• Title/Summary/Keyword: Tension headache

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Clinical Characteristic and Roentgenographic Finding of the Cervical Spine in Chronic Tension -type Headache (만성 긴장성 두통 환자의 경추 방사선 소견과 일반적 특성과의 상관관계 연구)

  • Kim, Min-Jung;Lee, Ki-Su;Kwak, Byung-Min;Lee, Eun-Kyoung;Choi, Eun-Hee;Park, Yang-Chun;Kang, Wee-Chang;Lee, Jin-Woo;Lee, Sang-Bong;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.59-70
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    • 2009
  • Objectives : Although CTTH is one of the most common symptom in primary headache, the mechanism and treatment is not definite. The purpose of this study is to research about clinical characteristic and roentgenographic finding of the cervical spine in CTTH to determine relationship between the cervical spine and headache. Methods : This study was carried out on 93 patients with CTTH. By roentgenographic finding, they were classified into four groups - HNP, Spondylosis, Sprain, Normal. Then the HNP group was divided again into two groups - singer type and multiple type. Results: 1. Among 93 patients with CTTH, 69(74.19%) patients had abnormal cervical spine by roentgenographic finding. 2. There were HNP, spondylosis, sprain in abnormal roentgenographic finding. And a great majority of the patients were diagnosed as cervical sprain. 3. There were no significant difference between four groups on sex, weight, height, blood pressure, pulse, respiratory rate. But on ages, the HNP group showed the highest average while the sprain group showed the lowest. 4. The patients in HNP group had more frequent, severe pain, longer onset and higher onset-age than those of the other three group. 5. The patients in Multiple-type HNP group had severe pain, longer pain-duration, longer onset, more pre-symptoms and younger onset-age than those of the Single-type HNP group. Conclusions : A great majority of the patients with CTTH had abnormal cervical spines. Also, we found out that the worse the grade of HNP, heavier the level of headache.

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Myofascial Pain Syndrome : A review of clinical characteristics of 47 patients (근막 동통 증후군 환자에 대한 조사 연구)

  • Kim, Suhn-Yeop;Kang, Heung-Kee;Kwon, Oh-Yun
    • Journal of Korean Physical Therapy Science
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    • v.2 no.1
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    • pp.393-404
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    • 1995
  • The purpose of this review was to examine the clinical characteristics of patients who had a diagnosis of Myofascial Pain Syndrome(MPS). Myofascial pain is a painful condition of skeletal muscle characterized by the presence of one or more trigger points. A trigger point(TrP) is a focus of hyperirritability in a tissues. Of the patients with MPS, 21(44.7 %) were male and 26(55.3 %) were female. The mean duration of MPS was 9.6 months for males and 11.3 months for females. Trigger points with associated referred patterns of pain were found in muscles of the post neck(trapezius, infrasupinatus) and in quadratus lumborum muscle. Patients reported increased fatigue(87.2 %), tingling sensation(66.0 %), numbness(66.0 %), tension(55.3 %), anxiety(44.7 %), headache (59.6 %), pilomotor activation(59.6 %).

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A Case of Myoclonus Presenting as a Side Effect of Amitriptyline (삼환계 항우울제의 부작용으로 나타난 간대성 근경련증 1례)

  • Choi, Jong-Pil;Park, Seong-Soo;Park, Joon-Seok;Na, Sang-Jun
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.2
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    • pp.155-157
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    • 2006
  • Myoclonus is manifested in a variety of situations including metabolic derangements, brain lesions, epilepsy, and drugs toxicity. We reported a rare case of amitriptyline-induced myoclonus. A 64-year-old man with a tension-type headache was administered amitriptyline at 15 mg/day. Eight days after initiation of amitriptyline, multifocal myoclonus developed, involving the face and upper extremities. Two hours after the administration of clonazepam at 1 mg, myoclonus resolved completely.

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A Research of Psychosomatic disorders caused by Qi-experience (기수련부작용의 정신신체장애에 대한 임상적 연구)

  • Shin, Yong-Cheol
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.1
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    • pp.97-102
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    • 2000
  • In the study of psychosomatic disorders caused by Qi-experience, the results were as follows: 1. People are becoming more and more interested in qigong, but sometimes peple are suffer from side effects from Qi-experience. In oder to treat this side effects of qigong, it is important to control Qi unbalance. And this is associated with the mechanism of stress-reaction. 2. The causes of side-effects were tension of body and mind, concentration of head, enduring breath, and wrong qigong-method, etc. 3. The symptoms of side-effects were headache, flushing face, chest discomfort, neck stiffness, indigestion, etc. 4. The theraphy of side-effects is herb-medicine, acupuncture, moxibution, and more effective by application of psychotheraphy, relaxation-theraphy, music, aroma, taping.

