• 제목/요약/키워드: effective score of treatment

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Is Pancapsular Release More Effective than Selective Capsular Release for the Treatment of Adhesive Capsulitis?

  • Moon, Nam Hoon;Lee, Seung-Jun;Shin, Won Chul;Lee, Sang Min;Suh, Kuen Tak
    • Clinics in Shoulder and Elbow
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    • 제18권1호
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    • pp.28-35
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    • 2015
  • Background: We assessed the effectiveness of arthroscopic capsular release for the treatment of adhesive capsulitis. Further, we tried to ascertain the clinical benefits, if any, of pancapsular release over selective capsular release, where the two differ by performing or not performing a posterior capsular release, respectively. Methods: Thirty-five consecutive patients with either primary or secondary adhesive capsulitis who failed conservative treatment for more than 6 months were enrolled in the study. A total of 16 patients allocated in group 1 received a pancapsular release that comprises the release of the rotator interval, anteroinferior capsular, and the posterior capsular release, whereas 19 patients in group 2 received a selective capsular release that comprises only the release of the rotator interval release and anteroinferior capsular release. The clinical outcomes, visual analogue scale (VAS) score, Constant score, and range of motion, were assessed preoperative and postoperatively. Results: In both groups, the preoperative VAS score, Constant score, and ROM showed a significant improvement by the 6-month follow-up. We found that the immediate postoperative internal rotation was significantly higher in group 1 than group 2. Despite significant differences seen between the two groups at the initial postoperative period, there were no significant differences in Constant score, VAS score, and the ROM at all the subsequent follow-ups between the two groups. Conclusions: Arthroscopic capsular release for the treatment of adhesive capsulitis is very effective. However, pancapsular release did not show any advantage over selective capsular release in terms of overall clinical outcome.

The Comparative Study on the Effect of Pharmacopuncture Treatment and Chuna Treatment for Low Back Pain caused by Traffic accidents (교통사고 후 요통을 호소하는 환자에 대한 약침과 추나의 치료효과 비교 연구)

  • Kim, Jun-Soo;Lee, Jae-Hoon;Yang, Kee-Young;Kim, Jeong-Won;No, Hae-Rin;Jeong, Yoon-Gyu;Han, Sang-Yeob;Hwang, Eun-Mi
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • 제6권2호
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    • pp.155-164
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    • 2011
  • Objectives : The purpose of this study is to compare the effects of Pharmacopuncture Treatment with Chuna Treatments for Low Back Pain caused by Traffic accidents. Methods : This study was carried out on 81 patients with low back pain caused by Traffic accidents. The patients were divided into 2 group ; The pharmacopuncture(A) group was treated by pharmacopuncture treatment. The chuna(B) group was treated by chuna treatment. We measured Oswestry Disability Index(ODI) and Visual Analog Scale(VAS) on the patients before the treatment and on the 2nd, and 4th weeks after the treatments. Results : After being treated by our methods, the ODI and VAS score's were improved after the 4th weeks treatment in both groups. There is no significant difference on ODI and VAS score after the 4th weeks treatment in both groups. In the early stages(from pre to 2 weeks worth of treatment), Group A showed a decreasing VAS score compared to Group B. In the final stages(from 2 weeks to 4 weeks worth of treatment), Group B showed a higher decreasing amount compared to Group A in VAS score. Conclusions : The results suggest that both pharmacopuncture treatment and chuna treatment is considered to be effective and useful on low back pain caused by traffic accidents. There is no significant difference between pharmacopuncture treatment and chuna treatment for low back pain caused by traffic accidents, however the early stages of treatments(from pre to 2 weeks treatement) show that pharmocopouncture treatment is more effective than chuna treatment for low back pain by traffic accidents. In the final stages(from 2 weeks to 4 weeks treatment), chuna treatment is more effective than pharmacopuncture treatment for low back pain by traffic accident.

