• 한국전문물리치료학회지
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• 제9권2호
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• pp.97-105
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• 2002

The purpose of this study was to investigate the effectiveness of the low-intensity ultrasound (noblelife) treatment on the pain points of upper trapezius muscle. The study recruited 20 patients who had trigger points in one side of the upper trapezius. The effectiveness of the low-intensity ultrasound treatment was assessed with subjective pain intensity using visual analog scale (VAS) and pressure pain threshold (PPT). The PPT was measured by pressure threshold algometer. Before and after the treatment, changes of pain were evaluated. Wilcoxon test for VAS data and paired t-test for PPT data were used for statistical significance. Compared to the pain intensity before the treatment, the pain intensity after treatment was significantly decreased (p<.05). Low-intensity ultrasound could be safely used in clinical application and at home for the treatment of patients with pain in upper trapezius muscle.

• The Journal of Korean Physical Therapy
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• 제14권1호
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• pp.117-124
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• 2002

Poor posture of the neck and head long been recognized as a factor contributing to the onset and perpetuation of pain in the head and neck region. The purposes of the study were to evaluate the changes in forward head posture and pressure pain threshold in tension type headache group and control group. Forward head posture were measured to craniovertebral angle and cranial rotation angle. Craniovertebral angle was smaller in tension type headache group(p<0.05), and cranial rotation angle was larger in tension type headache group(p<0.05). Pressure pain threshold was similar between tension type headache group and control group with the exception of right suboccipitalis and left temporalis(p<0.05).

• 한국자연치유학회지
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• 제10권1호
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• pp.26-32
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• 2021

목적: 경혈 지압에서 모든 혈의 가압 방향은 통상적으로 수직 방향이다. 그러나 지실혈(BL52)에서는 수직 방향이 배꼽 부위를 향하는지 몸통의 중심을 향하는지 명확하지 않다. 본 연구에서는 30명의 대상자의 BL52에 대한 지압의 방향에 따른 압통 역치를 측정하여 효과적인 지압 방향을 연구하는 것이었다. 방법: 대상자의 명문혈(GV4)을 중심으로 좌우 지실혈까지의 거리와 GV4와 배꼽까지의 거리를 측정하여 명문혈 좌우 지실혈이 배꼽을 지나는 타원을 이용하여 좌우 지실혈에서 배꼽 방향 및 몸통 중심 방향의 각도를 계산했다. BL52에 두 방향으로 가압하면서 대상자들이 통증을 느끼는 시점의 압력을 통증 역치로 하였다. 압통역치는 대상자의 좌우 BL52에서 3분 간격으로 3번씩 측정하였다. 결과: 대상자들의 좌우 BL52에서 측정된 압통 역치는 몸통 중심부를 향하여 가압할 때 상대적으로 유의하게 감소하였다(p < .05). BL52에서는가압방향이몸통의중심부를향할때압력에대해더예민한것으로나타났다. 결론: 주변보다 외부 자극에 더 예민한 경혈의 지압 요법에서, BL52에서는 몸통의 중심부를 향하도록 지압하는 것이 배꼽 방향으로 지압하는 것보다 효율적이라는 것을 시사한다.

• The Journal of Korean Physical Therapy
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• 제26권6호
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• pp.379-385
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• 2014

Purpose: This study was to determine the immediate effects of pulsed magnetic field (PMF) in subjects with upper trapezius (UT) trigger point (TrP). Methods: Fifteen subjects with UT TrP were recruited for the study's PMF group (pain threshold=$2.29kg/cm^2$), and 15 age-, weight-, and gender-matched subjects with UT TrP were recruited for control group (pain threshold=$2.25kg/cm^2$). Pressure algometer was used to measure pressure pain threshold on UT TrP and, cervical range of motion (ROM) inclinometer was used to measure cervical ROM. Surface electromyography was used to record UT, lower trapezius, and serratus anterior muscle activity and relative ratio during scapular plane abduction between pre- and post-treatment. Results: The PMF effectively improved pain threshold and concurrently increased ROM (rotation to the painful side, lateral flexion to the nonpainful side). In addition, the PMF may effectively deactivate UT activity during abduction and the muscle activity ratio between UT and serratus anterior. Conclusion: These findings provided empirical evidence that PMF can be an effective treatment method to reduce pain threshold, to increase cervical ROM, and deactivate UT activity in individuals with TrP.

