• Title/Summary/Keyword: Tender points

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Treatment of Primary Fibromyalgia Syndrome Patient -A case report- (Primary Fibromyalgia Syndrome 환자의 치험례 -증례 보고-)

  • Heo, Hoo-Man;Park, Sang-Min;Kim, Yong-Ik;Park, Wook
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.138-142
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    • 1998
  • Fibromyalgia syndrome is defined as a diffuse, aching musculoskeletal pain associated with multiple and discrete predictable tender points along with stiffness. A primary form associated without any disease is uncommon compared to the secondary diffuse fibrositis. We witnessed a case of a primary fibromyalgia syndrome. A 28-year-old woman was suffering from pain on posterior neck, right shoulder, upper back, left hand and arm for two years. She also complained of morning stiffness, fatigue, and headache. We treated her with stellate ganglion block with 0.25% bupivacaine, medication that included amitriptyline, TENS and superlizer. We also recommended aerobic exercise.

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Prediction Factors of Fatigue in Patients with Fibromyalgia (섬유조직염환자의 피로 예측 요인)

  • Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.42-50
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    • 2005
  • Purpose: The purpose this research was to provide with basic data in the control of the fatiguer found in the patients with fibromyalgia by analysing the factors that predict that. Method: At three university medical center, appointed 245 out-patients diagnosed of fibromyalgia according to the conditions by American College of Rheumatology (1990). The research instruments used in this study were graphic rating scale(Anxiety, sleep disturbance, pain, joint stiffness and depression), physical activity, the number of tender points, life satisfaction and Self-efficacy scale. In data analysis, SPSS 12.0 program was utilized and data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression. Result: The factors that predict the fatigue of patients with fibromyalgia were sleep disturbance, life satisfaction, pain, joint stiffness, illness duration, and anxiety which explained 50.1% of the fatigue. Conclusion: It has been confirmed that the regression equation model of this research may serve as a fatigue prediction factors in patients with fibromyalgia.

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What is IMS? (IMS란 무엇인가)

  • Han, Jae-Bok
    • Journal of Acupuncture Research
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    • v.24 no.5
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    • pp.127-136
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    • 2007
  • Objectives : To review the history, the theoretical basis and the technique of Intramuscular Stimulation (IMS), papers and books on IMS were searched. Methods : 15 papers were searched with the keyword 'Gunn CC' at Pubmed(http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed). Several full texts of them and other papers were found at the internet homepage of The Institute for the Study and Treatment of Pain (http://www.istop.org/). 16 Korean papers on IMS were searched at KoreaMed(http://www.koreamed.org/SearchBasic.php) and Koreanstudies Infomation Service System(http://kiss.kstudy.com/KsiKiss.asp). Results : Dr. Gunn has made unique model which can explain the pathology of chronic pain and the mechanism of acupuncture treatment. In this model, he postulated that most of chronic pain is radiculopathy due to spondylosis and acupuncture treatment to the hyperalgesic muscle can restore the normal function of involved muscles and nerves. Conclusions : IMS is an acupuncture technique in which the muscles under the Ah-shi or tender points in periphery and intrasegmental paravertebral muscles are stimulated with needles.

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Affecting Factor on Sleep Disorder in Patients with Fibromyalgia (섬유조직염환자의 수면장애에 영향을 미치는 요인)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.11 no.2
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    • pp.176-186
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    • 2004
  • Purpose: The purpose this research was to provide with basic data in the control of the sleep disorder found in the patients with fibromyalgia by analysing the main factors that affect that. Method: At two university medical center, appointed 171 out-patients diagnosed of fibromyalgia according to the conditions by American College of Rheumatology(1990). The research instruments used in this study were VAS Scale(Anxiety, fatigue, pain, joint stiffness and depression), physical activity family support, the number of tender points and Self-efficacy scale. In data analysis, SPSS 11.0 program was utilized and data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression. Result: The main factors that affect the sleep disorder of patients with fibromyalgia were fatigue, physical activity, and depressions which explained 46.2% of the sleep disorder. Conclusion: It has been confirmed that the regression equation model of this research may serve as a sleep disorder prediction factors in patients with fibromyalgia.