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A Case Report of a Patient with Cervical Dystonia Treated by Korean Medical Treatment Based on Meridian Tendino-Musculature Acupuncture (사경증 환자에 대한 경근자법 중심의 한방치료 치험 1례)

  • Sin, Dae Chul;Kang, Mi Suk
    • Korean Journal of Acupuncture
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    • 제33권4호
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    • pp.226-230
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    • 2016
  • Objectives : The objective of this study is to report a effectiveness of korean medical treatment based on Meridian Tendino-musculature Acupuncture to patient with cervical dystonia. Methods : In this study, we conducted treatment based on Meridian Tendino-musculature Acupuncture to patients. And we also carried out treatments like herb medicine and cupping therapy etc. Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine were measured once a month to evaluate the severeness of symptom. Results : After 24 sessions of treatment, there were improvements on Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine. Conclusions : Korean medical treatment based on Meridian Tendino-musculature Acupuncture may be effective for relieving symptoms of cervical dystonia.

A Clinical Study of Bee Venom Acupuncture Therapy on External Epicondylitis (상완골외측상과염(上腕骨外側上顆炎)에 대한 봉약침(峰藥鍼) 요법이 미치는 영향(影響))

  • Kim, Kyung-Tae;Song, Ho-Sueb
    • Journal of Pharmacopuncture
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    • 제9권2호
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    • pp.93-97
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    • 2006
  • Objective : This study was to evaluate the effectiveness of Bee Venom acupuncture therapy on external epicondylitis. Methods : We divided chronic arthritis of ankle patient into 2 groups; one group combined bee venom acupuncture therapy and acupuncture therapy, another group was only acupuncture therapy. To estimate the effectiveness of treatment that applied for two groups, we used visual analog scale(VAS). We compared the VAS score of two groups statistically. Results : 1. As a result of evaluation by using visual analog scale(VAS), treatment score at final was marked more higher than score before treatment on each groups. 2. treatment at final, acupuncture and bee venom acupuncture therapy group had significant result on visual analog scale(VAS) compared with acupuncture therapy group. Conclusion : Bee Venom acupuncture therapy can be used with acupuncture therapy for highly effective treatment for external epicondylitis.

The Effects of Burning Acupuncture Therapy with Chuna Therapy for Low Back Pain Patients (요통에 대한 추나요법과 가열식 화침 병행 치료의 효과)

  • Chang, Dong-Ho;Bae, U-Yeol;Jung, Jong-Hoon;Lee, In-Seon
    • Journal of Korean Medicine Rehabilitation
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    • 제21권3호
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    • pp.21-32
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    • 2011
  • Objectives : The purpose of this is to prove that using burning acupuncture therapy with chuna therapy can be more effective therapy for low bock pain patient. Methods : 43 patients with low back pan were divided into 2 groups; using burning acupuncture therapy with chuna therapy group and using chuna therapy only group. The patients were evaluated by visual analogue scale(VAS) and pain rating score(PRS). Results : Each group showed significant in decreasing VAS score and PRS score. After 2nd treatment, the sample group was significant mere effective in decreasing VAS. And after 3rd treatment, the sample group was significantly more effective in decreasing PRS(p<0.05). Constructive disease didn't affect the change of pain significantly. Conclusions : In this clinical study, using burning acupuncture therapy with chuna therapy group was more effective in relieving low back pain than using chuna therapy only group.

The Efficacy of Acupuncture on Postpartum Urinary Incontinence: A Systemic Review and Meta-analysis (산후 요실금에 대한 침의 효과 : 체계적 문헌고찰 및 메타분석)

  • Lee, Soo-Hyung;Kim, Song-Baek
    • The Journal of Korean Obstetrics and Gynecology
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    • 제35권3호
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    • pp.37-55
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    • 2022
  • Objectives: The purpose of this study is to investigate the efficacy and safety of acupuncture on postpartum urinary incontinence. Methods: 'postpartum urinary incontinence', 'postnatal urinary incontinence', 'acupuncture' were searched on 4 online databases (Cochrane Library, Pubmed, CNKI, OASIS). Randomized controlled trials (RCTs) that used acupuncture on postpartum urinary incontinence were included. The methodological quality of each RCT was assessed by using Cochrane risk of bias tool. Results: 12 RCTs were finally selected. The overall risk of bias was evaluated as uncertain. 11 studies showed that combined treatment group was better than control group in effective rate and/or ICIQ-SF total score, but among those 1 study was not statistically significant in ICIQ-SF total score. In the comparison of alone treatment group and control group, 1 study showed favorable effect in ICIQ-SF total score, but 1 study was not significant in effective rate. Conclusions: Treatment that include acupuncture can effect on postpartum urinary incontinence. but considering quality of studies, inconsistent and insufficient evidence, further well-designed studies are needed to confirm the efficacy and safety of this treatment.

