung-Sun;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bok;Hwang, Deok-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.3
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    • pp.40-53
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    • 2017
  • Objectives: This study aims to analyze the current status of hospitalized patients and effects of Korean medical treatment after gynecological surgery. Methods: We analyzed the medical records of patients admitted to our hospital from January 2015 to May 2017 and categorized the pre-operative and post-operative contents. We performed statistical analysis using SPSS ver.20 for the patients' pains among symptoms. Results: Among total 87, patients 82.8% had hysterectomy. The most cause of the surgery were adenomyosis. The average duration of hospitalization was $10.4{\pm}5.7days$ and all patients were treated with acupuncture. Gami-sibjeon-tang was used most frequently. Among the symptoms that occurred after the operation, abdominal pain, low back pain, pelvic pain were in the order of pain and statistically significant decrease in the mean NRS score. In the symptoms of system, general weakness, insomnia, digestive disorder were in the order of the frequency and were improved respectively. Conclusion: We were able to find out the effectiveness of post-operative Korean medical treatment through hospitalized patients. More data collection and systematic research designs are needed.

The Relationship among Pain, Body Image and Satisfaction in Hand-injured Workers (수부손상 근로자의 통증, 신체상 및 만족도에 관한 연구)

  • Yoon, Soon-Young;Kim, Min-Suk
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.205-216
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    • 2010
  • Purpose: The purpose of this study was to explore relationship among pain, body image and satisfaction in hand-injured workers. Methods: Using a sample of 96 out-patient workers with hand injuries, pain, body image and satisfaction were measured by VAS and Modified Jung Keum-hee's Tennesee Self Concept Scale. Repeated measured ANOVA and a Bonferroni correction for multiple statistical testing during post hoc analyses were conducted to evaluate relationship among pain, body image and satisfaction in hand-injured workers. Result: Functional satisfaction(r=.46, p<.001) and appearance satisfaction(r=.55, p<.001) significantly increased by treatment satisfaction. Functional satisfaction(r=.35, p=.001) and appearance satisfaction(r=.31, p=.002) increased by body image. But treatment satisfaction(r=-.20, p=.049), functional satisfaction (r=-.34, p=.001) and appearance satisfaction (r=-.39, p<.001) significantly decreased by pain. Conclusion: Poor pain management was related to bad body image and treatment satisfaction. Therefore, interventions targeting at pain management are needed for hand-injured workers.

A Case Report: The Effect of Kyejigadahuang-tang on Central Poststroke Pain (계지가대황탕(桂枝加大黃湯)으로 호전된 뇌졸중 후 중추성 통증 1례 고찰)

  • Park, Jae-kyung
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.127-135
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    • 2020
  • Objective: In this case report, we aimed to determine the effect of Kyejigadahuang-tang on central post-stroke pain (CPSP). Methods: A 42-year-old woman presented with whole-body neuralgia due to CPSP. According to the diagnostic system based on Shanghanlun provisions (DPIDS), the patient was treated with Kyejigadahuang-tang. The results were evaluated using the Numeric Rating Scale (NRS) and Korean Neuropathic Pain Questionnaire (KNPQ). Results: After administration of Kyejigadahuang-tang for 30 days, the NRS score decreased from 8.5 to 3 and the KNPQ score decreased from 151 to 51. Conclusions: The patient completely recovered from CPSP following treatment with Kyejigadahuang-tang according to DPIDS.

A Case Report on Central Post-stroke Pain in Medullary Infarction Treated with BackJun-pill (백중환이 유효했던 연수 경색 후 발생한 중추성 통증 환자 1례)

  • Lee, Yu Jin;Park, Hojung;Kim, Geun Young;Cho, Ki-Ho;Mun, Sang-Kwan;Jung, Woo-Sang;Kwon, Seungwon;Jin, Chul
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.931-938
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    • 2021
  • Objective: This study addressed a case of central post-stroke pain described as right arm painful with coldness and left lateral medullary infarction. Methods: A patient, 71 years old female with medullary infarction, was treated with a Korean herbal medication (BackJun-pill). The improvement of symptoms was evaluated using the Numeral Rating Scale and reports of coldness and pain in the affected areas. We also measured the body temperature difference between the left and right arms using digital infrared thermographic imaging (DITI). Results: After six weeks of treatment with Korean medicine, the patient's pain and sensation of coldness decreased. Conclusions: This clinical case study suggests that BackJun-pill may be effective for alleviating pain and coldness due to central post-stroke pain.

