• Title/Summary/Keyword: VAS (Visual Analog Scale)

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A Study on Effect and Satisfaction of Acupoint Sticking in Hottest Period of Summer (삼복첩의 치료 효과와 만족도에 대한 연구)

  • Song, Ji Hyun;Lee, Jin Hwa;Kim, Yun Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.1
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    • pp.1-10
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    • 2018
  • Objectives The purpose of this study is to understand effect on respiratory disease and satisfaction of parents about acupoint sticking in hottest period of summer. Methods A survey was conducted to the parents of their children who took acupoint sticking in Dog-days for two years in a row. 17 children (10 boys, 7 girls, 4.0-12.11 years) were attached Socheongo to BL-13, BL-15, BL-17 for 3 hours. In terms of the effectiveness of the therapy, the treatment only considered as effective when there is any improvement in respiratory symptoms. Results 11 children (64.7%) from the study group have shown positive effect. There were significant improvements in frequency of having a cold or duration of a cold; duration of rhinitis; frequency of having empyema or its duration; frequency of having bronchitis; frequency of having pneumonia; frequency of having otitis media. Respiratory health VAS (Visual Analog Scale) had significant increase from 5 to 6.71 (p<0.05). 7 parents (41.2%) were satisfied with acupoint in hottest period of summer and 16 parents (94.1%) wanted to have their children get treated again in next year. From the survey, inconveniences of acupuncture were weak attachment of the acupoint (23.5%), long attaching time (11.8%), pressure about number of treatments (5.9%), worry about side effects (5.9%). Side effects have been reported; 2 pruritus (11.8%), 1 pruritus and erythema (5.9%). Conclusions Acupoint sticking in hottest period of summer improves lung symptoms in children older than three years old. However, the ways to reduce the side effects and inconveniences are needed.

A Clinical Case of Oriental Medical Treatment for the Paraplegia after Lumbar Epidural Nerve Block (요추 경막외 차단술 후 발생한 하지마비의 한의학적인 치료 효과 - 증례 보고 -)

  • Yu, Deok-Seon;Kim, So-Yeon;Kim, Dong-Eun;Jung, Il-Min;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.219-228
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    • 2009
  • Objectives : This study was performed to report the effect of oriental medical treatment in the paraplegia and pain after epidural nerve block. Methods : A 39-year-old woman who underwent epidural nerve block at a local clinic was admitted with motor weakness of lower limbs, severe lower radiating pain and decreased sensation when voiding and defecating. We treated her by acupuncture, a herbal medicine, a bee venom injection, moxibustion and cupping treatment and physical theraphy from 11th July 2008 to 14th October 2008. Results : After treatment, most symptoms decreased, VAS(Visual Analog Scale) score changed from 9 to 2. and examinated muscle power changed from 2-3 to 4-5. Conclusions : Our study suggested that oriental medical treatments are significantly effective in the paralplegia and pain after epidural nerve block. And further studies will be aid to identify underlying mechanism of treatment.

Research on the Amount of Stimulus Differences According to Pharmacopuncture Injected dose and Characters Method (약침 주입 용량 및 자입 방법에 따른 자극량 차이 연구)

  • Choi, Yu Na;Oh, Ji Yun;Cho, Hyun Seok;Kim, Kyung Ho;Kim, Kap Sung;Lee, Seung Deok;Kim, Eun Jung
    • Journal of Acupuncture Research
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    • v.32 no.1
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    • pp.89-95
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    • 2015
  • Objectives : This study was designed to discover the difference in stimulation effect when the volume and insertion method of mountain ginseng pharmacopuncture was varied. Methods : 48 healthy people were randomly injected with 0.1, 0.3, 0.5, and 0.7 cc of mountain ginseng pharmacopuncture, perpendicularly or transversely at acupoints $LI_9$ and $LI_{10}$. The subjects noted their level of stimulation on a 100 mm visual analog scale(VAS) immediately after, 3 minutes after, and 5 minutes after the treatment. Results : There was no significant statistical difference in the stimulation strength between perpendicular injection and transverse injection pharmacopuncture. There was significant statistical difference in the stimulation strength when the volume of pharmacopuncture was varied. As the volume of pharmacopuncture increased from 0.1 cc to 0.3 cc, and to 0.5 cc, the stimulation strength increased as well. Conclusions : We found that volume of pharmacopuncture may be a controlling element for mountain ginseng pharmacopuncture. Additional study is needed for pharmacopuncture's stimulation adjusting factors.