Study on Clinical Effects of Homnis Placenta Herbal Acupuncture on Osteoarthritis of Knee Joint (자하거(紫河車) 약침(藥針)의 퇴행성(退行性) 슬관절염(膝關節炎) 치료(治療)에 대한 임상적 고찰(考察))

  • Song, Kye-Hwa;Lee, Jin-Seok;Jo, Jin-Hyung;Park, Ki-Bum
    • Journal of Acupuncture Research
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    • 제23권4호
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    • pp.163-173
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    • 2006
  • Objectives : The study was peformed to evaluate the effect of treatment for Osteoarthritis of knee joint by using Homnis Placenta Herbal Acupuncture. Methods : We investigated 60 cases of patient with Osteoarthritis of knee joint from 1st February 2005 to 31st January 2005, 60 cases of patient with Osteoarthritis in knee joint treated at the department of acupuncture & moxibustion of Kwang-Dong Oriental Medicine Hospital were randomly selected for two group. One group was treated by Homnis Placenta Herbal Acupuncture therapy, the other group was treated by Filiform Acupuncture therapy. We studied Lyshoim score, Ahlaback Grade, Nine-point scale and improvement degree of the grade of Ahlaback. Results : 1. In the Lyshoim score, Homnis Filiform Acupuncture was more effective than Filiform Acupuncture. But, there was no significance between two groups statistically in the Lyshoim score. 2. In the Nine point score, Homnis Placenta Herbal Acupuncture was more effective than Filiform Acupuncture. 3.In the improvement degree of the grade of Ahlaback., Homnis Placenta Herbal Acupuncture was as effective as Filiform Acupuncture. Conclusion : In the treatment of Osteoarthritis of knee joint, Homnis Placenta Herabl Acupuncture was not more effective than Filiform Acupuncture statistically. But both Homnis Placenta Herbal Acupuncture and Piliform Acupuncture was effective in Osteoarthritis of knee joint.

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Effect of Aromatherapy on Skin Xerosis and Pruritus in Patients Undergoing Maintenance Hemodialysis (향 요법이 혈액투석 환자의 피부건조와 소양증에 미치는 효과)

  • 하혜정
    • Journal of Korean Academy of Nursing
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    • 제29권6호
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    • pp.1284-1293
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    • 1999
  • This study was designed to investigate the effect of aromatherapy on skin xerosis and pruritus in patients undergoing maintenance hemodialysis. Twenty one subjects of this study were selected from St. Paul's Hosipital in Seoul. All the subjects were received the mineral oil massage at the arm without fistular three timesper week for 4 weeks. After 2 weeks period of wash-out, the subjects were received the aromatherapy of lavender and tea tree essence oil in the same way. This study was carried out from March 20 to June 13, 1998. Pruritus score, skin pH and stratum corneum hydration were measured before and after each treatment. But, biochemical parameters were measured before the treatment of the mineral oil massage, after the treatment of the mineral oil massage and the aromatherapy. Data of this study were analyzed by paired t-test, repeated measures ANOVA, Bonferroni multiple comparisons and Pearson correlation coefficient. The results were as follows ; 1. Pruritus score was significantly decreased after the aromatherapy, while no significant change after the treatment of the mineral oil massage. Therefore, there was a significant difference in the priritus score between the two treatments. 2. Stratum corneum hydration was significantly increased after the aromatherapy, while no significant change after the treatment of the mineral oil massage. Therefore, there was a significant difference in the stratum corneum hydration between the two treatments. 3. Skin pH was significantly increased after the treatment of the mineral oil massage, while no significant change after the aromatherapy. Therefore, there was no significant difference in the skin pH between the two treatments.4. After the aromatherapy, the serum calcium was significantly increased. Whereas the serum parathyroid hormone intact was significantly decreased compared with the treatment of the mineral oil massage. But the level of the serum Ca and PTH-intact were within the normal range. 5. Stratum corneum hydration was decreased corresponding to the duration of hemodialysis, while pruritus score and skin pH showed no change corresponding to the duration of hemodialysis and the age of the subjects. The correlation of pruritus score on skin pH, stratum corneum hydration and biochemical parameters was not significant. In conclusion, this findings indicate that aromatherapy may be effective in decreasing skin xerosis and pruritus score in uremic pruritus patients undergoing maintenance hemodialysis.