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Effects of Electrotherapy on Blood Velocity of Cranial Artery in Tension-Type Headache subjects (전기치료가 긴장형 두통환자의 뇌 혈류 속도에 미치는 영향)

  • Park Rae-Joon;Kim Jin-Sang;Lee In-Hak;Park Jang-hwan;Han Dong-Uck
    • The Journal of Korean Physical Therapy
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    • v.12 no.3
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    • pp.349-359
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    • 2000
  • The aim of study was to evaluated the possible role of cranial artery velocity in headache pathogenesis. The present study was studied of five headache(F=5. Mean $age=29.80\pm6.76yrs$) were compared to 4 controls(F=4, Mean $age=29.00\pm5.48yrs$). Transcranial doppler ultrasonography(TCD) is a new non-invasive and easily applicable method to evaluate flow velocities of the intracranial and extracranial cerebral arteries. TCD was performed with standard method to measure the mean Flow Velocity(MFV) of the middle and posterior cerebral arteries, the internal carotid artery, the vertebral and the basilar artery. We reviewed the whole TCD results performed at Taejon Veterans Hospital from October. 11. 2000 to November. 10. 2000. Mean flow velocities in headaches and controls at their 6 decades are $28.00\pm3.61cm/sec$ and $41.25pm1.71cm/sec$ in lent PCA (P<0.01), $50,000\pm23.07cm/sec$ and $82.75\pm15.59cm/sec$ in right MCA(P<0.05), $26.20\pm4.82cm/sec$ and $45.50\pm4.51cm/sec$ in fight PCA(P<0.01). $26.60\pm4.56cm/sec$ and $38.25\pm4.92cm/sec$ in right VAC(P<0.01). After treatment for 2 weeks, mean of velocity on pre treatment and post treatment and post treatment are $28.00\pm3.61cm/sec$ and $38.20\pm5.81cm/sec$ in left PCA (P<0.05), $26.20\pm4.827cm/sec$ and $39.20\pm5.54cm/sec$ in right PCA(P<0.05), $40.60\pm9.18cm/sec$ in right VA(P<0.01). It is concluded that Electrical Therapy for two weeks was effected to promote Mean Flow of Velocity in cranial artery. Mean of velocity in cranial artery with headaches observed in this study was lower than controls, but MFV was promote after treatment for 2 weeks.

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A Clinical Study on the Effects of Intravenous Wild ginseng Herbal Acupuncture on the Human Body (정맥 주입용 산삼약침이 인체에 미치는 영향에 관한 임상적 연구)

  • Kwon, Ki-Rok
    • Journal of Pharmacopuncture
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    • v.7 no.1 s.12
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    • pp.15-26
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    • 2004
  • Background : This study was conducted to evaluate the effects of wild ginseng herbal acupuncture developed for the intravenous use. Healthy male and female volunteers(n=57) went through Randomized Control Trials(RCT). Methods : For those who are under a medication due to common cold or other illnesses were excluded in the primary stage and the subjects with possible abnormalities in the pre-screening process were also excluded in the secondary stage. Then the examination groups were determined by random sampling. Experiment groups were divided into Normal saline injection group(control group), cultivated wild ginseng herbal acupuncture group(experiment group 1) and natural wild ginseng herbal acupuncture group(experiment group 2) Blood tension, body temperature, pulse, and other criteria were measured and analyzed. Results : 1. Intravenous injection of cultivated wild ginseng herbal acupuncture and natural wild ginseng herbal acupuncture didn't cause significant changes in the blood tension, pulse, body temperature, and etc. 2. No significant differences were witnessed in CBC, ESR, biochemistry of blood test and UA between the experiment groups. 3. No significant changes were noted in the thermography before and after the test in the experiment groups. 4. Some of the common physical changes occurring during and after the administration were fatigue, chest distension, and headache in all of the experiment groups. 5. Comparing general condition after one week from the termination of administration, the control group showed worst condition while as the natural wild ginseng herbal acupuncture group displayed best condition. Conclusion : From the above results, we can carefully deduce that the intravenous injection of the wild ginseng herbal acupuncture didn't show significant differences compared to injection of the normal saline. We can infer it is safe on the human body and further studies and reports must be followed.

A Study on the Subjective Symptoms of Workers and Users in Public Facilities (공중이용시설 근무자 및 이용자의 자각증상에 관한 연구)

  • Lee, Jong-Dae;Son, Bu-Soon;HwangBo, Yung
    • Journal of Environmental Science International
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    • v.20 no.2
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    • pp.175-183
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    • 2011
  • This study was conducted to survey the subjective symptoms of workers and users in selected 5 public facility groups(offices, performance halls, private crammers, wedding halls and indoor sports facilities), located in Seoul, Daejeon and Chungnam Province. Overall as subjective symptoms that were worse at public facilities than those usual, following responses appeared: I have a headache, My eyes are dry or feel irritated or itching, I feel eyestrain or my eyes are bloodshot, My nose was stuffy, I have a cough, I feel dry in the throat or inflammation happens, I feel oppressed in the breast or sometimes have difficulty in breathing, My skin gets dry, My skin is itching or has some spots, I feel like vomiting, I feel easily tired or sleep, I lose my concentration and I feel my memory is falling, I feel dizzy, I feel depressed, I feel being sharp and feel tension, I feel muscular pain or stiffness on shoulders, back and neck. Also, we compare with normal subjective symptoms scores and subjective symptoms scores in public facilities. The highest subjective symptoms score in at normal was my skin gets dry(2.35 points) and subjective symptoms score in public facilities was I feel eyestrain or my eyes are bloodshot(2.61 points).