Comparison Study on 30 Cases of HIVD Patients with Restricted on SLRT by Sa-Am Acupuncture Banggwangjeonggyeok(膀胱正格) and General Acupuncture (하지직거상검사(下肢直擧上檢査)상 제한을 보이는 요추추간판태출증(腰椎椎間板脫出症) 환자 30례에 대한 방광정격(膀胱正格)과 체침(體鍼)의 비교연구)

  • Yoon, Kwang-Shik;Lee, Hyun;Kang, Jae-Hui;Choi, Joo-Young
    • Journal of Acupuncture Research
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    • v.27 no.5
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    • pp.79-87
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    • 2010
  • Objectives : This study was designed to evaluate the effects of treatment of HIVD patients with lower back pain, lower limb radiating pain and restricted on SLRT by the Sa-Am acupuncture. Methods : From March 2010 to July 2010, thirty HIVD patients who admitted to Cheonan oriental medical hospital in Daejeon university were divided into two groups. Group I was treated by Sa-Am acupuncture Banggwangjeonggyeok and general acupuncture, Group II by general acupuncture. We evaluated the treatment effect of each group with the Visual Analog Scale(VAS), Oswestry Disability Index(ODI), SLR test, dividing two period(from admission day to third day after admission and from third day to sixth day after admission). Results : 1. Group I is more effective than Group II in early pain and reducing rate of pain. 2. Group I is more effective than Group II in ODI score reducing rate from admission day to third day after admission, but there was no significant difference between the two groups from third day to sixth day after admission. 3. Group I is more effective than Group II in early SLR test improvement rate. Conclusions : Sa-Am acupuncture Banggwangjeonggyeok on HIVD patients with lower back pain, lower limb radiating pain and restricted on SLR test was effective in reducing pain and improving SLR test.

The effects of lumbar extensors strengthening program on low back muscle power and mass, pain, return to work of patients who took laser operation for herniated lumbar disc (요부신전강화 운동프로그램이 단순추간판탈출증 수술환자의 요부근육 및 통증 그리고 사회복귀에 미치는 영향)

  • Hwang, Seong-Soo;Kim, Myung-Joon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.10 no.2
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    • pp.45-56
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    • 2004
  • OBJECTIVE: The objective of this study was to know the effects of the postoperative lumbar extensor strengthening exercise program on back muscles strength and volume, pain, and the time of return to work. METHODS: A prospective controlled trial of lumbar extensor exercise program in patients who underwent microdiscectomy or percutaneous endoscopic discectomy for prolapsed lumbar intervertebral disc. Seventy-five patients were randomized into exercise group (20 male, 15 female) and non-exercise group (18 male, 22 female). Six weeks after surgery, patients in exercise group undertook a 12-week lumbar extension exercise (MedX) program. Assessment of spinal function was performed in all patients on postoperative 6 weeks, 18 weeks. The assessment included measures of lumbar extensor power, muscle mass of erector spinalis. All patients completed the visual analog scale (VAS) for evaluation of pain, and return to work. RESULTS: In muscle power, there were statistically significant improvements between pre and post test on muscle power in exercise group. But there were not statistically significant difference on muscle power in non-exercise group. In muscle mass, there were statistically significant difference between pre and post test on muscle mass in exercise group. But there were not statistically significant difference on muscle mass in non-exercise group. In the pain, there were statistically significant decrease between pre and post test on both group. But there were not statistically significant difference on fatty tissue and obesity in non-exercise group. The percentages of return to work in postoperative 4 months were significantly greater in the exercise group than in the non -exercise group. CONCLUSIONS: Postoperative lumbar extensor strengthening exercise program appears to be more beneficial to the patients who underwent operation for prolapsed lumbar intervertbral disc.

