• Title/Summary/Keyword: Shoulder pain index

검색결과 147건 처리시간 0.03초

보존적 치료로 호전되는 않은 상완이두근 건염에 대한 화침을 포함한 한방 치료 1례 (A Case report on the Biceps Tendinitis Treatment with Fire needling Therapy)

  • 임광묵;권호영;김정환
    • Korean Journal of Acupuncture
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    • 제27권3호
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    • pp.143-150
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    • 2010
  • Objective : The purpose of this study is to evaluate the effect of the fire needling therapy treatment on the biceps tendinitis. Methods : Fire needling therapy was administered five times to the patient complaining with biceps tendinitis. The improvement of clinical symptom was evaluated by McGill Pain Questionnaire -Short Form(SF-MPQ), Visual Analogue Scale(VAS) and Shoulder Pain, and Disability Index (SPADI). Result : After fire needling therapy to the biceps tendinitis patient five times, the patient's SF-MPQ score, VAS, and SPADI improved from 24 to 11, from 9 to 4, and from 33.6 to 14.8 respectively. Conclusions : Fire needling for biceps tendinitis should be tested in future randomized clinical trials.

수중운동이 골관절염 환자의 체력, 통증 및 생리적 기능에 미치는 효과 (The Effect of Aquatic Exercise Program on Physical Fitness, Pain and Physiological Function in Patients with Osteoarthritis)

  • 박형숙;김혜숙;김남희
    • 근관절건강학회지
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    • 제13권1호
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    • pp.31-42
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    • 2006
  • Purpose: The purpose of this study was to identify the effects of aquatic exercise program on physical fitness, pain and physiological function in patients with osteoarthritis. Method: The subjects of the study were thirty women(age: forty-seventy five) who have an osteoarthritis. Aquatic exercise program consist of approximately two hours of exercise in water, two days per week, for six weeks. Data were gathered from April 19 2005 to May 27 using a questionnaire and measuring physical fitness and physiological index. Data were analyzed with the SPSS Win 12.0 using frequency and paired t-test for difference between pre-exercise and post-exercise. Results: The results of this study were as follows: There were significantly increased on left shoulder (t=3.848, p=.001) and waist flexibility(t=-5.622, p=.001) scores. There were significantly decreased on pain score(t=5.288. p=.000), body weight(t=5.072, p=.001), systolic B.P(t=18.362, p=.001), diastolic B.P(t=32.558, p=.001), blood sugar(t=1.805, p=.041), total cholesterol(t=2.032, p=.026) scores. Conclusion: From these results, it is concluded that the aquatic exercise program can be effective in increasing physical fitness, physiological function and decreasing pain in patients with osteoarthritis.

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A Lower Level of Physically Demanding Work Is Associated with Excellent Work Ability in Men and Women with Neck Pain in Different Age Groups

  • Oliv, Stefan;Noor, Adnan;Gustafsson, Ewa;Hagberg, Mats
    • Safety and Health at Work
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    • 제8권4호
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    • pp.356-363
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    • 2017
  • Background: The aim of this study was to investigate which physical and psychosocial work demands were associated with excellent work ability in individuals with neck pain, and to investigate age and sex differences in these associations. Methods: The study sample was obtained from the Statistics Sweden cross-sectional Work Environment survey and consisted of workers who reported neck pain after work (N = 3,212). Results: The findings showed an association between excellent work ability and self-reported low exposure to lifting, twisted work posture, working with hands in shoulder level or higher, and leaning forward without support and combination of exposures containing these work demands. Low exposure to seated work and high demands showed a reversed association. The associations were present mainly among older workers and were generally stronger for men than for women. Conclusion: This study indicates that a lower level of physically demanding work is an important element to maintain excellent work ability, especially for the older worker with neck pain.

림프마사지(MLD)가 유방암 절제술을 한 여성의 상지 부피에 미치는 영향 (The Effects of Manual Drainage Lymph (MLD) on the Volume of the Upper Extremities of Women with Breast Cancer)

  • 이민지;권오국;양영식;김용진;이호준
    • 대한정형도수물리치료학회지
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    • 제25권1호
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    • pp.53-61
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    • 2019
  • Background: This study aimed to investigate the effects of manual lymph drainage (MLD) on women with breast cancer and lymph edema. Methods: This study was carried out with a total of 23 women with breast cancer and lymph edema. By drawing lots, women were assigned to either the manual drainage group (MLD, n=12), a control group (n=11). Outcomes such as the arm size, visual analogue scale, shoulder pain and disability index, and functional assessment cancer therapy-breast (FACT-B) were measured to 0 week, 2 weeks, 4 weeks, and 8 weeks intervention for both groups. Results: A significant difference was found in the arm size, pain, functional disability level, and quality of life between the two groups and time(p<.01). Significant difference in functional disability level between 2 and 8 weeks at 4 weeks and 8 weeks for pain(p<.01), and the quality for life was significantly different at all time points (p<.01). Conclusions: Applying MLD treatment to women with breast cancer proved to have a positive effect.