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Effectiveness of Oral Glycopyrrolate Use in Compensatory Hyperhidrosis Patients

  • Gong, Tai Kyung;Kim, Do Wan
    • The Korean Journal of Pain
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    • 제26권1호
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    • pp.89-93
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    • 2013
  • Compensatory hyperhidrosis or reflex hyperhidrosis is the increase in sweating in the postoperative stage of thoracic sympathectomy or lumbar sympathectomy. It shares several features with anxiety disorders and has a negative impact on a patient's quality of life. Oralglycopyrrolate is one of the treatment options available. This study reviewed case notes in a series of 19 patients with compensatory hyperhidrosis. We made a comparison between the Milanez de Campos score of a pre-glycopyrrolate medication group and the Milanez de Campos score of a post-glycopyrrolate medication group. The Beck Depression Inventory (BDI) score, Beck Anxiety Inventory (BAI) score, and autonomic nervous system (ANS) scale score were also compared between the pre-medication and post-medication groups. In the post-glycopyrrolate medication group, there was decrease in the Milanez de Campos score, BAI score, and BDI score (P < 0.05). But no meaningful change was seen in the ANS score in the post-glycopyrrolate medication group (P > 0.05). Glycopyrrolate is an effective medication in the treatment of compensatory hyperhidrosis that, can alleviate anxiety and improve patients' quality of life.

Efficacy of extracorporeal shock wave therapy for pillar pain after open carpal tunnel release: a double-blind, randomized, sham-controlled study

  • Turgut, Mehmet Cenk;Saglam, Gonca;Toy, Serdar
    • The Korean Journal of Pain
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    • 제34권3호
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    • pp.315-321
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    • 2021
  • Background: Pillar pain may develop after carpal tunnel release surgery (CTRS). This prospective double-blinded randomized trial investigated the effectiveness of extracorporeal shock wave therapy (ESWT) in pillar pain relief and hand function improvement. Methods: The sample consisted of 60 patients with post-CTRS pillar pain, randomized into two groups. The ESWT group (experimental) received three sessions of ESWT, while the control group received three sessions of sham ESWT, one session per week. Participants were evaluated before treatment, and three weeks, three months, and six months after treatment. The pain was assessed using the visual analogue scale (VAS). Hand functions were assessed using the Michigan hand outcomes questionnaire (MHQ). Results: The ESWT group showed significant improvement in VAS and MHQ scores after treatment at all time points compared to the control group (P < 0.001). Before treatment, the ESWT and control groups had a VAS score of 6.8 ± 1.3 and 6.7 ± 1.0, respectively. Three weeks after treatment, they had a VAS score of 2.8 ± 1.1 and 6.1 ± 1.0, respectively. Six months after treatment, the VAS score was reduced to 1.9 ± 0.9 and 5.1 ± 1.0, respectively. The ESWT group had a MHQ score of 54.4 ± 7.7 before treatment and 73.3 ± 6.8 six months after. The control group had a MHQ score of 54.2 ± 7.1 before treatment and 57.8 ± 4.4 six months after. Conclusions: ESWT is an effective and a safe non-invasive treatment option for pain management and hand functionality in pillar pain.