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Contributing factors related to patients' pain on implant surgery (임플란트 수술 시 통증에 영향을 주는 요인에 관한 평가)

  • Kim, Yong-Tae;Park, Jung-Chul;Yun, Jeong-Ho;Jung, Ui-Won;Kim, Chang-Sung;Cho, Kyoo-Sung;Chai, Jung-Kiu;Choi, Seong-Ho
    • The Journal of the Korean dental association
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    • v.49 no.2
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    • pp.95-103
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    • 2011
  • Purpose : The purpose of this study was to identify and assess factors that may contribute to pain of patients undergoing implant surgery. Materials and Methods: A total of 24 patients who underwent implant surgery were included in the study. Each patient's anxiety was measured using Corah's dental anxiety score(DAS) and modified Spielberger's state-trait anxiety inventory(STAI) immediately after the operation. Also, level of pain was measured using visual analog scale(VAS) during the operation and 48 hours after the surgery. The effect of various factors, such as demographic variables, previous dental experiences and operation time were also analyzed. Results: Postoperative pain levels were relatively low than expected. However, DAS and STAI were high among patients, and it showed that patients had anxieties about implant surgery according to DAS and STAI values. The previous dental experience did not affect the pain level, but the duration of surgery and the presence of accompanied advanced surgery did. Conclusion: To reduce patient's pain, proper management of anxiety will be required and careful attention is needed when performing local infiltration.

The Use of 5% Lidocaine for Prolonged Analgesia in Neuropathic Pain Patients (신경병증성 통증 환자에서 지속적 진통을 위한 5% 리도카인의 사용)

  • Park, Sung-Wook;Kim, Dong-Ok;Kim, Keon-Sik;Choi, Young-Kyu;Kwon, Moo-Il;Shin, Kwang-Il;Lee, Doo-Ik
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.3 no.1 s.4
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    • pp.6-9
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    • 2003
  • Background: The use of neurolytic agents to control neuropathic pain has been described from the last century Phenol and ethyl alcohol have been widely used as neurolytic agents, however, their neurolytic effect is variable in efficacy and duration of action, and infrequently accompanied with grave complications. It has been found that 5% lidocaine causes irreversible conduction blockade in animal studies. The goal of this study was to evaluate the neurolytic effect of 5%o lidocaine on various neuropathic pain syndromes for prolonged analgesia. Methods: Twenty-five patients with a diagnosis of neuropathic pain including trigeminal neuralgia (n = 7), postherpetic neuralgia (n = 10), and postsurgical neuralgia (n = 8) were selected after failure of routine therapeutic regimens. After performing a diagnostic nerve block with 1% lidocaine and 5% lidocaine was injected. The patients were followed for 6 months. Visual analog scale (VAS) scores and side effects were recorded for each patients. Results: A significant decrease in pain scores after neurolytic blockade with 5% lidocaine was seen in all of three pain groups. All the patients reported immediate and prolonged pain relief lasting from 4 weeks to 6 months. None of patients exhibited any appreciable side effects or complications. Conclusions: We suggest that 5% lidocaine may be used safely and effectively for the purpose of prolonged analgesia in selected patients with intractable neuropathic pain syndromes.

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The Effect of Different Starting Periods of Passive Exercise on the Clinical Outcome of Arthroscopic Rotator Cuff Repair

