• 제목/요약/키워드: VAS score

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Radiofrequency Neurotomy for Remnant Pain after Vertebroplasty as the Treatment of Severe Compression Fracture

  • Kim, Saeng-Youp;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.95-98
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    • 2006
  • Objective : The aim of this study is to evaluate the feasibility, safety and effectiveness of radiofrequency neurotomy[RFN] for remnant pain after vertebroplasty for the treatment of severe compression fracture. Methods : 25 patients with remnant pain after vertebroplasty for one level severe compression fracture were treated by RFN. The severe compression fractures were defined to the vertebrae which less than 50% of their original heights have collapsed. Pain relief was evaluated at 2 weeks, 6 weeks and 3 months after the procedure using a visual analog scale[VAS]. Results : Successful outcome was determined if pain reduction exceeded 50% on the VAS at 6 weeks. Six of the 25 patients did not respond favorably to RFN [pain reduction less than 50%], and nineteen patients showed successful responses. Mean VAS score was decreased from 5.48 to 2.96 at 6 weeks. Conclusion : The radiofrequency neurotomy may be both feasible and useful treatment for the remnant pain after vertebroplasty. However long-term follow up is needed to confirm the effectiveness.

경추 추간판 탈출증으로 수술 권유를 받은 환자에게 한의학적 치료가 임상증상 및 삶의 질 개선에 미치는 영향 (The Effectiveness of Oriental Medical Treatments to Symptoms and Quality of Life in the Patients with Herniated Cervical Disc being Suggested Operation)

  • 박종민;이명종
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.35-42
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    • 2011
  • Objective : The purpose of this study is evaluated the effects of Oriental treatments to symptoms and quality of life in the patients with herniated cervical disc being suggested operation. Methods : 20 patients diagnosed with herniated cervical disc by MRI in hospital were treated by oriental medical treatments. Symptoms of the patients were assessed by analogue scale(VAS) and SF-36. Results : After 12 weeks treatments, the VAS of symptoms of herniated cervical disc and the score of SF-36 were significantly improved. Conclusions : It could be suggested that oriental medical treatments were effective for the patients with herniated cervical disc being suggested operation. Further study of the effect of oriental medical treatments on herniated cervical disc is needed.

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수근관절(手根關節) 염좌(捻挫)의 봉약침(峰藥鍼) 치료(治療) 효과(效果) (Effect of Bee venom-Acupuncture Therapy on Patients with Sprain of the Wrist Joint)

  • 안병준;송호섭
    • 대한약침학회지
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    • 제9권2호
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    • pp.167-171
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    • 2006
  • Objective : This study was to evaluate the effect of Bee venom-Acupuncture therapy on patients with sprain of the wrist. Methods : We investigated 31 cases of patients with sprain of the wrist. We flip a coin and divide patients into two groups. Bee venom-Acupuncture was performed at on group, and the other group we didn't do it. We evaluated the treatment effect of each group by using the visual analog scale(VAS). Results : 1. As a result of evaluation by using the VAS, the score after treatment was marked lower than that before treatment within each group. 2. After treatment, Bee venom-Acupuncture therapy group showed significant difference on visual analog scale(VAS) compared with acupuncture therapy group. Conclusion : These results suggested that Bee venom-Acupuncture treatment should be more effective in the patient with sprain of the Wrist joint.

가미통경탕(加味通經湯)의 원발성 월경통에 관한 임상적 효과 : 후향적 차트 리뷰 (A Study of Gamitonggyung-tang's Clinical Effects on Primary Dysmenorrhea: A Retrospective Chart Review)

  • 김하늘;김민지;유영재;김서영;임영우;박영배
    • 대한한방부인과학회지
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    • 제32권3호
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    • pp.116-127
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    • 2019
  • Objectives: The purpose of this study is to evaluate the effects of Gamitonggyung-tang on Primary Dysmenorrhea. Methods: We treated 33 cases of primary dysmenorrhea patients with Gamitonggyung-tang for three menstrual cycles. We estimated the effects by Visual Analog Scale (VAS), Menstrual Distress Questionnaire (MDQ) and checked amount of the analgesics taken during menstrual phase. Results: After treatment, the mean of VAS, MDQ Score and amount of the analgesics taken were decreased. Conclusions: This case shows that Gamitonggyung-tang is effective in treating primary dysmenorrhea patients.

