• 제목/요약/키워드: VAS score

검색결과 983건 처리시간 0.031초

경추부 후종인대 골화증 1례에 대한 증례보고 (A Case Report on the Ossification of the Posterior Longitudinal Ligament of the Cervical Spine)

  • 이정한;박태용;조준기;김대중;김남수;신병철;송용선;고연석
    • 대한추나의학회지
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    • 제6권1호
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    • pp.157-167
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    • 2005
  • 후종인대 골화증의 수술적 단계 이전의 환자에 대한 보존적 치료는 대증적 치료가 주가 되어 왔다. 본 증례에서는 침구요법, 부항요법, 한약물요법, 한방 이학요법, 추나요법을 시행한 후종인대 골화증 환자에서 시각적 상사척도의 각 치료기간별 감소 및 경추부 가동역의 증가와 더불어 JOA Score의 향상, OPLL의 임상적 등급이 호전되는 치료 효과를 나타내게 되었다. 향후 본 질환에 대하여 보다 심도있는 한의학적 연구가 진행된다면 후종인대 골화증의 보존적 치료에 있어서 한방요법이 뚜렷한 역할을 하리라 기대하며 보다 많은 증례와 더불어 본 질환에 대한 평가의 기준 및 한방적 치료의 지침에 대한 연구가 진행되어야 한다.

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시간교환법과 시각화척도 방법을 이용한 폐경 후 에스트로겐 결핍증에 대한 효용 측정 (Measuring Utility for Menopausal Symptoms Based on Time Trade-Off and Visual Analogue Scale Methods)

  • 임승지;강혜영;강영주;이병석;박형무;신동혁
    • 보건행정학회지
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    • 제17권4호
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    • pp.113-133
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    • 2007
  • The present study was conducted to measure health-related utility for post-menopausal symptoms among Korean woman. A survey questionnaire was developed to measure utility based on visual analogue scale(VAS) and time trade-off method (TTO). From January 29 to February 3, 2007, a face-to-face interview was conducted with 274 women aged 45 to 60 to ask about their subjective utility for hypothetical health status of mild or severe post-menopausal symptoms. Among the participants, 160 were recruited from outpatient departments of 3 hospitals and 114 from 2 sports centers located in Seoul. For mild symptom, the average utility score of the respondents was $0.63{\pm}0.14$ based on VAS and $0.61{\pm}0.26$ based on ITO. For severe symptoms, the average utility was $0.39{\pm}0.16$(VAS) and $0.44{\pm}0.27$ (TTO). For severe symptom, a higher utility score was observed for TTO than for VAS, which is consistent with earlier studies and thus supports the validity of the utility measurement in this study. Overall, the severity of post-menopausal symptoms of the respondents themselves was not significantly associated with the utility score that the respondents answered for hypothetical health status. Multiple regression analysis results showed that the utility score was significantly higher among respondents with older age, higher education, higher family income, and from hospitals. It is expected that the utility score measured in this study will enhance the understanding of the quality of life of women after menopause and will be used to conduct cost-utility analysis of health care interventions to treat post-menopausal symptoms.

견관절 전방 불안정증에서 관절경적 방카트르 봉합술 시 흡수성 매듭 봉합 나사못과 흡수성 비 매듭 봉합 나사못을 이용한 임상적 치료결과 비교 (Clinical Results of Arthroscopic Bankart Repair with Absorbable Knot-tying and Absorbable Knotless Suture Anchors)

  • 김성준;;오경수;방승철;박진영
    • 대한관절경학회지
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    • 제17권1호
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    • pp.50-55
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    • 2013
  • 목적: 방카르트 병변을 동반한 견관절 전방 불안정증에 대한 관절경적 치료에서 흡수성 매듭 봉합 나사못 과 흡수성 비매듭 봉합 나사못의 임상결과를 비교 분석하고자 하였다. 대상 및 방법: 본연구는 흡수성 매듭 봉합 나사못과 흡수성 비 매듭 봉합 나사못을 이용하여 관절경적 방카르트 봉합술을 시행 받고, 1년 이상 추적관찰이 가능했던 111명의 환자를 대상으로 하였다. 흡수성 매듭 봉합 나사못 이용한 환자군(KT군)은 59명, 흡수성 비 매듭 봉합 나사못(KL군)을 이용한 환자 군은 52명이였다. 평균 추적 관찰 기간은 각각 25.9개월과 37.0개월이었다. 임상적 평가는 통증의 주관적 시각 척도(visual analogue scale for pain, VAS for pain), 관절 운동 범위, Rowe score, American shoulder and elbow surgeons (ASES) score, 그리고 재탈구율을 측정, 비교하였다. 결과: 주관적 시각척도에 의한 통증의 정도는 흡수성 매듭 봉합 나사못을 이용한 환자 군은 평균 0.5점, 흡수성 비 매듭 봉합 나사못을 이용한 환자 군은 0.8점이었고(p=0.250), 수술 후 관절 운동 범위 제한은 매듭 흡수성 매듭 봉합 나사못을 이용한 환자 군에서는 발견되지 않았고, 흡수성 비 매듭 봉합 나사못을 이용한 환자 군에서는 1예가 발생하였다. Rowe score는 각각 평균 94.3점 및 96.3점(p=0.412), ASES score는 각각 97.29점과 94.03점이었다(p=0.052). 술 후 재 탈구는 KT군에서 4예, KL군에서는 1예가 있었으며 양 군에서 재 탈구 빈도는 통계적 의의가 발견되지 않았다(p>0.05). 결론: 흡수성 매듭 봉합 나사못과 흡수성 비 매듭 봉합 나사못을 이용한 방카르트 병변 봉합술은 임상적으로 우수한 결과를 보였으며 본 연구에서는 두 방법 사이에 재 탈구 율을 포함한 결과의 차이를 발견할 수 없었다.