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Innovation of Bridge Structural Systems to Realize a Super Long-span Suspension Bridge (Gwangyang Bridge) (초장대현수교(광양대교)의 실현을 위한 교량구조시스템의 혁신)

  • Kim, Hong-Sik;Kwon, Ho-Chul;Song, Myung-Kwan;Paik, Jong-Gyun
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2007.04a
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    • pp.551-556
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    • 2007
  • In this paper, the contents of numerical in the innovative tender design of the super long-span suspension bridge to be constructed between Myodo and are introduced. The total span length of the bridge, of which the main span is the third in the world so far, reaches 2,260km, and the has the floating type girder which has no vertical points at pylon. Judging from the condition of navigation, wind climate on, and construction cost, it is inevitable to make the central span 1,545m and to the technical level applied to the structural components in the existing suspension system. To realize the innovative super long-span suspension bridge, the close numerical investigations for the structural capacity, aerodynamic serviceability, and dynamic serviceability are carried out by various tools of computational mechanics.

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Optimization of Ingredient Mixing Ratio for Preparation of Steamed Foam Cake with Added Saltwort (Salicornia herbacea L.) (함초 첨가 거품형 찜케이크의 재료 혼합비율의 최적화)

  • Kim, Yu-Suk;Kwak, Sung-Ho;Jang, Myung-Sook
    • Korean journal of food and cookery science
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    • v.22 no.5 s.95
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    • pp.666-680
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    • 2006
  • To obtain basic data for the utilization of saltwort (Salicornia herbacea L.) as a functional ingredient in steamed foam cake, the optimum component ratios for major raw ingredients (saltwort, salt, and wheat flour) as independent variables that affect the product quality were scientifically determined using RSM (response surface methodology) technique. A three-factor and five-level rotational central composite design was used for treatment arrangement. The complete design consisted of 16 experimental points. The three independent variables selected for the RSM experiment were amounts of saltwort (X$_1$, 5${\sim}$25 g), salt (X$_2$, 0${\sim}$10 g), and wheat flour (X$_3$, 470${\sim}$530 g). The optimum responses in specific gravity of the batter and volume, color, texture, and sensory evaluation result of the cake were obtained. The specific gravity and viscosity of the batter at p<0.01 was verified from the regression curve. The characteristic of the batter was influenced by all independent variables, but was extremely dependent on the amount of saltwort ordinary points of the surface responses from the batter formed the minimum points for specific gravities of the batter while viscosities of the batter appeared with the saddle points. Analysis of the response indicated that the amount of saltwort was the most influential factor over the physical properties of the cake, among the dependent variables. Ordinary points of the surface responses from the cake formed the maximum points for loaf volume, hardness gumminess, and chewiness, while Hunter colorimetric parameters appeared with the saddle points. The result indicated that level of the saltwort deviating more or less from the optimal amount decreased the volume and increased the specific gravity with less tender product. Ordinary points of the surface responses of the sensory evaluation scores from the cake formed the maximum points for appearance, flavor, softness, and overall acceptability, while color values appeared with the saddle points. The result also indicated that the level of the saltwort deviating more or less from the optimal amount reduced the preference for the product. Integration of the optimum responses common to all dependent variables that overlapped all the contour maps finally indicated that the combination of 8.3${\sim}$13.8 g saltwort, 2.5${\sim}$6.6 g salt, and 486.5${\sim}$511.5 g wheat flour under the selected preparation recipe optimized the physical and sensory properties in the teamed foam cakes. Practical preparation of the product with median amounts of the ingredients, i.e., 11.0 g saltwort, 4.6 g salt, and 499.0 g wheat flour resulted in similar qualities to the predicted responses. In conclusion, these study results indicated that preparation of steamed foam cake with added saltwort ingredient could potentially produce a more nutritious product with less salt. Further research is required to acquire the optimum levels for sub-ingredients to improve the product quality.

