• Journal of Physiology & Pathology in Korean Medicine
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• v.23 no.1
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• pp.232-236
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• 2009

Plantar fasciitis is most common cause of heel pain which starts anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pain which incur the degenerative changes with elastic fiber weakness. We treated one patient after extracorporeal shock wave treatment. We diagnosed him with X-ray and treated her conservative maneuver as to oriental medical method. We measured Vas(Visual analogue scale) and thermographic picture of both leg. Visual analogue scale is from 10 to 4 and thermographic picture of both leg were improved in cases.

• Korean Journal of Acupuncture
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• v.35 no.4
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• pp.234-238
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• 2018

Objectives : This report details on a single case of Korean Medical treatments for the angular deformity of wrist fracture with disuse osteopenia. Methods : A 74-year-old lady with angular deformity of wrist fracture with disuse osteopenia was treated by Korean Medical therapies including manual acupuncture with electroacupuncture, pharmacopuncture, and chuna, twice daily for 41 days. Visual analogue scale for pain and range of motion were evaluated. Results : 1. Wrist pain decreased by Korean medical treatments over 41 days. 2. As a result of evaluation by visual analogue scale, the score marked from 6 to 3. 3. ROM of wrist joint increased from $0^{\circ}$ to $10^{\circ}$. Conclusions : Korean medical treatments helped symptom improvement in a patient with angular deformity of wrist fracture with disuse osteopenia.

• Physical Therapy Rehabilitation Science
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• v.3 no.2
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• pp.142-147
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• 2014

Objective: This study aims to investigate high energy and low energy extracorporeal shockwave therapy (ESWT) and which one is more effective for shoulder pain. Design: Single blind randomized controlled trial. Methods: Fifty two subjects with upper trapezius (UT) trigger point (TrP) participated in this study. They were allocated to high energy (n=26) and low energy group (n=26). This study applies ESWT and investigates the changes of pressure pain threshold (PPT) and visual analogue scale (VAS). The high and low energy groups received focused piezo electric type ESWT 4 Hz, 1,000 pulses and 0.351 and $0.092mJ/mm^2$ respectively. Outcome measures of PPT and pain was measured by algometer and pain VAS. These measurements were performed before and after treatment. Results: The PPT value was significantly increased in both groups after treatment (p<0.05) and VAS scores were significantly decreased after treatment in both groups (p<0.05). However, there were no significant differences between groups. Conclusions: ESWT is an effective treatment for the application of the UT TrP. Although there were significant effects of extracorporeal shock wave therapy on PPT and VAS scores, there were no signficant differences between high and low energy extracorporeal shock wave therapy.

• PNF and Movement
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• v.13 no.3
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• pp.145-153
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• 2015

Purpose: The current study aims to identify the effects of proprioceptive neuromuscular facilitation (PNF) on pain and grip strength in patients with cervical herniated intervertebral disc (HIVD) and provide effective interventions for such patients. Methods: Included in this study were 20 subjects (10 men, 10 women) in their 30s-50s who had been diagnosed with cervical HIVD. Intervention methods included PNF neck patterns, dynamic reversal of antagonists, and a combination of isotonics. The visual analogue scale (VAS) was used to measure pain and dynamometers were used to measure grip strength. Results: After four weeks of muscle strengthening exercises, neck pain was significantly reduced, and hand grip strength significantly increased. Conclusion: PNF can be utilized as an effective intervention to reduce the pain of patients with cervical HIVD and to increase grip strength.