요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구 (Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous)

  • 유상민;이종영;이향숙;권기록
    • Journal of Acupuncture Research
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    • 제23권5호
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    • pp.39-54
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    • 2006
  • Objectives : Herniation of Nucleus Pulpous (HNP) of Lumbar is one of the most common causes of low back pain. The aim of this study is to investigate the effectiveness of acupuncture, bee venom acupuncture (BVA), and bee venom Pharmacopuncture (BVP) therapy for HNP. Methods : We separated 35 patients with HNP of L-spine into three groups; Acupuncture treated group, BVA treated group, and BVP treated group, and monitored for 30 days. 4 grades of recovery degree, score of Visual Analog Scale (VAS), and Oswestry Disability Index (ODI) were examined for comparison. Results : 1. Visual Analogue Scale of low back pain and radiating pain showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_2, VAS0_3 evaluations. 2. ODI of disability of daily activities showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_1, VAS0_2, and VAS0_3 evaluations. 3. Compared to the Acupuncture group, BVA and BVP groups were improved in S.L.R.T and R.O.M of L-spine as confirmed by the physical examination. 4. Treatment efficacy was more apparent in acute cases as ODI was significantly lower than chronic cases. Conclusion : BVA and BVP therapies can be used in addition to the acupuncture therapy for highly effective treatment of HNP. Further clinical studies are required to verify these findings.

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무지 외반증의 근위 갈매기형 절골술 후 고정 방법에 따른 결과 차이 (The Differences between Fixation Devices for Proximal Chevron Osteotomy in Hallux Valgus Surgery)

  • 김택선;강규복;강종우;김학준
    • 대한족부족관절학회지
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    • 제12권1호
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    • pp.26-30
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    • 2008
  • Purpose: The authors evaluated the differences between K-wires and Bold screw for fixing the proximal metatarsal chevron osteotomy of moderate and severe hallux valgus. Materials and Methods: There were 59 patients (81 feet) who were moderate and severe degree hallux valgus according to the classification of Mann. They all got the proximal chevron osteotomy when correcting the deformity. All patients were followed up at least 6 months. We divided the patients into 2 groups, K-wires fixed group as A, Bold screw fixed group as B. Group A were 42 patients (63 feet) and Group B were 18 patients (19 feet). Among the Group B, 2 feet who were failed to fix the oetotomy site with Bold screw, were fixed with K-wires during operation. We measured the AOFAS score preoperatively, postoperatively and at final follow-up, VAS score at 2 weeks after the operation. Also preoperative, postoperative and follow-up hallux valgus angle (HVA) and intermetatarsal angle (IMA) were measured for each patients. Results: Mean follow up period was 1.34 year (range: 6 months-6.16 years). Mean VAS score of group A was $3.21{\pm}1.7$ and group B $1.76{\pm}1.0$. Preoperative mean AOFAS score of group A was $45.61{\pm}8.3$, group B $44.41{\pm}8.9$, the final mean score of group A was $88.87{\pm}8.3$ and group B $92.47{\pm}4.4$. Preoperative mean HVA was $30.82{\pm}6.6$ degrees in group A and $32.88{\pm}14.5$ degrees in group B, the final mean angle of group A was $14.89{\pm}8.3$ degrees and group B $17{\pm}4.4$ degrees. The preoperative mean IMA of group A was $13.69{\pm}3.6 $degrees and group B $12.35{\pm}5.2$, the final mean angle of group A was $9.26{\pm}3.6$ degrees and group B $12.35{\pm}5.8$ degrees. Conclusion: There were no statistical differences in radiologic and clinical results (p>0.05) but, group B exceeded group A in VAS score (p=0.0007) and had no statistical significance in terms of reduction angle loss (p=0.06). Early returning to normal life activity may be possible for patients using Bold screws.

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원위 경골 골절에서 금속정 및 금속판 고정술의 결과 비교 (Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures)

  • 김정한;곽희철;이창락;정양환
    • 대한족부족관절학회지
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    • 제19권3호
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    • pp.86-90
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    • 2015
  • Purpose: We analyzed and compared the clinical and radiologic results between minimally invasive plate osteosynthesis and internal fixation using intramedullary (IM) nail in the treatment of distal tibia fractures. Materials and Methods: From March 2005 to June 2013, 65 cases of distal tibia fractures treated with either plate fixation or IM nail fixation were analyzed retrospectively by clinical and radiologic evaluations. The clinical results were compared using the American Orthopaedic Foot and Ankle Society (AOFAS) score, Olerud-Molander ankle score (OMAS), and visual analogue scale (VAS) score at the last follow-up. The radiologic results were compared by time to bone union, complications such as nonunion, delayed union, and malunion. Results: The clinical results (according to OMAS, AOFAS score, and VAS score) were 77.47, 84.76, and 1.75, respectively, in the plating group, and 90.21, 91.00, and 1.25, respectively, in the nailing group, and there was no statistically significant difference. Plating group showed earlier union than the nailing group and the nailing group showed higher frequency of non-union and delayed union than plating group. Conclusion: In treatment of distal tibia fractures, two methods showed appropriate results. Therefore, thorough investigation of the types of fracture, state of soft tissues, and advantages and disadvantages of the two methods should be conducted in the treatment of distal tibia fractures.