Botulinum Toxin : Basic Science and Clincal Uses in Otolaryngology (Botulinum Toxin : 기초과학과 이비인후과 영역에서의 임상적 사용)

  • 최홍식;문인석;김한수;김현직
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.164-172
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    • 2002
  • The role of botulinum toxin as a therapeutic agent is expanding rapidly in otolaryngology. Botulinum toxin is a protease that blocks the release of acetylcholine from nerve terminals. Its effects are transient and nondestructive, and largely limited to the area in which it is administered These effects are also graded according to the dose, allowing for individualized treatment of patients and disorders. Botulinum toxin has been used primarily to treat disorders of excessive or inappropriate muscle contraction. In the field of otolaryngology, these include spasmodic dysphonia, oromandibular dystonia, and blepharospasm, vocal tics and stuttering, cricopharyngeal achalasia, various tremors and tics, hemifacial spasm, temporomandibular joint disorders and a number of cosmetic applications. Botulinum toxin treatment has recently begun to show some benefit in the control of pain from migraine and tension headache. It may also prove useful in the control of autonomic dysfunction, as in Frey syndrome, sialorrhea, and rhinorrhea. In over 20 yews of use in humans, botulinum toxin has accumulated a considerable safety record, and in many cases represents relief for thousands of patients unaided by other therapy.

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A Tremor Care after the Endodontic Treatment under Mandibular Block Anesthesia -A Case Report- (하악 차단마취하에 근관치료 후 유발된 진전(떨림) 치험 -증례 보고-)

  • Lee, Chun-Ui;Yoo, Jae-Ha;Kim, Jong-Bae
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.2
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    • pp.203-208
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    • 2010
  • Tremors are trembling movements and are seen in association with alcoholic intoxication, certain drugs, thyrotoxicosis, multiple sclerosis, hysteria, and nervous tension. Dental fears, such as, pain, drill, unknown, dependency, helplessness, mutilation and oral change, induce the neuroendocrine response (release of epinephrine and norepinephrine, etc). The clinical manifestations of epinephrine or other vasopressor overdose include : anxiety, tenseness, restlessness, throbbing headache, tremor, perspiration, weakness, dizziness, pallor, palpitation and respiratory difficulty. Signs of local anesthetic overdose appear clinically whenever the anesthetic level in the blood rises to an appropriate level in an individual. The clinical signs of moderate overdose levels include : talkativeness, apprehension, excitability, slurred speech, tremor and muscular twitching. This is a case report about the severe tremor care after the endodontic treatment under right mandibular block anesthesia in a 56-years old female patient.

Current evidence on acupuncture from sham needle studies (거짓침을 이용한 침연구의 현황)

  • Lee, Hyang-Sook
    • Korean Journal of Acupuncture
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    • v.23 no.1
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    • pp.95-109
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    • 2006
  • Objectives : There has been a considerable debate about how to best control for placebo effects in clinical trials of acupuncture. Recently several sham needles were developed and validated. This study aimed at summarising the validation studies of these needles and evaluating the outcomes of the randomised controlled trials (RCTs) using them. Methods : Computerised literature searches were performed using 'acupuncture' AND 'placebo OR sham' with a limitation of the results to RCTs in Medline via PubMed and the Cochrane Library. Only formally validated sham needle controlled studies were included. Data were extracted regarding study design, condition, sample size, credibility testing, intervention and outcomes. Methodological quality was assessed using a modified Jadad scale. Results : Three validated sham needles by Streitberger, Park, and Fink, were identified. Acupuncture's effectiveness for various conditions was tested using these needles in 12 RCTs. Real acupuncture was superior to sham acupuncture for rotator cuff tendonitis and hypertension. No significant differences between real acupuncture and sham acupuncture emerged for chemotherapy-related nausea and vomiting, postoperative nausea and vomiting, menstrually related migraine, acute stroke rehabilitation, chronic/episodic tension-type headache, neutrophil respiratory burst in healthy volunteers, alcohol withdrawal symptoms and chronic poststroke leg spasticity. Conclusions : The new sham devices have been adequately validated and may be useful tools for investigating specific research question. In spite of the sham needle's limits, the results of RCTs using such devices tend to suggest that the clinical effects of acupuncture are largely due to a placebo response.

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