• The Journal of Dong Guk Oriental Medicine
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• v.8 no.2
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• pp.25-46
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• 2000

Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient's self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidimensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient's linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2009.03a
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• pp.7-7
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• 2009

• PNF and Movement
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• v.18 no.2
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• pp.245-254
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• 2020

Purpose: The study investigated the effects of extracorporeal shock wave therapy with myofascial release techniques (ESWT+MFR) on pain, movement, and function in patients with myofascial pain syndrome. Methods: Forty participants with upper trapezius trigger points were recruited and randomly allocated to two groups: an experimental group (n = 20) and a control group (n = 20). The experimental group performed the ESWT+MFR, and the control group performed only myofascial release techniques. Each group was treated for 15 minutes, twice a week for four weeks. Pain was assessed using a visual analogue scale and a pressure pain threshold measure. Movement was assessed by cervical range of motion, and cervical and shoulder function were assessed on the Constant-Murley Scale and the Neck Disability Index before and after treatment. Results: The results indicate statistically significant improvements in the two groups on all parameters after intervention as compared to baseline (p < 0.05). As compared to the control group, the experimental group showed statistically significant improvements on the visual analogue scale and pressure pain threshold, cervical range of motion (except rotation), and on the Neck Disability Index (p < 0.05). Conclusion: The ESWT+MFR is more effective than myofascial release techniques for pain, movement, and function in patients with myofascial pain syndrome and would be clinically useful for physical therapists treating myofascial pain syndrome.

• Journal of Dental Anesthesia and Pain Medicine
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• v.18 no.6
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• pp.367-373
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• 2018

Background: Fear of local anesthesia (LA) is a significant impediment to dental care as many patients delay or avoid treatment to avert pain. Computer-controlled local anesthetic delivery system (CCLAD), with constant and controlled rate of flow, present a painless alternative. The present study aimed to compare anxiety and pain perceived with conventional and computerized systems, for different stages of anesthesia delivery when administering various nerve blocks. Methods: One hundred patients requiring bilateral LA participated in the study. One side was anesthetized using one system and the contralateral side was anesthetized using the other, in two separate appointments. Patients assigned anxiety scores on a 5-point scale and used the visual analogue scale (VAS) for pain determination at needle insertion, during delivery of anesthetic solution, immediately after injection, and at the end of the periodontal procedure. Each patient's preference for the delivery system of future injections was also recorded. Results: Patients reported significantly lower anxiety levels with CCLAD compared to the syringe. Significantly lower mean VAS scores for anesthesia deposition, pain immediately after, and at the end of the periodontal procedure were also noted. However, pain at needle insertion was comparable between the two systems, with no statistical significance. Overall, 64.4% patients preferred CCLAD for future anesthesia. Conclusion: Lower pain perceived with CCLAD and higher preference for the system suggest that CCLAD should replace conventional syringes to allow pain-free dental treatment.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.4 no.2
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• pp.137-148
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• 2009

Objective : To evaluate the effect of Muscular Acupuncture and Muscle Energy technique on Frozen Shoulder. Methods : The authors observed the patient by Visual Analogue Scale for pain, Range of Motion, Shoulder Pain and Disability Index. Conclusions : 1. Visual Analogue Scale for patient's shoulder pain was significantly decreased. 2. Shoulder Pain and Disability Index was also significantly decreased. 3. Shoulder Movement was significantly improved, so the patient recovered her own normal Range of Motion. 4. Muscular Acupuncture and Muscle Energy Technique can be used as effective treatments on Frozen Shoulder.

• Journal of Acupuncture Research
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• v.20 no.3
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• pp.229-237
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• 2003

Objective : The purpose of this report is to usee more Chuna treatment clinically by comparing the improvement of Back pain and Sciatica between Common treatment Group and Common treatment with Chuna treatment Group. Methods : This study was carried out on 30 patients with Back pain and Sciatica who ere hospitalized in Dongshin Univ. Oriental Hospital form April 2001 to December, 2002. Group A of 15 patients wer taken both common treatment and Chuna treatment. And Group B of 15 patients were only taken common treatment. And after 10 days of admission, we checked and compared VAS(Visual Analogue Scale) and improvement index out of these two groups. Results : The result of the VAS(Visual Analogue Scale) and improvement index of comparison analysis between two groups after 10 days, shows that the improvement of Back pain and Sciatica in Common treatment with Chuna treatment Group is more effective than that in Common treatment Group.