Effects of Auricular Acupressure on Menstrual Pain, Difficulties in Daily Life, Negative Feelings and Autonomic Nervous Responses in Female College Students (귀반사요법이 여자대학생들의 월경통, 일상생활 장애, 부정적인 정서 및 자율신경계 반응에 미치는 효과)

  • Kim, Nan Young;Kim, Min A;Choi, So Eun
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.159-168
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    • 2015
  • Purpose: The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, difficulties in daily life, negative feelings and autonomic nervous responses among college students. Methods: A Randomized Controlled Trial design was used. The treatment group A (n=12) receivedauricular acupressure therapy on the first or second day of their menstrual period. Treatment group B (n=18) regularly received an auricular acupressure therapy once a week for a month. The control group (n=19) received no auricular acupressure therapy. An independent t-test was used to examine pre-post test differences in the group. The ANOVA and Scheffe test were used to examine pre-post test differences among the group. Results: Subjects in treatment group A showed significantly less menstrual pain, difficulties in daily life, and negative feelings than the control group did. The participants in treatment group B also showed significantly less difficulties in daily life and negative feelings than the control group. Conclusion: The findings support that auricular acupressure therapy on menstrual periods is effective in controlling menstrual pain, difficulties in daily life, and negative feelings. As the method is simple, it would be useful for female students to learn to use this method to alleviate the symptoms related to menstruation through self care.

The Influence of Contract-Relax Technique of PNF and Taping treatment on Pain and Range of Motion of osteoarthritis of Knee (PNF의 수축-이완 기법과 테이핑 치료가 퇴행성 슬관절염의 통증과 관절가동범위에 미치는 영향)

  • Kim, Sang-Su;Seo, Hae-Jin
    • PNF and Movement
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    • v.7 no.2
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    • pp.27-35
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    • 2009
  • Purpose : The purpose of this study was to compare the influence of Contract-Relax Technique of PNF(Proprioceptive Neuromuscular Facilitation) and taping treatment on the ROM(Range of Motion), pain and gait speed of osteoarthrits of knee. Methods : In this study K hall for the aged were selected. Twenty-six subjects with osteoarthrits participated in the experiment. The subjects were partitioned into two groups are 13person PNF group and 13person taping group. All subjects randomly assigned to the PNF treatment group and taping treatment group. Both group received treatment for 3times a week during 4 weeks. (PNF group received treatment for twenty times at once). Algometer and VAS(Visual Analogue Scale) were used to measure pain, the ROM was meaured using goniometer and gait speed was measured using a stopwatch (30m-test). All measurements of each subject were measured at pre-treatment and post-treatment. The data were analyzed with SPSS WIN 11.5 using t-test. Results : The PNF group had a significantly increase of knee extension ROM and significantly decrease of pain after treatment 4 weeks(P<0.05). The taping group had a significantly increase of knee extension ROM and gait speed and significantly decrease of pain after treatment 4 weeks(P<0.05). Conclusion : These data suggests that PNF is beneficial to increase knee extension ROM and to decrease pain. Taping is beneficial to increase knee extension ROM and gait speed and to decrease of pain.