등뼈 가동성 운동이 기계적 목통증 환자의 목등뼈부 기능 수준과 자세, 통증 수준에 미치는 영향 (Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture and Pain in Individuals With Mechanical Neck Pain)

  • 이화정;김선엽
    • 한국전문물리치료학회지
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    • 제26권3호
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    • pp.42-56
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    • 2019
  • Background: Individuals with mechanical neck pain show biomechanical and neurophysiological changes, including cervical spine muscle weakness. As a result of deep muscle weakness, it causes stability disability and reduced upper thoracic spine mobility, which finally leads to functional movement restriction such as limited range of motion and dysfunction. Recent studies have shown that thoracic spine manipulation and mobilization could reduce symptoms of mechanical neck pain in patients. Objects: The purpose of this study was to investigate the effects of thoracic mobility exercise on cervicothoracic function, posture feature, and pain intensity in individuals with mechanical neck pain. Methods: The study subjects were 26 persons who were randomly assigned to the experimental (with thoracic mobility exercise) and control groups (without thoracic mobility exercise), with 13 subjects in each group. The cervicothoracic function (neck functional disability level and cervicothoracic range of motion), posture feature, and pain rating (using a quadrupled visual analogue scale [QVAS]) were measured before, after 3 weeks, and after 6 weeks. Results: Statistically significant group-by-time interactions were found with repeated analyses of variance for the Korean neck disability index (KNDI), all cervical range of motion (CROM), all thoracic range of motion (TROM), cranial rotation angle, sagittal shoulder posture (SSP), and QVAS (p<.05). All groups showed significant improvements from all times in all the evaluated methods. The KNDI, CROM, TROM of left rotation, and SSP in the experimental group showed significant improvements after 3 weeks, and the TROM of the right rotation and QVAS in the experimental group showed significant improvements after 6 weeks when compared with the control group. Conclusion: Thoracic mobility exercise during 6 weeks might be effective intervention to improve the functional level, posture feature, and QVAS pain rating for managing individuals with mechanical neck pain.

반사성 교감신경 위축증의 흉강경하 흉추교감신경절제술 - 치험 1례 - (Thoracoscopic Thoracic Sympathectomy for Reflex Sympathetic Dystrophy -One Case Report -)

  • 김태식;김광택;김형묵;김학제;이건
    • Journal of Chest Surgery
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    • 제31권2호
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    • pp.208-211
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    • 1998
  • 반사성 교감신경 위축증은 과도하며 지속적인 통증, 혈관운동성 및 그 밖의 자율성 장애, 기능회복의 지연과 이영양성 변화를 특징으로 하는 중요한 임상양상이다. 이 증후군은 임상에서 자주 마주치는 문제중 하나일뿐더러 정확한 진단과 치료가 결정적이기 때문에 중요하다. 유발인자는 사고나 수술, 또는 다양한 질환이 될 수 있다. 정확한 진단과 치료는 증상의 빠른 소실과 완전한 회복을 기대할 수 있다. 56세 남자환자로 1996년 5월 좌측 제2수지 원위관절부 완전절단상을 입었고, 고대부속병원 재건성형외과에서 응급으로 재접합술을 시행받았다. 그 후, 좌측 제 2수지의 경감되지 않는 지속적인 통증과 좌측상지 근위부로 퍼져가는 통증 및 좌측 견갑부 운동장애를 호소해 왔다. 많은 치료법이 사용되었지만 효과적이지는 못하였다. 그리하여 좌측 흉부 교감신경절제술을 본 과에서 시행하였다. 이 후 성공적으로 통증이 완화되었고, 견갑부 운동상태도 향상되었기에 문헌고찰과 함께보고하는 바이다.

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A Retrospective Study on Combined Traditional Korean Medicine Treatment of Cervical Radiculopathy Patients Who Underwent Ineffective Epidural Steroid Injection Treatment

