• Title/Summary/Keyword: Visual analog scale

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Comparison Study with Pain Assessment Tools of Pain Measurement in Children for Intravenous Catheter Placement in the Computed Tomography (CT 검사에서 소아 환자의 정맥 카데터 삽입 통증에 대한 측정 도구 비교)

  • Kweon, Dae-Cheol;Jang, Keun-Jo
    • The Journal of the Korea Contents Association
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    • v.8 no.2
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    • pp.205-212
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    • 2008
  • Needle phobia of medical devices is a significant problem in children patients. We conducted study in 130 pediatric patients aged $8{\sim}13$(mean age 10.5) who had venipuncture performed in a computed tomography. This review aims to explore the research available relating to three commonly used pain rating scales of children, the visual analogue scale(VAS), numeric pain rating scale(NPRS) and Wong-Baker faces pain scale(WBFPS) with scores. Its validity is supported by a strong positive correlation with the three-pain rating scales(correlations ranging from 0.70 to 0.92) measure in children. There were no significant differences between the means on the VAS and either of the pain rating scales. It has the advantage of being suitable for use with the most widely used metric for scoring($0{\sim}10$), and conforms closely to a linear interval scale. These scales presented moderate to good correlation and moderate agreement, sufficient for valid use in children. All three pain-rating scales are valid, reliable and appropriate for use in intravenous catheter placement.

A Case Study of a Female Patient with Patellofemoral Pain Syndrome for Effect of Hip Joint Traction and Hip Posterolateral Muscles Strengthening on Knee Pain, Range of Motion, and Lower Extremity Function Scale (슬개대퇴통증 증후군 환자에게 적용한 고관절 견인과 근력 강화 운동이 무릎 통증, 관절가동범위, 하지기능에 미치는 영향-사례 연구)

  • Hong, Hyun-Pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.35-38
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    • 2014
  • Background: The case study examined the effect of a hip joint traction and hip posterolateral muscles strengthening on knee pain, range of motion, and lower extremity function scale of patients with patellofemoral pain syndrome (PFPS). Although PFPS has previously been attributed to quadriceps dysfunction, more recent research has linked this condition to impairment of the hip musculature and kinematic. Methods: Subject is a 27-years-old female with PFPS. Performed hip joint traction with belt and posterolateral muscles(hip abductors, external rotators) strengthening for 4 weeks, 3 times a week, once a day. Before and after the therapy, measurements were made on the visual analog scale (VAS) and of the ROM, and a lower extremity functional scale (LEFS) was conducted. Results: The results showed positive changes in VAS and range of motion and lower extremity functional scale. First VAS of knee changed from 6 to 2. Second hip joint range of motion showed that internal rotation recored from $53^{\circ}$ to $58^{\circ}$ and external rotation recorded from $32^{\circ}$ to $37^{\circ}$. Third The lower extremity functional scale showed before therapy of 44; after therapy, 63. Conclusion: The hip joint traction and hip posterolateral muscles strengthening was effective in alleviating knee pain, increasing ROM and Lower extremity functional scale of the PFPS patients.

A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Balanced Acupuncture on Treatment of Herniated Intervertebral Disc of Lumbar Spine Patients (요추 추간판 탈출증 환자의 침치료와 평형침법 병행치료에 대한 비교 연구)

  • Kim, Kyung Wook;Yoo, Je Hyuk;Kim, Hyun Ho;Kim, Jong Han;Im, Se Hoon;Chung, In Tae;Kim, Ji Hye;Lee, Jae Dong;Choi, Do Young
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.139-149
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    • 2013
  • Objectives : The aim of this study was to observe the effect of balanced acupuncture on herniated intervertebral disc of lumbar spine patients. Methods : We investigated 23 cases of in-patients with acute & subacute herniated intervertebral disc of lumbar spine in oriental hospital, and divided patients into two groups. We treated one group(12 people) by complex oriental medical treatment with Balanced acupuncture, and the other group(11 people) by complex oriental medical treatment without Balanced acupuncture. To evaluate the effectiveness of treatment applied for two groups, we used visual analog scale(VAS) and rating scale for low back pain at admission and discharge. Results : 1. In balanced acupuncture group and control group, compared with baseline and final. VAS was significantly improved. 2. In Balanced acupuncture group and control group, compared with baseline and final. Rating scale for low back pain was significantly improved. 3. VAS and rating scale for low back pain improvement rate in balanced acupuncture group were no statistical significance compared with control group. Conclusions : Balanced acupuncture might be used for relieving symptoms related with herniated intervertebral disc of lumbar spine, but it's no statistical significance.