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The Effects of Iontophoretically Applied Prednisolone on the Relief of TMJ Pain (이온영동법으로 투여된 Prednisolone에 의한 측두하악관절통의 완화 효과)

  • Yong-Hyeon Jeon;Sang-Cheol Yoon;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • v.20 no.1
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    • pp.89-96
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    • 1995
  • The purpose of this study was to assess the pain-relieving effect of iontophoretically applied prednisolone on the patients with temporomandibular joint (TMJ) pain. 30 TMJ pain patients participated in this study. Inclusion criteria for subject selection were 1) tenderness of TMJ on palpation and 2) visual analog scales (VAS) of above 20 mm. The patients with polyarthralgia, rheumatic arthralgia, and systemic diseases were excluded for this experiment. The patients were randomly assigned to one of three groups; (1) Group 1 for administration of 2% prednisolone, (2) Group 2 for administration of 1% prednisolone, and (3) Group 3 for administration of saline. Phoresor PM600(Motion Control Utah, U.S.A) was used for administration of drugs by iontophoresis. Baseline and post-medication pain levels were recorded by VAS, pressure pain threshold (PPT), and palpation index (PI). Post-medication data were compared with baseline data for each group. The results were as follows : 1. All the groups showed significant decrease of VAS scores after treatment. 2. PPT was significantly increase only in Group 1 and 2 not in Group 3. 3. PI was significantly decreased only in Group 1 and 2 not in group 3.

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A Review of the Domestic Study Trends on Korean Medicine Treatment after Hysterectomy (자궁적출술 후 한의약 치료에 대한 국내 임상 연구 고찰)

  • Im, Ji-Yeong;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.1
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    • pp.66-81
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    • 2021
  • Objectives: The purpose of this review is to analyze the domestic study trends on Korean medicine treatment for patients after hysterectomy. Methods: We investigated the studies on Korean medicine treatment for patients who undertaken hysterectomy via searching 4 online databases up to October 2020. After searching studies, we analyzed selected studies. Results: 12 clinical studies were selected and all studies were case reports. The most common cause of hysterectomy was myoma of uterine, followd by adenomyosis. The major complaints of post-hysterectomy were abdominal pain, low back pain and fatigue, general weakness. Herbal medicine was used in all studies. In addition, acupuncture, moxibustion and cupping were performed. The duration of inpatient treatment ranged from 5 to 39 days. All cases showed that chief complaints and accompanying symptoms were improved. Conclusions: Korean medicine treatment is an effective treatment option for patients after hysterectomy. Further large, well-designed studies are needed to establish the foundation of Korean medicine treatment after hysterectomy.

Intravenous Administration of Substance P Attenuates Mechanical Allodynia Following Nerve Injury by Regulating Neuropathic Pain-Related Factors

  • Chung, Eunkyung;Yoon, Tae Gyoon;Kim, Sumin;Kang, Moonkyu;Kim, Hyun Jeong;Son, Youngsook
    • Biomolecules & Therapeutics
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    • v.25 no.3
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    • pp.259-265
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    • 2017
  • This study aimed to investigate the analgesic effect of substance P (SP) in an animal model of neuropathic pain. An experimental model of neuropathic pain, the chronic constriction injury (CCI) model, was established using ICR mice. An intravenous (i.v.) injection of SP (1 nmole/kg) was administered to the mice to examine the analgesic effects of systemic SP on neuropathic pain. Behavioral testing and immunostaining was performed following treatment of the CCI model with SP. SP attenuated mechanical allodynia in a time-dependent manner, beginning at 1 h following administration, peaking at 1 day post-injection, and decaying by 3 days post-injection. The second injection of SP also increased the threshold of mechanical allodynia, with the effects peaking on day 1 and decaying by day 3. A reduction in phospho-ERK and glial fibrillary acidic protein (GFAP) accompanied the attenuation of mechanical allodynia. We have shown for the first time that i.v. administration of substance P attenuated mechanical allodynia in the maintenance phase of neuropathic pain using von Frey's test, and simultaneously reduced levels of phospho-ERK and GFAP, which are representative biochemical markers of neuropathic pain. Importantly, glial cells in the dorsal horn of the spinal cord (L4-L5) of SP-treated CCI mice, expressed the anti-inflammatory cytokine, IL-10, which was not seen in vehicle saline-treated mice. Thus, i.v. administration of substance P may be beneficial for improving the treatment of patients with neuropathic pain, since it decreases the activity of nociceptive factors and increases the expression of anti-nociceptive factors.