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만성 긴장성 두통 환자의 침치료 지속효과에 대한 임상연구 (Persisting Effects of Acupuncture Method for Chronic Tension-type Headache;A Randomized Controlled Trial)

  • 곽병민;김민정;김연미;이재민;박양춘;조정효;정인철;강위창;이상봉;최선미;홍권의
    • Journal of Acupuncture Research
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    • 제25권2호
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    • pp.165-177
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    • 2008
  • Objectives : Headache is one of the most common symptom in primary medical care. The purpose of this research is to examine persisting effects of acupuncture treatment for CTTH. Methods : In this randomized, single blind, placebo-controlled study, we compared active acupuncture with sham acupuncture method for the treatment of chronic tension-type headache. Volunteers who satisfied the requirements were enrolled in study. Evaluation of CTTH was measured by VAS, and Headache Disability Inventory(HDI), Six point Likert Scale, Algometer score(Rt, Lt) before and after treatments. Results : 32 subjects finished study. There were no difference between two group on age, sex, weight, height, blood pressure, pulse, respiratory rate, differentiation of symptoms, surmise of treatment. In change of VAS, after treatment decreased than before treatment in two group, but there were no statistical significance compared with two group and time. In change of HDI(Total score, Emotional score, Functional score) and Six point Likert scale, after treatment decreased than before treatment in two group, but there were no statistical significance compared with two group and time. In change of two sides Algometer score, after treatment increased than before treatment in two group, and Lt algometer score was statistical significance compared with two group(p<0.001). And both sides Algometer score, threr were statistical significance compared with time. Conclusions : Acupuncture treatment has persisting effects that improve the symptoms and decrease the temporal muscle tenderness in patient with chronic tension-type headache.

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펜싱선수에서 통증과 수행 능력이 기능적 동작 검사에 미치는 영향 (The Effects of a Functional Movement Screen on Pain and Performance Ability in Professional Fencing Players)

  • 김성렬;이제훈;안승헌
    • The Journal of Korean Physical Therapy
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    • 제23권1호
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    • pp.21-28
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    • 2011
  • Purpose: The aim of this study was to investigate correlations between the Functional Movement Screen (FMS), pain, and performance ability in professional fencing players. Methods: Fifty-six athletes participated in this study. The pain group included those who had a score on a pain-related Visual Analogue Scale (VAS) of ${\geq}$20 and an Oswestry Disability Index (ODI) score ${\geq}$10). In the non-pain group, these scores were: VAS(<20), ODI(<10). The VAS and ODI were used to measure pain throughout the study. Performance ability included motor function of the lower extremities (as assessed by a Modified Functional Index Questionnaire, MFIQ), dynamic balance (Balance system, BS and Posture med, PM), flexor and extensor muscle strength of the lumbar region was recorded as maximal isometric strength. Results: Among athletes who had pain, 5 of 15(33.33%) showed impaired functional movement. Conversely, only 2 of 41(4.88%) of those who had no pain showed such impairment (FMS ${\leq}$14score). The athletes who had pain and who had an FMS score above 14 (10/56; 17.86%) showed a significantly higher score for extensor muscle strength of the lumbar compared with those with pain and an FMS score below 14 (5/56; 8.93%) were significant correlations between the FMS and pain (r=-0.40 to -0.42, p<0.01), the MFIQ (r=-0.33, p<0.05), dynamic balance (r=-0.27 to -0.40, p<0.05-0.01), muscle strength of the lumbar (r=0.27 to 0.29, p<0.05). Stepwise multiple regression analysis showed that the dynamic balance score (${\beta}{\beta}$=-0.41) had slightly more power in predicting FMS score than pain, motor function of lower extremity, or muscle strength. Conclusion: The FMS was significantly associated with values of pain, motor function of the lower extremities, dynamic balance, and muscle strength of the lumbar. However the FMS appears to lack relevance and reasonable evidence to suggest that it is an acceptable measurement tool for functional movement analysis.