자궁선근증 환자 15명의 초음파 검사 소견, CA-125와 어혈증(瘀血證) 설문지 점수와의 상관성 규명 (A Study on Correlation of Transvaginal Sonography Findings, CA-125 and Blood Stasis Pattern for 15 Adenomyosis Patients)

  • 조준영;이창훈;조정훈;장준복;이경섭;이진무
    • 대한한방부인과학회지
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    • 제24권1호
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    • pp.132-143
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    • 2011
  • Objectives: The purpose of this study is to know the correlation of transvaginal sonography findings, CA-125 and blood stasis pattern for 15 adenomyosis patients. Methods: We got questionnaires from 15 patients among 243 patients who had hysterectomy related with adenomyosis in the department of obstetrics and gynecology, OO medical center from April 11th 2010 to November 15th 2010, and analyzed them. We conducted correlation analysis between age, pain(VAS), duration of pain and blood stasis score, and between difference and sum of uterine walls, CA-125 and blood stasis score. For statistics, we used Spearman correlation coefficient and SPSS version 17.0 for windows. Results: The correlation between sum of uterine walls and CA-125 showed statistical significance. The correlation between CA-125 and blood stasis score showed statistical significance. There is no statistically correlation between age, VAS, duration of the pain and blood stasis score. There is no statistically correlation between difference of uterine walls and CA-125, and between difference and sum of uterine walls and blood stasis score. Conclusion: The result showed that sum of uterine walls is related with CA-125. We need a further study to develop blood stasis indicators with a validated questionnaire, and more subjects involved at multiple institutions.

Scolopendra Pharmacopuncture Combined with Electroacupuncture for the Treatment of Ganglion Cysts: A Retrospective Study

  • Choe, Seon;Jerng, Ui Min;Park, Jeong Hwan;Kim, Sungha;Kim, Sungchul;Lee, Jinbok;Lee, Jun-Hwan;Shin, Minseop
    • 대한약침학회지
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    • 제23권4호
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    • pp.247-251
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    • 2020
  • Objectives: Ganglion cysts require a sustainable treatment that suppresses their frequent recurrence. This study aimed to explore the clinical effects of Scolopendra pharmacopuncture (SP) and electroacupuncture on ganglion cysts. Methods: We retrospectively reviewed the patient records and follow-up reports for 20 patients with wrist ganglion cysts who received SP and electroacupuncture from April 2016 to March 2017. The cyst diameter, recurrence, visual analog scale (VAS) scores for pain, the Korean version of the disabilities of arm, shoulder, and hand (K-DASH) score, and the Korean version of the patient-rated wrist evaluation (K-PRWE) score before and after treatment were noted. Results: After treatment, the cyst diameter decreased significantly from 13.61 ± 6.41 mm to 5.15 ± 6.18 mm (p < 0.001), and VAS score for pain decreased from 1.31 ± 1.77 to 0.41 ± 0.33 (p = 0.021). Further, the K-DASH score decreased significantly from 8.97 ± 12.66 to 2.21 ± 7.39 (p = 0.016), and score for the function subscale of K-PRWE decreased from 11.37 ± 4.48 to 9.1 ± 3.67 (p = 0.046). No recurrences were reported from the followed-up patients. Any complication related to SP or electroacupuncture was not observed, except mild rash, itching, and swelling at the injection site in four patients. Conclusion: Combination of SP and electroacupuncture may be effective in treating ganglion cysts; further prospective studies with large population are needed to clarify the effect of SP and electroacupuncture.

Short- to mid-term outcomes of radial head replacement for complex radial head fractures

  • Baek, Chung-Sin;Kim, Beom-Soo;Kim, Du-Han;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • 제23권4호
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    • pp.183-189
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    • 2020
  • Background: The purpose of the current study was to investigate short- to mid-term outcomes and complications following radial head replacement (RHR) for complex radial head fractures and to identify factors associated with clinical outcomes. Methods: Twenty-four patients with complex radial head fractures were treated by RHR. The mean age of the patients was 49.8 years (range, 19-73 years). Clinical and radiographic outcomes were evaluated for a mean follow-up period of 58.9 months (range, 27-163 months) using the visual analog scale (VAS) score for pain, the Mayo elbow performance score (MEPS), the quick disabilities of the arm, shoulder and hand (Quick-DASH) score, and serial plain radiographs. Complications were also evaluated. Results: At the final follow-up, the mean VAS score, MEPS, and Quick-DASH score were 0.6±1.1, 88.7±11.5, and 19.4±7.8, respectively. The mean range of motion was 132.7° of flexion, 4.7° of extension, 76.2° of pronation, and 77.5° of supination. Periprosthetic lucency was observed in six patients (25%). Heterotopic ossification was observed in four patients (16.7%). Arthritic change of the elbow joint developed in seven patients (29.2%). Capitellar wear was found in five patients (20.8%). Arthritic change of the elbow joint was significantly correlated with MEPS (P=0.047). Four cases of complications (16.6%) were observed, including two cases of major complications (one stiffness with heterotopic ossification and progressive ulnar neuropathy and one stiffness) and two cases of minor complications (two transient ulnar neuropathy). Conclusions: RHR for the treatment of complex radial head fractures yielded satisfactory short- to mid-term clinical outcomes, though radiographic complications were relatively high.