  • Back, Young-Woong;Tae, Suk-Kee;Kim, Min-Kyu;Kwon, Oh-Jin
    • Clinics in Shoulder and Elbow
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    • v.17 no.2
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    • pp.57-63
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    • 2014
  • Background: To compare the effect of different starting periods of rehabilitative exercise (early or delayed passive exercise) on the rate of retear and other clinical outcomes after the arthroscopic repair of the rotator cuff. Methods: In total, 103 patients who underwent arthroscopic repair of the rotator cuff were included in the study. Determined at 2 weeks post-operation, patients who were incapable of passive forward elevation greater than $90^{\circ}$ were allotted to the early exercise group (group I: 79 patients; 42 males, 37 females), whilst those capable were allotted to the delayed exercise group (group II: 24 patients; 14 males, 10 females). The group I started passive exercise, i.e. stretching, within 2 weeks of operation, whilst group II started within 6 weeks. The results were compared on average 15.8 months (11-49 months) post-operation using the passive range of motion, the Visual Analog Scale (VAS) pain score, and the University of California at Los Angeles (UCLA) and Constant scores. Stiffness was defined as passive forward elevation or external rotation of less than $30^{\circ}C$ compared to the contralateral side. Follow-up magnetic resonance imaging (MRI) was carried out on average 1 year post-operation and the rate of retear was compared with Sugaya's criteria. Results: There were no differences between the two groups in gender, age, smoking, presence of diabetes, arm dominance, period of tear unattended, pre-operative range of motion, shape and size of tear, degree of tendon retraction, and tendon quality. There were no significant differences in clinical outcomes. Whilst stiffness was more frequent in group II (p-value 0.03), retear was more frequent in group I (p-value 0.028) according to the MRI follow-up. Conclusions: During rehabilitation after the arthroscopic repair of the rotator cuff, the delay of passive exercise seems to decrease the rate of retear but increase the risk of stiffness.

A Case Report of Herbal medicine Byeong-geo-tang(竝祛湯 : bing qu tang) on rheumatoid arthritis (병거탕을 사용한 류마토이드 관절염 치험 1례)

  • Hwang, Eui-Hyoung;Kim, Jong-Hoe;Yang, Chang-Yeop;Kim, Sang-Un
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.14 no.1
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    • pp.73-80
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    • 2008
  • Objectives: The purpose of this study is to find clinical approachment of rheumatoid arthritis with herbal medicine Byeong-geo-tang(竝祛湯 ; bing qu tang) Methods: We provided acupuncture, bee venom aqua - acupuncture, Byeong-geo-tang(竝祛湯 ; bing qu tang) on a patient of rheumatoid arthritis. Symptoms were estimated with the visual analog scale. Results: Patients chief complaints were pain and ankylosis of her right fingers and left toes and pain of her both wrists. Symptoms were relieved from 7 to 0 VAS after treatment. Conclusions: We observed that complex therapy of acupuncture, bee venom aqua - acupuncture, Byeong-geo-tang(竝祛湯 ; bing qu tang) redused symptoms of the patient. We expect this clinical report may be helpful to rheumatoid arthritis treatment.

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The Effect of Stabilization Exercise and Strength Exercise on Pain, ROM, Strength, Muscle Thickness of Non-Specific Low Back Patients (안정화 운동과 근력운동이 비특이성 요통환자의 통증, 관절가동범위, 근력, 근 두께에 미치는 영향)

  • Jeong, Chanju;Yang, Hoesong;Yoo, Youngdae;Kno, Hynujun;Jang, Yunhyung;Moon, Kyoungae;Yi, Yunkyong;Lim, Changwoo;Cho, Silgeum
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.1
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    • pp.35-49
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    • 2014
  • Purpose : The purpose of this study was to find the effects of the lumbar stabilization exercise and strength exercise on pain, ROM, strength, muscle thickness of low back pain(LBP) patients. Method : The subjects were consisted of twelve patients who had nonspecific LBP. All subjects randomly assigned to lumbar stabilization exercise group(N=6) and strength exercise group(N=6). We measured muscular strength, ROM by using Tergumed-extension, rotation and muscle thickness by using ultrasonography and pain score by using Visual analog scale(VAS). The lumbar stabilization exercise group received TOGU exercise, strength exercise group received Tergumed exercise. The data analyzed by repeated measure of Independent t-test, paired t-test, reliability test. Result : The results were as follows. The result which measured of the change of pain score was a significant decrease. The result which measured of the change of ROM and strength was a significant increase. The result which measured of the change of the Internal abdominal oblique, External abdominal oblique on muscle thickness was a significant increase. Stabilization exercise group and Strength exercise group showed the significant difference in muscle thickness on Transversus abdominis, Multifidus. Stabilization exercise group was more increased in muscle thickness. Conclusion : Therefore, we suggest that stabilization exercise is effective for non-specific low back pain.