  • Kim, JiSu
    • Journal of Acupuncture Research
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    • 제35권4호
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    • pp.248-251
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    • 2018
  • This retrospective study reports the effects of combined traditional Korean treatment of cervical radiculopathy in patients who underwent ineffective epidural steroid injection treatment. This study analyzed cervical radiculopathy in patients who visited traditional Korean medicine hospital following an ineffective epidural steroid injection. There were 29 cases included in this study. Scores for Visual Analog Scale (VAS) and Neck Disability Index (NDI) were measured before and after combined treatment with acupuncture, herbal medicine, and chuna therapy. The results of this study showed that patient VAS scores for neck and shoulder pain were significantly reduced (p < 0.001) when comparing scores before treatment ($6.03{\pm}2.04$) with after treatment ($2.14{\pm}1.27$). In addition, the VAS score for radiating pain before treatment ($6.67{\pm}1.44$) compared with after treatment ($2.89{\pm}1.83$) showed a significant reduction (p < 0.001). Furthermore, the NDI score before treatment ($25.85{\pm}6.33$) compared with after treatment ($11.33{\pm}7.47$), also showed a significant reduction (p < 0.001). The results in this study showed the positive effects of combined traditional Korean medicine treatment in significantly reducing pain for patients with cervical radiculopathy, who had ineffective anesthesia.

상지경혈지압이 편마비환자의 상지기능과 일상생활동작 시 불편감에 미치는 효과 (Effect of the Meridian Pressure on the Functions of Upper Extremities and Discomfort of ADLs of Hemiplegic Patients)

  • 김정화;최성남
    • 성인간호학회지
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    • 제20권1호
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    • pp.55-64
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    • 2008
  • Purpose: The purpose of this study was to identify the effect of Meridian pressure on the functions of upper extremities and discomfort of ADLs of hemiplegic patients. Methods: The research design was a nonequivalent control group, non-synchronized design. Subjects were 35 hemiplegic patients who were hospitalized at L Oriental Medical Hospital; 18 for the experimental group and 17 for the control group. The experimental group was given meridian pressure for 10 minutes daily for 2 weeks. The data were analyzed by SPSS 12.0 program. The ${\chi}^2$-test and t-test were used for the two groups' homogeneity, and t-test was used for the hypothesis test. Results: Manual muscle test, ROMs of wrist extension, elbow flexion, and shoulder extension of the experimental group increased compared to the control group. Shoulder pain and index finger circumference of the experimental group decreased compared to the control group. The experimental group showed to have less discomfort of ADLs than the control group. Conclusion: The study results verified that meridian pressure is effective for improving the functions of hemiplegic patients' upper extremities as well as reducing discomfort of ADLs.

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중풍(中風) 편마비(偏痲痺) 환자(患者)의 기능적 회복에 있어 침시술(鍼施術) 시(時) 동기요법(動氣療法)의 효과 (The Effect of Dong-gi Acupuncture(DGA) on Rehabilitation after Stroke)

  • 이윤주;장준호;박선경;김민철
    • 한방재활의학과학회지
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    • 제15권2호
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    • pp.155-167
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    • 2005
  • Objectives : The purpose of this study is evaluate of the effect of Dong-gi Acupuncture(DGA) on rehabilitation after stroke. Methods : 32 patients who had a stroke of paralysis were randomized into two groups. 17 patients were treated with DGA on sound side combined active or passive exercise on affected side. The other 15 patients were exclusive DGA group and the method retaining needles on acupoints of affected side for about 20 minutes were applied. We evaluated by Manual muscle test, Range Of Motion(ROM), Visual Analog Scale(VAS) and Modified Barthel index(MBI) before treatment, after 10 days and after 20 days. Results : In terms of power of lower limb, active ROM of shoulder abduction and MBI, the sample group showed statistically significant improve. In terms of power of lower limb ROM of hip joint abduction and affected side pain, significant difference between two groups was not shown. Conclusions : In this clinical study, Dong-gi Acupuncture therapy can be used for improving the power of upper limb, active ROM of shoulder abduction and MBI score after hemiplegic stroke.

Bankart 병변의 관절경적 복원술 후 한방 재활치료 프로토콜을 적용하여 호전된 증례 보고 (A Rehabilitation protocol for Arthroscopic Bankart repair in Korean Medicine : A Case Report)

  • 금지혜;백동기;이정한
    • 대한한의학회지
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    • 제40권3호
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    • pp.177-187
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    • 2019
  • Objectives: The aim of this study was to report the clinical improvement of a patient who underwent arthroscopic Bankart repair using a rehabilitation protocol involving Korean medicine. Methods: The patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy, and Doin exercise therapy during the admission period. To estimate the patient's status, we used the Numeric Rating Scale (NRS), Pain Disability Index (PDI), assessments of the range of motion (ROM) and Muscle Manual Test (MMT) for the shoulder joint. Results: After administering the abovementioned treatments, we found that the patient's NRS, PDI, and ROM and MMT for the shoulder joint were improved. Conclusions: The rehabilitation protocol involving Korean medicine can be applied to and produce good results for patients who undergo arthroscopic repair for Bankart lesions. The limitation of the study was that the number of cases we studied was insufficient to prove the effectiveness. Hence, further studies are needed for designing the rehabilitation protocol involving Korean medicine.