Comparison of safety and analgesic efficacy of diclofenac sodium with etodolac after surgical extraction of third molars: a randomized, double-blind, double-dummy, parallel-group study

  • Vaghela, Jitendra H.;Shah, Jigna H.;Patel, Jaladhi H.;Purohit, Bhargav M.
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.1
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    • pp.19-27
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    • 2020
  • Background: Surgical extraction of third molars is associated with postoperative pain and swelling at the extraction site. Pain is commonly managed using non-steroidal anti-inflammatory drugs (NSAIDs). Postoperative pain is usually moderate to severe in the first 12 h postoperatively and lasts for 3-5 days. However, with NSAIDs, these symptoms usually subside within 24 h. Diclofenac sodium and etodolac are NSAIDs, more selectively cyclooxygenase-2 inhibitors, with good analgesic efficacies. Methods: We compared the safety and analgesic efficacy of diclofenac sodium with etodolac peroral after surgical extraction of third molars in a double-blind, double-dummy, parallel-group study. The subjective pain improvement and pain relief after 2, 6, 24, 48, and 72 h using the visual analogue scale were measured as the study outcome. Results: Etodolac was equivalent to diclofenac sodium in pain alleviation at all postoperative time periods. No significant differences were found between diclofenac sodium and etodolac groups (P > 0.05). Both study medications were well tolerated and safe with mild adverse effects in only a few participants. Conclusion: Diclofenac sodium and etodolac are comparable in terms of analgesic efficacy and safety after surgical removal of third molars.

The Case Report about Baastrup's Disease Treated with Conservative Treatment (Baastrup's disease의 보존적 치료에 대한 증례)

  • Cho, Hyun-Chol;Lee, Byeong-Yee;Lee, Gil-Jae;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.201-210
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    • 2008
  • Objectives : This report was performed to evaluate the treatment of acupuncture therapy, Bee venom acupuncture therapy and herbal medication in Baastrup's disease. Methods : We treated 1 case of Baastrup's disease with acupuncture therapy, Bee venom acupuncture therapy one times a week and took herbal medicine after a meal two times daily. The patients' symptoms were assessed 3 month, 6 month, 9 month by Visual analogue scale(VAS), Oswestry disability index(ODI). Results : Visual Analog Scale(VAS), Oswestry Disability Index(ODI) was significantly improved after treatment for 9 months. Conclusions : This study suggested that acupuncture therapy, Bee venom acupuncture therapy and herbal medicine can be effective for decreasing pain and improving functional recovery. We think that it need the further study and clinical trial for Baastrup's disease.

Effect and Satisfaction Measurement of Korean Medicine Treatment on Adolescent Dysmenorrhea (중고등학교 여학생의 월경통 한방 치료 효과 및 만족도 분석)

  • Park, Soo-Jung;Joo, Jong-Cheon;Kim, Jeong-Ho;Kim, Seong-Bae;Lee, Sang-Duk
    • The Journal of Korean Obstetrics and Gynecology
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    • v.29 no.1
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    • pp.69-77
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    • 2016
  • Objectives: The aim of this study is to evaluate the effect and satisfaction measurement of the Korean medicine treatment on the adolescent dysmenorrhea. Methods: The subjects of this study were 24 volunteers, suffering from dysmenorrhea, who were middle and high school students in Jeonbuk province. They were treated by Korean medicine, those were acupuncture, cupping, moxibustion and herbal medicine, for two months from July to December 2015. The results were investigated by the visual analogue scale (VAS) of overall pain, most severe pain and amount of the analgesic taken for menstrual period. The effects of treatment were assessed three times, those were before treatment, after treatment for 1 month and after treatment for 2 months, for two months. Results: The VAS score on dysmenorrhea was decreased significantly. Also, the VAS score on the disturbance in school activity was decreased significantly. The amount of analgesic taken for menstrual period was decreased, but not significantly. Conclusions: This study suggests that the Korean medicine treatment on the adolescent dysmenorrhea is effective.