• Journal of Pharmaceutical Investigation
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• 제36권3호
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• pp.185-192
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• 2006

The purpose of this study was to determine the effects of iontophoresis on transdermal delivery of procaine hydrochloride in healthy volunteers, as well as to the synergic effect of high voltage current or ultrasound on the efficacy of transdermal delivery of iontophoresis. Forty healthy volunteers were randomly assigned to four groups topical application group (TA), iontophoresis group (IT), pre-treatment of high voltage current stimulation with iontophoresis (HVS + IT), and pre-treatment of ultrasound application with iontophoresis (US + IT). All subjects received procaine iontophoresis on the forearm using direct current with 4 mA f3r 15 minutes. All subject was measured the duration of local anesthesia, pressure pain threshold, pain perception threshold using rectangular wave at 0.2 ms, 1 ms, 50 ms of rectangular current stimulation after procaine iontophoresis. For comparisons of the sensory characteristics and efficacy of iontophoresis between the groups, an one-way ANOVA and Kruskal-Wallis were used. The significant difference the duration of local anesthesia were found between the groups (p<0.001). The local anesthetic duration of IT, HVS+IT were significantly longer than TA. Meanwhile, the local anesthetic duration of US+IT was significantly longer than HVS+IT, IT and TA group (p<0.05). Also, the pressure pain threshold, pain perception threshold at 0.2 ms, 1 ms, 50 ms were significant difference between the groups (p<0.001). All sensory characteristics including pressure pain threshold, pain perception threshold of IT, HVS+IT was significantly increased than TA, whereas, US+1T was significantly increased HVS+1T, IT and TA (p<0.05). This study showed that the procaine iontophoresis have increase the duration of local anesthesia concomitantly pressure pain threshold and pain perception threshold of sensory nerve fibers such as $A-{\beta}$, $A-{\delta}$ and C fiber. This findings suggest that the iontophoresis enhanced the transdermal delivery of drug ions in vivo. The combination of ultrasound application and iontophoresis synergized the transdermal delivery of drug ions. It is suggests that an electric field, mechanical and heating property of ultrasound may contribute to synergic effect due to temporary changes of structure in the stratum corneum.

• 대한약침학회지
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• 제8권2호
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• pp.83-90
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• 2005

Objective : This study was performed to compare needle acupuncture combined herbal acupuncture therapy with only needle acupuncture therapy in VAS and pain threshold. Methods : We used pressure algometer to evaluate the change of pain threshold before and after treatment. The numberical value of pressure algometer is obtained twice and averaged by identical acupuncturist. Visual analogue scale(VAS) was used to estimate the efficacy of needle acupuncture combined herbal acupuncture therapy. Result : The following results were obtained; 1. The significant difference in VAS was showed before and after treatment in only needle acupuncture therapy. 2. The significant difference in pain threshold and VAS was showed before and after treatment in needle acupuncture combined herbal acupuncture therapy. 3. In the pain threshold, the significant difference between only needle acupuncture and needle acupuncture combined herbal acupuncture therapy was not showed. 4. Needle acupuncture combined herbal acupuncture therapy showed the more effective change of VAS than only needle acupuncture therapy. Conclusions : In the pain control, needle acupuncture combined herbal acupuncture therapy is more effective than only needle acupuncture therapy.

• Journal of Oral Medicine and Pain
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• 제20권1호
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• pp.97-103
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• 1995

The purpose of this study was to evaluate the effect of experimenter gender on pain report as well as the sex differences in pain threshold and pain tolerance. Cold pressor test and pressure pain threshold (PPT) test were performed on forty dental students by both of a male and a female experimenter separately with 1 day interval. The obtained results were as follows : There were no differences in pain threshold and pain tolerance between males and females when they were examined by the same gender experimenter in the cold pressor test, but when they were examined by the opposite gender experimenter the pain threshold of males was significantly higher than females. When the pain threshold was measured by the same gender experimenter, using a algometer, there was no differences in PPT between males and females. However, when the same measurements were done by the opposite gender experimenter, the PPT of males was significantly higher than females at anterior temporalis and inferior masseter. For cold pressor test, females tended to report lower levels of pain threshold and pain tolerance to a male experimenter than a female, but the differences were not significant. Although both pain threshold and pain tolerance were increased when males were examined by a female experimenter in the cold pressor test, the statistical significance was found only in pain tolerance. When subjects were examined by the opposite gender experimenter in the PPT text, females reported significantly higher levels of pain at inferior masseter and males reported significantly lower levels of pain at anterior temporalis and inferior masseter.

• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.779-790
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• 1997

본 연구는 목과 상지의 누적외상성장애를 호소하는 대상자들중에서 근막동통증후군으로 진단받은 환자군과 단순 증상호소군인 대조군사이에서 검사결과의 분석을 통하여 집단 검진시 고려해 볼 수 있는 검사항목을 찾고자하였다. 조사대상은 컴퓨터를 통한 자료검색 및 대화형태의 업무를 하는 여성 전화교환원 904명이었으며, 근막동통증후군으로 진단받은 105명의 환자군과 상지의 누적외상성장애의 증상만을 호소하는 550명의 대조군을 비교하여 다음과 같은 결론을 얻었다. 1. 신체계측과 악력 및 Pinch strength 측정결과, 키와 몸무게, 앉은 자세의 높이 등에서는 환자군과 대조군의 차이가 없었으나, 약력은 환자군의 우측손이 대조군보다 유의하게 낮았으며, Pinch strength는 두 군간의 유의한 차이는 없었다. 2. 시각적 상사척도는 환자군의 평균값이 $6.74{\pm}2.29$이며, 대조군은 $4.37{\pm}2.32$으로 나타나 두 군간 뚜렷한 차이를 보였다. 3. 근육효소검사에서는 비정상으로 분류된 이상자의 분포가 환자군과 대조군에서 유사한 분포를 보여 실제 진단과정에 미치는 영향은 미비한 것으로 나타났다. 4. 다중 로지스틱 회귀분석을 이용한 유의한 변수는 나이, 우측 상부승모근의 압통역치값과 시각적 상사척도로 나타났다. 5. 압통역치검사와 시각적 상사척도는 근막동통증후군의 진단에 객관적 검사로서 고려할 만한 검사로 나타났다.

• Korean Journal of Acupuncture
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• 제21권2호
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• pp.147-159
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• 2004

Objective : This study was designed to estimate the effects of Rainbow Power therapy on neck pain patients by using Visual Analogue Scale(VAS) and pressure algometer. Methods : Rainbow Power therapy group consisted of 18 patients and acupuncture therapy group consisted of 7 patients. The degree of improvement of neck pain was evaluated by VAS and pain pressure threshold(at the points of Jianjing GB21 and Jianwaishu SI14) before treatment, before 3rd treatment and before 5th treatment. Rainbow Power therapy was performed at the points of Jianjing GB21, Zhongfu LU1, Yangxi LI5, Ganshu BL18, Weishu BL21 and Shenshu, BL23. Each points were stimulated with RP-UM103(Rainbow Power therapy instrument) for 20 seconds. The points of acupuncture therapy were Jeonggeun, Jeongjong, Sangbaekn and Hegu LI4 and acupuncture was maintained for 15 minutes. After above therapy dry cupping was performed at the points of Jianjing GB21, Jianwaishu SI14, Gaohuang BL43, Tianzong, SI11 and Bingfeng SI12 for 5 minutes. Results : There was no significant difference between the two groups in VAS, pain threshold of Jianjing GB21 and Jianwaishu SI14 following treatment. In the two groups VAS was significantly decreased. In Rainbow Power therapy group the pain threshold of the two points was significantly increased. But there was no significant increase in acupuncture therapy groups about the pain threshold of Jianwaishu SI14. Conclusions : The effectiveness of Rainbow Power therapy on neck pain was shown through VAS and pressure algometer. These imply that Rainbow Power therapy may be useful for neck pain. Further study is needed about Rainbow Power therapy.

• 대한약침학회지
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• 제8권2호
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• pp.5-10
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• 2005

Objectives : This study was designed to estimate the effects of BU herbal acupuncture theraphy on low back pain of sprain patients by using Visual Analogue Scale(VAS) and pressure algometer. Methods : 13 volunteers were applied to BU herbal acupuncture stimulation on the BL23, BL24, BL25 and BL26 acupoints. The degree of improvement of low back pain of sprain was evaluated by VAS and pain pressure threshold(at the points of BL23 and BL24 before treatment, before 3rd treatment(after herbal acupuncture). Results : In VAS scores, there were significant differences between before and after herbal acupuncture stimulation. But there was no significant difference between before and after herbal acupuncture stimulation in pain threshold. Conclusions : The effectiveness of BU herbal acupuncture theraphy on low back pain of sprain was shown through VAS and pressure algometer. These imply that BU herbal acupuncture theraphy may be useful for low back pain of sprain. Further study is needed about BU herbal acupuncture.