Impact of a Cryotherapy and Tai Chi Self-help Program on Women with Fibromyalgia Syndrome (섬유근통 자조관리 프로그램이 여성 섬유근통 증후군에 미치는 영향)

  • Lee, Hea-Young;Bak, Won-Sook;Choi, Jung-Hyun;Lee, Soon-Hee;Eom, Ae-Yong
    • Korean Journal of Adult Nursing
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    • v.23 no.1
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    • pp.10-19
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    • 2011
  • Purpose: The purpose of this study was to evaluate the impact of a protocol of cryotherapy and Tai Chi on women with Fibrolmyalgia Syndrome. Methods: The study design was a pretest and posttest quasi-experimental, nonrandom assignment. The subjects were 48 outpatients with a diagnosis of fibromyalgia based on the American College of Rheumatology Standards. The setting was a University Medical Center in S city. The protocol was self administered ten times a week, for a two week period resulting in twenty treatments. Results: A protocol of cryotherapy and Tai Chi self-help program showed significant improvement in the fibromyalgia impact as measured by reports of physical impairment, feeing good, number of missed work days, ability to perform work, reports of pain, fatigue, rest, stiffness, anxiety and depression as reported by the comparison group (p<.001). No significant differences between the two regarding in reports of the tender points (p=.062). Conclusion: The results suggested that a protocol of cryotherapy and Tai Chi self-help program may be a promising multidisciplinary strategy for fibromyalgia patients.

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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A Case Study of Acute Appendicitis Improved by Pharmacopuncture Treatment (약침치료로 호전된 급성 충수염 환자 1례)

  • Cho, Soo-ho;Jung, Chul;Kim, Keum-ji;Ko, Seok-jae;Jung, Hwan-su;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.40 no.2
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    • pp.208-219
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    • 2019
  • Objectives: The aim of this study is to report the effect of pharmacopuncture on the treatment of acute appendicitis. Methods: A twenty-nine-year old male patient who was diagnosed with acute appendicitis was treated by V pharmacopuncture at Maengjang-point (盲腸点) and tender points on the abdomen for three days. Results: After three days of V pharmacopuncture treatment, appendicitis was improved. Conclusions: This case has shown the possibility of treating acute appendicitis with Korean medicine, rather than using western treatments such as surgery. Therefore, pharmacopuncture may be a possible treatment candidate for appendicitis.

A Case Report of Korean Medicine Treatment Focused on Acupotomy Therapy for Acute Cervical Radiculopathy Presenting with Shoulder Pain (어깨 통증 양상으로 나타난 급성 경추부 신경뿌리병증 환자의 침도치료를 중심으로 한 한의치료 1례)

  • Taehyeong, Kim;Dasol Park;Jungtae Leem;Gawon Choe
    • Korean Journal of Acupuncture
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    • v.41 no.2
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    • pp.51-57
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    • 2024
  • This case report aims to illustrate the diagnostic challenge and effective management of acute cervical radiculopathy presenting as shoulder pain, differentially diagnosed through physical examinations, and subsequently treated with acupotomy. A male patient in his late 20s with no significant medical history or comorbidities reported acute left shoulder pain upon awakening, rated at a severity of 7 on the numeric rating scale (NRS). Initial physical evaluations of the shoulder assembly revealed no abnormalities, but a positive Spurling test, relief with cervical distraction, and diminished sensation across the left C5~C8 dermatomes pointed towards a cervical spine origin. Immediate acupotomy at identified tender points significantly reduced pain, with additional therapies enhancing recovery. Pain was eliminated after the second treatment, and this resolution was sustained at the 4-week follow-up, confirming the treatment's effectiveness and verifying the absence of adverse effects. This case presents the critical need for precise diagnosis in cases of neck and shoulder pain. Additionally, the employment of acupotomy provided a swift and effective resolution of symptoms in acute cervical radiculopathy, showing its value in clinical practice.