The Relationship between Visual Analogue Scale and R(III) Nociceptive Flexion Reflex (Visual Analogue Scale과 R(III) Nociceptive Flexion Reflex와의 상관관계)

  • Kim, Yong-Ik;Kim, Sang-Hyun;Lee, Ju-Chul;Jeon, Jae-Soo;Hwang, Kyung-Ho;Park, Wook
    • The Korean Journal of Pain
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    • v.13 no.2
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    • pp.175-181
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    • 2000
  • Background: Pain is often measured using psychophysical scaling techniques. However, all of these methods found their limits, since they were based on the subjective sensations reported by the subjects. It is, therefore, desirable to validate psychophysical pain measures by simultaneously measuring some physiological correlate of nociception. We studied an objective method for measuring pain in human volunteer using R(III) nociceptive flexion reflex. Methods: Four different intensity of electrical stimuli between perception and 1.4 times the R(III) nociceptive flexion threshold were delivered to the sole of the feet in 8 normal volunteers. We measured the flexion reflex activity in the skin over the ipsilateral tibialis anterior muscle and subjects rated each stimulus on a visual analog scale (VAS) Results: Both R(III) nociceptive flexion reflex activity and VAS ratings showed a linear relationship with stimulus intensity and with each other in all volunteers. Conclusions: R(III) nociceptive flexion reflex elicited through electrical stimulation may used as an objective pain measurement, previsionary based on our study paradigm.

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Effects of Two Music Therapy Methods on Agitation and Anxiety among Patients Weaning off Mechanical Ventilation: A Pilot Study

  • Park, Jong Yoen;Park, Soohyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.2
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    • pp.136-143
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    • 2019
  • Purpose: The feasibility and differential effects of two music therapy methods (interventions with preferred music vs. classical relaxation music) were done to examine the effects on agitation and anxiety in patients weaning off mechanical ventilation. Methods: This pilot study was conducted using a crossover design. Six patients listened to preferred music choices and classical relaxation music. Anxiety scores were measured using the Richmond Agitation Sedation Scale (RASS), State-Trait Anxiety Inventory (STAI), and visual analog scale (VAS). Results: Patients showed a significant decrease in agitation and anxiety after both the preferred and classical relaxation music interventions. The difference in the effects of preferred music and that of classical relaxation music was not significant. As for feasibility, patients exhibited a change in agitated behaviors after the music interventions by not trying to take off medical devices and quietly listening to the music, and by smiling and moving lips along with the lyrics while listening. Conclusion: Music interventions which centered on either patients' preferences or classical relaxation music to enhance relaxation, helped reduce agitation and anxiety during the mechanical ventilation weaning process.

Comparative Study on the Effect of Acupuncture on Local Acupoints and Distal Acupoints for Patients with Whiplash Injury (교통사고로 인한 편타성 손상 환자에 대한 원위취혈 및 근위취혈의 치료효과 비교 연구)

  • Kim, Jee-Hyun;Lee, Kyung-Min;Lim, Seong-Chul
    • Korean Journal of Oriental Medicine
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    • v.16 no.2
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    • pp.159-166
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    • 2010
  • Objective : The purpose of this study is to compare the Effect of Acupuncture on Local Acupoints and Distal Acupoints for Patients with Whiplash Injury. Method : From January 1st 2009 to September 31th 2009, 10 patient were divided into 2 groups. One group was taken Local Acupoints, and the other group was taken Distal Acupoints. To check pain and treatment satisfaction, visual analog scale(VAS) and five-point likert scale were used before and after treatment. Result : Both acupuncture theraphy showed improvement in VAS and five-point likert scale. And Local Acupoints group showed more effective than Distal Acupoints group on five-point likert scale. Conclusion : This Study suggests that Acupuncture on Local Acupoints and Distal Acupoints can be applicable to improve symptom in Patients with Whiplash Injury.

A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Loss of Visual Acuity after hemorrhagic Stroke (동측 반맹 및 시력저하를 호소하는 후두엽 및 측두엽 뇌출혈 환자 한의복합치료 1례)

  • Si Yun Sung;Dabin Lee;Youngseon Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon;Han-Gyul Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.25-40
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    • 2023
  • Background: Although not clarified, the overall prevalence of visual field loss after stroke was estimated at 52% of stroke survivors and for visual acuity loss, at 70% of them. Among visual field loss patients after stroke, homonymous hemianopia is the most common symptom. Visual defect degrades the quality of life by disrupting independent life and affecting the survival of the patients, but highly-evidenced treatment has not been found until now. ■Case report A 51-year-old female with left-side homonymous hemianopia and central vision loss by a right occipital-temporal hemorrhage was treated with Hyeolbuchukeo-tang, Ikgibohyeol-tang, acupuncture, electroacupuncture, and moxibustion. We used a confrontation visual field exam, automated perimetry and visual analog scale, and visual acuity test to observe changes in the patient's symptoms and evaluate the efficacy of the treatment. After 61 days of such interventions, the patient's subjective discomfort lessened, followed by positive changes in the scales of tests mentioned above. ■Conclusion This case suggests that combined Korean medicine treatment might be an effective tool for treating post-stroke homonymous hemianopia and central vision loss. More studies should be conducted to support the effectiveness of the treatment.

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