추나치료를 병행한 임신초기 급성요통 한의 치험 1례 (A Clinical Study of Acute Low Back Pain treated by Chuna & General Oriental Therapy during Pregnancy)

  • 이은희
    • 대한한방부인과학회지
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    • 제29권3호
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    • pp.110-120
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    • 2016
  • Objectives: The object of this study is to report a clinical effect of oriental medical treatments with Chuna for acute low back pain during the early stages of pregnancy.Methods: The patient in this case, 31 years-old female was admitted for 1days (20th/June/2016-30th/June/2016) due to the acute low back pain on the 7 weeks of pregnancy. We diagnosed as 挫閃腰痛, 傷筋 (Sprain and strain of lumbar spine) and treated with Chuna therapy and other conservative treatments including acupuncture herbal mixture. And we measured Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ).Results: After treatments, Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ) were significantly improved in case.Conclusion: Oriental medical treatments with Chuna manual therapy were associated with improvement of acute low back pain during the early stages of pregnancy.

골반통 및 배뇨곤란을 주소로 하는 전립선염 환자의 경근자법 치험례 (Effect of Meridian Tendino-musculature Acupuncture on a Patient with Chronic Prostatitis)

  • 이지인;강미숙
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.223-232
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    • 2014
  • Objectives : The objective of this study was to report a effectiveness of meridian tendino-musculature acupuncture on the pelvic pain and dysuria in a patient with chronic prostatitis. Methods : A patient with Pelvic pain and Dysuria was treated with acupuncture and moxibustion. Before and After treatment we measured International Prostate Symptom Score(IPSS), National Institutes of Health-Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS). Results : International Prostate Symptom Score(IPSS), National Institutes of Health -Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS) scores were decreased considerably after 14 times treatment. Conclusions : It was suggesting that symptoms(pelvic pain and dysuria) of chronic prostatitis could be improved by acupuncture and moxibustion treatment in the view of the meridian tendino- musculature acupuncture.

항문 및 외음부 궤양 치험 1례 (A Case report of Ulcer Occurred in Anus and Vulva)

  • 김근립;이규영;홍철희
    • 한방안이비인후피부과학회지
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    • 제33권2호
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    • pp.164-173
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    • 2020
  • Objectives : The purpose of this study is to report the effectiveness of using korean medical treatment on ulcer occurred in Anus and Vulva. Methods : We treated the patient with Taglisodog-eum(托裏消毒飮), acupuncture, and korean medical treatment using herb such as ointment and fumigation therapy. VAS score, Photographs were used to evaluate the effects of treatment. Results : After the total treatments, VAS score decreased from 7 to 1. In this case, we treated ulcer and checked regeneration of new tissue. Conclusions : The result suggests that Korean medical treatment including Taglisodog-eum(托裏消毒飮) can be effective in treatingulcer.

가열식 화침을 이용한 외상성 내측측부인대 손상 치험 5례 (The Effect of Burning Acupuncture Therapy on the Traumatic Injury of Medial Collateral Ligament : Report of Five Cases)

  • 이광호;유영진;선승호;권기록
    • Journal of Acupuncture Research
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    • 제27권1호
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    • pp.149-155
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    • 2010
  • Objective : The purpose of these cases is to observe the effect of burning acupuncture therapy on the traumatic injury of medical collateral ligament. Methods : The patients were treated by burning acupuncture therapy to recover injury of medical collateral ligament. The progress evaluation of knee joint pain was measured by the knee society knee score(KSKS), function score (KSFS) and visual analog scale(VAS). Results : KSKS & KSFS were increased and VAS decreased in all cases. Conclusions : We had concluded that the burning acupuncture therapy can be effective to knee joint pain caused by traumatic injury of medial collateral ligament.

만성 미골통을 호소하는 미골 후방 아탈구 환자의 추나 치료 치험 1례 (A Case Report of Decreased Chronic Coccygodynia from Coccygeal Subluxation after Chuna Manipulation)

  • 차윤엽;남동현
    • 한방재활의학과학회지
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    • 제20권2호
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    • pp.191-197
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    • 2010
  • Coccygodynia is a common problem that is characterized by pain in the tailbone that radiates to the lower sacral and perineal areas. The purpose of this study is to report the pain decrease after Chuna manipulation on a chronic coccygodynia patient. We diagnosed a patient suffering from chronic coccygodynia as subluxation of Co2 below Co1. And we treated for correcting the subluxation with Chuna manipulation. The effectiveness of the Chuna manipulation was evaluated with visual analogue scale(VAS) score and the angle between Co1 and Co2. It was decreased that both VAS score and angle between Co1 and Co2. The effect was maintained for a period of at least 6 months. We concluded that Chuna manipulation has effectiveness on chronic coccygodynia from coccygeal subluxation.